Application of nested PCR to detect Penicillium marneffei in serum samples

Monsicha Pongpom1, Thira Sirisanthana, Nongnuch Vanittanakom

  • 1Department of Microbiology, Chiang Mai University, Chiang Mai, Thailand.

Medical Mycology
|April 9, 2009
PubMed

Insights

A novel nested PCR assay accurately detects Penicillium marneffei DNA in patient serum samples. This diagnostic tool shows high sensitivity, aiding in the diagnosis of penicilliosis marneffei infections.

Area of Science:

  • Medical Mycology
  • Molecular Diagnostics
  • Infectious Diseases

Background:

  • Penicillium marneffei is an emerging fungal pathogen causing systemic infections, particularly in immunocompromised individuals.
  • Accurate and rapid diagnostic methods are crucial for timely treatment of penicilliosis marneffei.

Purpose of the Study:

  • To evaluate a previously developed nested PCR assay for the detection of Penicillium marneffei DNA in clinical serum samples.
  • To determine the sensitivity and specificity of the assay for diagnosing penicilliosis marneffei.

Main Methods:

  • A nested PCR assay targeting the 18S ribosomal DNA of Penicillium marneffei was employed.
  • The assay's sensitivity was assessed using known concentrations of P. marneffei DNA.
  • Serum samples from patients with confirmed penicilliosis marneffei and control groups were tested.

Main Results:

  • The nested PCR assay demonstrated high sensitivity, detecting as low as 4 pg/microl (15 cycles) and 0.4 fg/microl (30 cycles) of P. marneffei DNA.
  • 68.6% (24/35) of serum samples from patients with culture-confirmed penicilliosis marneffei were positive.
  • All sera from healthy individuals and HIV-positive patients without P. marneffei infection tested negative.

Conclusions:

  • The nested PCR assay is a sensitive and specific method for detecting Penicillium marneffei DNA in serum.
  • This molecular assay holds significant potential for the clinical diagnosis of penicilliosis marneffei infections.

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