The DNA fragment of C. trachomatis cryptic plasmid (1115 bp long) is cloned into pBR322vector. The recombinant plasmid pCTpl binds to purified chlamydial DNA and DNA isolated from epithelial cells of patients with clinical manifestations of chlamydiasis and does did not bind to DNA of M. hominis, U. urealyticum, E. coli, herpes simplex virus, and human DNA. The probe sensitivity is 64.5%, its specificity is 84.9%, and the specificities for positive and negative results are 79.2 and 85.7%, respectively, compared with the polymerase chain reaction. These parameters are 61,6, 81.4, 78.2, and 85.6%, respectively, compared with the immunofluorescent method.
Key Words: biotin-labeled DNA probe; dot hybridization; C. trachomatis; diagnosis of chlamydiasisChlamydia trachomatis is a widespread sexually-transmitted pathogenic microorganism. Chlamydial infection may take an asymptomatic, chronic, or acute course with numerous clinical manifestations involving the reproductive system, eyes, kidneys, liver, lymph vessels, and joints [1,2,9,10,15]. Chlamydia can persist for many years in the body causing no disease and exhibiting no antigenic activity. These specific features of chlamydial infection hamper its clinical and serologic diagnosis.Diagnostic methods based on specificity of genetic material of a causative agent (including DNA hybridization) have found wide application in recent years. After the sensitivity and specificity of the method proposed for detection of chlamydia in 1984 [16] had been markedly improved, it is widely used in the diagnostics of chlamydial infections [8,11,19].
MATERIALS AND METHODSEpithelial cells from the urethra (males) and cervical canal (females) were used in the study. Cells were collected with a Medscand or Abbott devices. Processing of clinical material, DNA isolation, and dot hybridization were carried out as described previously [3]. The ceils were washed with normal saline and lysed with 1% SDS and 100 gg/ml proteinase K. DNA was precipitated with 2 volumes of 96% ethanol, dissolved in 10 volumes of SSC buffer (1.5 M NaC1 and 0.15 M sodium citrate), degraded by boiling, and transferred onto a nitrocellulose filter. Hybridization with biotin-labeled probe was carried out in a 50% aqueous solution of formamide for 14-16 h at