Polymerase chain reaction (PCR) using the Mycoplasma fermentans insertion s
equence-like element (ISLE) RW primer set amplifies DNA from Mycoplasma ora
le when more than 1 ng is present in the reaction tube. In this study, ampl
ified products from 11 different clinical isolates and the ATCC prototype o
f M. orale were sequenced and compared to 206 bp amplicons from eight isola
tes and the ATCC strain of M. fermentans. The nucleotide sequences of the a
mplified M. orale products had high sequence homology (88-92%) to those fro
m M. fermentans, but differed at several key positions. The M. orale produc
ts contained a Dral restriction enzyme site not found in any of the M. ferm
entans amplified products. Consistent with this finding, the PCR products f
rom M. orale were digested by Dral while the PCR products from M. fermentan
s were resistant to Dral digestion. The results suggest that M. orale may c
arry a similar IS-like element that complicates but does not negate using t
he ISLE PCR assay designed to detect M. fermentans. It appears possible for
the RW primers to amplify M. orale if the mycoplasmas are present at highe
r concentrations. The amplified products can be differentiated from those f
rom M. fermentans by a rapid Dral restriction endonuclease digestion or by
Southern blot analysis using the RW006 internal probe under highly stringen
t conditions. (C) 1999 Academic Press.