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Development of a real time PCR Methodology to detect systemic fungal infections

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Resumo:The work established aimed to adapt a previously developed methodology based on a multiplex PCR assay coupled with GeneScan analysis, to a quantitative PCR methodology (qPCR). This adaptation was related to the diagnostic preferences in hospital settings, since the commercially available qPCR methods are capable of delivering fast and accurate results, with low hands-on time, in an entirely closed system with a reduced likelihood of contamination. With qPCR methods the diagnosis can be attributed as the reaction ends, with no need of samples transfer for PCR products analysis, which takes extra time. This qPCR method uses SYBR Green and melting curve for PCR products analysis. The use of primers designed outside the ITS regions enhances the specificity and reduces cross-amplification of the methodology. Two panels previously designed in our laboratory were evaluated, the Candida Panel, and the Filamentous Fungi Panel. Regarding the adaptation of the Candida Panel, this conversion was not possible since the PCR products of each species had very similar melting temperature values. Regarding the Filamentous Fungi Panel, the melting temperature values obtained for each species were very distinct from each other which allowed to identify and distinguish the most prevalent pathogens associated with invasive aspergillosis (Aspergillus fumigatus, A. niger, A. flavus and A. terreus), and invasive mucormycosis (Rhizopus arrhizus), as well as coinfections in a qPCR multiplex reaction. The qPCR method was also able to detect samples with low amounts of fungal gDNA, explicitly 1.3 pg/μL for A. fumigatus and R. arrhizus, 13 pg/μL for A. flavus and A. niger, and 33 pg/μL for A. terreus. When human plasma was spiked with fungal DNA, the methodology was still able to distinguish and correctly identify the fungal pathogens. No false-positive results were obtained with nontarget species, including bacteria or human DNA. Thus, this work provides evidence for the possibility of the adaptation of the Filamentous Fungi Panel to a qPCR multiplex methodology, as well as the potential diagnostic capability of this method for the identification of the most relevant filamentous fungi involved in invasive fungal infections.
Autores principais:Mendonça, Paulo Alexandre Silva
Assunto:Molecular diagnosis Multiplex quantitative PCR Invasive fungal infections Invasive aspergillosis Invasive mucormycosis Invasive candidiasis Diagnóstico molecular Multiplex PCR quantitativo Infeções fúngicas invasivas Aspergilose invasiva Mucormicose invasiva Candidíase invasiva
Ano:2021
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Mendonça, Paulo Alexandre Silva
author_facet Mendonça, Paulo Alexandre Silva
author_role author
contributor_name_str_mv Sampaio, Paula
Franco-Duarte, Ricardo
Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Mendonça, Paulo Alexandre Silva\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Sampaio, Paula
Franco-Duarte, Ricardo
Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Mendonça, Paulo Alexandre Silva
datacite.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2023-03-09T08:44:04Z
datacite.date.embargoed.fl_str_mv 2023-03-09T08:44:04Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
datacite.titles.title.fl_str_mv Development of a real time PCR Methodology to detect systemic fungal infections
Desenvolvimento de uma Metodologia de PCR em tempo real para deteção de infeções fúngicas sistémicas
dc.contributor.none.fl_str_mv Sampaio, Paula
Franco-Duarte, Ricardo
Universidade do Minho
dc.creator.none.fl_str_mv Mendonça, Paulo Alexandre Silva
dc.date.Accepted.fl_str_mv 2021-01-01T00:00:00Z
dc.date.available.fl_str_mv 2023-03-09T08:44:04Z
dc.date.embargoed.fl_str_mv 2023-03-09T08:44:04Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/83131
dc.language.none.fl_str_mv eng
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.rights.copyright.fl_str_mv openAccess
dc.subject.none.fl_str_mv Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
dc.title.fl_str_mv Development of a real time PCR Methodology to detect systemic fungal infections
Desenvolvimento de uma Metodologia de PCR em tempo real para deteção de infeções fúngicas sistémicas
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_bdcc
description The work established aimed to adapt a previously developed methodology based on a multiplex PCR assay coupled with GeneScan analysis, to a quantitative PCR methodology (qPCR). This adaptation was related to the diagnostic preferences in hospital settings, since the commercially available qPCR methods are capable of delivering fast and accurate results, with low hands-on time, in an entirely closed system with a reduced likelihood of contamination. With qPCR methods the diagnosis can be attributed as the reaction ends, with no need of samples transfer for PCR products analysis, which takes extra time. This qPCR method uses SYBR Green and melting curve for PCR products analysis. The use of primers designed outside the ITS regions enhances the specificity and reduces cross-amplification of the methodology. Two panels previously designed in our laboratory were evaluated, the Candida Panel, and the Filamentous Fungi Panel. Regarding the adaptation of the Candida Panel, this conversion was not possible since the PCR products of each species had very similar melting temperature values. Regarding the Filamentous Fungi Panel, the melting temperature values obtained for each species were very distinct from each other which allowed to identify and distinguish the most prevalent pathogens associated with invasive aspergillosis (Aspergillus fumigatus, A. niger, A. flavus and A. terreus), and invasive mucormycosis (Rhizopus arrhizus), as well as coinfections in a qPCR multiplex reaction. The qPCR method was also able to detect samples with low amounts of fungal gDNA, explicitly 1.3 pg/μL for A. fumigatus and R. arrhizus, 13 pg/μL for A. flavus and A. niger, and 33 pg/μL for A. terreus. When human plasma was spiked with fungal DNA, the methodology was still able to distinguish and correctly identify the fungal pathogens. No false-positive results were obtained with nontarget species, including bacteria or human DNA. Thus, this work provides evidence for the possibility of the adaptation of the Filamentous Fungi Panel to a qPCR multiplex methodology, as well as the potential diagnostic capability of this method for the identification of the most relevant filamentous fungi involved in invasive fungal infections.
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eu_rights_str_mv openAccess
format masterThesis
fulltext.url.fl_str_mv https://prod-dspace.uminho.pt/bitstreams/d309aebc-813c-40d2-bad2-af1955225216/download
id rum_7249e8a64fef1f191d7fc82de2f0da20
identifier.url.fl_str_mv https://hdl.handle.net/1822/83131
instacron_str repositorium
institution Universidade do Minho
instname_str Universidade do Minho
language eng
network_acronym_str rum
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oai_identifier_str oai:repositorium.uminho.pt:1822/83131
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Mendonça, Paulo Alexandre Silva
publishDate 2021
reponame_str RepositóriUM - Universidade do Minho
repository_id_str urn:repositoryAcronym:rum
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spelling engporThe work established aimed to adapt a previously developed methodology based on a multiplex PCR assay coupled with GeneScan analysis, to a quantitative PCR methodology (qPCR). This adaptation was related to the diagnostic preferences in hospital settings, since the commercially available qPCR methods are capable of delivering fast and accurate results, with low hands-on time, in an entirely closed system with a reduced likelihood of contamination. With qPCR methods the diagnosis can be attributed as the reaction ends, with no need of samples transfer for PCR products analysis, which takes extra time. This qPCR method uses SYBR Green and melting curve for PCR products analysis. The use of primers designed outside the ITS regions enhances the specificity and reduces cross-amplification of the methodology. Two panels previously designed in our laboratory were evaluated, the Candida Panel, and the Filamentous Fungi Panel. Regarding the adaptation of the Candida Panel, this conversion was not possible since the PCR products of each species had very similar melting temperature values. Regarding the Filamentous Fungi Panel, the melting temperature values obtained for each species were very distinct from each other which allowed to identify and distinguish the most prevalent pathogens associated with invasive aspergillosis (Aspergillus fumigatus, A. niger, A. flavus and A. terreus), and invasive mucormycosis (Rhizopus arrhizus), as well as coinfections in a qPCR multiplex reaction. The qPCR method was also able to detect samples with low amounts of fungal gDNA, explicitly 1.3 pg/μL for A. fumigatus and R. arrhizus, 13 pg/μL for A. flavus and A. niger, and 33 pg/μL for A. terreus. When human plasma was spiked with fungal DNA, the methodology was still able to distinguish and correctly identify the fungal pathogens. No false-positive results were obtained with nontarget species, including bacteria or human DNA. Thus, this work provides evidence for the possibility of the adaptation of the Filamentous Fungi Panel to a qPCR multiplex methodology, as well as the potential diagnostic capability of this method for the identification of the most relevant filamentous fungi involved in invasive fungal infections.application/pdfporDevelopment of a real time PCR Methodology to detect systemic fungal infectionsAlternativeTitleporDesenvolvimento de uma Metodologia de PCR em tempo real para deteção de infeções fúngicas sistémicasMendonça, Paulo Alexandre SilvaSampaio, PaulaFranco-Duarte, RicardoHostingInstitutionOrganizationalUniversidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptURNurn:tid:2030531332023-03-09T08:44:04Z202120212021-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/83131http://purl.org/coar/access_right/c_abf2open accessMolecular diagnosisMultiplex quantitative PCRInvasive fungal infectionsInvasive aspergillosisInvasive mucormycosisInvasive candidiasisDiagnóstico molecularMultiplex PCR quantitativoInfeções fúngicas invasivasAspergilose invasivaMucormicose invasivaCandidíase invasiva2763581 bytesliteraturehttp://purl.org/coar/resource_type/c_bdccmaster thesis2021http://creativecommons.org/licenses/by-nc-nd/4.0/openAccesshttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://prod-dspace.uminho.pt/bitstreams/d309aebc-813c-40d2-bad2-af1955225216/download
spellingShingle Development of a real time PCR Methodology to detect systemic fungal infections
Mendonça, Paulo Alexandre Silva
Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
status SINGLETON
subject.fl_str_mv Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
title Development of a real time PCR Methodology to detect systemic fungal infections
title_full Development of a real time PCR Methodology to detect systemic fungal infections
title_fullStr Development of a real time PCR Methodology to detect systemic fungal infections
title_full_unstemmed Development of a real time PCR Methodology to detect systemic fungal infections
title_short Development of a real time PCR Methodology to detect systemic fungal infections
title_sort Development of a real time PCR Methodology to detect systemic fungal infections
topic Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
topic_facet Molecular diagnosis
Multiplex quantitative PCR
Invasive fungal infections
Invasive aspergillosis
Invasive mucormycosis
Invasive candidiasis
Diagnóstico molecular
Multiplex PCR quantitativo
Infeções fúngicas invasivas
Aspergilose invasiva
Mucormicose invasiva
Candidíase invasiva
url https://hdl.handle.net/1822/83131
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