Walton and Valesco (5) recently described the identification of Myobacterium gordonae from culture by the GenProbe Rapid Diagnostic System (Gen-Probe, Inc., San Diego, Calif.), in which a '25I-labeled DNA probe complementary to M. gordonae rRNA is employed. Although they reported a sensitivity of 98.7% and a specificity of 98.4% for the assay (with 2 consistent negative M. gordonae isolates of 159 total), they also noted certain problems with respect to the hybridization incubation temperature, the density of the culture suspension, and proper function of the sonicator. In particular, fluctuations within the hybridization temperature represented a potential technical pitfall, since raising the temperature of hybridization by as little as 2°C above the optimum of 71 + 1°C reduced the percent hybridization to below the 10% cutoff value. The authors concluded that "in laboratories where the conventional biochemical tests are replaced with the Gen-Probe M. gordonae probe, workers who experience negative hybridization values may inadvertently report false-negative results based on probe results alone." In our laboratory we use direct sequence determination of 16S ribosomal DNA which has been previously amplified by the polymerase chain reaction for fast and accurate identification of mycobacteria from culture (3). We have found that in contrast to other mycobacteria, which show a conservation of the rRNA sequence at the species level (3; unpublished data), M. gordonae exhibits ribosomal DNA variation. As shown in Fig. 1, the rRNA sequence variability of M. gordonae is within a region which, because of its interspecies sequence variability, is a common target for diagnostic species-specific DNA probes (1, 2). Since the thermal stability of rRNA-DNA hybrids is dependent on a proper homology of complementary target and probe sequences, we wonder whether this genetic microheterogeneity of M. gordonae might be responsible for some of the problems encountered by Walton and Valesco.
[1]
M. Valesco,et al.
Identification of Mycobacterium gordonae from culture by the Gen-Probe Rapid Diagnostic System: evaluation of 218 isolates and potential sources of false-negative results
,
1991,
Journal of clinical microbiology.
[2]
E. Böttger,et al.
Differentiation of Mycobacterium species by direct sequencing of amplified DNA.
,
1990,
Journal of general microbiology.
[3]
H. Blöcker,et al.
Detection and identification of mycobacteria by amplification of rRNA
,
1990,
Journal of clinical microbiology.
[4]
A. Macario,et al.
Gene Probes for Bacteria
,
1990
.
[5]
D. M. Olive,et al.
Detection of enterotoxigenic Escherichia coli after polymerase chain reaction amplification with a thermostable DNA polymerase
,
1989,
Journal of clinical microbiology.
[6]
C. E. Musial,et al.
Identification of mycobacteria from culture by using the Gen-Probe Rapid Diagnostic System for Mycobacterium avium complex and Mycobacterium tuberculosis complex
,
1988,
Journal of clinical microbiology.
[7]
熊礼宽,et al.
Mycobacterium
,
1977,
Bacteriological reviews.