PCR Application in Dermatophyte Identification

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Questions and Answers

What is dermatophytosis commonly known as?

  • Tinea (correct)
  • Acne
  • Eczema
  • Psoriasis

Which genus is represented by a single species?

  • Trichophyton
  • Microsporum
  • Epidermophyton (correct)
  • Candida

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?

<p>T. rubrum (A)</p> Signup and view all the answers

What has historically made dermatophytes seem less significant as human pathogens?

<p>Infections are generally mild. (C)</p> Signup and view all the answers

What change has occurred regarding the geographical distribution of dermatophyte species?

<p>There are more global variations now. (D)</p> Signup and view all the answers

Which technique is mentioned for the rapid identification of dermatophyte isolates?

<p>Polymerase Chain Reaction (A)</p> Signup and view all the answers

How many recognized species are there in the genus Trichophyton?

<p>15 (B)</p> Signup and view all the answers

What condition is caused by infection of keratinised tissues by keratinophilic fungi?

<p>Dermatophytosis (D)</p> Signup and view all the answers

Which three genera are classified as dermatophytes?

<p>Epidermophyton, Microsporum, Trichophyton (D)</p> Signup and view all the answers

What disadvantage is commonly associated with traditional laboratory methods for identifying dermatophytes?

<p>They are too slow or non-specific. (D)</p> Signup and view all the answers

What is one of the advantages of using arbitrarily primed PCR for dermatophyte identification?

<p>It provides rapid and precise identification. (B)</p> Signup and view all the answers

How many dermatophyte species or subspecies can be distinguished using one of the random primers in AP-PCR?

<p>Up to 20 (C)</p> Signup and view all the answers

Which two random primers were used in separate reaction tubes to identify a larger number of dermatophyte species?

<p>OPD18 and OPAA17 (B)</p> Signup and view all the answers

What is the main component of the tissues affected by dermatophytes?

<p>Keratin (A)</p> Signup and view all the answers

What method traditionally involved in dermatophyte identification has limitations?

<p>Microscopy and in-vitro culture (A)</p> Signup and view all the answers

What is a key challenge associated with conventional identification methods for dermatophytes?

<p>They can be influenced by external factors. (D)</p> Signup and view all the answers

What type of agar is NOT mentioned as useful for culturing dermatophytes?

<p>Blood agar (B)</p> Signup and view all the answers

What is the purpose of reducing the stringency of the primer annealing temperature in AP-PCR?

<p>To allow for random primer matching with the genome. (B)</p> Signup and view all the answers

Why might subsequent manipulation after amplification be unnecessary in AP-PCR?

<p>The detailed sequences of genes do not need to be known. (A)</p> Signup and view all the answers

What outcome occurs when annealing and priming events take place within a certain distance in AP-PCR?

<p>The sequence between the matching sites is amplified. (D)</p> Signup and view all the answers

What implication does a perfect match of two-to-three nucleotides from the primer to the template have?

<p>It can result in effective annealing and priming. (B)</p> Signup and view all the answers

Which fungi were included in the distinct DNA band patterns observed?

<p>Scytalidium and Fusarium (B)</p> Signup and view all the answers

What is a consequence of using costly and time-consuming culture media for dermatophyte identification?

<p>Extended wait times for results may occur. (B)</p> Signup and view all the answers

How many dermatophyte species or subspecies were tested in the study?

<p>25 (A)</p> Signup and view all the answers

Which method allows for differentiation of micro-organisms based on DNA patterns?

<p>Agarose gel electrophoresis (D)</p> Signup and view all the answers

Which genetic testing method was used to differentiate the fungi?

<p>AP-PCR (B)</p> Signup and view all the answers

Which of the following species could not be differentiated from another depending on the mentioned varieties?

<p>T. mentagrophytes var. interdigitale and var. mentagrophytes (C)</p> Signup and view all the answers

What was the highest DNA product size obtained for T. equinum var. autotraphicum using OPAA11?

<p>2.5 kb (A)</p> Signup and view all the answers

What does AP-PCR stand for?

<p>Arbitrary Primer - Polymerase Chain Reaction (B)</p> Signup and view all the answers

Which of the following species displayed a DNA product size of 1.7 kb?

<p>T. ajelloi (D)</p> Signup and view all the answers

Which DNA primer generated the most consistent results across multiple species?

<p>OPD18 (B)</p> Signup and view all the answers

Which dermatophyte species is identified by OPAA17?

<p>T. ajelloi (A)</p> Signup and view all the answers

Which dermatophyte species has all identification options marked as 'Yes'?

<p>M. cookei (D)</p> Signup and view all the answers

Which of the following species of dermatophytes can be identified by OPD18?

<p>T. tonsurans (A), T. soudanense (B), T. mentagrophytes var. erinacei (C)</p> Signup and view all the answers

Which dermatophyte species shows a 'No' for identification through OPAA11?

<p>T. gourdvillii (D)</p> Signup and view all the answers

What is the identification status of T. mentagrophytes var. mentagrophytes for OPAA17?

<p>Yes (D)</p> Signup and view all the answers

Which of the following species cannot be identified by OPD18?

<p>T. mentagrophytes var.interdigitale (C)</p> Signup and view all the answers

Which variety of T. mentagrophytes shows partial identification capabilities?

<p>var. interdigitale (A), var. nodulare (B)</p> Signup and view all the answers

Which dermatophyte is identified by OPAA11 but not by OPD18?

<p>T. soudanense (A)</p> Signup and view all the answers

What does AP-PCR measure in dermatophytes?

<p>Genotypic characteristics (A)</p> Signup and view all the answers

What was observed in the odd colony morphology of certain T. violaceum isolates?

<p>They displayed identical band patterns to typical isolates (B)</p> Signup and view all the answers

Why is nucleotide sequence analysis important in AP-PCR?

<p>It elucidates precise structures and functions of gene regions (D)</p> Signup and view all the answers

What can major DNA bands obtained through AP-PCR help design?

<p>Specific primers for dermatophyte species (A)</p> Signup and view all the answers

What characteristic of AP-PCR enhances its utility in dermatophyte identification?

<p>Its robustness and reproducibility (C)</p> Signup and view all the answers

Which of the following fungal species was specifically mentioned in the content?

<p>T. rubrum (C)</p> Signup and view all the answers

What aspect of dermatophyte isolates did the research specifically highlight?

<p>Their evolutionary variability in gene regions (D)</p> Signup and view all the answers

What is a future perspective mentioned regarding dermatophyte identification?

<p>Application of specific primers in detection systems (D)</p> Signup and view all the answers

Flashcards

Dermatophytes

Keratinophilic fungi that infect keratinized tissues (skin, hair, and nails) of humans and animals, causing dermatophytosis.

Dermatophytosis

An infection of the keratinized tissues caused by dermatophytes.

Conventional lab methods

Traditional methods for identifying dermatophytes based on visible characteristics (microscopy and in-vitro culture).

AP-PCR

Arbitrarily Primed PCR, a nucleic acid amplification technique to rapidly and precisely identify dermatophyte fungi.

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Nucleic acid amplification technology

Methods like PCR that make many copies of a specific piece of DNA to reveal characteristics of the origin.

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Keratinophilic fungi

Fungi that have a specific preference for keratin, a protein component of skin, hair, and nails.

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Epidermophyton, Microsporum, Trichophyton

The three main genera of dermatophyte fungi.

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Random primers

Primers that bind to various sections of DNA, allowing for the analysis of diversity in microbial species, like dermatophytes in this case.

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Dermatophyte

A fungus that infects the skin, hair, or nails.

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Dermatophytosis

A fungal skin infection caused by dermatophytes, often called ringworm.

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Epidermophyton floccosum

A single species of fungus in the genus Epidermophyton.

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Microsporum and Trichophyton

Fungi genera that cause dermatophytosis with various species.

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Trichophyton species

Pathogenic fungus species in the Trichophyton genus, with some variants.

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Arbitrarily Primed PCR (AP-PCR)

A molecular technique used to identify dermatophyte isolates quickly.

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Clinical Manifestations

Visible signs and symptoms of a disease, helping to distinguish between similar dermatophytosis.

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Nucleic Acid Amplification Technology

Technology used to enhance the speed and quality of diagnosing dermatophyte infections, like "AP-PCR"

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AP-PCR

A DNA amplification technique for quickly identifying dermatophytes without needing to know the exact DNA sequence.

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Random Primers

Primers that bind to various locations on a DNA strand, enabling analysis of diversity in genetic material.

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Conventional Methods

Traditional ways of identifying dermatophytes based on observable traits like growth on culture media.

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Primer Annealing Temperature

The temperature at which primers bind to the DNA template.

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Stringency

Controlling the degree of primer matching to the template DNA sequence in a PCR reaction.

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Dermatophyte Identification

The process of determining the specific type of fungi causing skin, hair, or nail infections.

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Culture Media

Different growth mediums for cultivating microorganisms, like dermatophytes.

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AP-PCR

A nucleic acid amplification technique to rapidly and precisely identify dermatophyte fungi.

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AP-PCR

A DNA amplification technique used to identify dermatophytes, focusing on their genetic makeup rather than visible traits.

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Genotypic characteristics

The genetic traits of an organism, distinct from its observable physical traits (phenotype).

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Random primers

Primers that bind to various sections of DNA, allowing for the analysis of diversity in microbial species.

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Phenotypic characteristics

The physical traits of an organism, like size, shape, or color.

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Dermatophyte fungi

Fungi infecting keratinized tissues (skin, hair, nails) in humans.

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DNA band patterns

Unique DNA sequences visible after amplification with random primers, distinguishing one fungus from another

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Random primers

Short DNA sequences that can attach to various parts of a DNA strand in AP-PCR, amplifying different sections.

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Nucleotide sequence analysis

Determining the order of DNA building blocks (nucleotides) in a specific DNA fragment, to study specific gene regions.

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Table 1, Examination of DNA products

Table showing DNA products (in kilobases) obtained from different dermatophyte species using various random primers.

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T.ajelloi, T.concentricum, etc.

Specific species of dermatophyte fungi.

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Dermatophyte identification

The process of identifying fungi that infect the skin, hair, and nails (dermatophytes).

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OPAA11, OPD18, OPAA17, OPU15

Different random primers used for amplification of fungal DNA in AP-PCR.

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T. ajelloi OPAA11

Trichophyton ajelloi is identi®able using OPAA11 in AP-PCR.

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T. concentricum OPD18

Trichophyton concentricum is identi®able using OPD18 in AP-PCR.

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T. equinum var.autotrophicum OPAA17

Trichophyton equinum var.autotrophicum is identi®able using OPAA17 in AP-PCR.

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T.gourvillii Identi®cation

AP-PCR markers like OPAA17, OPD18, OPAA17, OPU15, show it's non-identifiable.

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T. mentagrophytes vars.

Identi®cation by AP-PCR methods for various T. mentagrophytes variants are different, using various markers.

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M. audouinii AP-PCR

Microsporum audouinii is identi®able using AP-PCR markers OPAA11, OPD18, OPAA17, and OPU15

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Diferent Dermatophyte species and AP-PCR

Various Dermatophyte species are identi®ed with varying results based on AP-PCR markers like OPAA11, OPD18, OPAA17, and OPU15.

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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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