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REALQUALITY REALQUALITY RQ-MBT Complex Compatible platforms: Validated on ! Applied Biosystems 7500 Fast / Fast Dx, 7300 and StepOnePlus / StepOne Real-Time PCR System ! LightCycler® 480 and 2.0 Real-Time PCR System (Roche) ! Dx Real-Time System and CFX96 Real-Time PCR Detection System (Bio-Rad) code RQ-85 Kit for detection and quantification of the Mycobacterium tuberculosis complex (MTBC) by Real-Time PCR INTRODUCTION Mycobacteria are gram positive, non-motile, acid-fast, nonspore forming and obligate aerobe or microaerophilic. The genus Mycobacterium comprises the Mycobacterium tuberculosis complex (MTBC) and more than 100 other species of ubiquitous nontuberculous mycobacteria (atypic and NTM) which include pathogenic as well as nonpathogenic and opportunistic species. According to the World Health Organization report of 2007 (WHO report, 2007), also nowadays tuberculosis (TB) occurs worldwide and poses an enormous problem for the public health. Although the pulmonary tuberculosis is the most common type, basically all organs can be affected. About 73 % of TB cases suffer from pulmonary tuberculosis. In 3.5 % of those cases other organs are affected as well. Although, the initial diagnosis of an infection usually is based on clinical data, the definitive diagnosis requires isolation and identification of the mycobacterium in the laboratory. The conventional methods for mycobacterium detection are based on analysis of phenotype, biochemical characteristics and on chromatography and are usually too time-consuming to be applied in routine screening. In the last years, several methods for direct detection of the mycobacteria have been developed that are based on techniques of molecular biology. Among these, the methods based on PCR allow detection of the mycobacterium at a fraction of time and cost. Due to the fact that such PCR-based tests do not provide information about the vitality of the pathogen and may give positive results also after culture negativization or completion of the therapy, they are to be used exclusively in the diagnostic phase and are not suited for therapy follow-up. TECHNICAL CHARACTERISTICS The kit can be used on instruments that allow a reaction volume of 25 µL and read the FAM and JOE fluorescence. Analytical specificity: No non-specific pairing of primers and probes, no cross-reaction Analytical sensitivity (detection limit): 0.5 copies of bacterial genome / µL of DNA extract 7 Analytical sensitivity (linear range): 5 – 10 copies of bacterial genome / reaction Reproducibility, intra-assay variability: 0.468 % Reproducibility, inter-assay variability: 0.417 % Diagnostic specificity: 97 % Diagnostic sensitivity: 96 % Accuracy: 96 % Fig. 1: MTBC standard curve, analyzed on the Applied Biosystems 7500 Real-Time PCR System using SDS software. ORDERING INFORMATION Code Product PKG RQ-85-48/96 REALQUALITY RQ-MBT Complex 48/96 tests For creating standard curves: Code Product PKG RQ-86-ST REALQUALITY RQ-MBT Complex STANDARD 4 × 60 µL Number of tests: 48 or 96 Shelf life: 12 months Sample material: DNA extract from sputum, BAL, FFPE tissue and cultures in liquid growth medium Amplified region: gene region coding for the 16S ribosomal RNA Internal Control: Amplification of β-globin gene in multiplex with target pathogen Positive controls: DNA fragment from the MTBC genome and the β-globin gene REFERENCES Tortoli E. et al., Micobatteriologia Clinica :11, 2008. Ministero della salute. Epidemiologia della tubercolosi in Italia anni 1995-2005, 2007. Stauffer F, Haber H, Rieger A, et al. J Clin Microbiol 36: 614-617, 1998. Moore D.F., Curry J.I., Knott C.A., Jonas V, J.Clin.Microbiol. 34:1745-1749, 1996. RQ-MBT_Complex_techleaf_e20140718.doc AB ANALITICA srl Via Svizzera 16 – 35127 PADOVA (ITALY) tel. +39 049 761698 - fax +39 049 8709510 e-mail: [email protected] www. abanalitica.it