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IJERPH
Volume 13
Issue 2
10.3390/ijerph13020193
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Article

Simultaneous Detection of Five Pathogens from Cerebrospinal Fluid Specimens Using Luminex Technology

by
Linfu Zhou
1,2,†,
Rui Wu
1,†,
Xiaodan Shi
1,
Dongyun Feng
1,
Guodong Feng
1,
Yining Yang
1,
Wen Dai
1,
Ting Bian
1,
Tingting Liu
1,
Ying He
1,
Ming Shi
1,* and
Gang Zhao
1,*
1
Department of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, China
2
Department of Neurology, Third Hospital of People’s Liberation Army, Baoji 721004, China
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2016, 13(2), 193; https://doi.org/10.3390/ijerph13020193
Received: 5 December 2015 / Revised: 25 January 2016 / Accepted: 29 January 2016 / Published: 4 February 2016
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Abstract

Early diagnosis and treatment are crucial for the outcome of central nervous system (CNS) infections. In this study, we developed a multiplex PCR-Luminex assay for the simultaneous detection of five major pathogens, including Mycobacterium tuberculosis, Cryptococcus neoformans, Streptococcus pneumoniae, and herpes simplex virus types 1 and 2, which frequently cause CNS infections. Through the hybridization reaction between multiplex PCR-amplified targets and oligonucleotide “anti-TAG” sequences, we found that the PCR-Luminex assay could detect as low as 101–102 copies of synthetic pathogen DNAs. Furthermore, 163 cerebrospinal fluid (CSF) specimens from patients with suspected CNS infections were used to evaluate the efficiency of this multiplex PCR-Luminex method. Compared with Ziehl-Neelsen stain, this assay showed a high diagnostic accuracy for tuberculosis meningitis (sensitivity, 90.7% and specificity, 99.1%). For cryptococcal meningitis, the sensitivity and specificity were 92% and 97.1%, respectively, compared with the May Grunwald Giemsa (MGG) stain. For herpes simplex virus types 1 and 2 encephalitis, the sensitivities were 80.8% and 100%, and the specificities were 94.2% and 99%, respectively, compared with Enzyme Linked Immunosorbent Assay (ELISA) assays. Taken together, this multiplex PCR-Luminex assay showed potential efficiency for the simultaneous detection of five pathogens and may be a promising supplement to conventional methods for diagnosing CNS infections. View Full-Text
Keywords: Luminex technology; multiplex PCR; central nervous system infections; cerebrospinal fluid Luminex technology; multiplex PCR; central nervous system infections; cerebrospinal fluid
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MDPI and ACS Style

Zhou, L.; Wu, R.; Shi, X.; Feng, D.; Feng, G.; Yang, Y.; Dai, W.; Bian, T.; Liu, T.; He, Y.; Shi, M.; Zhao, G. Simultaneous Detection of Five Pathogens from Cerebrospinal Fluid Specimens Using Luminex Technology. Int. J. Environ. Res. Public Health 2016, 13, 193. https://doi.org/10.3390/ijerph13020193

AMA Style

Zhou L, Wu R, Shi X, Feng D, Feng G, Yang Y, Dai W, Bian T, Liu T, He Y, Shi M, Zhao G. Simultaneous Detection of Five Pathogens from Cerebrospinal Fluid Specimens Using Luminex Technology. International Journal of Environmental Research and Public Health. 2016; 13(2):193. https://doi.org/10.3390/ijerph13020193

Chicago/Turabian Style

Zhou, Linfu, Rui Wu, Xiaodan Shi, Dongyun Feng, Guodong Feng, Yining Yang, Wen Dai, Ting Bian, Tingting Liu, Ying He, Ming Shi, and Gang Zhao. 2016. "Simultaneous Detection of Five Pathogens from Cerebrospinal Fluid Specimens Using Luminex Technology" International Journal of Environmental Research and Public Health 13, no. 2: 193. https://doi.org/10.3390/ijerph13020193

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