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Helicobacter pyloridetection in human biopsies: a competitive PCR assay with internal control reveals false results

Authors
Journal
FEMS Immunology & Medical Microbiology
0928-8244
Publisher
Oxford University Press
Publication Date
Volume
24
Issue
2
Identifiers
DOI: 10.1016/s0928-8244(99)00027-9
Keywords
  • Helicobacter Pylori
  • 16S Rdna Primer
  • Hot-Start
  • Deoxyuracil Triphosphate
  • Internal Control
  • Competitive Polymerase Chain Reaction
Disciplines
  • Biology
  • Medicine

Abstract

Abstract A polymerase chain reaction assay (PCR) for the diagnosis of Helicobacter pylori in human gastric biopsies was developed. To prevent false-negative results while performing PCR on human tissues, an internal control is necessary. Primer set ACT1-ACT2 which specifically amplifies a 542-bp fragment of the 16S rRNA gene of H. pylori was used. dUTP and hot-start were used to prevent false-positives from carryover of previous products and avoid non-specific extension products. A competitive internal control DNA fragment was constructed to detect the presence of inhibitors. Biopsies from 101 unselected patients with gastric symptoms were tested. PCR results were compared with results from microscopy of histological sections and conventional culturing for H. pylori. Forty-two percent of the biopsies were found to contain compounds inhibiting the PCR. The addition of the internal control assures the performance of the PCR assay and is an important quality control parameter.

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