[HTML][HTML] Evaluation of nucleic acid sequencing of the D1/D2 region of the large subunit of the 28S rDNA and the internal transcribed spacer region using SmartGene …

NP Kwiatkowski, WM Babiker, WG Merz… - The Journal of Molecular …, 2012 - Elsevier
NP Kwiatkowski, WM Babiker, WG Merz, KC Carroll, SX Zhang
The Journal of Molecular Diagnostics, 2012Elsevier
Filamentous fungal infections have recently increased because of the increasing numbers of
immunocompromised hosts. In this study, we evaluated DNA sequencing of the D1/D2
region of the large subunit of the 28S ribosomal RNA gene and the internal transcribed
spacer (ITS) region using SmartGene (SG; SmartGene Inc., Raleigh, NC) for the
identification of a broad range of commonly encountered filamentous fungi. The SG
proofreaders were used to upload, align, and edit fragments, and the resultant sequences …
Filamentous fungal infections have recently increased because of the increasing numbers of immunocompromised hosts. In this study, we evaluated DNA sequencing of the D1/D2 region of the large subunit of the 28S ribosomal RNA gene and the internal transcribed spacer (ITS) region using SmartGene (SG; SmartGene Inc., Raleigh, NC) for the identification of a broad range of commonly encountered filamentous fungi. The SG proofreaders were used to upload, align, and edit fragments, and the resultant sequences were interpreted using the quality-controlled SG database. The results were compared with reference identifications using conventional phenotypic methods or ITS DNA sequences obtained from GenBank if phenotypic identifications were inconclusive. A total of 146 clinical isolates were included in this study, representing 49 different genera. The overall agreements of the D1/D2 and the ITS sequencing methods to reference identification were 97.2% (95% CI, 93.1% to 98.9%) and 97.7% (95% CI, 92.8% to 99.4%), respectively. Of the 146 isolates, 18 (12.3%) did not amplify using the ITS universal primers after repeated attempts and, therefore, could not be sequenced using this target. Correct identification was achieved for 100% (95% CI, 97.4% to 100%) of the isolates when applying both the D1/D2 and ITS targets. In summary, DNA sequencing using SG software provides a rapid, accurate, and reliable tool for the identification of filamentous fungi in a clinical laboratory.
Elsevier
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