Nuclease-assisted suppression of human DNA background in sepsis

PLoS One. 2014 Jul 30;9(7):e103610. doi: 10.1371/journal.pone.0103610. eCollection 2014.

Abstract

Sepsis is a severe medical condition characterized by a systemic inflammatory response of the body caused by pathogenic microorganisms in the bloodstream. Blood or plasma is typically used for diagnosis, both containing large amount of human DNA, greatly exceeding the DNA of microbial origin. In order to enrich bacterial DNA, we applied the C0t effect to reduce human DNA background: a model system was set up with human and Escherichia coli (E. coli) DNA to mimic the conditions of bloodstream infections; and this system was adapted to plasma and blood samples from septic patients. As a consequence of the C0t effect, abundant DNA hybridizes faster than rare DNA. Following denaturation and re-hybridization, the amount of abundant DNA can be decreased with the application of double strand specific nucleases, leaving the non-hybridized rare DNA intact. Our experiments show that human DNA concentration can be reduced approximately 100,000-fold without affecting the E. coli DNA concentration in a model system with similarly sized amplicons. With clinical samples, the human DNA background was decreased 100-fold, as bacterial genomes are approximately 1,000-fold smaller compared to the human genome. According to our results, background suppression can be a valuable tool to enrich rare DNA in clinical samples where a high amount of background DNA can be found.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Calibration
  • DNA / blood*
  • DNA / chemistry
  • Deoxyribonucleases / chemistry*
  • Escherichia coli / genetics*
  • Escherichia coli Infections / blood
  • Escherichia coli Infections / diagnosis*
  • Escherichia coli Infections / microbiology
  • Genes, Bacterial
  • Humans
  • Molecular Diagnostic Techniques / standards
  • Real-Time Polymerase Chain Reaction / standards
  • Reference Standards
  • Sensitivity and Specificity
  • Sepsis / blood
  • Sepsis / diagnosis*
  • Sepsis / microbiology
  • Systemic Inflammatory Response Syndrome / blood
  • Systemic Inflammatory Response Syndrome / diagnosis*
  • Systemic Inflammatory Response Syndrome / microbiology

Substances

  • DNA
  • Deoxyribonucleases

Grants and funding

This work was supported by the Swedish Research Council (Vetenskapsrådet, to PG): 2012–3291, and China Scholarship Council, to YS. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.