Affiliation:
1. Department of Infectious Disease, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267-0560, and VA Medical Center, Research 151, Cincinnati, Ohio 45220
Abstract
ABSTRACT
The genus
Pneumocystis
contains a family of fungal organisms that infect a wide variety of mammalian species. Although it is a cause of pneumonia in immunocompromised hosts, recent evidence suggests that these organisms colonize nonimmunosuppressed hosts. Detection of cryptic colonization with
Pneumocystis
becomes important in animal studies when infection-free animals are necessary. Provocation by chronic immunosuppression, histology, and serology has been widely used to detect the presence of
Pneumocystis
in rat colonies, requiring lengthy time periods and/or postmortem tissue. We conducted a study to evaluate the use of PCR amplification of oral swabs for the antemortem detection of
Pneumocystis
in 12 rat groups from three commercial vendors. Sera were collected upon arrival, and the oral cavity was swabbed for PCR analysis. Ten of these groups of rats were then housed in pairs under barrier and immunosuppressed to provoke
Pneumocystis
growth. Once moribund, the rats were sacrificed, and the lungs were collected to evaluate the presence of
Pneumocystis
by PCR and microscopic enumeration. DNA was extracted from oral swabs and lung homogenates, and PCR was performed using primers targeting a region within the mitochondrial large-subunit rRNA of
Pneumocystis carinii
f. sp.
carinii
. Upon receipt, 64% of rats were positive for
P. carinii
f. sp.
carinii
-specific antibodies, while
P. carinii
f. sp.
carinii
DNA was amplified from 98% of oral swabs. Postmortem PCR analysis of individual lungs revealed
P. carinii
f. sp.
carinii
DNA in all rat lungs, illustrating widespread occurrence of
Pneumocystis
in commercial rat colonies. Thus, oral swab/PCR is a rapid, nonlethal, and sensitive method for the assessment of
Pneumocystis
exposure.
Publisher
American Society for Microbiology
Cited by
55 articles.
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