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2.
Chem Sci ; 8(2): 961-967, 2017 Feb 01.
Article in English | MEDLINE | ID: mdl-28451233

ABSTRACT

Dilute aqueous solutions of anionic meso-4-sulfonatophenyl-porphyrin (TPPS) extract zinc(ii) ions from glass or quartz surfaces at room temperature and efficiently form the corresponding metal complex (ZnTPPS). The partial or complete formation of ZnTPPS has been probed by UV/Vis spectroscopy and both static and time-resolved fluorescence. The source of zinc(ii) ions has been clearly identified through inductively coupled plasma optical emission spectrometry. The presence of increasing amounts of ZnTPPS slows down the rate of TPPS J-aggregate formation in acid solution. This influences the nucleation step and has a profound impact on the onset of chirality in these species. This evidence indicates the important role of this adventitious metal ion in the interpretation of various spectroscopic and kinetic data for the self-assembly of the TPPS porphyrin and provides some insights into controversial findings on their chirality. The use of this metal derivative as the starting compound for in situ formation of monomeric TPPS is suggested.

3.
Biomacromolecules ; 2(1): 233-8, 2001.
Article in English | MEDLINE | ID: mdl-11749178

ABSTRACT

It was found that bacterial transglutaminase (TGase) facilitates selective cross-linking of bacteriorhodopsin (BR) in purple membrane (PM) form under mild conditions. Fluorescent probes were used to detect that the membrane protein BR may act as a glutamine donor as well as a lysine donor for TGase. The binding sites were determined to be Gln-3 as the reactive glutamine, and Lys-129 is the corresponding lysine residue. Upon incubation of PM with TGase, cross-linking of PM patches can be achieved without an additional spacer molecule. To our knowledge, this is the first time that an intermembrane cross-linking of membrane-bound proteins is reported. Furthermore, this finding may provide the ability to achieve covalent linkage of complete purple membrane patches to synthetic polymers.


Subject(s)
Bacteriorhodopsins/metabolism , Halobacterium/cytology , Purple Membrane/metabolism , Streptomyces/enzymology , Transglutaminases/metabolism , Bacteriorhodopsins/chemistry , Catalysis , Chromatography, Liquid , Color , Cross-Linking Reagents/metabolism , Electrophoresis, Polyacrylamide Gel , Glutamine/metabolism , Halobacterium/chemistry , Kinetics , Lysine/metabolism , Models, Biological , Protein Binding , Purple Membrane/chemistry , Time Factors
4.
Dev Neurosci ; 22(5-6): 404-17, 2000.
Article in English | MEDLINE | ID: mdl-11111157

ABSTRACT

Histone H1, which contains about 27% lysine, is an excellent lysyl donor substrate of Ca(2+)-activated guinea pig liver tissue transglutaminase as judged by rapid fluorescence enhancement in the presence of the glutaminyl-donor substrate 1-N-(carbobenzoxy-L-glutaminylglycyl)-5-N-(5'N'N'-dimethylamino naphth alenesulfonyl) diamidopentane. Sodium dodecyl sulfate gel electrophoresis of a 30-min reaction mixture revealed the presence of fluorescent high-M(r) aggregates, which are also formed when histone H1 is incubated solely with activated tissue transglutaminase. Aggregate formation is even more pronounced when histone H1 is incubated with activated tissue transglutaminase and dimethylcasein (glutaminyl donor only). The findings suggest not only that histone H1 is an especially good lysyl substrate of tissue transglutaminase, but that it is also a glutaminyl substrate. Histone H1 is a good lysyl substrate of transglutaminase purified from Streptoverticillium mobaraense, suggesting that the ability of histone H1 to act as a transglutaminase lysyl substrate is widespread. In agreement with previous studies, it was found that human beta-endorphin is a moderately good substrate of tissue transglutaminase. At least 8 neurodegenerative diseases, including Huntington's disease, are caused by (CAG)(n) expansions in the genome and by an expansion of the corresponding polyglutamine domain within the expressed, mutated protein. Polyglutamine domains are excellent substrates of liver and brain transglutaminases. A hallmark of many of the (CAG)(n)/polyglutamine expansion diseases is the presence of polyglutamine-containing aggregates within the cytosol and nuclei of affected neurons. Transglutaminase activity occurs in both of these compartments in human brain. In future studies, it will be important to determine whether transglutaminases play a role in (1) cross-linking of histone H1 to glutaminyl donors (including polyglutamine domains) in nuclear chromatin, (2) the formation of nuclear aggregates in (CAG)(n)/polyglutamine expansion diseases, (3) DNA laddering and cell death in neurodegenerative diseases and (4) depletion of neuropeptides in vulnerable regions of Huntington's disease brain.


Subject(s)
Cell Nucleus Structures/metabolism , GTP-Binding Proteins/metabolism , Histones/metabolism , Neurodegenerative Diseases/metabolism , Transglutaminases/metabolism , Trinucleotide Repeat Expansion , Animals , Calcium/metabolism , Caseins/chemistry , Cattle , Electrophoresis, Polyacrylamide Gel , Fluorescence , GTP-Binding Proteins/antagonists & inhibitors , GTP-Binding Proteins/chemistry , Glyceraldehyde-3-Phosphate Dehydrogenases/chemistry , Guinea Pigs , Histones/chemistry , Histones/pharmacology , Humans , Huntington Disease/etiology , Huntington Disease/metabolism , Lysine/chemistry , Lysine/metabolism , Macromolecular Substances , Neurodegenerative Diseases/etiology , Peptides/metabolism , Protein Glutamine gamma Glutamyltransferase 2 , Streptomycetaceae/enzymology , Transglutaminases/antagonists & inhibitors , Transglutaminases/chemistry , beta-Endorphin/metabolism
5.
Biophys J ; 79(1): 550-60, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10866980

ABSTRACT

The kinetics of J-aggregate formation has been studied for two chromophores, tetrakis-4-sulfonatophenylporphine in an acid medium and pseudoisocyanine on a polyvinylsulfonate template. The assembly processes differ both in their sensitivity to initiation protocols and in the reaction profiles they produce. The porphyrin's assembly kinetics, for example, displays an induction period unlike that of the cyanine dye. Two kinetic models are presented. For the porphyrin, an autocatalytic pathway in which the formation of an aggregation nucleus is rate-determining appears to be applicable; for the pseudoisocyanine dye, an equation derived for diffusion-limited aggregation of a fractal object satisfactorily fits the data. These models are shown to be useful for the analysis of kinetic data obtained for several biologically important aggregation processes.


Subject(s)
Porphyrins/chemistry , Quinolines/chemistry , Adsorption/drug effects , Hydrochloric Acid/chemistry , Hydrochloric Acid/pharmacology , Hydrogen-Ion Concentration/drug effects , Kinetics , Polymers/chemistry , Polyvinyls/chemistry , Spectrophotometry , Sulfonic Acids/chemistry
6.
J Biochem ; 127(2): 239-45, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10731690

ABSTRACT

Transglutaminases (TGases, EC 2.3.2.13) have proved to be valuable enzymes for site-directed protein coupling via N(epsilon)-(gamma-L-glutamyl)lysine bonds. Their use in conjugate synthesis would overcome many problems caused by chemical reagents. In this approach, we show for the first time that two proteins with different functionalities, namely soybean peroxidase and protein G, can be cross-linked by bacterial TGase with retention of their activities. Soybean peroxidase and protein G were chosen for the enzymic preparation of a bifunctional conjugate among a series of other TGase substrates detected by enzymic incorporation of small fluorescent or biotinylated molecules. The highest yields of conjugate were obtained with a 15-fold excess of peroxidase in phosphate buffer, pH 7.0. Size exclusion chromatography enabled both purification of the conjugates and recovery of the starting materials. Analysis of bifunctionality revealed the coupling of protein G with an average of three peroxidase molecules.


Subject(s)
Nerve Tissue Proteins/metabolism , Peroxidase/metabolism , Recombinant Proteins/chemistry , Recombinant Proteins/metabolism , Transglutaminases/metabolism , Cadaverine/analogs & derivatives , Cadaverine/chemistry , Dipeptides/chemistry , Enzyme-Linked Immunosorbent Assay , Fluorescent Dyes , Glutamine/chemistry , Lysine/chemistry , Nerve Tissue Proteins/chemistry , Nerve Tissue Proteins/immunology , Peroxidase/chemistry , Protein Engineering/methods , Recombinant Proteins/isolation & purification , Glycine max/enzymology , Staphylococcal Protein A/chemistry , Staphylococcal Protein A/metabolism , Substrate Specificity , Sulfonamides/chemistry , Transglutaminases/chemistry
8.
Eur J Clin Microbiol Infect Dis ; 18(2): 142-4, 1999 Feb.
Article in English | MEDLINE | ID: mdl-10219580

ABSTRACT

The performance of a commercial transcription-mediated amplification (TMA) assay (Gen-Probe Amplified Chlamydia trachomatis Assay; Gen-Probe, USA) was compared with that of the Roche Cobas Amplicor CT/NG polymerase chain reaction (PCR) (F. Hoffmann-La Roche, Switzerland) for detection of Chlamydia trachomatis in urine specimens. First-void urine specimens were collected from 658 patients: 320 men and 338 women. The results of the two tests were identical for 650 (98.8%) of the 658 patients. Among them, the test results were uniformly positive for 72 patients: 39 men and 33 women. In the cases in which the initial results of TMA assay and PCR were discrepant the specimens were reanalyzed and tested by an alternative TMA assay and a major outer membrane protein-based PCR. After analysis of discrepant results. 74 specimens (11.2%) were considered positive. All positive results were correctly identified by TMA assay, whereas PCR gave two false-negative and six false-positive results.


Subject(s)
Chlamydia Infections/microbiology , Chlamydia trachomatis/genetics , Chlamydia trachomatis/isolation & purification , Nucleic Acid Amplification Techniques , Urine/microbiology , False Negative Reactions , False Positive Reactions , Female , Humans , Male , Polymerase Chain Reaction/methods , Reagent Kits, Diagnostic , Reproducibility of Results , Sensitivity and Specificity , Transcription, Genetic
10.
Eur J Biochem ; 257(3): 570-6, 1998 Nov 01.
Article in English | MEDLINE | ID: mdl-9839945

ABSTRACT

The zymogen of bacterial transglutaminase was found during cultivation of Streptoverticillium mobaraense (DSMZ strain) using rabbit antibodies raised against the active enzyme. Ion-exchange chromatography at pH 5.0 yielded a highly purified pro-enzyme. Structure information was obtained by means of Edman degradation and analysis of PCR amplified nucleotide fragments. The data revealed an excess of negatively charged amino acids in the pro-region resulting in a decreased isoelectric point of the zymogen. Additionally, the new sequence gave rise to some modifications to the previously published hypothetical structure of prepro-transglutaminase derived from genomic DNA [Washizu, K., Ando, K., Koikeda, S., Hirose, S., Matsuura, A., Takagi, H., Motoki, M. & Takeuchi, K. (1994) Biosci. Biotechnol. Biochem. 58, 82-87]. Inactive transglutaminase, which carries an activation peptide of 45 amino acids, has a calculated molecular mass of 42445 Da. Its pro-region provides for both suppression of activity and increased thermostability. Furthermore, it could be shown that the micro-organism produces a protease which cleaves pro-transglutaminase at the C-side of Pro45. Rapid transformation of the mature enzyme also occurs by addition of other proteases. During conversion, 43 and 41 amino acid peptides are released by bovine trypsin and dispase from Bacillus polymyxa, respectively. The detection of endogenous substrates in the murein layer makes discussion of the physiological role of bacterial transglutaminases necessary.


Subject(s)
Enzyme Precursors/isolation & purification , Streptomycetaceae/enzymology , Transglutaminases/isolation & purification , Amino Acid Sequence , Base Sequence , Chromatography, Ion Exchange , DNA , Enzyme Activation , Enzyme Precursors/genetics , Enzyme Precursors/metabolism , Enzyme Stability , Hot Temperature , Hydrolysis , Isoelectric Point , Molecular Sequence Data , Molecular Weight , Protein Processing, Post-Translational , Transglutaminases/genetics , Transglutaminases/metabolism
11.
Biophys J ; 75(2): 1024-31, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9675203

ABSTRACT

Assemblies of trans-bis(N-methylpyridinium-4-yl)diphenylporphine ions on the surface of calf thymus DNA have been studied using several spectroscopic techniques: absorbance, circular dichroism, and resonance light scattering. The aggregation equilibrium can be treated as a two-state system-monomer and assembly-each bound to the nucleic acid template. The aggregate absorption spectrum in the Soret region is resolved into two bands of Lorentzian line shape, while the DNA-bound monomer spectrum in this region is composed of two Gaussian bands. The Beer-Lambert law is obeyed by both porphyrin forms. The assembly is also characterized by an extremely large, bisignate induced circular dichroism (CD) profile and by enhanced resonance light scattering (RLS). Both the CD and RLS intensities depend linearly on aggregate concentration. The RLS result is consistent with a model for the aggregates as being either of a characteristic size or of a fixed distribution of sizes, independent of total porphyrin concentration or ionic strength. Above threshold values of concentration and ionic strength, the mass action expression for the equilibrium has a particularly simple form: K' = cac-1; where cac is defined as the "critical assembly concentration."offe dependence of the cac upon temperature and ionic strength (NaCl) has been investigated at a fixed DNA concentration. The value of the cac scales as the inverse square of the sodium chloride concentration and, from temperature dependence studies, the aggregation process is shown to be exothermic.


Subject(s)
DNA/chemistry , Nucleic Acid Conformation , Porphyrins/chemistry , Pyridinium Compounds/chemistry , Animals , Cattle , Circular Dichroism , Kinetics , Light , Osmolar Concentration , Scattering, Radiation , Solutions , Spectrophotometry/methods , Thermodynamics
12.
Biophys J ; 74(4): 2089-99, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9545068

ABSTRACT

A quantum mechanical model is developed for the observed resonance enhancement of light scattering by aggregates of electronically interacting chromophores. Aggregate size, monomer oscillator strength, extent of electronic coupling, and aggregate geometry are all important determinants of intensity in resonance light scattering (RLS) spectra. The theory also predicts the value of the depolarization ratio (rho(v)(90)) of RLS for a given aggregate geometry. These results are used to interpret the RLS depolarization ratios of four aggregates: tetrakis(4-sulfonatophenyl)porphine aggregated at low pH (rho(v)(90) = 0.17 at 488 nm), trans-bis(N-methylpyridinium-4-yl)-diphenylporphinato copper(II) aggregated in 0.2 M NaCl solution (rho(v)(90) = 0.13 at 450 nm) and on calf thymus DNA (rho(v)(90) = 0.20 at 454 nm), and chlorophyll a aggregates in formamide/water (rho(v)(90) = 0.23 and 0.32 at 469 and 699 nm, respectively). The analysis is consistent with a J-aggregate geometry for all four systems. Furthermore, the specific values of rho(v)(90) allow us to estimate the orientation of the monomer transition dipoles with respect to the long axis of the aggregate. We conclude that depolarized resonance light scattering spectroscopy is a powerful probe of the geometric and electronic structures of extended aggregates of strong chromophores.


Subject(s)
Chlorophyll/chemistry , Porphyrins/chemistry , Animals , Biophysical Phenomena , Biophysics , Cattle , Chlorophyll A , Chromogenic Compounds/chemistry , DNA/chemistry , Light , Macromolecular Substances , Models, Chemical , Molecular Structure , Quantum Theory , Scattering, Radiation
14.
Anal Biochem ; 249(1): 54-60, 1997 Jun 15.
Article in English | MEDLINE | ID: mdl-9193708

ABSTRACT

A fluorescent dipeptide was designed to discover glutamine acceptor proteins of transglutaminase. Starting materials for synthesis were the commercially available compounds carbobenzoxy-L-glutaminylglycine (CBZ-Gln-Gly) and monodansylcadaverine (C-DNS) which were coupled to obtain CBZ-Gln-Gly-C-DNS 1 [1-N-(carbobenzoxy-L-glutaminylglycyl)-5-N- (5'-N', N'-dimethylamino-1'-naphthalenesulfonyl)- diamidopentane]. The glutamine peptide is a substrate of bacterial transglutaminase from Streptoverticillium mobaraense as well as of the guinea pig liver enzyme. This could be shown by incorporating 1 into alpha s1-casein resulting in a significant increase in fluorescence intensity and a concomitant inhibition of cross-linking reaction. Additionally, dipeptide 1 is a useful tool to characterize the specificity of transglutaminase toward small primary amines. We established a sensitive HPLC assay and determined the kinetic parameters of several alkylamines. Hydrolysis of 1 is suppressed in the presence of the nucleophiles as it could be demonstrated with different concentrations of butylamine in semiquantitative studies. Together with labeled primary amines, reagent 1 seems to be a particularly suitable tool for examining acceptor-donor relationships of transglutaminase substrates.


Subject(s)
Dipeptides/chemical synthesis , Glutamine/chemistry , Sulfonamides/chemical synthesis , Transglutaminases/chemistry , Fluorescent Dyes , Hydrolysis , Kinetics , Molecular Structure , Streptomycetaceae/enzymology
15.
J Clin Microbiol ; 35(3): 676-8, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9041411

ABSTRACT

We evaluated the Gen-Probe Chlamydia trachomatis transcription-mediated amplification (TMA) assay with urine specimens for the detection of C. trachomatis infections in women. The novel test, based on the isothermal amplification of chlamydial RNA, was compared with the Roche Amplicor PCR with urine and cell culture with endocervical specimens. First-catch urine and endocervical swab specimens were collected from a total of 561 patients, of whom 70 (12.3%) were confirmed to have chlamydial infection. The diagnostic sensitivity and specificity of TMA with urine were 91.4 and 99.6%, respectively, and those of Amplicor PCR were 97.1 and 99.8%, respectively. By repeated analysis of the specimens with discrepant results, the sensitivity of TMA could be increased to 99%, indicating that some methodological improvements in the assay are still to be expected. The sensitivity of PCR could be increased to 100% by the elimination of DNA polymerase inhibitors in a repeated analysis. The sensitivity and specificity of cell culture with cervical specimens were 85.7 and 100%, respectively. The results indicate that TMA with urine specimens from women is a sensitive and specific assay for the detection of C. trachomatis, providing a new noninvasive technique for the screening of chlamydial infections in women.


Subject(s)
Chlamydia Infections/diagnosis , Chlamydia Infections/microbiology , Chlamydia trachomatis/genetics , Chlamydia trachomatis/isolation & purification , Molecular Probe Techniques , Nucleic Acid Amplification Techniques , Bacteriological Techniques/statistics & numerical data , Chlamydia Infections/urine , Diagnostic Errors , Evaluation Studies as Topic , Female , Humans , Molecular Probe Techniques/statistics & numerical data , Polymerase Chain Reaction/methods , Polymerase Chain Reaction/statistics & numerical data , RNA, Bacterial/genetics , RNA, Bacterial/urine , Sensitivity and Specificity
16.
J Clin Microbiol ; 35(2): 402-5, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9003605

ABSTRACT

We compared the Roche Amplicor PCR, Roche Cobas Amplicor PCR, and Abbott LCx assays by using urine specimens for the detection of Chlamydia trachomatis infections in a female population. First-catch urine and endocervical swab specimens were collected from a total of 442 patients. Urine specimens were tested by the manual Roche Amplicor PCR, the automatic Roche Cobas Amplicor PCR, and the Abbott LCx assays as instructed by the manufacturers. For the Cobas Amplicor PCR, the internal control protocol was used for every specimen to reveal the presence of polymerase inhibitors. Cell culture of cervical specimens was used as a reference method. Of 442 patients, 50 (11.3%) were confirmed to have chlamydial infection. The diagnostic sensitivity and specificity of cell culture with cervical swab specimens were 88 and 100%, respectively. With urine specimens the sensitivity and specificity for the manual Amplicor PCR assay were 100 and 99.7%, respectively; those for the automatic Cobas Amplicor PCR assay were 94 and 99.2%, respectively; and those for the LCx assay were 94 and 100%, respectively. Thus, all amplification methods with urine specimens proved to be highly sensitive and specific for the detection of C. trachomatis infection in women. No statistically significant differences in the test performances could be demonstrated for specimens from this population. All three amplification techniques with urine specimens proved to be superior to cell culture with cervical swab specimens in diagnosing C. trachomatis infections in women.


Subject(s)
Chlamydia Infections/diagnosis , Chlamydia trachomatis/isolation & purification , Genital Diseases, Female/diagnosis , Polymerase Chain Reaction/methods , Urine/microbiology , Chlamydia Infections/microbiology , Chlamydia trachomatis/genetics , DNA, Bacterial/analysis , Female , Genital Diseases, Female/microbiology , Humans , Predictive Value of Tests , Sensitivity and Specificity
17.
Biochem J ; 317 ( Pt 1): 213-8, 1996 Jul 01.
Article in English | MEDLINE | ID: mdl-8694766

ABSTRACT

Microsomal cysteine-S-conjugate N-acetyltransferase catalyses the N-acetylation of various S-substituted cysteines in liver and kidney. We describe here the purification and more detailed characterization of this enzyme catalysing the final reaction of mercapturic acid biosynthesis, and thus playing a crucial role in the detoxicating metabolism of many xenobiotics. The solubilization of cysteine-S-conjugate N-acetyltransferase by deoxy-BIGCHAP [N,N'-bis-(3-D-gluconamidopropyl)deoxycholamide] was the prerequisite for partial purification by means of anion-exchange chromatography. The molecular mass of the enzyme was determined by gel filtration. A polyclonal antiserum was raised against the excised protein band from SDS/PAGE and purified antibodies were used for the complete purification of native cysteine-S-conjugate N-acetyltransferase by immuno-affinity chromatography. A dimeric form of the enzyme was sometimes detected on SDS/PAGE, depending on the degree of purification. For further characterization of cysteine-S-conjugate N-acetyltransferase, the stability of catalytic activity, the pH optimum and K(m) values were determined. The inhibitory effects of various agents were tested, revealing a substantial, yet not complete, loss of cysteine-S-conjugate N-acetyltransferase activity after treatment with cysteine proteinase inhibitors or probenecid under various conditions.


Subject(s)
Acetyltransferases/isolation & purification , Kidney/enzymology , Acetyltransferases/antagonists & inhibitors , Acetyltransferases/immunology , Acetyltransferases/metabolism , Amino Acids/analysis , Animals , Cysteine Proteinase Inhibitors/pharmacology , Hydrogen-Ion Concentration , Probenecid/pharmacology , Renal Agents , Swine , Xenobiotics/metabolism
18.
J Clin Microbiol ; 34(4): 995-8, 1996 Apr.
Article in English | MEDLINE | ID: mdl-8815129

ABSTRACT

We used the Roche Amplicor PCR assay to compare urine and cervical swabs as sample material in the detection of Chlamydia trachomatis causing genital infections. The diagnostic performance of Amplicor PCR was compared with that of cell culture and the Gen-Probe PACE 2 assay with cervical specimens. If discrepant from other results, the specimens negative by PCR were diluted and reanalyzed to reveal PCR inhibitors. Of 666 patients, 39 (5.9%) were confirmed to have chlamydial infection. The respective sensitivity and specificity of Amplicor PCR were as follows: urine specimens, 82.0 and 99.7%; cervical specimens, 82.0 and 99.8%. Those for cell culture with cervical specimens were 84.6 and 100%. For the Gen-Probe PACE 2 assay, the sensitivity and specificity with cervical specimens were 79.5 and 100%, respectively. Without the effect of PCR inhibitors, the sensitivity of PCR with urine would have been 97.4%. Provided that the problems currently caused by inhibitors will be solved, the Amplicor PCR assay with urine specimens offers a tempting alternative for the diagnosis of C. trachomatis infection in women.


Subject(s)
Chlamydia Infections/diagnosis , Chlamydia trachomatis , Polymerase Chain Reaction/methods , Bacteriological Techniques/statistics & numerical data , Cervix Uteri/microbiology , Chlamydia Infections/microbiology , Chlamydia Infections/urine , Diagnostic Errors , Evaluation Studies as Topic , Female , Humans , Polymerase Chain Reaction/statistics & numerical data , Sensitivity and Specificity , Urine/microbiology
20.
Infect Dis Obstet Gynecol ; 4(5): 276-80, 1996.
Article in English | MEDLINE | ID: mdl-18476107

ABSTRACT

OBJECTIVE: The purpose of this study was to evaluate the benefits achievable by Amplicor polymerase chain reaction (PCR) (F. Hoffmann-LaRoche Ltd., Basel, Switzerland) with urine specimens in addition to PACE 2 (Gen-Probe, Inc., San Diego, California) assay with cervical swab specimens in the diagnosis of Chlamydia trachomatis in women. METHODS: Cervical and urine specimens from 286 women were tested for C. trachomatis by PACE 2 and Amplicor PCR, respectively. All urine specimens were analyzed undiluted and diluted 1:10 to detect and eliminate possible PCR inhibition. A confirmatory PCR assay using major outer membrane protein-based primers (MOMP-PCR) was used on urine specimens that were positive by PCR from women who were negative by PACE 2 with cervical swab specimens. RESULTS: Of the endocervical specimens, 26 were positive by the PACE 2 assay. The PCR with urine was positive in 21 of these patients. When the urine specimens were analyzed diluted 1:10, 4 of the 5 PCR-negative specimens from PACE 2-positive patients turned positive by the PCR. Additionally, 4 urine specimens from PACE 2-negative women were positive by the PCR with urine, and 3 of them could be confirmed by MOMP-PCR. Altogether, 29 women were found to be positive for C. trachomatis by either of the two assays. CONCLUSIONS: By using the PCR with urine specimens, an 11% increase in sensitivity could be achieved in addition to that obtained by PACE 2 assay with cervical swab specimens. In the present material, however, the increased sensitivity was reversed by the presence of PCR inhibitors in 14% of the female urine specimens. Amplicor PCR with urine specimens can undoubtedly be recommended for the diagnosis of chlamydial infections in women. However, constant monitoring of the PCR inhibition seems highly advisable to obtain full benefit of the sensitivity of the PCR.

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