Development and Evaluation of a Novel Real-Time PCR Assay for Specific Detection of Chlamydia psittaci in Clinical Respiratory Specimens
DOI:
https://doi.org/10.24191/joa.v13i2.8607Keywords:
birds, diagnostic, ompA, psittacosis, zoonoticAbstract
Chlamydia psittaci is an obligate intracellular Gram-negative bacterium that is zoonotic causing diseases called psittacosis in humans. Humans are usually infected through inhalation, which often leads to atypical pneumonia, with fatal outcome if left untreated. Early and accurate diagnosis is crucial for effective clinical management and containment of potential outbreaks. Nevertheless, C. psittaci infections are often underestimated as their clinical and laboratory presentations closely resemble those of other respiratory infections. Traditional diagnostic methods relied on serology and culture but has limitations in specificity, sensitivity and biosafety. This study aimed to develop and evaluate a rapid, specific and sensitive real-time PCR assay targeting the ompA gene for detection of C. psittaci in human respiratory samples. A synthetic plasmid containing an ompA gene fragment was used as a positive control, eliminating the need for hazardous live cultures while ensuring assay stability. Specificity testing against 28 bacterial strains revealed no cross-reactivity, and in silico PCR analysis against 268 bacterial genomes confirmed exclusive amplification of C. psittaci. Spiking experiments with human respiratory samples (n=43) demonstrated robust detection across various matrices and concentrations, with no amplification in non-spiked controls, confirming absence of false positives. The assay achieved a detection limit of 0.0002 pg (~25 DNA copies) with 97.84% amplification efficiency and an R² of 0.9995, indicating high precision and reproducibility. These findings establish the developed real-time PCR assay as a highly specific and sensitive diagnostic tool for C. psittaci, enabling rapid and accurate detection to support timely clinical management and outbreak controlReferences
Gu, L., Liu, W., Ru, M., Lin, J., Yu, G., Ye, J., Zhu, Z. A., Liu, Y., Chen, J., Lai, G., & Wen, W. (2020). The application of metagenomic next-generation sequencing in diagnosing Chlamydia psittaci pneumonia: A report of five cases. BMC Pulmonary Medicine, 20(1). https://doi.org/10.1186/s12890-020-1098-x
Longbottom, D., & Coulter, L. J. (2003). Animal chlamydioses and zoonotic implications. In Journal of Comparative Pathology (Vol. 128, Issue 4, pp. 217–244). W.B. Saunders Ltd. https://doi.org/10.1053/jcpa.2002.0629
Ravichandran, K., Anbazhagan, S., Karthik, K., Angappan, M., & Dhayananth, B. (2021). A comprehensive review on avian chlamydiosis: a neglected zoonotic disease. In Tropical Animal Health and Production (Vol. 53, Issue 4). Springer Science and Business Media B.V. https://doi.org/10.1007/s11250-021-02859-0
Vande Weygaerde, Y., Versteele, C., Thijs, E., De Spiegeleer, A., Boelens, J., Vanrompay, D., Van Braeckel, E., & Vermaelen, K. (2018). An unusual presentation of a case of human psittacosis. Respiratory Medicine Case Reports, 23, 138–142. https://doi.org/10.1016/j.rmcr.2018.01.010
Liu, S., Cui, Z., Carr, M. J., Meng, L., Shi, W., & Zhang, Z. (2023). Chlamydia psittaci should be a notifiable infectious disease everywhere. In The Lancet Microbe (Vol. 4, Issue 2, pp. e62–e63). Elsevier Ltd. https://doi.org/10.1016/S2666-5247(22)00306-8
Nieuwenhuizen, A. A., Dijkstra, F., Notermans, D. W., & van der Hoek, W. (2018). Laboratory methods for case finding in human psittacosis outbreaks: A systematic review. BMC Infectious Diseases, 18(1). https://doi.org/10.1186/s12879-018-3317-0
Cui, Z., & Meng, L. (2023). Psittacosis Pneumonia: Diagnosis, Treatment and Interhuman Transmission. In International Journal of General Medicine (Vol. 16, pp. 1–6). Dove Medical Press Ltd. https://doi.org/10.2147/IJGM.S396074
Huang, W., Wang, F., Cai, Q., Xu, H., Hong, D., Wu, H., Zhou, L., Hu, L., & Lu, Y. (2023). Epidemiological and clinical characteristics of psittacosis among cases with complicated or atypical pulmonary infection using metagenomic next-generation sequencing: a multi-center observational study in China. Annals of Clinical Microbiology and Antimicrobials, 22(1). https://doi.org/10.1186/s12941-023-00631-w
Yao, W., Chen, X., Wu, Z., Wang, L., Shi, G., Yang, Z., Zhang, Y., & Wu, B. (2022). A cluster of Psittacosis cases in Lishui, Zhejiang Province, China, in 2021. Frontiers in Cellular and Infection Microbiology, 12. https://doi.org/10.3389/fcimb.2022.1044984
McGovern, O. L., Kobayashi, M., Shaw, K. A., Szablewski, C., Gabel, J., Holsinger, C., Drenzek, C., Brennan, S., Milucky, J., Farrar, J. L., Wolff, B. J., Benitez, A. J., Thurman, K. A., Diaz, M. H., Winchell, J. M., & Schrag, S. (2018). Morbidity and Mortality Weekly Report Use of Real-Time PCR for Chlamydia psittaci Detection in Human Specimens During an Outbreak of Psittacosis-Georgia and Virginia, 2018. https://www.cdc.gov/mmwr/mmwr_continuingEducation.html
Tanl, D. ^s K., & Babudieriz, B. (1977). Ornithosis in peninsular Malaysia (In Man and Pigeons). In Med. J. Malaysia (Issue 3).
Luu, L. D. W., Kasimov, V., Phillips, S., Myers, G. S. A., & Jelocnik, M. (2023). Genome organization and genomics in Chlamydia: whole genome sequencing increases understanding of chlamydial virulence, evolution, and phylogeny. In Frontiers in Cellular and Infection Microbiology (Vol. 13). Frontiers Media S.A. https://doi.org/10.3389/fcimb.2023.1178736
AbdelRahman, Y. M., & Belland, R. J. (2005). The chlamydial developmental cycle. In FEMS Microbiology Reviews (Vol. 29, Issue 5, pp. 949–959). https://doi.org/10.1016/j.femsre.2005.03.002
Bommana, S., & Polkinghorne, A. (2019). Mini review: Antimicrobial control of chlamydial infections in animals: Current practices and issues. In Frontiers in Microbiology (Vol. 10, Issue FEB). Frontiers Media S.A. https://doi.org/10.3389/fmicb.2019.00113
Sukon, P., Nam, N. H., Kittipreeya, P., Sara-in, A., Wawilai, P., Inchuai, R., & Weerakhun, S. (2021). Global prevalence of chlamydial infections in birds: A systematic review and meta-analysis. Preventive Veterinary Medicine, 192. https://doi.org/10.1016/j.prevetmed.2021.105370
Heddema, E. R., Beld, M. G. H. M., de Wever, B., Langerak, A. A. J., Pannekoek, Y., & Duim, B. (2006). Development of an internally controlled real-time PCR assay for detection of Chlamydophila psittaci in the LightCycler 2.0 system. Clinical Microbiology and Infection, 12(6), 571–575. https://doi.org/10.1111/j.1469-0691.2006.01417.x
Mohd Ali, M. R., Lih Huey, L., Foo, P. C., Goay, Y. X., Ismail, A. S., Mustaffa, K. M. F., Aziah, I., Kia Kien, P., Harun, A., Ismail, N., & Yean Yean, C. (2019). Duplex TaqMan Hydrolysis Probe-Based Molecular Assay for Simultaneous Detection and Differentiation of Burkholderia pseudomallei and Leptospira spp. DNA. BioMed Research International, 2019. https://doi.org/10.1155/2019/9451791
Xu, L., Chen, H., Canales, M., & Ciric, L. (2019). Use of synthesized double-stranded gene fragments as qPCR standards for the quantification of antibiotic resistance genes. Journal of Microbiological Methods, 164. https://doi.org/10.1016/j.mimet.2019.105670
Bikandi, J., Millán, R. S., Rementeria, A., & Garaizar, J. (2004). In silico analysis of complete bacterial genomes: PCR, AFLP-PCR and endonuclease restriction. Bioinformatics, 20(5), 798–799. https://doi.org/10.1093/bioinformatics/btg491
Kalendar, R., Shevtsov, A., Otarbay, Z., & Ismailova, A. (2024). In silico PCR analysis: a comprehensive bioinformatics tool for enhancing nucleic acid amplification assays. Frontiers in Bioinformatics, 4. https://doi.org/10.3389/fbinf.2024.1464197
Zhang, Z., Zhou, H., Cao, H., Ji, J., Zhang, R., Li, W., Guo, H., Chen, L., Ma, C., Cui, M., Wang, J., Chen, H., Ding, G., Yan, C., Dong, L., Holmes, E. C., Meng, L., Hou, P., & Shi, W. (2022). Human-to-human transmission of Chlamydia psittaci in China, 2020: an epidemiological and aetiological investigation. The Lancet Microbe, 3(7), e512–e520. https://doi.org/10.1016/S2666-5247(22)00064-7
Ménard, A., Clerc, M., Subtil, A., Mégraud, F., Bébéar, C., & De Barbeyrac, B. (2006). Development of a real-time PCR for the detection of Chlamydia psittaci [2]. In Journal of Medical Microbiology (Vol. 55, Issue 4, pp. 471–473). Society for General Microbiology. https://doi.org/10.1099/jmm.0.46335-0
Deng, F., Lin, Q., Xu, X., Li, C., Xu, J., & Nie, H. (2023). A case report of healthcare-associated psittacosis. Journal of Infection in Developing Countries, 17(4), 571–577. https://doi.org/10.3855/jidc.17241
Fukui, S., Kawamura, W., Uehara, Y., & Naito, T. (2021). A patient with psittacosis from a pigeon: A reminder of the importance of detailed interviews and relative bradycardia. IDCases, 25. https://doi.org/10.1016/j.idcr.2021.e01164
Hogerwerf, L., De Gier, B., Baan, B., & Van Der Hoek, W. (2017). Chlamydia psittaci (psittacosis) as a cause of community-acquired Pneumonia: A systematic review and meta-analysis. In Epidemiology and Infection (Vol. 145, Issue 15, pp. 3096–3105). Cambridge University Press. https://doi.org/10.1017/S0950268817002060
Marchese, S., Marchese, G., Paviglianiti, G., Lapi, M., Ottoveggio, G., Pipitone, G., & Corsello, G. (2023). A pediatric case of Chlamydia psittaci caused severe Acute Respiratory Distress Syndrome (ARDS) in Italy. Italian Journal of Pediatrics, 49(1). https://doi.org/10.1186/s13052-023-01497-6
Cheng, Y. J., Lin, K. Y., Chen, C. C., Huang, Y. L., Liu, C. E., & Li, S. Y. (2013). Zoonotic atypical pneumonia due to Chlamydophila psittaci: First reported psittacosis case in Taiwan. Journal of the Formosan Medical Association, 112(7), 430–433. https://doi.org/10.1016/j.jfma.2012.08.017
Okuda, H., Ohya, K., Shiota, Y., Kato, H., & Fukushi, H. (2011). Detection of Chlamydophila psittaci by Using SYBR Green Real-Time PCR. In J. Vet. Med. Sci (Vol. 73, Issue 2).
Kralik, P., & Ricchi, M. (2017). A basic guide to real time PCR in microbial diagnostics: Definitions, parameters, and everything. In Frontiers in Microbiology (Vol. 8, Issue FEB). Frontiers Research Foundation. https://doi.org/10.3389/fmicb.2017.00108
Rogers-Broadway, K. R., & Karteris, E. (2015). Amplification efficiency and thermal stability of qPCR instrumentation: Current landscape and future perspectives. Experimental and Therapeutic Medicine, 10(4), 1261–1264. https://doi.org/10.3892/etm.2015.2712
Angen, Ø., Johannesen, T. B., Petersen, R. F., Uldum, S. A., & Schnee, C. (2021). Development of a species-specific real-time PCR test for Chlamydia psittaci and its employment in the investigation of zoonotic transmission from racing pigeons in Denmark. Diagnostic Microbiology and Infectious Disease, 100(2). https://doi.org/10.1016/j.diagmicrobio.2021.115341
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