The presence of adenovirus DNA in clinical specimens was analyzed by nucleic acid hybridization assays by both radioactive and enzymatic detection systems. The sensitivity of the hybridization tests was in the range of 10 to 100 pg of homologous adenovirus DNA. Minimal background was noticed with unrelated viral and nonviral DNA. Twenty-four nasopharyngeal mucus aspirate specimens, collected from children with acute respiratory infection, were assayed in the hybridization tests and also by an enzyme immunoassay for adenovirus hexon antigen which was used as a reference test. Sixteen specimens positive by the enzyme immunoassay also were positive in the two nucleic acid hybridization tests, and the remaining eight specimens were negative in all of the tests. The results indicate that nucleid acid hybridization tests with both radioactive and nonradioactive probes can be used for diagnosis of microbial infections.Nucleic acid hybridization techniques have recently been applied successfully in the detection of several microorganisms (1-3, 5, 7, 8, 10, 18-20). In the test, nucleic acids bound onto a solid phase are detected by labeled DNA probes. The method is specific, sensitive, and relatively rapid, and it also enables the detection of latent infections (9). The use of recombinant DNA technology has made it possible to produce probes in almost unlimited quantities.The disadvantage of the hybridization assays for routine diagnostic use is the need for radioisotopes which have short half-lives and are difficult to handle. Recently a method based on the use of biotinylated probes and the interaction of these with enzyme-conjugated streptavidin has been introduced (12, 13). In the present study this principle was used to detect viral DNA in clinical specimens.MATERIALS AND METHODS Specimens. Nasopharyngeal mucus aspirates were collected from children with acute respiratory infection with disposable mucus collectors as described previously (16 pul of sonicated nasopharyngeal mucus specimens were digested with proteinase K (E. Merck AG, Darmstadt, Federal Republic of Germany) at a concentration of 0.1 mg/ml for 1 h at 37°C. The specimens then were extracted with phenolchloroform, and the nucleic acids were concentrated by ethanol precipitation. The pellet was dissolved in 200 pI of 0.3 M NaOH and boiled for 5 min to denature the DNA. The specimens immediately were chilled on ice, neutralized by adding 3 M HCI, and adjusted to contain 6x SSC (1 x SSC is 0.15 M NaCl plus 0.015 M sodium citrate) with a stock solution of 20x SSC.The treated samples were spotted onto nitrocellulose filters (BA 85; Schleicher & Schuell Co., Dassel, Federal Republic of Germany) with a filter manifold. The filters were air dried, baked at 80°C for 1 h, and prehybridized for 1 h at 650C in 6x SSC-5x Denhardt solution (4) supplemented with 0.1 mg of herring sperm DNA per ml, denatured by boiling at an alkaline pH. A 1-p.g amount of the DNA probe was labeled with 32P by nick translation (15) to a specific activity of 107 to 101 cpm/,ug and added ...