1997
DOI: 10.1128/jcm.35.4.995-998.1997
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Complex polysaccharides as PCR inhibitors in feces: Helicobacter pylori model

Abstract: A model was developed to study inhibitors present in feces which prevent the use of PCR for the detection of Helicobacter pylori. A DNA fragment amplified with the same primers as H. pylori was used to spike samples before extraction by a modified QIAamp tissue method. Inhibitors, separated on an Ultrogel AcA44 column, were characterized. Inhibitors in feces are complex polysaccharides possibly originating from vegetable material in the diet.

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Cited by 450 publications
(221 citation statements)
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“…The use of fecal and nasal swab samples as the most frequent matrices for detection of BCoV in diseased animals constitutes one of the significant problems that may hinder the performance of RT-PCR assays. Considerable existence of the bile salts and the complex polysaccharides in these matrices can either block the enzyme activity or reduce the Magnesium salt availability [25]. Therefore, monitoring PCR inhibitors in the utilized samples is very important to avoid false negative results.…”
Section: Discussionmentioning
confidence: 99%
“…The use of fecal and nasal swab samples as the most frequent matrices for detection of BCoV in diseased animals constitutes one of the significant problems that may hinder the performance of RT-PCR assays. Considerable existence of the bile salts and the complex polysaccharides in these matrices can either block the enzyme activity or reduce the Magnesium salt availability [25]. Therefore, monitoring PCR inhibitors in the utilized samples is very important to avoid false negative results.…”
Section: Discussionmentioning
confidence: 99%
“…The combination of phenol/chloroform/isoamyl alcohol and silica/guanidinium isothiocyanate methods was performed according to Barreiros et al (2004) with slight modifications. Faecal samples remain the most difficult specimens for nucleic acid extraction and amplification due the presence of inhibitors (Monteiro et al, 1997). Guanidinium isothiocyanate alone or in combination with phenol-chloroform inactivates ribonucleases and therefore improves the stability of the extracted RNA genome (Romero, 1999).…”
Section: Discussionmentioning
confidence: 99%
“…Besides, there are no comparative studies on the ability of different primer sets to detect BCoV in clinical samples. Also, faeces remains the most difficult clinical sample for nucleic acid extraction and amplification due to the presence of PCR inhibitors that may yield false negative results (Monteiro et al, 1997). The use of an internal control in the PCR reaction has been most commonly applied to monitor and evaluate these failures, but this approach has not been used in assays for BCoV detection (Beld et al, 2004;Dingle et al, 2004;Hoorfar et al, 2004).…”
Section: Introductionmentioning
confidence: 99%
“…Most published microarray methods use amplification strategies prior to hybridization that are based on the polymerase chain reaction (Saiki et al, 1988;Mullis et al, 1986), a proven and sensitive technique. However, PCR is susceptible to numerous inhibitory compounds commonly present in clinical materials (Monteiro et al, 1997;Fredricks and Relman, 1998;Longo et al, 1990); fastidious sample preparation is thus required to obtain robust detection (Klein et al, 1997). In addition, some microorganisms potentially responsible for infections harbor specific envelopes or cell-walls which are either difficult to disrupt or further release inhibitors of enzymatic reactions.…”
Section: Sample Preparationmentioning
confidence: 99%