Novel Quantitative PCR for Rhodococcus equi and Macrolide Resistance Detection in Equine Respiratory Samples.
Abstract: is an important veterinary pathogen that takes the lives of many foals every year. With the emergence and spread of MDR to current antimicrobial treatment, new tools that can provide a fast and accurate diagnosis of the disease and antimicrobial resistance profile are needed. Here, we have developed and analytically validated a multiplex qPCR for the simultaneous detection of and related macrolide resistance genes in equine respiratory samples. The three sets of oligos designed in this study to identify housekeeping gene and macrolide resistance genes (46) and (51) showed high analytic sensitivity with a limit of detection (LOD) individually and in combination below 12 complete genome copies per PCR reaction, and an amplification efficiency between 90% and 147%. Additionally, our multiplex qPCR shows high specificity in in-silico analysis. Furthermore, it did not present any cross-reaction with normal flora from the equine respiratory tract, nor commonly encountered respiratory pathogens in horses or other genetically close organisms. Our new quantitative PCR is a trustable tool that will improve the speed of infection diagnosis, as well as helping in treatment selection.
Publication Date: 2022-05-03 PubMed ID: 35565598PubMed Central: PMC9099730DOI: 10.3390/ani12091172Google 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.
- Journal Article
- Antibiotics
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Disease Treatment
- Drug Resistance
- Equine Health
- Genes
- Horses
- Infection
- Infectious Disease
- Laboratory Methods
- Macrolides
- Molecular biology
- Pneumonia
- Polymerase Chain Reaction
- Respiratory Disease
- Rhodococcus equi
- Veterinary Medicine
- Veterinary Research
- Veterinary Science
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 researchers of this study developed a multiplex qPCR technique that simultaneously detects Rhodococcus equi, a deadly pathogen in foals, and its associated macrolide resistance genes in equine respiratory samples. The new tool provides quick and precise diagnosis of the infection and antibiotic resistance profile.
Development of the Multiplex qPCR Technique
- The study was motivated by the need for a fast and accurate diagnostic and prognosis tool for the Rhodococcus equi infection in foals and the ability to profile its antibiotic resistance. R. equi has been increasingly demonstrating Multi-Drug Resistance (MDR) to existing antimicrobial treatments, adversely affecting efficiency in controlling the infection.
- The multiplex quantitative PCR (qPCR) allows for the simultaneous detection of R. equi and associated resistance genes to macrolide antibiotics. This provides real-time diagnosis and resistance profiling, thereby improving disease control measures and treatment outcomes.
Validation of the Multiplex qPCR Technique
- The analytical validation of the tool involved designing three sets of oligonucleotides. These sequences target the housekeeping gene of R. equi and two specific resistance genes (46 and 51) related to macrolide antibiotics.
- The diagnostic tool demonstrated high analytic sensitivity, with the limit of detection (LOD) for each target and in combination falling below 12 complete genome copies per PCR reaction. These positive results indicate the tool’s reliability in detecting minimal traces of R. equi and its resistance genes in test samples.
- Additionally, the technique had an amplification efficiency ranging between 90% and 147%, highlighting its high yield in successfully identifying targeted sequences in samples.
- The multiplex qPCR also demonstrated high specificity in in-silico (computer simulated) analysis, proving its effectiveness in accurately identifying and differentiating target genes from non-targets.
- The developed technique showed no cross-reaction with the normal flora of the equine respiratory tract or commonly encountered respiratory pathogens in horses or other genetically similar organisms. This lack of cross-reaction further indicates the high specificity and reliability of the new technique.
Advantages of the Multiplex qPCR Technique
- The new qPCR tool offers a faster method for detecting R. equi infection. This quick diagnosis will allow for timely and accurate treatment, thus improving the prognosis of affected foals.
- Additionally, by profiling the resistance genes alongside the pathogen, the tool informs the most suitable choice of antibiotic treatment. This information will help overcome the challenge of MDR and improve the effectiveness of treatments against R. equi.
Cite This Article
APA
Narváez SÁ, Fernández I, Patel NV, Sánchez S.
(2022).
Novel Quantitative PCR for Rhodococcus equi and Macrolide Resistance Detection in Equine Respiratory Samples.
Animals (Basel), 12(9), 1172.
https://doi.org/10.3390/ani12091172 Publication
Researcher Affiliations
- Poultry Diagnostic and Research Center, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
- Athens Veterinary Diagnostic Laboratory, Department of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
- Athens Veterinary Diagnostic Laboratory, Department of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
- Athens Veterinary Diagnostic Laboratory, Department of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
Grant Funding
- U18 FD004623 / FDA HHS
- 1U18FD006157-04 / United States Food and Drug Administration
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 37 references
- 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.
- 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.
- Prescott JF. Rhodococcus equi: an animal and human pathogen.. Clin Microbiol Rev 1991 Jan;4(1):20-34.
- Álvarez-Narváez S, Giguère S, Cohen N, Slovis N, Vázquez-Boland JA. Spread of Multidrug-Resistant Rhodococcus equi, United States.. Emerg Infect Dis 2021 Feb;27(2):529-537.
- Álvarez-Narváez S, Huber L, Giguère S, Hart KA, Berghaus RD, Sanchez S, Cohen ND. Epidemiology and Molecular Basis of Multidrug Resistance in Rhodococcus equi.. Microbiol Mol Biol Rev 2021 May 19;85(2).
- Huber L, Giguère S, Slovis NM, Álvarez-Narváez S, Hart KA, Greiter M, Morris ERA, Cohen ND. The novel and transferable erm(51) gene confers macrolides, lincosamides and streptogramins B (MLS(B) ) resistance to clonal Rhodococcus equi in the environment.. Environ Microbiol 2020 Jul;22(7):2858-2869.
- Álvarez-Narváez S, Giguère S, Anastasi E, Hearn J, Scortti M, Vázquez-Boland JA. Clonal Confinement of a Highly Mobile Resistance Element Driven by Combination Therapy in Rhodococcus equi.. mBio 2019 Oct 15;10(5).
- Anastasi E, MacArthur I, Scortti M, Alvarez S, Giguère S, Vázquez-Boland JA. Pangenome and Phylogenomic Analysis of the Pathogenic Actinobacterium Rhodococcus equi.. Genome Biol Evol 2016 Oct 23;8(10):3140-3148.
- 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.
- 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.
- Rutherford K, Parkhill J, Crook J, Horsnell T, Rice P, Rajandream MA, Barrell B. Artemis: sequence visualization and annotation.. Bioinformatics 2000 Oct;16(10):944-5.
- Davis MW, Jorgensen EM. ApE, A Plasmid Editor: A Freely Available DNA Manipulation and Visualization Program.. Front. Bioinform. 2022;2:818619.
- Kearse MD, Sturrock SS, Meintjes PL. The Geneious 6.0.3 Read Mapper.. 2012.
- Tripathi VN, Harding WC, Willingham-Lane JM, Hondalus MK. Conjugal transfer of a virulence plasmid in the opportunistic intracellular actinomycete Rhodococcus equi.. J Bacteriol 2012 Dec;194(24):6790-801.
- Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, Kubista M, Mueller R, Nolan T, Pfaffl MW, Shipley GL, Vandesompele J, Wittwer CT. The MIQE guidelines: minimum information for publication of quantitative real-time PCR experiments.. Clin Chem 2009 Apr;55(4):611-22.
- Kralik P, Ricchi M. A Basic Guide to Real Time PCR in Microbial Diagnostics: Definitions, Parameters, and Everything.. Front Microbiol 2017;8:108.
- Giguère S, Cohen ND, Chaffin MK, Slovis NM, Hondalus MK, Hines SA, Prescott JF. Diagnosis, treatment, control, and prevention of infections caused by Rhodococcus equi in foals.. J Vet Intern Med 2011 Nov-Dec;25(6):1209-20.
- Huber L, Giguère S, Slovis NM, Carter CN, Barr BS, Cohen ND, Elam J, Erol E, Locke SJ, Phillips ED, Smith JL. Emergence of Resistance to Macrolides and Rifampin in Clinical Isolates of Rhodococcus equi from Foals in Central Kentucky, 1995 to 2017.. Antimicrob Agents Chemother 2019 Jan;63(1).
- Burton AJ, Giguère S, Sturgill TL, Berghaus LJ, Slovis NM, Whitman JL, Levering C, Kuskie KR, Cohen ND. Macrolide- and rifampin-resistant Rhodococcus equi on a horse breeding farm, Kentucky, USA.. Emerg Infect Dis 2013 Feb;19(2):282-5.
- Huber L, Giguère S, Cohen ND, Slovis NM, Hanafi A, Schuckert A, Berghaus L, Greiter M, Hart KA. Prevalence and risk factors associated with emergence of Rhodococcus equi resistance to macrolides and rifampicin in horse-breeding farms in Kentucky, USA.. Vet Microbiol 2019 Aug;235:243-247.
- Giguère S. Treatment of Infections Caused by Rhodococcus equi.. Vet Clin North Am Equine Pract 2017 Apr;33(1):67-85.
- Giguère S, Berghaus LJ, Willingham-Lane JM. Antimicrobial Resistance in Rhodococcus equi.. Microbiol Spectr 2017 Oct;5(5).
- Giguère S, Lee E, Williams E, Cohen ND, Chaffin MK, Halbert N, Martens RJ, Franklin RP, Clark CC, Slovis NM. Determination of the prevalence of antimicrobial resistance to macrolide antimicrobials or rifampin in Rhodococcus equi isolates and treatment outcome in foals infected with antimicrobial-resistant isolates of R equi.. J Am Vet Med Assoc 2010 Jul 1;237(1):74-81.
- Anastasi E, Giguère S, Berghaus LJ, Hondalus MK, Willingham-Lane JM, MacArthur I, Cohen ND, Roberts MC, Vazquez-Boland JA. Novel transferable erm(46) determinant responsible for emerging macrolide resistance in Rhodococcus equi.. J Antimicrob Chemother 2015 Dec;70(12):3184-90.
- Álvarez-Narváez S, Giguère S, Berghaus LJ, Dailey C, Vázquez-Boland JA. Horizontal Spread of Rhodococcus equi Macrolide Resistance Plasmid pRErm46 across Environmental Actinobacteria.. Appl Environ Microbiol 2020 Apr 17;86(9).
- 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.
- 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.
- Ocampo-Sosa AA, Lewis DA, Navas J, Quigley F, Callejo R, Scortti M, Leadon DP, Fogarty U, Vazquez-Boland JA. Molecular epidemiology of Rhodococcus equi based on traA, vapA, and vapB virulence plasmid markers.. J Infect Dis 2007 Sep 1;196(5):763-9.
- Madrigal RG, Shaw SD, Witkowski LA, Sisson BE, Blodgett GP, Chaffin MK, Cohen ND. Use of Serial Quantitative PCR of the vapA Gene of Rhodococcus equi in Feces for Early Detection of R. equi Pneumonia in Foals.. J Vet Intern Med 2016 Mar-Apr;30(2):664-70.
- 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.
- 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.
- Alvarez-Narvaez S. Conjugal Transfer of Host-Adaptive Determinants in the Pathogenic Actinobacterium Rhodococcus equi.. Ph.D. Thesis. University of Edinburgh; Edinburgh, UK: 2017.
- Flannery J, Rajko-Nenow P, Arnold H, van Weezep E, van Rijn PA, Ngeleja C, Batten C. Improved PCR diagnostics using up-to-date in silico validation: An F-gene RT-qPCR assay for the detection of all four lineages of peste des petits ruminants virus.. J Virol Methods 2019 Dec;274:113735.
- Davi MJP, Jeronimo SMB, Lima JPMS, Lanza DCF. Design and in silico validation of polymerase chain reaction primers to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).. Sci Rep 2021 Jun 15;11(1):12565.
- Nagy A, Jiřinec T, Jiřincová H, Černíková L, Havlíčková M. In silico re-assessment of a diagnostic RT-qPCR assay for universal detection of Influenza A viruses.. Sci Rep 2019 Feb 7;9(1):1630.
- Lefever S, Pattyn F, Hellemans J, Vandesompele J. Single-nucleotide polymorphisms and other mismatches reduce performance of quantitative PCR assays.. Clin Chem 2013 Oct;59(10):1470-80.
- Letowski J, Brousseau R, Masson L. Designing better probes: effect of probe size, mismatch position and number on hybridization in DNA oligonucleotide microarrays.. J Microbiol Methods 2004 May;57(2):269-78.
Citations
This article has been cited 2 times.- Ghielmetti G, Stevens MJA, Schmitt S, Kittl S, Cernela N, Biggel M, Schulthess B, Keller PM, Schrenzel J, Stephan R. Multi-host distribution of Rhodococcus equi (Prescottella equi) strains and their phylogenomic clustering. BMC Microbiol 2025 Jul 21;25(1):447.
- Vandersnickt J, Van PJ, Vandamme S, Kenyon C, Florence E, Van Ierssel S, Vlieghe E, Theunissen C. Rhodococcus equi, an Unusual Human Pathogen That Causes Cavitating Pneumonia in Patients With AIDS. Case Rep Infect Dis 2024;2024:5570186.
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