Patent Application
20100330573
Whooping cough is caused by an infection of the ciliated bronchial epithelial cells by a gram-negative bacillus, B. pertussis. B. pertussis is found only in humans. The related bacillus B. parapertussis has been shown to cause a milder form of the disease. On rare occasions, these symptoms can be caused in humans by other members of the genus, such as B. bronchiseptica, which causes kennel cough in dogs, B. avium, which causes tracheobronchitis in birds, and B. holmesii, which is most commonly associated with septicemia, but is appearing in the human respiratory tract with greater frequency.
Globally 20-40 million cases of pertussis occur each year and there can be as many as 400,000 fatalities annually, primarily in young infants less than six months of age. There has been a resurgence of pertussis infections in recent years. According to the Centers for Disease Control, there has been an increase in infections of persons over the age of ten. This could be due to the fact that immunity due to vaccination lasts between 4-12 years.
Early diagnosis of pertussis infections leads to early treatment, consequently reducing the effects and transmission of the disease. The most common complications of pertussis infection include apnea, pneumonia, and weight loss; posttussive vomiting, seizures and death may also occur. Most often these complications develop among young infants. Other complications due to pertussis infection include pneumothorax, epistaxis, difficulty sleeping, subconjunctival hemorrhage, subdural hematoma, rectal prolapse, urinary incontinence, and rib fracture. Treatment for pertussis infection includes antimicrobial therapy. If the antimicrobial therapy is administered early in the course of infection, transmission to susceptible contacts may be decreased, and symptoms may be ameliorated.
Culture-based diagnostic methods remain the methods of choice for the determination of the cause of pertussis-like symptoms. B. pertussis and B. parapertussis are fastidious organisms that require special media, thus making culture-based assays difficult to perform. Adoption of nucleic acid-based tests has led to diagnostic tests with significantly better turn-around time, but many of the available tests lack sensitivity and specificity. Commercial singleplex PCR tests for B. pertussis and multiplex tests for B. pertussis and B. parapertussis have been used in clinical laboratories, but some of the assays have shown high false positive rates with known negative samples
A rapid and accurate diagnostic test for the detection of Bordetella pathogens, e.g., B. pertussis; B. parapertussis, therefore, would provide clinicians with an effective tool for identifying patients at risk for developing pertussis-associated diseases and subsequently supporting effective treatment regimens.
Described herein are nucleic acid probes and primers for detecting, isolating, quantitating and sequencing bacterial genetic material from the genus Bordetella, including, for example, Bordetella pertussis, Bordetella parapertussis and seven other Bordetella species, and methods for use of probes and primers. A diagnostic test that can distinguish multiple Bordetella species simultaneously (B. pertussis, B. parapertussis and/or the genus Bordetella) is necessary because B. pertussis and B. parapertussis are the major causative agents of whooping cough. Additionally, respiratory infections can occasionally be caused by one of the minor Bordetella species, including B. holmesii, B. bronchiseptica and B. avium, thus establishing a need for a generic probe(s).
One embodiment is directed to an isolated nucleic acid sequence comprising a sequence selected from the group consisting of: SEQ ID NOS: 1-101.
One embodiment is directed to a method of hybridizing one or more isolated nucleic acid sequences comprising a sequence selected from the group consisting of: SEQ ID NOS: 1-101 to a Bordetella sequence, comprising contacting one or more isolated nucleic acid sequences to a sample comprising the Bordetella sequence under conditions suitable for hybridization. In a particular embodiment, the Bordetella sequence is a genomic sequence, a template sequence or a sequence derived from an artificial construct. In a particular embodiment, the method(s) further comprise isolating, quantitating, monitoring and/or sequencing the hybridized Bordetella sequence.
One embodiment is directed to a primer set comprising at least one forward primer selected from the group consisting of SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97, and at least one reverse primer selected from the group consisting of SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101. In a particular embodiment, the primer set is selected from the group consisting of: Groups 1-204 of Table 4.
One embodiment is directed to a method of producing a nucleic acid product, comprising contacting one or more isolated nucleic acid sequences selected from the group consisting of SEQ ID NOS: 1, 3-5, 8-10, 12-14, 17-19, 21, 23, 25, 26, 28-31, 33-36, 38-40, 43-45, 47-49, 52-54, 56, 57, 59, 61, 62, 64, 65, 67, 69, 70, 72-74, 77-79, 81-83, 86-88, 90-92, 95-97, 99, and 101 to a sample comprising a Bordetella sequence under conditions suitable for nucleic acid polymerization. In a particular embodiment, the nucleic acid product is an amplicon produced using at least one forward primer selected from the group consisting of SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97, and at least one reverse primer selected from the group consisting of SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101.
Particular embodiments are directed to primers and probes that hybridize to, amplify and/or detect Bordetella species selected from the group consisting of: B. pertussis, B. parapertussis, B. bronchiseptica, B. petrii, B. holmesii, B. avium, B. hinzii, B. trematum or B. ansorpii, and methods of using the primers and probes.
One embodiment is directed to a probe that hybridizes to an amplicon produced as described herein, e.g., using the primers described herein. In a particular embodiment, the probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100. In a particular embodiment, the probe is labeled with a detectable label selected from the group consisting of: a fluorescent label, a chemiluminescent label, a quencher, a radioactive label, biotin and/or gold. The probe may also be labeled with other similar detectable labels used in conjunction with probe technology as known by one of ordinary skill in the art.
One embodiment is directed to a set of probes that hybridize to an amplicon produced as described herein, e.g., using the primers described herein. In a particular embodiment, a first probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, and 32, and a second probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66 and 68. In a particular embodiment, a first probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27 and 32, a second probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66 and 68, and a third probe comprises a sequence selected from the group consisting of: SEQ ID NOS: 71, 75, 76, 80, 84, 85, 89, 93, 94, 98 and 100. In a particular embodiment, the first probe is labeled with a first detectable label and the second probe is labeled with a second detectable label. In a particular embodiment, the first probe and the second probe are labeled with the same detectable label. In a particular embodiment, the first probe is labeled with a first detectable label, the second probe is labeled with a second detectable label and the third probe is labeled with a third detectable label. In a particular embodiment, the first probe, the second probe and the third probe are labeled with the same detectable label. In a particular embodiment, the detectable labels are selected from the group consisting of: a fluorescent label, a chemiluminescent label, a quencher, a radioactive label, biotin and gold. The probe may also be labeled with other similar detectable labels used in conjunction with probe technology as known by one of ordinary skill in the art.
One embodiment is directed to a method for detecting Bordetella DNA in a sample, comprising: a) contacting the sample with at least one forward primer comprising a sequence selected from the group consisting of: SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97, and at least one reverse primer comprising a sequence selected from the group consisting of: SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101 under conditions such that nucleic acid amplification occurs to yield an amplicon; and b) contacting the amplicon with one or more probes comprising one or more sequences selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100 under conditions such that hybridization of the probe to the amplicon occurs, wherein hybridization of the probe is indicative of Bordetella in the sample. In a particular embodiment, each of the one or more probes is labeled with a different detectable label. In a particular embodiment, the one or more probes are labeled with the same detectable label. In a particular embodiment, the sample is selected from the group consisting of: blood, serum, plasma, enriched peripheral blood mononuclear cells, neoplastic or other tissue obtained from biopsies, cerebrospinal fluid, saliva, fluids collected from the ear, eye, mouth, and respiratory airways, sputum, skin, tears, oropharyngeal swabs, nasopharyngeal swabs, throat swabs, nasal aspirates, nasal wash, fluids and cells obtained by the perfusion of tissues of both human and animal origin, and fluids and cells derived from the culturing of human cells, including human stem cells and human cartilage or fibroblasts. In a particular embodiment, the sample is from a human, is non-human in origin, or is derived from an inanimate object. In a particular embodiment, the at least one forward primer, the at least one reverse primer and the one or more probes are selected from the group consisting of: Groups 1-204 of Table 4. In a particular embodiment, the method(s) further comprise quantitating and/or sequencing Bordetella DNA in a sample.
One embodiment is directed to a primer set or collection of primer sets for amplifying DNA from any of the nine species of Bordetella, including pertussis, parapertussis, bronchiseptica, petrii, holmesii, avium, hinzii, trematum and ansorpii, comprising a nucleotide sequence selected from the group consisting of: (1) SEQ ID NOS: 1 and 3; (2) SEQ ID NOS: 1 and 4; (3) SEQ ID NOS: 1 and 5; (4) SEQ ID NOS: 8 and 3; (5) SEQ ID NOS: 8 and 4; (6) SEQ ID NOS: 8 and 5; (7) SEQ ID NOS: 9 and 3; (8) SEQ ID NOS: 9 and 4; (9) SEQ ID NOS: 9 and 5; (10) SEQ ID NOS: 10 and 12; (11) SEQ ID NOS: 10 and 13; (12) SEQ ID NOS: 10 and 14; (13) SEQ ID NOS: 17 and 12; (14) SEQ ID NOS: 17 and 13; (15) SEQ ID NOS: 17 and 14; (16) SEQ ID NOS: 18 and 12; (17) SEQ ID NOS: 18 and 13; (18) SEQ ID NOS: 18 and 14; (19) SEQ ID NOS: 19 and 21; (20) SEQ ID NOS: 23 and 25; (21) SEQ ID NOS: 26 and 28; (22) SEQ ID NOS: 29 and 30; (23) SEQ ID NOS: 31 and 33; (24) SEQ ID NOS: 34 and 35; (25) SEQ ID NOS: 36 and 38 (26) SEQ ID NOS: 36 and 39; (27) SEQ ID NOS: 36 and 40; (28) SEQ ID NOS: 43 and 38; (29) SEQ ID NOS: 43 and 39; (30) SEQ ID NOS: 43 and 40; (31) SEQ ID NOS: 44 and 38; (32) SEQ ID NOS: 44 and 39; (33) SEQ ID NOS: 44 and 40; (34) SEQ ID NOS: 45 and 47; (35) SEQ ID NOS: 45 and 48; (36) SEQ ID NOS: 45 and 49; (37) SEQ ID NOS: 52 and 47; (38) SEQ ID NOS: 52 and 48; (39) SEQ ID NOS: 52 and 49; (40) SEQ ID NOS: 53 and 47; (41) SEQ ID NOS: 53 and 48; (42) SEQ ID NOS: 53 and 49; (43) SEQ ID NOS: 54 and 56; (44) SEQ ID NOS: 57 and 59; (45) SEQ ID NOS: 54 and 61; (46) SEQ ID NOS: 62 and 64; (47) SEQ ID NOS: 65 and 64; (48) SEQ ID NOS: 67 and 69; (49) SEQ ID NOS: 70 and 72; (50) SEQ ID NOS: 70 and 73; (51) SEQ ID NOS: 70 and 74; (52) SEQ ID NOS: 77 and 72; (53) SEQ ID NOS: 77 and 73; (54) SEQ ID NOS: 77 and 74; (55) SEQ ID NOS: 78 and 72; (56) SEQ ID NOS: 78 and 73; (57) SEQ ID NOS: 78 and 74; (58) SEQ ID NOS: 79 and 81; (59) SEQ ID NOS: 79 and 82; (60) SEQ ID NOS: 79 and 83; (61) SEQ ID NOS: 86 and 81; (62) SEQ ID NOS: 86 and 82; (63) SEQ ID NOS: 86 and 83; (64) SEQ ID NOS: 87 and 81; (65) SEQ ID NOS: 87 and 82; (66) SEQ ID NOS: 87 and 83; (67) SEQ ID NOS: 88 and 90; (68) SEQ ID NOS: 88 and 91; (69) SEQ ID NOS: 88 and 92; (70) SEQ ID NOS: 95 and 90; (71) SEQ ID NOS: 95 and 91; (72) SEQ ID NOS: 95 and 92; (73) SEQ ID NOS: 96 and 90; (74) SEQ ID NOS: 96 and 91; (75) SEQ ID NOS: 96 and 92; (76) SEQ ID NOS: 97 and 99; and (77) SEQ ID NOS: 97 and 101.
One embodiment is directed to a primer set or collection of primer sets for amplifying DNA from any of the species of Bordetella, comprising a nucleotide sequence selected from the group consisting of: SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97 (forward primers) and SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101 (reverse primers).
A particular embodiment is directed to oligonucleotide probes for binding to B. pertussis, B. parapertussis, B. bronchiseptica, B. petrii, B. holmesii, B. avium, B. hinzii, B. trematum or B. ansorpii DNA, comprising a nucleotide sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100.
In one embodiment, the present invention is directed to simultaneous detection in a multiplex format of (1) B. pertussis; (2) B. parapertussis and/or (3) any of the other seven species of Bordetella (using a generic probe(s)). The generic probe(s), in combination with the specific probes, will provide identification of B. pertussis and/or B. parapertussis, however, it will not distinguish between the other seven species of Bordetella.
The generic probe(s) (to detect the nine species of Bordetella: B. pertussis, B. parapertussis, B. bronchiseptica, B. petrii, B. holmesii, B. avium, B. hinzii, B. trematum and B. ansorpii) provide a lower rate of false positive and false negative results. In addition to the specific probe(s) for B. pertussis and/or B. parapertussis, the generic probe(s) provide an extra level of certainty that does not exist in other pertussis molecular diagnostic tests currently available.
One embodiment is directed to primer sets for amplifying B. pertussis and B. parapertussis and/or B. bronchiseptica, B. petrii, B. holmesii, B. avium, B. hinzii, B. trematum or B. ansorpii DNA simultaneously, comprising (1) SEQ ID NOS: 1 and 3; or 1 and 4; or 1 and 5; or 8 and 3; or 8 and 4; or 8 and 5; or 9 and 3; or 9 and 4; or 9 and 5; or 10 and 12; or 10 and 13; or 10 and 14; or 17 and 12; or 17 and 13; or 17 and 14; or 18 and 12; or 18 and 13; or 18 and 14; or 19 and 21; or 23 and 25; or 26 and 28; or 29 and 30; or 31 and 33; or 34 and 35 (forward and reverse primers for amplifying B. pertussis DNA); and (2) SEQ ID NOS: 36 and 38; or 36 and 39; or 36 and 40; or 43 and 38; or 43 and 39; or 43 and 40; or 44 and 38; or 44 and 39; or 44 and 40; or 45 and 47; or 45 and 48; or 45 and 49; or 52 and 47; or 52 and 48; or 52 and 49; or 53 and 47; or 53 and 48; or 53 and 49; or 54 and 56; or 57 and 59; or 54 and 61; or 62 and 64; or 65 and 64; or 67 and 69 (forward and reverse primers for amplifying B. parapertussis DNA); and (3) SEQ ID NOS: 70 and 72; or 70 and 73; or 70 and 74; or 77 and 72; or 77 and 73; or 77 and 74; or 78 and 72; or 78 and 73; or 78 and 74; or 79 and 81; or 79 and 82; or 79 and 83; or 86 and 81; or 86 and 82; or 86 and 83; or 87 and 81; or 87 and 82; or 87 and 83; or 88 and 90; or 88 and 91; or 88 and 92; or 95 and 90; or 95 and 91; or 95 and 92; or 96 and 90; or 96 and 91; or 96 and 92; or 97 and 99; or 97 and 101 (forward and reverse primers for amplifying any of the seven other Bordetella species DNA). A particular embodiment is directed to oligonucleotide probes for binding to B. pertussis and B. parapertussis and/or any of the seven other Bordetella species DNA, comprising a nucleotide sequence selected from the group consisting of SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, and 32 (B. pertussis probe); 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66 and 68 (B. parapertussis probe); and 71, 75, 76, 80, 84, 85, 89, 93, 94, 98 and 100 (the Bordetella species probes—the generic probe(s)).
One embodiment is directed to a kit for detecting Bordetella DNA in a sample, comprising one or more probes comprising a sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100. In a particular embodiment, the kit further comprises a) at least one forward primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97; and b) at least one reverse primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101. In a particular embodiment, the kit further comprises reagents for quantitating and/or sequencing Bordetella DNA in the sample. In a particular embodiment, the one or more probes are labeled with different detectable labels. In a particular embodiment, the one or more probes are labeled with the same detectable label. In a particular embodiment, the at least one forward primer and the at least one reverse primer are selected from the group consisting of: Groups 1-204 of Table 4.
One embodiment is directed to a method of diagnosing a Bordetella-associated condition, syndrome or disease, comprising: a) contacting a sample with at least one forward and reverse primer set selected from the group consisting of Groups 1-204 of Table 4; b) conducting an amplification reaction, thereby producing an amplicon; and c) detecting the amplicon using one or more probes selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100; wherein the detection of an amplicon is indicative of the presence of Bordetella in the sample. In a particular embodiment, the sample is blood, serum, plasma, enriched peripheral blood mononuclear cells, neoplastic or other tissue obtained from biopsies, cerebrospinal fluid, saliva, fluids collected from the ear, eye, mouth, and respiratory airways, sputum, skin, tears, oropharyngeal swabs, nasopharyngeal swabs, throat swabs, nasal aspirates, nasal wash, fluids and cells obtained by the perfusion of tissues of both human and animal origin, and fluids and cells derived from the culturing of human cells, including human stem cells and human cartilage or fibroblasts. In a particular embodiment, the Bordetella-associated condition, syndrome or disease is selected from the group consisting of: whooping cough, apnea, pneumonia, weight loss, posttussive vomiting, seizures, pneumothorax, epistaxis, difficulty sleeping, subconjunctival hemorrhage, subdural hematoma, rectal prolapse, urinary incontinence, rib fracture, tracheobronchitis, sinusitis, septicemia, endocarditis, otitis media and wound infections.
One embodiment is directed to a kit for amplifying and sequencing Bordetella DNA in a sample, comprising: a) at least one forward primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97; b) at least one reverse primer comprising the sequence selected from the group consisting of SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101; and c) reagents for the sequencing of amplified DNA fragments. In a particular embodiment, the kit further comprises reagents for quantitating Bordetella DNA in the sample.
One embodiment is directed to a method of diagnosing a Bordetella-associated condition, syndrome or disease, comprising contacting a denatured target from a sample with one or more probes comprising a sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100 under conditions for hybridization to occur; wherein hybridization of the one or more probes to a denatured target is indicative of the presence of Bordetella in the sample. In a particular embodiment, the sample is selected from the group consisting of: blood, serum, plasma, enriched peripheral blood mononuclear cells, neoplastic or other tissue obtained from biopsies, cerebrospinal fluid, saliva, fluids collected from the ear, eye, mouth, and respiratory airways, sputum, skin, tears, oropharyngeal swabs, nasopharyngeal swabs, throat swabs, nasal aspirates, nasal wash, fluids and cells obtained by the perfusion of tissues of both human and animal origin, and fluids and cells derived from the culturing of human cells, including human stem cells and human cartilage or fibroblasts. In a particular embodiment, the Bordetella-associated condition, syndrome or disease is selected from the group consisting of: whopping cough, apnea, pneumonia, weight loss, posttussive vomiting, seizures, pneumothorax, epistaxis, difficulty sleeping, subconjunctival hemorrhage, subdural hematoma, rectal prolapse, urinary incontinence, rib fracture, tracheobronchitis, sinusitis, septicemia, endocarditis, otitis media and wound infections.
One embodiment is directed to a method for identifying the causative agent of whooping cough by detecting one or more Bordetella species in a sample, the method comprising: a) contacting the sample with at least one forward primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97; and at least one reverse primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101 under conditions such that nucleic acid amplification occurs to yield an amplicon; and b) contacting the amplicon with one or more probes comprising one or more sequences selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100 under conditions such that hybridization of the probe to the amplicon occurs; wherein the hybridization of the probe is indicative of Bordetella in the sample. In a particular embodiment, the Bordetella species is B. pertussis or B. parapertussis.
One embodiment is directed to a method for identifying the causative agent of respiratory infections by detecting one or more of the minor Bordetella species, the method comprising: a) contacting the sample with at least one forward primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 70, 77-79, 86-88, and 95-97 and at least one reverse primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 72-74, 81-83, 90-92, 99, and 101 under conditions such that nucleic acid amplification occurs to yield an amplicon; and b) contacting the amplicon with one or more probes comprising one or more sequences selected from the group consisting of: SEQ ID NOS: 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100 under conditions such that hybridization of the probe to the amplicon occurs; wherein the hybridization of the probe is indicative of Bordetella in the sample. In a particular embodiment, the Bordetella species is selected from the group consisting of: B. holmesii, B. bronchiseptica and B. avium.
Described herein are optimized oligonucleotides that can act as probes and primers that, alone or in various combinations, allow for the detection, isolation, quantitation, monitoring and sequencing of Bordetella pathogens. Specific oligonucleotides, i.e., probes and primers that are optimized to detect a particular Bordetella species or strain, and generic probes and primers, i.e., probes and primers that detect all Bordetella pathogens or a particular subset thereof, have been discovered and are described herein. Nucleic acid primers and probes for detecting bacterial genetic material, especially B. pertussis and B. parapertussis, and methods for designing and optimizing the respective primer and probe sequences are described. The present invention also provides nucleic acid primers and probes for detecting the genus Bordetella (seven species besides B. pertussis and B. parapertussis). Optimized primer and probe sets were designed to target regions of several genes that are conserved within the genus, but not conserved in related species outside the genus Bordetella.
The primers and probes described herein can be used, for example, to confirm suspected cases of Bordetella-associated diseases, symptoms, disorders or conditions, e.g., whooping cough, and to determine if the causative agent is B. pertussis (BP) or B. parapertussis (BPP), in a singleplex format. The primers and probes can also be used to diagnose a co-infection of the two bacteria (in a multiplex format) or, using a generic probe(s) (marker) to diagnose an infection of one of the other species that rarely cause respiratory infections in humans (e.g., B. holmesii, B. bronchiseptica, B. avium). Included herein are generic probe(s), for example, to a) decrease the chance of false positive and false negative results; and b) increase the specificity of the assay. If any of the minor species (a species other than B. pertussis or B. parapertussis) begins to infect humans with increased frequency, the primers and probes described herein can detect these epidemiological trends.
The primers and probes of the present invention can be used for the detection of 1) BP or 2) BPP or 3) the genus Bordetella in a singleplex format, or combined in a multiplex format to allow detection of (1) BP, (2) BPP and/or (3) any of the other seven species of Bordetella, without loss of assay precision or sensitivity. Currently, BP, BPP and the genus Bordetella are tested separately; however, the multiplex format option allows relative comparisons to be made between these prevalent pathogens. The primers and probes described herein can be used as a diagnostic reagent for Bordetella-associated diseases, syndromes and conditions.
The generic probe(s) (e.g., used to detect the nine species of Bordetella: BP, BPP, B. bronchiseptica, B. petrii, B. holmesii, B. avium, B. hinzii, B. trematum or B. ansorpii) described herein have the unique feature of providing a lower rate of false positive and false negative results when used in diagnostic assays. In addition to the probe(s) for BP and/or BPP, the generic probe(s) provide an additional level of certainty that does not exist in pertussis molecular diagnostic tests currently available.
The BP- and BPP-associated complications, conditions, syndromes or diseases in mammals, e.g., humans, include, but are not limited to, whooping cough, apnea, pneumonia, weight loss, posttussive vomiting, seizures, pneumothorax, epistaxis, difficulty sleeping, subconjunctival hemorrhage, subdural hematoma, rectal prolapse, urinary incontinence, and rib fracture (Pasternack, M. “Pertussis in the 1990s: Diagnosis, Treatment, and Prevention.” Current Clinical Topics in Infectious Diseases, Remington, J S, Swartz, M N (Eds), Blackwell Science, Malden, Mass., 1997. p. 244; von König, C. et al., Lancet Infect. Dis., 2:744-750, 2002; Sabella, C., Clev. Clin. J. Med., 72:601-608, 2005).
The B. bronchiseptica-associated complications, conditions, syndromes or diseases in mammals, e.g., humans, include, but are not limited to, whooping cough, pneumonia, tracheobronchitis, sinusitis, kennel cough and septicemia (Woolfrey, B. and Moody, J., Clin. Microbiol. Rev., 4:243-255, 1991; Gueirard, P. et al., J Clin. Microbiol., 33:2002-2006, 1995).
The B. holmesii-associated complications, conditions, syndromes or diseases in mammals, e.g., humans, include, but are not limited to, whooping cough, pneumonia, septicemia, and endocarditis (Tang, Y. et al., Clin. Infect. Dis., 26:389-392, 1998; Yih, W. et al., Emerg. Infect. Dis., 5:441-443, 1999; Dorbecker, C. et al., J. Infect., 54:e203-205, 2007).
The B. avium-associated complications, conditions, syndromes or diseases in mammals, e.g., humans, include, but are not limited to, whooping cough and pneumonia (Harrington, A. et al., Emerg. Infect. Dis., 15:72-74, 2009).
The B. trematum-associated complications, conditions, syndromes or diseases in mammals, e.g., humans, include, but are not limited to, otitis media and wound infections (Vandamme, P. et al., Int. J. Syst. Bacteriol., 46:849-858, 1996; Daxboeck, F. et al., Diabet. Med., 21:1247-1248, 2004).
B. hinzii has only been isolated from immunocompromised patients and so far appears to be an opportunistic infection (Vandamme, P. et al., Int. J. Syst. Bacteriol., 45:37-45, 1995; Funke, G. et al., J. Clin. Microbiol., 34:966-969, 1996; Gadea, I. et al., J. Infect., 40:298-299, 2000). B. petrii is the only free living member of the genus known to date. It has been found in a few instances to infect humans. It has been isolated from ear infections and mandibular osteomyelitis (von Wintzingerode, F. et al., Int. J. Syst. Evol. Microbiol., 51:1257-1265, 2001; Fry, N. et al., Emerg. Infect. Dis., 11:1131-1133, 2005; Stark, D. et al., J. Med. Microbiol., 56:435-437, 2007). There have only been two cases of B. ansorpii reported—one case was isolated from an epidermal cyst and the other case was isolated from an immunocompromised patient (Ko, K et al., J. Clin. Microbiol., 43:2516-2519, 2005; Fry, N. et al., J. Med. Microbiol., 56:993-995, 2007).
A diagnostic test that can determine multiple Bordetella species simultaneously (BP, BPP and/or the genus Bordetella) is needed, as BP and BPP are the major causative agents, for example, of whooping cough. Additionally, respiratory infections can occasionally be caused by one of the minor Bordetella species, including, for example, B. holmesii, B. bronchiseptica and B. avium, thus establishing a need for one or more optimized generic probe(s).
The oligonucleotides described herein, and their resulting amplicons, do not cross-react and, thus, will work together without negatively impacting either of the individual/singleplex assays. The primers and probes of the present invention also do not cross-react with DNA from the organisms specified in Table 1.
Aspergillus fumigatus
Aggregatibacter
Homo
Bacillus cereus
actinomycetemcomitans
sapiens
Candida glabrata
Campylobacter curvus
Ovis aries
Chlamydophila pneumoniae
Campylobacter rectus
Corynebacterium diptheriae
Candida albicans
Candida tropicalis
Chlamydia trachomatis
Eikenella corrodens
Fusobacterium nucleatum
Haemophilus influenzae
Gemella haemolysans
Haemophilus parainfluenzae
Granulicatella adiacens
Neisseria gonorrhoeae
Porphyromonas gingivalis
Prevotella intermedia
Streptococcus mitis
Streptococcus mutans
lssatchenkia orientalis
Streptococcus oralis
Klebsiella pneumoniae
Streptococcus sanguinis
Legionella birminghamensis
Tannerella forsythia
Legionella pneumophila
Treponema denticola
Moraxella catarrhalis
Mycobacterium avium
Mycobacterium intracellulare
Mycobacterium tuberculosis
Mycoplasma fermentans
Mycoplasma hominis
Mycoplasma pneumoniae
Neisseria meningitides
Penicillium marneffei
Pneumocystis jirovecii
Pseudomonas aeruginosa
Staphylococcus epidermidis
Streptococcus pneumoniae
Streptococcus pyogenes
Tatlockia maceachernii
Tatlockia micdadei
Culture-based assays are currently the definitive method of choice for the determination of the cause of pertussis (Bamberger, E. and Srugo, I., Eur. J. Pediatr., 167:133-139, 2008). PCR is becoming more common for testing pertussis, however, many of the commercially available tests lack sensitivity and specificity. Commercial singleplex PCR tests for BP and multiplex tests for BP and BPP have been used in clinical laboratories for several years, however, some of the assays have high false positive rates (Simplexa™ Bordetella pertussis/parapertussis [Performance Characteristics], Cypress, Calif.: Focus Diagnostics).
Table 2 demonstrates possible diagnostic outcome scenarios using the probes and primers described herein in diagnostic methods.
The advantages of a multiplex format with a generic probe are: (1) simplified and improved testing and analysis; (2) increased efficiency and cost-effectiveness; (3) decreased turnaround time (increased speed of reporting results); (4) increased productivity (less equipment time needed); and (5) coordination/standardization of results for patients for multiple organisms (reduces error from inter-assay variation).
Diagnosis and detection of Bordetella pathogens can lead to earlier and more effective treatment of a subject. The methods for diagnosing and detecting Bordetella infection described herein can be coupled with effective treatment therapies (e.g., Recommended Antimicrobial Agents for the Treatment and Postexposure Prophylaxis of Pertussis: 2005 CDC Guidelines. AU Tiwari T; Murphy T V; Moran J SO MMWR Recomm Rep 2005 Dec. 9; 54(RR-14):1-16). The antibiotic classes comprising macrolide, ketolide, fluoroquinolone, trimethoprim-sulfamethoxazole and doxycycline are often prescribed for treatment of a B. pertussis or B. parapertussis infection. Erythromycin is typically the treatment of choice. Individuals exposed to cases of pertussis are usually treated with antimicrobials for prophylaxis, regardless of the age or vaccination status of the individual (Kerr, J. and Preston, N., Expert Opin. Pharmacother., 2:1275-1282, 2001). Several nucleic acid diagnostic testing kits are available, but they cannot adequately identify the broad genetic diversity of target Bordetella pathogens. The treatments for Bordetella infection will depend upon the clinical disease state of the patient, as determinable by one of skill in the art.
The present invention therefore provides a method for specifically detecting the presence of a Bordetella pathogen, e.g., BP, BPP, in a given sample using the primers and probes provided herein. Of particular interest in this regard is the ability of the disclosed primers and probes, as well as those that can be designed according to the disclosed methods, to specifically detect all or a majority of presently characterized strains of Bordetella. The optimized primers and probes are useful, therefore, for identifying and diagnosing the causative or contributing agents of disease caused by a Bordetella pathogen, whereupon an appropriate treatment can then be administered to the individual to eradicate the bacteria.
The present invention provides one or more sets of primers that can anneal to all currently identified strains of the genus Bordetella and thereby amplify a target from a biological sample. The generic probe(s) indicate a Bordetella infection of some species. The present invention provides, for example, at least a first primer and at least a second primer for BP, BPP and the seven other species of Bordetella, each of which comprises a nucleotide sequence designed according to the inventive principles disclosed herein, which are used together to amplify DNA from BP, BPP or the genus Bordetella in a sample in a singleplex assay, or BP, BPP and/or the genus Bordetella in a sample in a multiplex assay, regardless of the actual nucleotide composition of the infecting bacterial strain(s).
Also provided herein are probes that hybridize to the Bordetella sequences and/or amplified products derived from the Bordetella sequences. A probe can be labeled, for example, such that when it binds to an amplified or unamplified target sequence, or after it has been cleaved after binding, a fluorescent signal is emitted that is detectable under various spectroscopy and light measuring apparatuses. The use of a labeled probe, therefore, can enhance the sensitivity of detection of a target in an amplification reaction of Bordetella DNA because it permits the detection of bacterial-derived DNA at low template concentrations that might not be conducive to visual detection as a gel-stained amplification product.
Primers and probes are sequences that anneal to a bacterial genomic or bacterial genomic derived sequence, e.g., Bordetella sequences, e.g., BP and BPP sequences (the “target” sequences). The target sequence can be, for example, a bacterial genome or a subset, “region”, of, in this case, a bacterial genome. In one embodiment, the entire genomic sequence can be “scanned” for optimized primers and probes useful for detecting bacterial strains. In other embodiments, particular regions of the bacterial genome can be scanned, e.g., regions that are documented in the literature as being useful for detecting multiple strains, regions that are conserved, or regions where sufficient information is available in, for example, a public database, with respect to bacterial strains.
Sets or groups of primers and probes are generated based on the target to be detected. The set of all possible primers and probes can include, for example, sequences that include the variability at every site based on the known bacterial strains, or the primers and probes can be generated based on a consensus sequence of the target. The primers and probes are generated such that the primers and probes are able to anneal to a particular strain or sequence under high stringency conditions. For, example, one of skill in the art recognizes that for any particular sequence, it is possible to provide more than one oligonucleotide sequence that will anneal to the particular target sequence, even under high stringency conditions. The set of primers and probes to be sampled includes, for example, all such oligonucleotides for all bacterial strain sequences. Alternatively, the primers and probes include all such oligonucleotides for a given consensus sequence for a target.
Typically, stringent hybridization and washing conditions are used for nucleic acid molecules over about 500 bp. Stringent hybridization conditions include a solution comprising about 1 M Na+ at 25° C. to 30° C. below the Tm; e.g., 5×SSPE, 0.5% SDS, at 65° C.; see, Ausubel, et al., Current Protocols in Molecular Biology, Greene Publishing, 1995; Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Press, 1989). Tm is dependent on both the G+C content and the concentration of salt ions, e.g., Na+ and K+. A formula to calculate the Tm of nucleic acid molecules greater than about 500 bp is Tm=81.5+0.41(%(G+C))−log10[Na+]. Washing conditions are generally performed at least at equivalent stringency conditions as the hybridization. If the background levels are high, washing can be performed at higher stringency, such as around 15° C. below the Tm.
The set of primers and probes, once determined as described above, are optimized for hybridizing to a plurality of bacterial strains by employing scoring and/or ranking steps that provide a positive or negative preference or “weight” to certain nucleotides in a target nucleic acid strain sequence. If a consensus sequence is used to generate the full set of primers and probes, for example, then a particular primer sequence is scored for its ability to anneal to the corresponding sequence of every known native strain sequence. Even if a probe were originally generated based on a consensus, therefore, the validation of the probe is in its ability to specifically anneal and detect every, or a large majority of, bacterial strain sequences. The particular scoring or ranking steps performed depend upon the intended use for the primer and/or probe, the particular target nucleic acid sequence, and the number of strains of that target nucleic acid sequence. The methods of the invention provide optimal primer and probe sequences because they hybridize to all or a subset of strains of the genus Bordetella. Once optimized oligonucleotides are identified that can anneal to bacterial strains, the sequences can then further be optimized for use, for example, in conjunction with another optimized sequence as a “primer set” or for use as a probe. A “primer set” is defined as at least one forward primer and one reverse primer.
Described herein are methods for using the Bordetella primers and probes for producing a nucleic acid product, for example, comprising contacting one or more nucleic acid sequences of SEQ ID NOS:1-101 to a sample comprising the BP or BPP or any of the seven other Bordetella species under conditions suitable for nucleic acid polymerization. The primers and probes can additionally be used to quantitate and/or sequence Bordetella DNA, or used as diagnostics to, for example, detect Bordetella in a sample, e.g., obtained from a subject, e.g., a mammalian subject. Particular combinations for amplifying Bordetella DNA include, for example, using at least one forward primer selected from the group consisting of SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97; and at least one reverse primer comprising the sequence selected from the group consisting of: SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101.
Methods are described for detecting BP, BPP or other Bordetella pathogens in a sample, for example, comprising (1) contacting at least one forward and reverse primer set, e.g., SEQ ID NOS: 1, 8-10, 17-19, 23, 26, 29, 31, 34, 36, 43-45, 52-54, 57, 62, 65, 67, 70, 77-79, 86-88, and 95-97 (forward primers) and SEQ ID NOS: 3-5, 12-14, 21, 25, 28, 30, 33, 35, 38-40, 47-49, 56, 59, 61, 64, 69, 72-74, 81-83, 90-92, 99, and 101 (reverse primers) to a sample; (2) conducting an amplification; and (3) detecting the generation of an amplified product, wherein the generation of an amplified product indicates the presence of BP, BPP or Bordetella pathogens in the sample.
The detection of amplicons using probes described herein can be performed, for example, using a labeled probe, e.g., the probe comprising a nucleotide sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27, 32, 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66, 68, 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100 that hybridizes to one of the strands of the amplicon generated by at least one forward and reverse primer set. The probe(s) can be, for example, fluorescently labeled, thereby indicating that the detection of the probe involves measuring the fluorescence of the sample of the bound probe, e.g., after bound probes have been isolated. Probes can also be fluorescently labeled in such a way, for example, such that they only fluoresce upon hybridizing to their target, thereby eliminating the need to isolate hybridized probes. The probe can also comprise a fluorescent reporter moiety and a quencher of fluorescence moiety. Upon probe hybridization with the amplified product, the exonuclease activity of a DNA polymerase can be used to cleave the probe reporter and quencher, resulting in the unquenched emission of fluorescence, which is detected. An increase in the amplified product causes a proportional increase in fluorescence, due to cleavage of the probe and release of the reporter moiety of the probe. The amplified product is quantified in real time as it accumulates. For multiplex reactions involving more than one distinct probe, each of the probes can be labeled with a different distinguishable and detectable label.
The probes can be molecular beacons. Molecular beacons are single-stranded probes that form a stem-loop structure. A fluorophore can be, for example, covalently linked to one end of the stem and a quencher can be covalently linked to the other end of the stem forming a stem hybrid. When a molecular beacon hybridizes to a target nucleic acid sequence, the probe undergoes a conformational change that results in the dissociation of the stem hybrid and, thus the fluorophore and the quencher move away from each other, enabling the probe to fluoresce brightly. Molecular beacons can be labeled with differently colored fluorophores to detect different target sequences. Any of the probes described herein can be modified and utilized as molecular beacons.
Primer or probe sequences can be ranked according to specific hybridization parameters or metrics that assign a score value indicating their ability to anneal to bacterial strains under highly stringent conditions. Where a primer set is being scored, a “first” or “forward” primer is scored and the “second” or “reverse”-oriented primer sequences can be optimized similarly but with potentially additional parameters, followed by an optional evaluation for primer dimmers, for example, between the forward and reverse primers.
The scoring or ranking steps that are used in the methods of determining the primers and probes include, for example, the following parameters: a target sequence score for the target nucleic acid sequence(s), e.g., the PriMD® score; a mean conservation score for the target nucleic acid sequence(s); a mean coverage score for the target nucleic acid sequence(s); 100% conservation score of a portion (e.g., 5′ end, center, 3′ end) of the target nucleic acid sequence(s); a species score; a strain score; a subtype score; a serotype score; an associated disease score; a year score; a country of origin score; a duplicate score; a patent score; and a minimum qualifying score. Other parameters that are used include, for example, the number of mismatches, the number of critical mismatches (e.g., mismatches that result in the predicted failure of the sequence to anneal to a target sequence), the number of native strain sequences that contain critical mismatches, and predicted Tm values. The term “Tm” refers to the temperature at which a population of double-stranded nucleic acid Molecules becomes half-dissociated into single strands. Methods for calculating the Tm of nucleic acids are known in the art (Berger and Kimmel (1987) Meth. Enzymol., Vol. 152: Guide To Molecular Cloning Techniques, San Diego: Academic Press, Inc. and Sambrook et al. (1989) Molecular Cloning: A Laboratory Manual, (2nd ed.) Vols. 1-3, Cold Spring Harbor Laboratory).
The resultant scores represent steps in determining nucleotide or whole target nucleic acid sequence preference, while tailoring the primer and/or probe sequences so that they hybridize to a plurality of target nucleic acid strains. The methods of determining the primers and probes also can comprise the step of allowing for one or more nucleotide changes when determining identity between the candidate primer and probe sequences and the target nucleic acid strain sequences, or their complements.
In another embodiment, the methods of determining the primers and probes comprise the steps of comparing the candidate primer and probe nucleic acid sequences to “exclusion nucleic acid sequences” and then rejecting those candidate nucleic acid sequences that share identity with the exclusion nucleic acid sequences. In another embodiment, the methods comprise the steps of comparing the candidate primer and probe nucleic acid sequences to “inclusion nucleic acid sequences” and then rejecting those candidate nucleic acid sequences that do not share identity with the inclusion nucleic acid sequences.
In other embodiments of the methods of determining the primers and probes, optimizing primers and probes comprises using a polymerase chain reaction (PCR) penalty score formula comprising at least one of a weighted sum of: primer Tm−optimal Tm; difference between primer Tms; amplicon length−minimum amplicon length; and distance between the primer and a TagMan® probe. The optimizing step also can comprise determining the ability of the candidate sequence to hybridize with the most target nucleic acid strain sequences (e.g., the most target organisms or genes). In another embodiment, the selecting or optimizing step comprises determining which sequences have mean conservation scores closest to 1, wherein a standard of deviation on the mean conservation scores is also compared.
In other embodiments, the methods further comprise the step of evaluating which target nucleic acid strain sequences are hybridized by an optimal forward primer and an optimal reverse primer, for example, by determining the number of base differences between target nucleic acid strain sequences in a database. For example, the evaluating step can comprise performing an in silico polymerase chain reaction, involving (1) rejecting the forward primer and/or reverse primer if it does not meet inclusion or exclusion criteria; (2) rejecting the forward primer and/or reverse primer if it does not amplify a medically valuable nucleic acid; (3) conducting a BLAST analysis to identify forward primer sequences and/or reverse primer sequences that overlap with a published and/or patented sequence; (4) and/or determining the secondary structure of the forward primer, reverse primer, and/or target. In an embodiment, the evaluating step includes evaluating whether the forward primer sequence, reverse primer sequence, and/or probe sequence hybridizes to sequences in the database other than the nucleic acid sequences that are representative of the target strains.
The present invention provides oligonucleotides that have preferred primer and probe qualities. These qualities are specific to the sequences of the optimized probes; however, one of ordinary skill in the art would recognize that other molecules with similar sequences could also be used. The oligonucleotides provided herein comprise a sequence that shares at least about 60-70% identity with a sequence described in Table 4. In addition, the sequences can be incorporated into longer sequences, provided they function to specifically anneal to and identify bacterial strains. In another embodiment, the invention provides a nucleic acid comprising a sequence that shares at least about 71%, about 72%, about 73%, about 74%, about 75%, about 76%, about 77%, about 78%, about 79%, about 80%, about 81%, about 82%, about 83%, about 84%, about 85%, about 86%, about 87%, about 88%, about 89%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or about 100% identity with the sequences of Table 4 or complement thereof. The terms “homology” or “identity” or “similarity” refer to sequence relationships between two nucleic acid molecules and can be determined by comparing a nucleotide position in each sequence when aligned for purposes of comparison. The term “homology” refers to the relatedness of two nucleic acid or protein sequences. The term “identity” refers to the degree to which nucleic acids are the same between two sequences. The term “similarity” refers to the degree to which nucleic acids are the same, but includes neutral degenerate nucleotides that can be substituted within a codon without changing the amino acid identity of the codon, as is well known in the art. The primer and/or probe nucleic acid sequences of the invention are complementary to the target nucleic acid sequence. The probe and/or primer nucleic acid sequences of the invention are optimal for identifying numerous strains of a target nucleic acid, e.g., from pathogens of the genus Bordetella. In an embodiment, the nucleic acids of the invention are primers for the synthesis (e.g., amplification) of target nucleic acid strains and/or probes for identification, isolation, detection, quantitation or analysis of target nucleic acid strains, e.g., an amplified target nucleic acid strain that is amplified using the primers of the invention.
The present oligonucleotides hybridize with more than one bacterial strain (strains as determined by differences in their genomic sequence). The probes and primers provided herein can, for example, allow for the detection and quantitation of currently identified bacterial strains or a subset thereof. In addition, the primers and probes of the present invention, depending on the strain sequence(s), can allow for the detection and quantitation of previously unidentified bacterial strains. In addition, the primers and probes of the present invention, depending on the strain sequence(s), can allow for the detection and quantitation of previously unknown bacterial strains. The methods of the invention provide for optimal primers and probes, and sets thereof, and combinations of sets thereof, which can hybridize with a larger number of target strains than available primers and probes.
In other aspects, the invention also provides vectors (e.g., plasmid, phage, expression), cell lines (e.g., mammalian, insect, yeast, bacterial), and kits comprising any of the sequences of the invention described herein. The invention further provides known or previously unknown target nucleic acid strain sequences that are identified, for example, using the methods of the invention. In an embodiment, the target nucleic acid strain sequence is an amplification product. In another embodiment, the target nucleic acid strain sequence is a native or synthetic nucleic acid. The primers, probes, target nucleic acid strain sequences, vectors, cell lines, and kits can have any number of uses, such as diagnostic, investigative, confirmatory, monitoring, predictive or prognostic.
Diagnostic kits that comprise one or more of the oligonucleotides described herein, which are useful for detecting Bordetella infection in an individual and/or from a sample, are provided herein. An individual can be a human male, human female, human adult, human child, or human fetus. An individual can also be any mammal, reptile, avian, fish, or amphibian. Hence, an individual can be a primate, pig, horse, cattle, sheep, dog, rabbit, guinea pig, rodent, bird or fish. A sample includes any item, surface, material, clothing, or environment, for example, sewage or water treatment plants, in which it may be desirable to test for the presence of Bordetella strains. Thus, for instance, the present invention includes testing door handles, faucets, table surfaces, elevator buttons, chairs, toilet seats, sinks, kitchen surfaces, children's cribs, bed linen, pillows, keyboards, and so on, for the presence of Bordetella strains.
A probe of the present invention can comprise a label such as, for example, a fluorescent label, a chemiluminescent label, a radioactive label, biotin, gold, dendrimers, aptamer, enzymes, proteins, quenchers and molecular motors. The probe may also be labeled with other similar detectable labels used in conjunction with probe technology as known by one of ordinary skill in the art. In an embodiment, the probe is a hydrolysis probe, such as, for example, a TaqMan® probe. In other embodiments, the probes of the invention are molecular beacons, any fluorescent probes, and probes that are replaced by any double stranded DNA binding dyes (e.g., SYBR Green® 1).
Oligonucleotides of the present invention do not only include primers that are useful for conducting the aforementioned amplification reactions, but also include oligonucleotides that are attached to a solid support, such as, for example, a microarray, multiwell plate, column, bead, glass slide, polymeric membrane, glass microfiber, plastic tubes, cellulose, and carbon nanostructures. Hence, detection of Bordetella strains can be performed by exposing such an oligonucleotide-covered surface to a sample such that the binding of a complementary strain DNA sequence to a surface-attached oligonucleotide elicits a detectable signal or reaction.
Oligonucleotides of the present invention also include primers for isolating, quantitating and sequencing nucleic acid sequences derived from any identified or yet to be isolated and identified Bordetella genome.
One embodiment of the invention uses solid support-based oligonucleotide hybridization methods to detect gene expression. Solid support-based methods suitable for practicing the present invention are widely known and are described (PCT application WO 95/11755; Huber et al., Anal. Biochem., 299:24, 2001; Meiyanto et al., Biotechniques, 31:406, 2001; Relogio et al., Nucleic Acids Res., 30:e51, 2002; the contents of which are incorporated herein by reference in their entirety). Any solid surface to which oligonucleotides can be bound, covalently or non-covalently, may be used. Such solid supports include, but are not limited to, filters, polyvinyl chloride dishes, silicon or glass based chips.
In certain embodiments, the nucleic acid molecule can be directly bound to the solid support or bound through a linker arm, which is typically positioned between the nucleic acid sequence and the solid support. A linker arm that increases the distance between the nucleic acid molecule and the substrate can increase hybridization efficiency. There are a number of ways to position a linker arm. In one common approach, the solid support is coated with a polymeric layer that provides linker arms with a plurality of reactive ends/sites. A common example of this type is glass slides coated with polylysine (U.S. Pat. No. 5,667,976, the contents of which are incorporated herein by reference in its entirety), which are commercially available. Alternatively, the linker arm can be synthesized as part of or conjugated to the nucleic acid molecule, and then this complex is bonded to the solid support. One approach, for example, takes advantage of the extremely high affinity biotin-streptavidin interaction. The streptavidin-biotinylated reaction is stable enough to withstand stringent washing conditions and is sufficiently stable that it is not cleaved by laser pulses used in some detection systems, such as matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry. Therefore, streptavidin can be covalently attached to a solid support, and a biotinylated nucleic acid molecule will bind to the streptavidin-coated surface. In one version of this method, an amino-coated silicon wafer is reacted with the n-hydroxysuccinimido-ester of biotin and complexed with streptavidin. Biotinylated oligonucleotides are bound to the surface at a concentration of about 20 fmol DNA per mm2.
One can alternatively directly bind DNA to the support using carbodiimides, for example. In one such method, the support is coated with hydrazide groups, and then treated with carbodiimide. Carboxy-modified nucleic acid molecules are then coupled to the treated support. Epoxide-based chemistries are also being employed with amine modified oligonucleotides. Other chemistries for coupling nucleic acid molecules to solid substrates are known to those of skill in the art.
The nucleic acid molecules, e.g., the primers and probes of the present invention, must be delivered to the substrate material, which is suspected of containing or is being tested for the presence and number of Bordetella molecules. Because of the miniaturization of the arrays, delivery techniques must be capable of positioning very small amounts of liquids in very small regions, very close to one another and amenable to automation. Several techniques and devices are available to achieve such delivery. Among these are mechanical mechanisms (e.g., arrayers from GeneticMicroSystems, MA, USA) and ink-jet technology. Very fine pipets can also be used.
Other formats are also suitable within the context of this invention. For example, a 96-well format with fixation of the nucleic acids to a nitrocellulose or nylon membrane can also be employed.
After the nucleic acid molecules have been bound to the solid support, it is often useful to block reactive sites on the solid support that are not consumed in binding to the nucleic acid molecule. In the absence of the blocking step, excess primers and/or probes can, to some extent, bind directly to the solid support itself, giving rise to non-specific binding. Non-specific binding can sometimes hinder the ability to detect low levels of specific binding. A variety of effective blocking agents (e.g., milk powder, serum albumin or other proteins with free amine groups, polyvinylpyrrolidine) can be used and others are known to those skilled in the art (U.S. Pat. No. 5,994,065, the contents of which are incorporated herein by reference in their entirety). The choice depends at least in part upon the binding chemistry.
One embodiment uses oligonucleotide arrays, e.g., microarrays that can be used to simultaneously observe the expression of a number of Bordetella strain genes. Oligonucleotide arrays comprise two or more oligonucleotide probes provided on a solid support, wherein each probe occupies a unique location on the support. The location of each probe can be predetermined, such that detection of a detectable signal at a given location is indicative of hybridization to an oligonucleotide probe of a known identity. Each predetermined location can contain more than one molecule of a probe, but each molecule within the predetermined location has an identical sequence. Such predetermined locations are termed features. There can be, for example, from 2, 10, 100, 1,000, 2,000 or 5,000 or more of such features on a single solid support. In one embodiment, each oligonucleotide is located at a unique position on an array at least 2, at least 3, at least 4, at least 5, at least 6, or at least 10 times.
Oligonucleotide probe arrays for detecting gene expression can be made and used according to conventional techniques described (Lockhart et al., Nat. Biotech., 14:1675-1680, 1996; McGall et al., Proc. Natl. Acad. Sci. USA, 93:13555, 1996; Hughes et al., Nat. Biotechnol., 19:342, 2001). A variety of oligonucleotide array designs are suitable for the practice of this invention.
Generally, a detectable molecule, also referred to herein as a label, can be incorporated or added to an array's probe nucleic acid sequences. Many types of molecules can be used within the context of this invention. Such molecules include, but are not limited to, fluorochromes, chemiluminescent molecules, chromogenic molecules, radioactive molecules, mass spectrometry tags, proteins, and the like. Other labels will be readily apparent to one skilled in the art.
Oligonucleotide probes used in the methods of the present invention, including microarray techniques, can be generated using PCR. PCR primers used in generating the probes are chosen, for example, based on the sequences of Table 4. In one embodiment, oligonucleotide control probes also are used. Exemplary control probes can fall into at least one of three categories referred to herein as (1) normalization controls, (2) expression level controls and (3) negative controls. In microarray methods, one or more of these control probes can be provided on the array with the inventive cell cycle gene-related oligonucleotides.
Normalization controls correct for dye biases, tissue biases, dust, slide irregularities, malformed slide spots, etc. Normalization controls are oligonucleotide or other nucleic acid probes that are complementary to labeled reference oligonucleotides or other nucleic acid sequences that are added to the nucleic acid sample to be screened. The signals obtained from the normalization controls, after hybridization, provide a control for variations in hybridization conditions, label intensity, reading efficiency and other factors that can cause the signal of a perfect hybridization to vary between arrays. The normalization controls also allow for the semi-quantification of the signals from other features on the microarray. In one embodiment, signals (e.g., fluorescence intensity or radioactivity) read from all other probes used in the method are divided by the signal from the control probes, thereby normalizing the measurements.
Virtually any probe can serve as a normalization control. Hybridization efficiency varies, however, with base composition and probe length. Preferred normalization probes are selected to reflect the average length of the other probes being used, but they also can be selected to cover a range of lengths. Further, the normalization control(s) can be selected to reflect the average base composition of the other probe(s) being used. In one embodiment, only one or a few normalization probes are used, and they are selected such that they hybridize well (i.e., without forming secondary structures) and do not match any test probes. In one embodiment, the normalization controls are mammalian genes.
“Negative control” probes are not complementary to any of the test oligonucleotides (i.e., the inventive cell cycle gene-related oligonucleotides), normalization controls, or expression controls. In one embodiment, the negative control is a mammalian gene which is not complementary to any other sequence in the sample.
The terms “background” and “background signal intensity” refer to hybridization signals resulting from non-specific binding or other interactions between the labeled target nucleic acids (e.g., mRNA present in the biological sample) and components of the oligonucleotide array. Background signals also can be produced by intrinsic fluorescence of the array components themselves. A single background signal can be calculated for the entire array, or a different background signal can be calculated for each target nucleic acid. In one embodiment, background is calculated as the average hybridization signal intensity for the lowest 5 to 10 percent of the oligonucleotide probes being used, or, where a different background signal is calculated for each target gene, for the lowest 5 to 10 percent of the probes for each gene. Where the oligonucleotide probes corresponding to a particular Bordetella target hybridize well and, hence, appear to bind specifically to a target sequence, they should not be used in a background signal calculation. Alternatively, background can be calculated as the average hybridization signal intensity produced by hybridization to probes that are not complementary to any sequence found in the sample (e.g., probes directed to nucleic acids of the opposite sense or to genes not found in the sample). In microarray methods, background can be calculated as the average signal intensity produced by regions of the array that lack any oligonucleotides probes at all.
In an alternative embodiment, the nucleic acid molecules are directly or indirectly coupled to an enzyme. Following hybridization, a chromogenic substrate is applied and the colored product is detected by a camera, such as a charge-coupled camera. Examples of such enzymes include alkaline phosphatase, horseradish peroxidase and the like. The invention also provides methods of labeling nucleic acid molecules with cleavable mass spectrometry tags (CMST; U.S. Patent Application No. 60/279,890). After an assay is complete, and the uniquely CMST-labeled probes are distributed across the array, a laser beam is sequentially directed to each member of the array. The light from the laser beam both cleaves the unique tag from the tag-nucleic acid molecule conjugate and volatilizes it. The volatilized tag is directed into a mass spectrometer. Based on the mass spectrum of the tag and knowledge of how the tagged nucleotides were prepared, one can unambiguously identify the nucleic acid molecules to which the tag was attached (WO 9905319).
The nucleic acids, primers and probes of the present invention can be labeled readily by any of a variety of techniques. When the diversity panel is generated by amplification, the nucleic acids can be labeled during the reaction by incorporation of a labeled dNTP or use of labeled amplification primer. If the amplification primers include a promoter for an RNA polymerase, a post-reaction labeling can be achieved by synthesizing RNA in the presence of labeled NTPs. Amplified fragments that were unlabeled during amplification or unamplified nucleic acid molecules can be labeled by one of a number of end labeling techniques or by a transcription method, such as nick-translation, random-primed DNA synthesis. Details of these methods are known to one of skill in the art and are set out in methodology books. Other types of labeling reactions are performed by denaturation of the nucleic acid molecules in the presence of a DNA-binding molecule, such as RecA, and subsequent hybridization under conditions that favor the formation of a stable RecA-incorporated DNA complex.
In another embodiment, PCR-based methods are used to detect gene expression. These methods include reverse-transcriptase-mediated polymerase chain reaction (RT-PCR) including real-time and endpoint quantitative reverse-transcriptase-mediated polymerase chain reaction (Q-RTPCR). These methods are well known in the art. For example, methods of quantitative PCR can be carried out using kits and methods that are commercially available from, for example, Applied BioSystems and Stratagene®. See also Kochanowski, Quantitative PCR Protocols (Humana Press, 1999); Innis et al., supra.; Vandesompele et al., Genome Biol., 3:RESEARCH0034, 2002; Stein, Cell Mol. Life Sci. 59:1235, 2002.
The real-time polymerase chain reaction is a particular method of detection and quantification of target nucleic acid sequences. This method may be sensitive to various factors such as temperature, levels of specific nucleotides, length of sequences, and the like. For example, the real-time polymerase chain reaction may ideally function at a temperature of about 62° C. or less or preferably in the temperature range of about 58° C. to about 62° C. The real-time polymerase chain reaction may alternatively function ideally with sequences that include a higher content of Guanine and Cytosine nucleotides. Also, the real-time polymerase chain reaction may alternatively function ideally with slightly longer than average sequence lengths.
The forward and reverse amplification primers and internal hybridization probe is designed to hybridize specifically and uniquely with one nucleotide sequence derived from the transcript of a target gene. In one embodiment, the selection criteria for primer and probe sequences incorporates constraints regarding nucleotide content and size to accommodate TaqMan® requirements. SYBR Green® can be used as a probe-less Q-RTPCR alternative to the TaqMan®-type assay, discussed above (ABI Prism® 7900 Sequence Detection System User Guide Applied Biosystems, chap. 1-8, App. A-F. (2002)). This device measures changes in fluorescence emission intensity during PCR amplification. The measurement is done in “real time,” that is, as the amplification product accumulates in the reaction. Other methods can be used to measure changes in fluorescence resulting from probe digestion. For example, fluorescence polarization can distinguish between large and small molecules based on molecular tumbling (U.S. Pat. No. 5,593,867).
The primers and probes of the present invention may anneal to or hybridize to various Bordetella genetic material or genetic material derived therefrom, such as RNA, DNA, cDNA, or a PCR product.
A “sample” that is tested for the presence of Bordetella strains includes, but is not limited to a tissue sample, such as, for example, blood, serum, plasma, enriched peripheral blood mononuclear cells, neoplastic or other tissue obtained from biopsies, cerebrospinal fluid, saliva, and fluids collected from the ear, eye, mouth, respiratory airways, sputum, skin, tears, oropharyngeal swabs, nasopharyngeal swabs, throat swabs, nasal aspirates, nasal wash, fluids and cells obtained by the perfusion of tissues of both human and animal origin, and fluids and cells derived from the culturing of human cells, including human stem cells and human cartilage or fibroblasts. The tissue sample may be fresh, fixed, preserved, or frozen. A sample also includes any item, surface, material, or clothing, or environment, for example, sewage or water treatment plants, in which it may be desirable to test for the presence of Bordetella strains. Thus, for instance, the present invention includes testing door handles, faucets, table surfaces, elevator buttons, chairs, toilet seats, sinks, kitchen surfaces, children's cribs, bed linen, pillows, keyboards, and so on, for the presence of Bordetella strains.
The target nucleic acid strain that is amplified may be RNA or DNA or a modification thereof. Thus, the amplifying step can comprise isothermal or non-isothermal reactions, such as polymerase chain reaction, Scorpion® primers, molecular beacons, SimpleProbes®, HyBeacons®, cycling probe technology, Invader Assay, self-sustained sequence replication, nucleic acid sequence-based amplification, ramification amplifying method, hybridization signal amplification method, rolling circle amplification, multiple displacement amplification, thermophilic strand displacement amplification, transcription-mediated amplification, ligase chain reaction, signal mediated amplification of RNA, split promoter amplification, Q-Beta replicase, isothermal chain reaction, one cut event amplification, loop-mediated isothermal amplification, molecular inversion probes, ampliprobe, headloop DNA amplification, and ligation activated transcription. The amplifying step can be conducted on a solid support, such as a multiwell plate, array, column, bead, glass slide, polymeric membrane, glass microfiber, plastic tubes, cellulose, and carbon nanostructures. The amplifying step also comprises in situ hybridization. The detecting step can comprise gel electrophoresis, fluorescence resonant energy transfer, or hybridization to a labeled probe, such as a probe labeled with biotin, at least one fluorescent moiety, an antigen, a molecular weight tag, and a modifier of probe Tm. The detection step can also comprise the incorporation of a label (e.g., fluorescent or radioactive) during an extension reaction. The detecting step comprises measuring fluorescence, mass, charge, and/or chemiluminescence.
The target nucleic acid strain may not need amplification and may be RNA or DNA or a modification thereof. If amplification is not necessary, the target nucleic acid strain can be denatured to enable hybridization of a probe to the target nucleic acid sequence.
Hybridization may be detected in a variety of ways and with a variety of equipment. In general, the methods can be categorized as those that rely upon detectable molecules incorporated into the diversity panels and those that rely upon measurable properties of double-stranded nucleic acids (e.g., hybridized nucleic acids) that distinguish them from single-stranded nucleic acids (e.g., unhybridized nucleic acids). The latter category of methods includes intercalation of dyes, such as, for example, ethidium bromide, into double-stranded nucleic acids, differential absorbance properties of double and single stranded nucleic acids, binding of proteins that preferentially bind double-stranded nucleic acids, and the like.
Each of the sets of primers and probes selected is ranked by a combination of methods as individual primers and probes and as a primer/probe set. This involves one or more methods of ranking (e.g., joint ranking, hierarchical ranking, and serial ranking) where sets of primers and probes are eliminated or included based on any combination of the following criteria, and a weighted ranking again based on any combination of the following criteria, for example: (A) Percentage Identity to Target Strains; (B) Conservation Score; (C) Coverage Score; (D) Strain/Subtype/Serotype Score; (E) Associated Disease Score; (F) Duplicates Sequences Score; (G) Year and Country of Origin Score; (H) Patent Score, and (I) Epidemiology Score.
A percentage identity score is based upon the number of target nucleic acid strain (e.g., native) sequences that can hybridize with perfect conservation (the sequences are perfectly complimentary) to each primer or probe of a primer set and probe set. If the score is less than 100%, the program ranks additional primer set and probe sets that are not perfectly conserved. This is a hierarchical scale for percent identity starting with perfect complimentarity, then one base degeneracy through to the number of degenerate bases that would provide the score closest to 100%. The position of these degenerate bases would then be ranked. The methods for calculating the conservation is described under section B.
(i) Individual Base Conservation Score
A set of conservation scores is generated for each nucleotide base in the consensus sequence and these scores represent how many of the target nucleic acid strains sequences have a particular base at this position. For example, a score of 0.95 for a nucleotide with an adenosine, and 0.05 for a nucleotide with a cytidine means that 95% of the native sequences have an A at that position and 5% have a C at that position. A perfectly conserved base position is one where all the target nucleic acid strain sequences have the same base (either an A, C, G, or T/U) at that position. If there is an equal number of bases (e.g., 50% A & 50% T) at a position, it is identified with an N.
(ii) Candidate Primer/Probe Sequence Conservation
An overall conservation score is generated for each candidate primer or probe sequence that represents how many of the target nucleic acid strain sequences will hybridize to the primers or probes. A candidate sequence that is perfectly complimentary to all the target nucleic acid strain sequences will have a score of 1.0 and rank the highest. For example, illustrated below in Table 3 are three different 10-base candidate probe sequences that are targeted to different regions of a consensus target nucleic acid strain sequence. Each candidate probe sequence is compared to a total of 10 native sequences.
A simple arithmetic mean for each candidate sequence would generate the same value of 0.97. The number of target nucleic acid strain sequences identified by each candidate probe sequence, however, can be very different. Sequence #1 can only identify 7 native sequences because of the 0.7 (out of 1.0) score by the first base-A. Sequence #2 has three bases each with a score of 0.9; each of these could represent a different or shared target nucleic acid strain sequence. Consequently, Sequence #2 can identify 7, 8 or 9 target nucleic acid strain sequences. Similarly, Sequence #3 can identify 7 or 8 of the target nucleic acid strain sequences. Sequence #2 would, therefore, be the best choice if all the three bases with a score of 0.9 represented the same 9 target nucleic acid strain sequences.
(iii) Overall Conservation Score of the Primer and Probe Set—Percent Identity
The same method described in (ii) when applied to the complete primer set and probe set will generate the percent identity for the set (see A above). For example, using the same sequences illustrated above, if Sequences #1 and #2 are primers and Sequence #3 is a probe, then the percent identity for the target can be calculated from how many of the target nucleic acid strain sequences are identified with perfect complimentarity by all three primer/probe sequences. The percent identity could be no better than 0.7 (7 out of 10 target nucleic acid strain sequences) but as little as 0.1 if each of the degenerate bases reflects a different target nucleic acid strain sequence. Again, an arithmetic mean of these three sequences would be 0.97. As none of the above examples were able to capture all the target nucleic acid strain sequences because of the degeneracy (scores of less than 1.0), the ranking system takes into account that a certain amount of degeneracy can be tolerated under normal hybridization conditions, for example, during a polymerase chain reaction. The ranking of these degeneracies is described in (iv) below.
An in silico evaluation determines how many native sequences (e.g., original sequences submitted to public databases) are identified by a given candidate primer/probe set. The ideal candidate primer/probe set is one that can perform PCR and the sequences are perfectly complimentary to all the known native sequences that were used to generate the consensus sequence. If there is no such candidate, then the sets are ranked according to how many degenerate bases can be accepted and still hybridize to only the target sequence during the PCR and yet identify all the native sequences.
The hybridization conditions, for TaqMan® as an example, are: 10-50 mM Tris-HCl pH 8.3, 50 mM KCl, 0.1-0.2% Triton® X-100 or 0.1% Tween®, 1-5 mM MgCl2. The hybridization is performed at 58-60° C. for the primers and 68-70° C. for the probe. The in silico PCR identifies native sequences that are not amplifiable using the candidate primers and probe set. The rules can be as simple as counting the number of degenerate bases to more sophisticated approaches based on exploiting the PCR criteria used by the PriMD® software. Each target nucleic acid strain sequence has a value or weight (see Score assignment above). If the failed target nucleic acid strain sequence is medically valuable, the primer/probe set is rejected. This in silico analysis provides a degree of confidence for a given genotype and is important when new sequences are added to the databases. New target nucleic acid strain sequences are automatically entered into both the “include” and “exclude” categories. Published primer and probes will also be ranked by the PriMD software.
(iv) Position (5′ to 3′) of the Base Conservation Score
In an embodiment, primers do not have bases in the terminal five positions at the 3′ end with a score less than 1. This is one of the last parameters to be relaxed if the method fails to select any candidate sequences. The next best candidate having a perfectly conserved primer would be one where the poorer conserved positions are limited to the terminal bases at the 5′ end. The closer the poorer conserved position is to the 5′ end, the better the score. For probes, the position criteria are different. For example, with a TaqMan® probe, the most destabilizing 20, effect occurs in the center of the probe. The 5′ end of the probe is also important as this contains the reporter molecule that must be cleaved, following hybridization to the target, by the polymerase to generate a sequence-specific signal. The 3′ end is less critical. Therefore, a sequence with a perfectly conserved middle region will have the higher score. The remaining ends of the probe are ranked in a similar fashion to the 5′ end of the primer. Thus, the next best candidate to a perfectly conserved TaqMan® probe would be one where the poorer conserved positions are limited to the terminal bases at either the 5′ or 3′ ends. The hierarchical scoring will select primers with only one degeneracy first, then primers with two degeneracies next and so on. The relative position of each degeneracy will then be ranked favoring those that are closest to the 5′ end of the primers and those closest to the 3′ end of the TaqMan® probe. If there are two or more degenerate bases in a primer and probe set, the ranking will initially select the sets where the degeneracies occur on different sequences.
The total number of aligned sequences is considered under a coverage score. A value is assigned to each position based on how many times that position has been reported or sequenced. Alternatively, coverage can be defined as how representative the sequences are of the known strains, subtypes etc., or their relevance to a certain diseases. For example, the target nucleic acid strain sequences for a particular gene may be very well conserved and show complete coverage but certain strains are not represented in those sequences.
A sequence is included if it aligns with any part of the consensus sequence, which is usually a whole gene or a functional unit, or has been described as being a representative of this gene. Even though a base position is perfectly conserved it may only represent a fraction of the total number of sequences (for example, if there are very few sequences). For example, region A of a gene shows a 100% conservation from 20 sequence entries while region B in the same gene shows a 98% conservation but from 200 sequence entries. There is a relationship between conservation and coverage if the sequence shows some persistent variability. As more sequences are aligned, the conservation score falls, but this effect is lessened as the number of sequences gets larger. Unless the number of sequences is very small (e.g., under 10) the value of the coverage score is small compared to that of the conservation score. To obtain the best consensus sequence, artificial spaces are allowed to be introduced. Such spaces are not considered in the coverage score.
A value is assigned to each strain or subtype or serotype based upon its relevance to a disease. For example, strains of Bordetella that are linked to high frequencies of infection will have a higher score than strains that are generally regarded as benign. The score is based upon sufficient evidence to automatically associate a particular strain with a disease. For example, certain strains of adenovirus are not associated with diseases of the upper respiratory system. Accordingly, there will be sequences included in the consensus sequence that are not associated with diseases of the upper respiratory system.
The associated disease score pertains to strains that are not known to be associated with a particular disease (to differentiate from D above). Here, a value is assigned only if the submitted sequence is directly linked to the disease and that disease is pertinent to the assay.
If a particular sequence has been sequenced more than once it will have an effect on representation, for example, a strain that is represented by 12 entries in GenBank of which six are identical and the other six are unique. Unless the identical sequences can be assigned to different strains/subtypes (usually by sequencing other genes or by immunology methods) they to will be excluded from the scoring.
The year and country of origin scores are important in terms of the age of the human population and the need to provide a product for a global market. For example, strains identified or collected many years ago may not be relevant today. Furthermore, it is probably difficult to obtain samples that contain these older strains. Certain divergent strains from more obscure countries or sources may also be less relevant to the locations that will likely perform clinical tests, or may be more important for certain countries (e.g., North America, Europe, or Asia).
Candidate target strain sequences published in patents are searched electronically and annotated such that patented regions are excluded. Alternatively, candidate sequences are checked against a patented sequence database.
The minimum qualifying score is determined by expanding the number of allowed mismatches in each set of candidate primers and probes until all possible native sequences are represented (e.g., has a qualifying hit).
A score is given to based on other parameters, such as relevance to certain patients (e.g., pediatrics, immunocompromised) or certain therapies (e.g., target those strains that respond to treatment) or epidemiology. The prevalence of an organism/strain and the number of times it has been tested for in the community can add value to the selection of the candidate sequences. If a particular strain is more commonly tested then selection of it would be more likely. Strain identification can be used to select better vaccines.
Once the candidate primers and probes have received their scores and have been ranked, they are evaluated using any of a number of methods of the invention, such as BLAST analysis and secondary structure analysis.
The candidate primer/probe sets are submitted to BLAST analysis to check for possible overlap with any published sequences that might be missed by the Include/Exclude function. It also provides a useful summary.
The methods of the present invention include analysis of nucleic acid secondary structure. This includes the structures of the primers and/or probes, as well as their intended target strain sequences. The methods and software of the invention predict the optimal temperatures for annealing, but assumes that the target (e.g., RNA or DNA) does not have any significant secondary structure. For example, if the starting material is RNA, the first stage is the creation of a complimentary strand of DNA (cDNA) using a specific primer. This is usually performed at temperatures where the RNA template can have significant secondary structure thereby preventing the annealing of the primer. Similarly, after denaturation of a double stranded DNA target (for example, an amplicon after PCR), the binding of the probe is dependent on there being no major secondary structure in the amplicon.
The methods of the invention can either use this information as a criteria for selecting primers and probes or evaluate any secondary structure of a selected sequence, for example, by cutting and pasting candidate primer or probe sequences into a commercial interne link that uses software dedicated to analyzing secondary structure, such as, for example, MFOLD (Zuker et al. (1999) Algorithms and Thermodynamics for RNA Secondary Structure Prediction: A Practical Guide in RNA Biochemistry and Biotechnology, J. Barciszewski and B. F. C. Clark, eds., NATO ASI Series, Kluwer Academic Publishers).
The methods and software of the invention may also analyze any nucleic acid sequence to determine its suitability in a nucleic acid amplification-based assay. For example, it can accept a competitor's primer set and determine the following information: (1) How it compares to the primers of the invention (e.g., overall rank, PCR and conservation ranking, etc.); (2) How it aligns to the excluded libraries (e.g., assessing cross-hybridization)—also used to compare primer and probe sets to newly published sequences; and (3) If the sequence has been previously published. This step requires keeping a database of sequences published in scientific journals, posters, and other presentations.
The Exclude/Include capability is ideally suited for designing multiplex reactions. The parameters for designing multiple primer and probe sets adhere to a more stringent set of parameters than those used for the initial Exclude/Include function. Each set of primers and probes, together with the resulting amplicon, is screened against the other sets that constitute the multiplex reaction. As new targets are accepted, their sequences are automatically added to the Exclude category.
The database is designed to interrogate the online databases to determine and acquire, if necessary, any new sequences relevant to the targets. These sequences are evaluated against the optimal primer/probe set. If they represent a new genotype or strain, then a multiple sequence alignment may be required.
The set of primers and probes were then scored according to the methods described herein to identify the optimized primers and probes of Table 4. It should be noted that the primers, as they are sequences that anneal to a plurality of all identified or unidentified Bordetella strains, can also be used as probes either in the presence or absence of amplification of a sample.
B. Pertussis
B. parapertussis
A PCR primer set for amplifying B. pertussis DNA comprises at least one of the following sets of primer sequences: (1) SEQ ID NOS: 1 and 3; (2) SEQ ID NOS: 1 and 4; (3) SEQ ID NOS: 1 and 5; (4) SEQ ID NOS: 8 and 3; (5) SEQ ID NOS: 8 and 4; (6) SEQ ID NOS: 8 and 5; (7) SEQ ID NOS: 9 and 3; (8) SEQ ID NOS: 9 and 4; (9) SEQ ID NOS: 9 and 5; (10) SEQ ID NOS: 10 and 12; (11) SEQ ID NOS: 10 and 13; (12) SEQ ID NOS: 10 and 14; (13) SEQ ID NOS: 17 and 12; (14) SEQ ID NOS: 17 and 13; (15) SEQ ID NOS: 17 and 14; (16) SEQ ID NOS: 18 and 12; (17) SEQ ID NOS: 18 and 13; (18) SEQ ID NOS: 18 and 14; (19) SEQ ID NOS: 19 and 21; (20) SEQ ID NOS: 23 and 25; (21) SEQ ID NOS: 26 and 28; (22) SEQ ID NOS: 29 and 30; (23) SEQ ID NOS: 31 and 33; and (24) SEQ ID NOS: 34 and 35.
Any set of primers can be used simultaneously in a multiplex reaction with one or more other primer sets, so that multiple amplicons are amplified simultaneously.
The preceding numbering of the 24 sets of primers does not correspond exactly to the “Group” numbering scheme in Table 4 because certain groups use the same primer set, but different internal probes. For example, Groups 1, 4 and 7 of Table 4 each employ the forward primer of SEQ ID NO: 1 and the reverse primer of SEQ ID NO: 3, but different internal probes in each instance, e.g., SEQ ID NOS: 2, 6 and 7. Accordingly, primer set “(1)” of the preceding passage implies any one of Groups 1, 4 and 7 of Table 4.
A probe for binding to B. pertussis DNA comprises at least one of the following probe sequences: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27 and 32.
A PCR primer set for amplifying B. parapertussis DNA comprises at least one of the following sets of primer sequences: (1) SEQ ID NOS: 36 and 38; (2) SEQ ID NOS: 36 and 39; (3) SEQ ID NOS: 36 and 40; (4) SEQ ID NOS: 43 and 38; (5) SEQ ID NOS: 43 and 39; (6) SEQ ID NOS: 43 and 40; (7) SEQ ID NOS: 44 and 38; (8) SEQ ID NOS: 44 and 39; (9) SEQ ID NOS: 44 and 40; (10) SEQ ID NOS: 45 and 47; (11) SEQ ID NOS: 45 and 48; (12) SEQ ID NOS: 45 and 49; (13) SEQ ID NOS: 52 and 47; (14) SEQ ID NOS: 52 and 48; (15) SEQ ID NOS: 52 and 49; (16) SEQ ID NOS: 53 and 47; (17) SEQ ID NOS: 53 and 48; (18) SEQ ID NOS: 53 and 49; (19) SEQ ID NOS: 54 and 56; (20) SEQ ID NOS: 57 and 59; (21) SEQ ID NOS: 54 and 61; (22) SEQ ID NOS: 62 and 64; (23) SEQ ID NOS: 65 and 64; and (24) SEQ ID NOS: 67 and 69.
Any set of primers can be used simultaneously in a multiplex reaction with one or more other primer sets, so that multiple amplicons are amplified simultaneously.
The preceding numbering of the 24 sets of primers does not correspond exactly to the “Group” numbering scheme in Table 4 because certain groups use the same primer set, but different internal probes. For example, Groups 62, 65 and 68 of Table 4 each employ the forward primer of SEQ ID NO: 36 and the reverse primer of SEQ ID NO: 38, but different internal probes in each instance, e.g., SEQ ID NOS: 37, 41 and 42. Accordingly, primer set “(1)” of the preceding passage implies any one of Groups 62, 65 and 68 of Table 4.
A probe for binding to B. parapertussis DNA comprises at least one of the following probe sequences: SEQ ID NOS: 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66 and 68.
A PCR primer set for amplifying the genus Bordetella DNA (species other than B. pertussis and B. parapertussis) comprises at least one of the following sets of primer sequences: (1) SEQ ID NOS: 70 and 72; (2) SEQ ID NOS: 70 and 73; (3) SEQ ID NOS: 70 and 74; (4) SEQ ID NOS: 77 and 72; (5) SEQ ID NOS: 77 and 73; (6) SEQ ID NOS: 77 and 74; (7) SEQ ID NOS: 78 and 72; (8) SEQ ID NOS: 78 and 73; (9) SEQ ID NOS: 78 and 74; (10) SEQ ID NOS: 79 and 81; (11) SEQ ID NOS: 79 and 82; (12) SEQ ID NOS: 79 and 83; (13) SEQ ID NOS: 86 and 81; (14) SEQ ID NOS: 86 and 82; (15) SEQ ID NOS: 86 and 83; (16) SEQ ID NOS: 87 and 81; (17) SEQ ID NOS: 87 and 82; (18) SEQ ID NOS: 87 and 83; (19) SEQ ID NOS: 88 and 90; (20) SEQ ID NOS: 88 and 91; (21) SEQ ID NOS: 88 and 92; (22) SEQ ID NOS: 95 and 90; (23) SEQ ID NOS: 95 and 91; (24) SEQ ID NOS: 95 and 92; (25) SEQ ID NOS: 96 and 90; (26) SEQ ID NOS: 96 and 91; (27) SEQ ID NOS: 96 and 92; (28) SEQ ID NOS: 97 and 99; and (29) SEQ ID NOS: 97 and 101.
Any set of primers can be used simultaneously in a multiplex reaction with one or more other primer sets, so that multiple amplicons are amplified simultaneously.
The preceding numbering of the 29 sets of primers does not correspond exactly to the “Group” numbering scheme in Table 4 because certain groups use the same primer set, but different internal probes. For example, Groups 122, 125 and 128 of Table 4 each employ the forward primer of SEQ ID NO: 70 and the reverse primer of SEQ ID NO: 72, but different internal probes in each instance, e.g., SEQ ID NOS: 71, 75 and 76. Accordingly, primer set “(1)” of the preceding passage implies any one of Groups 122, 125 and 128 of Table 4.
A probe for binding to the genus Bordetella DNA comprises at least one of the following probe sequences: SEQ ID NOS: 71, 75, 76, 80, 84, 85, 89, 93, 94, 98, and 100.
Primer sets for simultaneously amplifying the DNA of B. pertussis, B. parapertussis and/or the genus Bordetella comprises a nucleotide sequence selected from the primer sets consisting of: Groups 1-204 of Table 4. Oligonucleotide probes for binding to B. pertussis, B. parapertussis and/or the genus Bordetella DNA comprises a nucleotide sequence selected from the group consisting of: SEQ ID NOS: 2, 6, 7, 11, 15, 16, 20, 22, 24, 27 and 32 (B. pertussis probes); 37, 41, 42, 46, 50, 51, 55, 58, 60, 63, 66 and 68 (B. parapertussis probes); and 71, 75, 76, 80, 84, 85, 89, 93, 94, 98 and 100 (the genus Bordetella probes).
Other embodiments will be evident to those of skill in the art. It should be understood that the foregoing detailed description is provided for clarity only and is merely exemplary. The spirit and scope of the present invention are not limited to the above examples, but are encompassed by the following claims. The contents of all references cited herein are incorporated by reference in their entireties.
This application claims the benefit of U.S. Provisional Application No. 61/220,881 filed Jun. 26, 2009 and U.S. Provisional Application No. 61/263,113 filed Nov. 20, 2009, the entire teachings of which are incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 61263113 | Nov 2009 | US | |
| 61220881 | Jun 2009 | US |
