In:
PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 7 ( 2022-7-15), p. e0265554-
Abstract:
Pulmonary Tuberculosis (TB) is diagnosed through sputum samples. As sputum sampling is challenging in children and cachexic patients, the development of diagnostic tests using saliva appears promising but has been discouraged due to low bacterial load and poor sensitivity. Here, we present a novel and rapid method to enrich Mycobacterium tuberculosis (Mtb) from saliva, which may serve as a basis for a diagnostic saliva test. Methods Lipobiotin-functionalized magnetic beads (LMBs) were incubated with Mtb-spiked PBS and saliva from healthy donors as well as with saliva from TB patients. Flow cytometry was used to evaluate the capacity of the beads to bind Mtb, while real-time quantitative polymerase chain reaction (qPCR) was utilized to detect Mtb and determine the amount of mycobacterial DNA in different sample types. Results We found that LMBs bind Mtb efficiently when compared to non-functionalized beads. The development of an qPCR assay based on the use of LMBs (LMB assay) allowed us to enrich mycobacterial DNA in spiked sample types, including PBS and saliva from healthy donors (enrichment of up to ~8.7 fold). In Mtb-spiked saliva samples, we found that the LMB assay improved the detection rate of 10 2 bacteria in a volume of 5 ml from 0 out of 15 (0%) to 6 out of 15 (40%). Consistent with that, the LMB assay increased the rate of correctly identified saliva samples from TB patients in two independent cohorts. Conclusions Implementation of the principle of the LMB-based assay may improve the sensitivity of existing diagnostic techniques, e.g. by functionalizing materials that facilitate Mtb sampling from the oral cavity.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0265554
DOI:
10.1371/journal.pone.0265554.g001
DOI:
10.1371/journal.pone.0265554.g002
DOI:
10.1371/journal.pone.0265554.g003
DOI:
10.1371/journal.pone.0265554.g004
DOI:
10.1371/journal.pone.0265554.g005
DOI:
10.1371/journal.pone.0265554.g006
DOI:
10.1371/journal.pone.0265554.t001
DOI:
10.1371/journal.pone.0265554.s001
DOI:
10.1371/journal.pone.0265554.s002
DOI:
10.1371/journal.pone.0265554.s003
DOI:
10.1371/journal.pone.0265554.s004
DOI:
10.1371/journal.pone.0265554.s005
DOI:
10.1371/journal.pone.0265554.s006
DOI:
10.1371/journal.pone.0265554.s007
DOI:
10.1371/journal.pone.0265554.s008
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2022
detail.hit.zdb_id:
2267670-3
Bookmarklink