M. Stark et al., IMMUNOMAGNETIC SEPARATION AND SOLID-PHASE DETECTION OF BORDETELLA-PERTUSSIS, Journal of clinical microbiology, 34(4), 1996, pp. 778-784
In the present study, novel solid-phase methods mere used for both sam
ple preparation and PCR detection of Bordetella pertussis. The sample
preparation was performed by immunomagnetic separation with paramagnet
ic beads coated with polyclonal antibodies directed toward the surface
antigens of the bacteria. The precoated immunobeads were directly use
d on nasopharyngeal aspirates to capture the bacteria on the solid sup
port and were subsequently transferred to the PCR tube with no further
manipulations, The region encompassing the pertussis toxin promoter w
as analyzed to allow direct discrimination between the three major Bor
detella species (B. pertussis, B. parapertussis, and B. bronchiseptica
). The resulting amplicons were captured on a second magnetic solid ph
ase, allowing detection and restriction analysis of the target sequenc
e. A colorimetric detection system based on a DNA binding fusion prote
in enabled the use of standardized enzyme-linked immunosorbent format
tests both for the detection of Bordetella spp. and for species evalua
tion. When the optimized system was evaluated on 55 clinical aspirate
samples, 21 of 22 (95%) culture-positive samples were positive by the
system that we developed. In addition, two samples were positive by th
e PCR-based assay, while the culture assay was negative. The implicati
ons of these results are discussed.