Podcast
Questions and Answers
What is dermatophytosis commonly known as?
What is dermatophytosis commonly known as?
- Tinea (correct)
- Acne
- Eczema
- Psoriasis
Which genus is represented by a single species?
Which genus is represented by a single species?
- Trichophyton
- Microsporum
- Epidermophyton (correct)
- Candida
What has contributed to the increased understanding of dermatophytes?
What has contributed to the increased understanding of dermatophytes?
- Historical records
- Traditional treatments
- Molecular diagnostic methods (correct)
- Clinical interviews
Which dermatophyte species has been most commonly isolated in the USA in the 1990s?
Which dermatophyte species has been most commonly isolated in the USA in the 1990s?
What has historically made dermatophytes seem less significant as human pathogens?
What has historically made dermatophytes seem less significant as human pathogens?
What change has occurred regarding the geographical distribution of dermatophyte species?
What change has occurred regarding the geographical distribution of dermatophyte species?
Which technique is mentioned for the rapid identification of dermatophyte isolates?
Which technique is mentioned for the rapid identification of dermatophyte isolates?
How many recognized species are there in the genus Trichophyton?
How many recognized species are there in the genus Trichophyton?
What condition is caused by infection of keratinised tissues by keratinophilic fungi?
What condition is caused by infection of keratinised tissues by keratinophilic fungi?
Which three genera are classified as dermatophytes?
Which three genera are classified as dermatophytes?
What disadvantage is commonly associated with traditional laboratory methods for identifying dermatophytes?
What disadvantage is commonly associated with traditional laboratory methods for identifying dermatophytes?
What is one of the advantages of using arbitrarily primed PCR for dermatophyte identification?
What is one of the advantages of using arbitrarily primed PCR for dermatophyte identification?
How many dermatophyte species or subspecies can be distinguished using one of the random primers in AP-PCR?
How many dermatophyte species or subspecies can be distinguished using one of the random primers in AP-PCR?
Which two random primers were used in separate reaction tubes to identify a larger number of dermatophyte species?
Which two random primers were used in separate reaction tubes to identify a larger number of dermatophyte species?
What is the main component of the tissues affected by dermatophytes?
What is the main component of the tissues affected by dermatophytes?
What method traditionally involved in dermatophyte identification has limitations?
What method traditionally involved in dermatophyte identification has limitations?
What is a key challenge associated with conventional identification methods for dermatophytes?
What is a key challenge associated with conventional identification methods for dermatophytes?
What type of agar is NOT mentioned as useful for culturing dermatophytes?
What type of agar is NOT mentioned as useful for culturing dermatophytes?
What is the purpose of reducing the stringency of the primer annealing temperature in AP-PCR?
What is the purpose of reducing the stringency of the primer annealing temperature in AP-PCR?
Why might subsequent manipulation after amplification be unnecessary in AP-PCR?
Why might subsequent manipulation after amplification be unnecessary in AP-PCR?
What outcome occurs when annealing and priming events take place within a certain distance in AP-PCR?
What outcome occurs when annealing and priming events take place within a certain distance in AP-PCR?
What implication does a perfect match of two-to-three nucleotides from the primer to the template have?
What implication does a perfect match of two-to-three nucleotides from the primer to the template have?
Which fungi were included in the distinct DNA band patterns observed?
Which fungi were included in the distinct DNA band patterns observed?
What is a consequence of using costly and time-consuming culture media for dermatophyte identification?
What is a consequence of using costly and time-consuming culture media for dermatophyte identification?
How many dermatophyte species or subspecies were tested in the study?
How many dermatophyte species or subspecies were tested in the study?
Which method allows for differentiation of micro-organisms based on DNA patterns?
Which method allows for differentiation of micro-organisms based on DNA patterns?
Which genetic testing method was used to differentiate the fungi?
Which genetic testing method was used to differentiate the fungi?
Which of the following species could not be differentiated from another depending on the mentioned varieties?
Which of the following species could not be differentiated from another depending on the mentioned varieties?
What was the highest DNA product size obtained for T. equinum var. autotraphicum using OPAA11?
What was the highest DNA product size obtained for T. equinum var. autotraphicum using OPAA11?
What does AP-PCR stand for?
What does AP-PCR stand for?
Which of the following species displayed a DNA product size of 1.7 kb?
Which of the following species displayed a DNA product size of 1.7 kb?
Which DNA primer generated the most consistent results across multiple species?
Which DNA primer generated the most consistent results across multiple species?
Which dermatophyte species is identified by OPAA17?
Which dermatophyte species is identified by OPAA17?
Which dermatophyte species has all identification options marked as 'Yes'?
Which dermatophyte species has all identification options marked as 'Yes'?
Which of the following species of dermatophytes can be identified by OPD18?
Which of the following species of dermatophytes can be identified by OPD18?
Which dermatophyte species shows a 'No' for identification through OPAA11?
Which dermatophyte species shows a 'No' for identification through OPAA11?
What is the identification status of T. mentagrophytes var. mentagrophytes for OPAA17?
What is the identification status of T. mentagrophytes var. mentagrophytes for OPAA17?
Which of the following species cannot be identified by OPD18?
Which of the following species cannot be identified by OPD18?
Which variety of T. mentagrophytes shows partial identification capabilities?
Which variety of T. mentagrophytes shows partial identification capabilities?
Which dermatophyte is identified by OPAA11 but not by OPD18?
Which dermatophyte is identified by OPAA11 but not by OPD18?
What does AP-PCR measure in dermatophytes?
What does AP-PCR measure in dermatophytes?
What was observed in the odd colony morphology of certain T. violaceum isolates?
What was observed in the odd colony morphology of certain T. violaceum isolates?
Why is nucleotide sequence analysis important in AP-PCR?
Why is nucleotide sequence analysis important in AP-PCR?
What can major DNA bands obtained through AP-PCR help design?
What can major DNA bands obtained through AP-PCR help design?
What characteristic of AP-PCR enhances its utility in dermatophyte identification?
What characteristic of AP-PCR enhances its utility in dermatophyte identification?
Which of the following fungal species was specifically mentioned in the content?
Which of the following fungal species was specifically mentioned in the content?
What aspect of dermatophyte isolates did the research specifically highlight?
What aspect of dermatophyte isolates did the research specifically highlight?
What is a future perspective mentioned regarding dermatophyte identification?
What is a future perspective mentioned regarding dermatophyte identification?
Flashcards
Dermatophytes
Dermatophytes
Keratinophilic fungi that infect keratinized tissues (skin, hair, and nails) of humans and animals, causing dermatophytosis.
Dermatophytosis
Dermatophytosis
An infection of the keratinized tissues caused by dermatophytes.
Conventional lab methods
Conventional lab methods
Traditional methods for identifying dermatophytes based on visible characteristics (microscopy and in-vitro culture).
AP-PCR
AP-PCR
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Nucleic acid amplification technology
Nucleic acid amplification technology
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Keratinophilic fungi
Keratinophilic fungi
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Epidermophyton, Microsporum, Trichophyton
Epidermophyton, Microsporum, Trichophyton
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Random primers
Random primers
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Dermatophyte
Dermatophyte
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Dermatophytosis
Dermatophytosis
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Epidermophyton floccosum
Epidermophyton floccosum
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Microsporum and Trichophyton
Microsporum and Trichophyton
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Trichophyton species
Trichophyton species
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Arbitrarily Primed PCR (AP-PCR)
Arbitrarily Primed PCR (AP-PCR)
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Clinical Manifestations
Clinical Manifestations
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Nucleic Acid Amplification Technology
Nucleic Acid Amplification Technology
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AP-PCR
AP-PCR
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Random Primers
Random Primers
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Conventional Methods
Conventional Methods
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Primer Annealing Temperature
Primer Annealing Temperature
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Stringency
Stringency
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Dermatophyte Identification
Dermatophyte Identification
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Culture Media
Culture Media
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AP-PCR
AP-PCR
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AP-PCR
AP-PCR
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Genotypic characteristics
Genotypic characteristics
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Random primers
Random primers
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Phenotypic characteristics
Phenotypic characteristics
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Dermatophyte fungi
Dermatophyte fungi
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DNA band patterns
DNA band patterns
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Random primers
Random primers
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Nucleotide sequence analysis
Nucleotide sequence analysis
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Table 1, Examination of DNA products
Table 1, Examination of DNA products
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T.ajelloi, T.concentricum, etc.
T.ajelloi, T.concentricum, etc.
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Dermatophyte identification
Dermatophyte identification
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OPAA11, OPD18, OPAA17, OPU15
OPAA11, OPD18, OPAA17, OPU15
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T. ajelloi OPAA11
T. ajelloi OPAA11
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T. concentricum OPD18
T. concentricum OPD18
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T. equinum var.autotrophicum OPAA17
T. equinum var.autotrophicum OPAA17
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T.gourvillii Identi®cation
T.gourvillii Identi®cation
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T. mentagrophytes vars.
T. mentagrophytes vars.
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M. audouinii AP-PCR
M. audouinii AP-PCR
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Diferent Dermatophyte species and AP-PCR
Diferent Dermatophyte species and AP-PCR
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Study Notes
Application of PCR to Dermatophyte Fungi Identification
- Dermatophytes infect keratinized tissues (skin, hair, nails) in humans and animals, causing dermatophytosis (tinea or ringworm).
- Current methods for identifying dermatophytes are slow and lack specificity.
- Nucleic acid amplification technology, like PCR, allows for rapid and precise identification.
- Arbitrarily Primed PCR (AP-PCR) using random primers (OPAA11, OPD18, OPAA17, OPU15) distinguishes dermatophyte species based on band patterns in agarose gels.
- Combining two random primers (OPD18 and OPAA17) in separate reactions increased the number of identified species to 23 out of 25.
Introduction
- Dermatophytes are keratinophilic fungi from three closely related genera: Epidermophyton, Microsporum, and Trichophyton.
- These fungi colonize keratinized tissues, aided by proteolytic enzymes, leading to inflammation and dermatophytosis.
- Epidermophyton has a single species (E. floccosum), while Microsporum and Trichophyton are complex with many species and variants.
- Clinical symptoms from different species are not sufficient for easy differentiation, hence a need for improved diagnostic methods.
Conventional Diagnostic Methods
- Current methods rely on microscopic identification of hyphae from lesion materials and subsequent culture.
- Microscopy is not species specific, and is relatively insensitive (up to 15% false negatives).
- Culture for identification takes 10-15 days for most, and longer for unusual/slow-growing isolates, and depends on specific culture media (cost and time consuming).
- External factors like temperature variations and chemotherapy can affect phenotypic characteristics, making interpretation and identification less reliable.
Nucleic Acid-Based Techniques
- Genotypic-based methods are more specific and less influenced by external factors.
- PCR based diagnostics, including AP-PCR, improve diagnoses.
- AP-PCR, exploiting random primers, amplifies unique DNA fragments which allows differentiation of microorganisms by characteristic band patterns from gel electrophoresis, eliminating the need for further manipulation after amplification.
- AP-PCR is more sensitive and precise as it amplifies DNA sequences by billions of times within 30 cycles of denaturing, annealing, and extension.
- AP-PCR doesn't need a viable organism. Useful for 20-year-old samples.
- Use of short random primers (usually 10 nucleotides) at relatively low temperature can identify organisms through AP-PCR.
- AP-PCR has a clear advantage over conventional techniques.
AP-PCR
- Using random primers, 230 isolates from 25 dermatophyte species and subspecies (16 Trichophyton, 8 Microsporum, and 1 Epidermophyton) were examined.
- 16 species could be distinguished with OPAA11; 19 Species with OPD18; 20 species with OPAA17; 19 species with OPU15.
- A combination of two primers further enhances identification. OPAA11 and OPD18 identified 21 species, and OPD18 and OPAA17 identified 23 species.
- AP-PCR time is considerably less than conventional methods (takes ~ 1 day).
- Non-dermatophyte fungi showed different band patterns, enabling differentiation.
Future Perspectives
- AP-PCR provides a rapid solution for identification for dermatophytes with varied morphological characteristics.
- Species-specific primers are needed for better identification.
- Further development of DNA extraction procedures for clinical materials can be used for improved diagnosis.
- Sequence analysis of amplified DNA fragments will help determine the exact structures and functions of the involved genes, and establish evolutionary relationships among dermatophytes.
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