Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples

<i>Aspergillus fumigatus</i> is the main causative agent of Invasive Aspergillosis. This mold produces conidia that when inhaled by immunocompromized hosts can be deposited in the lungs and germinate, triggering disease. In this paper, the development of a method using peptide nucleic ac...

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Main Authors: Laura Cerqueira, Sara Moura, Carina Almeida, Maria João Vieira, Nuno Filipe Azevedo
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/8/12/1950
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author Laura Cerqueira
Sara Moura
Carina Almeida
Maria João Vieira
Nuno Filipe Azevedo
author_facet Laura Cerqueira
Sara Moura
Carina Almeida
Maria João Vieira
Nuno Filipe Azevedo
author_sort Laura Cerqueira
collection DOAJ
description <i>Aspergillus fumigatus</i> is the main causative agent of Invasive Aspergillosis. This mold produces conidia that when inhaled by immunocompromized hosts can be deposited in the lungs and germinate, triggering disease. In this paper, the development of a method using peptide nucleic acid-fluorescence <i>in situ</i> hybridization (PNA-FISH) is described. The PNA-FISH probe was tested in several strains and a specificity and sensitivity of 100% was obtained. Detection of <i>A. fumigatus</i><i>sensu stricto</i> was then achieved in artificial sputum medium (ASM) pre-inoculated with 1 × 10<sup>2</sup> conidia·mL<sup>−1</sup>–1 × 10<sup>3</sup> conidia·mL<sup>−1</sup>, after a germination step of 24 h. The PNA-FISH method was evaluated in 24 clinical samples (10 sputum, 8 bronchoalveolar lavage (BAL), and 6 bronchial lavage (BL)) that were inoculated with 1 × 10<sup>4</sup> conidia·mL<sup>−1</sup> in sputum; 1 × 10<sup>3</sup> conidia·mL<sup>−1</sup> in BL and BAL, for 24 h. Despite a specificity of 100%, the sensitivity was 79%. This relatively low sensitivity can be explained by the fact that hyphae can yield “fungal ball“ clusters, hindering pipetting procedures and subsequent detection, leading to false negative results. Nonetheless, this study showed the potential of the PNA-FISH method for <i>A. fumigatus</i><i>sensu stricto</i> detection since it takes only 1 h 30 m to perform the procedure with a pre-enrichment step of 6 h (pure cultures) and 24 h (clinical samples), and might provide a suitable alternative to the existing methods for studies in pure cultures and in clinical settings.
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spelling doaj.art-ffbccc61fc0d4070a3ad78ca80e6bb9f2023-11-20T23:58:30ZengMDPI AGMicroorganisms2076-26072020-12-01812195010.3390/microorganisms8121950Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary SamplesLaura Cerqueira0Sara Moura1Carina Almeida2Maria João Vieira3Nuno Filipe Azevedo4LEPABE—Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, PortugalBIOMODE 2, S.A., Edifício GNRATION, Praça Conde Agrolongo nº 123, 4700-312 Braga, PortugalBIOMODE 2, S.A., Edifício GNRATION, Praça Conde Agrolongo nº 123, 4700-312 Braga, PortugalCEB—Centre of Biological Engineering, LIBRO—Laboratory of Research in Biofilms Rosário Oliveira, University of Minho, Campus de Gualtar, 4710-057 Braga, PortugalLEPABE—Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal<i>Aspergillus fumigatus</i> is the main causative agent of Invasive Aspergillosis. This mold produces conidia that when inhaled by immunocompromized hosts can be deposited in the lungs and germinate, triggering disease. In this paper, the development of a method using peptide nucleic acid-fluorescence <i>in situ</i> hybridization (PNA-FISH) is described. The PNA-FISH probe was tested in several strains and a specificity and sensitivity of 100% was obtained. Detection of <i>A. fumigatus</i><i>sensu stricto</i> was then achieved in artificial sputum medium (ASM) pre-inoculated with 1 × 10<sup>2</sup> conidia·mL<sup>−1</sup>–1 × 10<sup>3</sup> conidia·mL<sup>−1</sup>, after a germination step of 24 h. The PNA-FISH method was evaluated in 24 clinical samples (10 sputum, 8 bronchoalveolar lavage (BAL), and 6 bronchial lavage (BL)) that were inoculated with 1 × 10<sup>4</sup> conidia·mL<sup>−1</sup> in sputum; 1 × 10<sup>3</sup> conidia·mL<sup>−1</sup> in BL and BAL, for 24 h. Despite a specificity of 100%, the sensitivity was 79%. This relatively low sensitivity can be explained by the fact that hyphae can yield “fungal ball“ clusters, hindering pipetting procedures and subsequent detection, leading to false negative results. Nonetheless, this study showed the potential of the PNA-FISH method for <i>A. fumigatus</i><i>sensu stricto</i> detection since it takes only 1 h 30 m to perform the procedure with a pre-enrichment step of 6 h (pure cultures) and 24 h (clinical samples), and might provide a suitable alternative to the existing methods for studies in pure cultures and in clinical settings.https://www.mdpi.com/2076-2607/8/12/1950<i>Aspergillus fumigatus</i>invasive aspergillosisPNA-FISHdiagnostic methodology
spellingShingle Laura Cerqueira
Sara Moura
Carina Almeida
Maria João Vieira
Nuno Filipe Azevedo
Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
Microorganisms
<i>Aspergillus fumigatus</i>
invasive aspergillosis
PNA-FISH
diagnostic methodology
title Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
title_full Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
title_fullStr Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
title_full_unstemmed Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
title_short Establishment of a New PNA-FISH Method for <i>Aspergillus fumigatus</i> Identification: First Insights for Future Use in Pulmonary Samples
title_sort establishment of a new pna fish method for i aspergillus fumigatus i identification first insights for future use in pulmonary samples
topic <i>Aspergillus fumigatus</i>
invasive aspergillosis
PNA-FISH
diagnostic methodology
url https://www.mdpi.com/2076-2607/8/12/1950
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