Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction

The role of mycobacterial infection, particularly related to Mycobacterium avium subsp paratuberculosis (Map), in Crohn's disease has long been debated. We developed primer pairs capable of detecting a broad spectrum of mycobacterium and employed them to investigate surgical specimens from pati...

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Main Authors: Chi-Yuan Tzen, Tsu-Yen Wu, Chin-Yuan Tzen
Format: Article
Language:English
Published: Elsevier 2006-01-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664609601200
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author Chi-Yuan Tzen
Tsu-Yen Wu
Chin-Yuan Tzen
author_facet Chi-Yuan Tzen
Tsu-Yen Wu
Chin-Yuan Tzen
author_sort Chi-Yuan Tzen
collection DOAJ
description The role of mycobacterial infection, particularly related to Mycobacterium avium subsp paratuberculosis (Map), in Crohn's disease has long been debated. We developed primer pairs capable of detecting a broad spectrum of mycobacterium and employed them to investigate surgical specimens from patients with Crohn's disease. Methods: Pan mycobacterium primers of the 65-kDa heat shock protein gene (Hsp65) were used in a polymerase chain reaction (PCR) to examine 12 surgically-resected, formalin-fixed, paraffin-embedded specimens from 11 patients with Crohn's disease. The DNA sequences of amplicons were aligned with those in GenBank. Results: Mycobacterial DNA was found in specimens from three of 11 patients. M. mucogenicum was identified in a specimen from one patient and M. tuberculosis in two, but Map was not identified in any. Conclusion: Hsp65-based PCR can be employed to search for occult mycobacterial infection of the gastrointestinal tract in patients with a diagnosis or suspicion of Crohn's disease. This approach may have a therapeutic implication.
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spelling doaj.art-3d21674a6edb42289e8deab423d7ab682022-12-21T17:13:41ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-01105429029810.1016/S0929-6646(09)60120-0Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain ReactionChi-Yuan Tzen0Tsu-Yen Wu1Chin-Yuan Tzen2Department of Pathology, Taipei, TaiwanDepartment of Medical Research, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pathology, Taipei, TaiwanThe role of mycobacterial infection, particularly related to Mycobacterium avium subsp paratuberculosis (Map), in Crohn's disease has long been debated. We developed primer pairs capable of detecting a broad spectrum of mycobacterium and employed them to investigate surgical specimens from patients with Crohn's disease. Methods: Pan mycobacterium primers of the 65-kDa heat shock protein gene (Hsp65) were used in a polymerase chain reaction (PCR) to examine 12 surgically-resected, formalin-fixed, paraffin-embedded specimens from 11 patients with Crohn's disease. The DNA sequences of amplicons were aligned with those in GenBank. Results: Mycobacterial DNA was found in specimens from three of 11 patients. M. mucogenicum was identified in a specimen from one patient and M. tuberculosis in two, but Map was not identified in any. Conclusion: Hsp65-based PCR can be employed to search for occult mycobacterial infection of the gastrointestinal tract in patients with a diagnosis or suspicion of Crohn's disease. This approach may have a therapeutic implication.http://www.sciencedirect.com/science/article/pii/S0929664609601200Crohn's diseaseheat shock protein geneMycobacterium mucogenicumMycobacterium tuberculosispolymerase chain reaction
spellingShingle Chi-Yuan Tzen
Tsu-Yen Wu
Chin-Yuan Tzen
Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
Journal of the Formosan Medical Association
Crohn's disease
heat shock protein gene
Mycobacterium mucogenicum
Mycobacterium tuberculosis
polymerase chain reaction
title Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
title_full Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
title_fullStr Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
title_full_unstemmed Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
title_short Detection of Mycobacteria in Crohn's Disease by a Broad Spectrum Polymerase Chain Reaction
title_sort detection of mycobacteria in crohn s disease by a broad spectrum polymerase chain reaction
topic Crohn's disease
heat shock protein gene
Mycobacterium mucogenicum
Mycobacterium tuberculosis
polymerase chain reaction
url http://www.sciencedirect.com/science/article/pii/S0929664609601200
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