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Proceedings of the 10th International Colloquium on Paratuberculosis

Proceedings of the 10th International Colloquium on Paratuberculosis

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#60 Evaluati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> 2 extracti<strong>on</strong> methods and 2 PCR assays for <str<strong>on</strong>g>the</str<strong>on</strong>g> detecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> Mycobacterium<br />

avium subsp. paratuberculosis in formalin-fixed paraffin-embedded tissues<br />

Kelly S Anklam, Marie Pinkert<strong>on</strong>, Elizabeth J Manning, Michael T Collins<br />

School <str<strong>on</strong>g>of</str<strong>on</strong>g> Veterinary Medicine, University <str<strong>on</strong>g>of</str<strong>on</strong>g> Wisc<strong>on</strong>sin, Madis<strong>on</strong>, USA<br />

Objectives: To evaluate and compare two methods for extracting DNA from formalin-fixed paraffin-embedded<br />

(FFPE) tissues plus two PCRs for detecting extracted Mycobacterium avium subsp. paratuberculosis (MAP)<br />

DNA.<br />

Procedure: Secti<strong>on</strong>s (24 mm slices) were sliced from 31 formalin-fixed paraffin-embedded tissue blocks<br />

collected from cases with ante-mortem evidence <str<strong>on</strong>g>of</str<strong>on</strong>g> Johne’s (bovine, bis<strong>on</strong>, caprine, swine) or Crohn’s disease<br />

(human). The number and types <str<strong>on</strong>g>of</str<strong>on</strong>g> tissues per block varied but in all cases <str<strong>on</strong>g>the</str<strong>on</strong>g> ileum or jejunum and/or <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

mesenteric lymph node was included. Five negative c<strong>on</strong>trol tissue block slices from a known uninfected animal<br />

were included as well for extracti<strong>on</strong>. Five mm secti<strong>on</strong>s from each block were stained (haematoxylin and eosin<br />

and by Ziehl-Neelsen) to classify <str<strong>on</strong>g>the</str<strong>on</strong>g> tissues for <str<strong>on</strong>g>the</str<strong>on</strong>g> presence/absence <str<strong>on</strong>g>of</str<strong>on</strong>g> microscopic lesi<strong>on</strong>s (granulomatous<br />

infiltrati<strong>on</strong> and giant cells) and quantity <str<strong>on</strong>g>of</str<strong>on</strong>g> acid-fast organisms (scale 0-4) as <str<strong>on</strong>g>the</str<strong>on</strong>g> gold standard. DNA was<br />

extracted from paired secti<strong>on</strong>s by a boil/freeze method, which involved 2 cycles <str<strong>on</strong>g>of</str<strong>on</strong>g> boiling and freezing followed<br />

by centrifugati<strong>on</strong>, and by a commercial DNA extracti<strong>on</strong> kit (WaxFreeTM DNA) specific for FFPE tissue samples<br />

a modified protocol was supplied by TrimGen. Each <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> extracted samples was amplified by IS900 nested<br />

PCR and by hspX real-time PCR.<br />

Results: Two methods <str<strong>on</strong>g>of</str<strong>on</strong>g> DNA extracti<strong>on</strong> and two PCR protocols using different targets were compared.<br />

N<strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> negative c<strong>on</strong>trol tissues were PCR positive. When <str<strong>on</strong>g>the</str<strong>on</strong>g> PCR results were compared with <str<strong>on</strong>g>the</str<strong>on</strong>g> presence<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> acid-fast organisms in <str<strong>on</strong>g>the</str<strong>on</strong>g> tissues, <str<strong>on</strong>g>the</str<strong>on</strong>g> sensitivity <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> detecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> MAP in FFPE tissue blocks was<br />

96.8% (<strong>on</strong>e false negative result) when using <str<strong>on</strong>g>the</str<strong>on</strong>g> boil/freeze method <str<strong>on</strong>g>of</str<strong>on</strong>g> extracti<strong>on</strong> with <str<strong>on</strong>g>the</str<strong>on</strong>g> hspX real-time PCR<br />

and 93.5% (<strong>on</strong>e false negative and <strong>on</strong>e false positive result) with <str<strong>on</strong>g>the</str<strong>on</strong>g> IS900 nested PCR. When using <str<strong>on</strong>g>the</str<strong>on</strong>g> commercial<br />

extracti<strong>on</strong> kit with hspX real-time PCR <str<strong>on</strong>g>the</str<strong>on</strong>g> sensitivity was 90.3% (three false negative results) and with<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> IS900 nested PCR 54.8% (14 false positives).<br />

C<strong>on</strong>clusi<strong>on</strong>s: A simple and inexpensive method <str<strong>on</strong>g>of</str<strong>on</strong>g> DNA extracti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> FFPE tissues is effective and easy<br />

to perform. Coupling <str<strong>on</strong>g>the</str<strong>on</strong>g> boil/freeze extracti<strong>on</strong> method with <str<strong>on</strong>g>the</str<strong>on</strong>g> hspX real-time PCR yields a rapid and reliable<br />

method for detecting MAP in tissues processed in paraffin.<br />

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