Development and evaluation of the internal-controlled real-time PCR assay for Rhodococcus equi detection in various clinical specimens.
Abstract: Rhodococcus equi is the causative agent of rhodococcosis in horses, resulting in significant morbidity and mortality in foals. This bacterium has also been isolated from a variety of animals and is being increasingly reported as a cause of infection in humans, mainly in immunosuppressed individuals. Laboratory diagnostics of R. equi infections based only on conventional microbiological methods shows low accuracy and can lead to misidentification. The objective of the study was to develop and evaluate a real-time PCR assay for direct detection of R. equi in various clinical specimens, including tissue samples. The species-specific region of the gene encoding R. equi cholesterol oxidase, choE, was used as a qPCR-target. The diagnostic applicability of the assay was confirmed by testing various tissue specimens obtained from horses with clinical signs of rhodoccocal infection and swine submaxillary lymph nodes. The rate of R. equi detection in clinical specimens by the developed assay was higher in comparison to the culture method (90% vs. 60.0% of positive samples) and conventional PCR (90.0% vs. 20.0% of positive samples). In case of 13 samples that were negative in the culture-based method, R. equi was detected by the developed assay. Only in one case, it gave negative result for culture-positive sample. The assay may provide a simple and rapid tool to complement the classical methods of R. equi detection based on culture and phenotypic identification of isolates, as the performed evaluation indicated a high specificity and accuracy of the results.
Publication Date: 2015-12-08 PubMed ID: 26655770PubMed Central: PMC4873842DOI: 10.1292/jvms.15-0516Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Evaluation Study
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research focuses on the development and evaluation of a real-time PCR assay for the detection of Rhodococcus equi – a bacterium that causes infection in a variety of animals and worsening in immunosuppressed humans – in various clinical specimens.
Objective of the Research
- The core objective of this study was to develop and evaluate a real-time Polymerase Chain Reaction (PCR) assay that directly detects Rhodococcus equi in different clinical specimens, especially in tissue samples.
The Development and Testing Methodology
- The unique region of the gene responsible for R. equi cholesterol oxidase, choE, was used as the PCR target.
- The assay’s diagnostic applicability was certified following a test on various tissue samples obtained from horses that displayed signs of rhodococcal infection and swine submaxillary lymph nodes.
Results from the Application of the Developed Assay
- Comparison of the assay with conventional culture and PCR methods for detecting R. equi showed that the developed method was more effective. Specifically, the detection rate with the new assay hit 90% against 60% and 20% for culture method and conventional PCR method respectively.
- Among 13 samples that scored negative with the culture-based detection, the newly developed assay positively identified R. equi.
- Only in a single case the assay gave a negative result for a previously confirmed positive culture sample.
Conclusion
- The study concludes that the new, real-time PCR assay offers a quick and straightforward tool to complement traditional methods of R. equi detection, which are centred on culture and phenotypic identification of isolates.
- The results from the assessment showed that the assay is specific and accurate in R. equi detection, outperforming culture-based and conventional PCR methods. Therefore, it may be considered for routine detection of this bacterium as it improves the accuracy of diagnosis and subsequently the efficiency of treatment.
Cite This Article
APA
Stefańska I, Witkowski L, Rzewuska M, Dzieciątkowski T.
(2015).
Development and evaluation of the internal-controlled real-time PCR assay for Rhodococcus equi detection in various clinical specimens.
J Vet Med Sci, 78(4), 543-549.
https://doi.org/10.1292/jvms.15-0516 Publication
Researcher Affiliations
- Department of Preclinical Sciences, Faculty of Veterinary Medicine, Warsaw University of Life Sciences, 8 Ciszewskiego St., 02-786 Warsaw, Poland.
MeSH Terms
- Actinomycetales Infections / diagnosis
- Actinomycetales Infections / microbiology
- Actinomycetales Infections / veterinary
- Animals
- Cholesterol Oxidase / analysis
- Cholesterol Oxidase / genetics
- Horse Diseases / diagnosis
- Horse Diseases / microbiology
- Horses
- Real-Time Polymerase Chain Reaction / veterinary
- Rhodococcus equi / isolation & purification
- Swine
- Swine Diseases / diagnosis
- Swine Diseases / microbiology
References
This article includes 36 references
- Arriaga JM, Cohen ND, Derr JN, Chaffin MK, Martens RJ. Detection of Rhodococcus equi by polymerase chain reaction using species-specific nonproprietary primers.. J Vet Diagn Invest 2002 Jul;14(4):347-53.
- von Bargen K, Haas A. Molecular and infection biology of the horse pathogen Rhodococcus equi.. FEMS Microbiol Rev 2009 Sep;33(5):870-91.
- Barouni AS, Saridakis HO, Vidotto MC. Detection of Mycobacterium in clinical samples by multiprimer polymerase chain reaction. Braz. J. Microbiol. 35: 29–32.
- Giguère S, Cohen ND, Chaffin MK, Hines SA, Hondalus MK, Prescott JF, Slovis NM. Rhodococcus equi: clinical manifestations, virulence, and immunity.. J Vet Intern Med 2011 Nov-Dec;25(6):1221-30.
- Halbert ND, Reitzel RA, Martens RJ, Cohen ND. Evaluation of a multiplex polymerase chain reaction assay for simultaneous detection of Rhodococcus equi and the vapA gene.. Am J Vet Res 2005 Aug;66(8):1380-5.
- Harrington JR, Golding MC, Martens RJ, Halbert ND, Cohen ND. Evaluation of a real-time quantitative polymerase chain reaction assay for detection and quantitation of virulent Rhodococcus equi.. Am J Vet Res 2005 May;66(5):755-61.
- Hondalus MK. Pathogenesis and virulence of Rhodococcus equi.. Vet Microbiol 1997 Jun 16;56(3-4):257-68.
- Honoré-Bouakline S, Vincensini JP, Giacuzzo V, Lagrange PH, Herrmann JL. Rapid diagnosis of extrapulmonary tuberculosis by PCR: impact of sample preparation and DNA extraction.. J Clin Microbiol 2003 Jun;41(6):2323-9.
- Hughes MS, Ball NW, McCarroll J, Erskine M, Taylor MJ, Pollock JM, Skuce RA, Neill SD. Molecular analyses of mycobacteria other than the M. tuberculosis complex isolated from Northern Ireland cattle.. Vet Microbiol 2005 Jun 15;108(1-2):101-12.
- Ladrón N, Fernández M, Agüero J, González Zörn B, Vázquez-Boland JA, Navas J. Rapid identification of Rhodococcus equi by a PCR assay targeting the choE gene.. J Clin Microbiol 2003 Jul;41(7):3241-5.
- Letek M, Ocampo-Sosa AA, Sanders M, Fogarty U, Buckley T, Leadon DP, González P, Scortti M, Meijer WG, Parkhill J, Bentley S, Vázquez-Boland JA. Evolution of the Rhodococcus equi vap pathogenicity island seen through comparison of host-associated vapA and vapB virulence plasmids.. J Bacteriol 2008 Sep;190(17):5797-805.
- McMinn EJ, Alderson G, Dodson HI, Goodfellow M, Ward AC. Genomic and phenomic differentiation of Rhodococcus equi and related strains.. Antonie Van Leeuwenhoek 2000 Dec;78(3-4):331-40.
- Meijer WG, Prescott JF. Rhodococcus equi.. Vet Res 2004 Jul-Aug;35(4):383-96.
- Miranda-Casoluengo R, Coulson GB, Miranda-Casoluengo A, Vázquez-Boland JA, Hondalus MK, Meijer WG. The hydroxamate siderophore rhequichelin is required for virulence of the pathogenic actinomycete Rhodococcus equi.. Infect Immun 2012 Dec;80(12):4106-14.
- Miranda-CasoLuengo AA, Miranda-CasoLuengo R, Lieggi NT, Luo H, Simpson JC, Meijer WG. A real-time impedance based method to assess Rhodococcus equi virulence.. PLoS One 2013;8(3):e60612.
- Muscatello G. Rhodococcus equi pneumonia in the foal--part 2: diagnostics, treatment and disease management.. Vet J 2012 Apr;192(1):27-33.
- Niwa H, Lasker BA, Hinrikson HP, Franzen CG, Steigerwalt AG, Whitney AM, Brown JM. Characterization of human clinical isolates of Dietzia species previously misidentified as Rhodococcus equi.. Eur J Clin Microbiol Infect Dis 2012 May;31(5):811-20.
- Pilares L, Agüero J, Vázquez-Boland JA, Martínez-Martínez L, Navas J. Identification of atypical Rhodococcus-like clinical isolates as Dietzia spp. by 16S rRNA gene sequencing.. J Clin Microbiol 2010 May;48(5):1904-7.
- Perez MG, Vassilev T, Kemmerly SA. Rhodococcus equi infection in transplant recipients: a case of mistaken identity and review of the literature.. Transpl Infect Dis 2002 Mar;4(1):52-6.
- Pusterla N, Wilson WD, Mapes S, Leutenegger CM. Diagnostic evaluation of real-time PCR in the detection of Rhodococcus equi in faeces and nasopharyngeal swabs from foals with pneumonia.. Vet Rec 2007 Aug 25;161(8):272-5.
- Rodríguez-Lázaro D, Lewis DA, Ocampo-Sosa AA, Fogarty U, Makrai L, Navas J, Scortti M, Hernández M, Vázquez-Boland JA. Internally controlled real-time PCR method for quantitative species-specific detection and vapA genotyping of Rhodococcus equi.. Appl Environ Microbiol 2006 Jun;72(6):4256-63.
- Rzewuska M, Witkowski L, Cisek AA, Stefańska I, Chrobak D, Stefaniuk E, Kizerwetter-Świda M, Takai S. Characterization of Rhodococcus equi isolates from submaxillary lymph nodes of wild boars (Sus scrofa), red deer (Cervus elaphus) and roe deer (Capreolus capreolus).. Vet Microbiol 2014 Aug 6;172(1-2):272-8.
- Sakai M, Ohno R, Higuchi C, Sudo M, Suzuki K, Sato H, Maeda K, Sasaki Y, Kakuda T, Takai S. Isolation of Rhodococcus equi from wild boars (Sus scrofa) in Japan.. J Wildl Dis 2012 Jul;48(3):815-7.
- Sellon DC, Besser TE, Vivrette SL, McConnico RS. Comparison of nucleic acid amplification, serology, and microbiologic culture for diagnosis of Rhodococcus equi pneumonia in foals.. J Clin Microbiol 2001 Apr;39(4):1289-93.
- Takai S, Sasaki Y, Ikeda T, Uchida Y, Tsubaki S, Sekizaki T. Virulence of Rhodococcus equi isolates from patients with and without AIDS.. J Clin Microbiol 1994 Feb;32(2):457-60.
- Takai S, Ikeda T, Sasaki Y, Watanabe Y, Ozawa T, Tsubaki S, Sekizaki T. Identification of virulent Rhodococcus equi by amplification of gene coding for 15- to 17-kilodalton antigens.. J Clin Microbiol 1995 Jun;33(6):1624-7.
- Takai S, Imai Y, Fukunaga N, Uchida Y, Kamisawa K, Sasaki Y, Tsubaki S, Sekizaki T. Identification of virulence-associated antigens and plasmids in Rhodococcus equi from patients with AIDS.. J Infect Dis 1995 Nov;172(5):1306-11.
- Takai S. Epidemiology of Rhodococcus equi infections: a review.. Vet Microbiol 1997 Jun 16;56(3-4):167-76.
- Takai S, Vigo G, Ikushima H, Higuchi T, Hagiwara S, Hashikura S, Sasaki Y, Tsubaki S, Anzai T, Kamada M. Detection of virulent Rhodococcus equi in tracheal aspirate samples by polymerase chain reaction for rapid diagnosis of R. equi pneumonia in foals.. Vet Microbiol 1998 Mar 15;61(1-2):59-69.
- Torres-Tortosa M, Arrizabalaga J, Villanueva JL, Gálvez J, Leyes M, Valencia ME, Flores J, Peña JM, Pérez-Cecilia E, Quereda C. Prognosis and clinical evaluation of infection caused by Rhodococcus equi in HIV-infected patients: a multicenter study of 67 cases.. Chest 2003 Jun;123(6):1970-6.
- Weinstock DM, Brown AE. Rhodococcus equi: an emerging pathogen.. Clin Infect Dis 2002 May 15;34(10):1379-85.
- Witkowski L, Rzewuska M, Cisek AA, Chrobak-Chmiel D, Kizerwetter-Świda M, Czopowicz M, Welz M, Kita J. Prevalence and genetic diversity of Rhodococcus equi in wild boars (Sus scrofa), roe deer (Capreolus capreolus) and red deer (Cervus elaphus) in Poland.. BMC Microbiol 2015 May 22;15:110.
- Yamshchikov AV, Schuetz A, Lyon GM. Rhodococcus equi infection.. Lancet Infect Dis 2010 May;10(5):350-9.
- Valero-Rello A, Hapeshi A, Anastasi E, Alvarez S, Scortti M, Meijer WG, MacArthur I, Vázquez-Boland JA. An Invertron-Like Linear Plasmid Mediates Intracellular Survival and Virulence in Bovine Isolates of Rhodococcus equi.. Infect Immun 2015 Jul;83(7):2725-37.
- Vázquez-Boland JA, Giguère S, Hapeshi A, MacArthur I, Anastasi E, Valero-Rello A. Rhodococcus equi: the many facets of a pathogenic actinomycete.. Vet Microbiol 2013 Nov 29;167(1-2):9-33.
- Vivrette SL, Sellon DC, Gibbons DS. Clinical application of a polymerase chain reaction assay in the diagnosis of pneumonia caused by Rhodococcus equi in a horse.. J Am Vet Med Assoc 2000 Nov 1;217(9):1348-50.
Citations
This article has been cited 1 times.- de Alegría Puig CR, Pilares L, Marco F, Vila J, Martínez-Martínez L, Navas J. Comparison of the Vitek MS and Bruker Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Systems for Identification of Rhodococcus equi and Dietzia spp. J Clin Microbiol 2017 Jul;55(7):2255-2260.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists