Clinical samples were amplified using eubacterial primers flanking the V3 region of the 16S rRNA gene: HDA-1 (5-ACTCCTACGGGAGGCAGCAGT-3 ) at position 339–357 (with a GC clamp located at the 5 end), and HDA-2 (5-GTATTACCGCGGCTGCTGGCA-3 ) at position 518–539, with an annealing temperature of C. PCR reactions were carried out in 50 reactions for 30 cycles using the profile: C, a gradient of annealing temperatures C at 45sec each, elongation C all for 45sec.
Preparation of the 8% polyacrylamide denaturing gradient and gel electrophoresis was done according to the manufacturers instructions for the D-Code Universal Detection System (Bio-Rad) with a 30–50% gradient of urea and formamide. The gel was run in Tris-acetate buffer and pre-heated to C. The gel was run at 130V for 2 hours or until the xylene cyanol dye front reached the lower end of the gel. DNA was visualized by UV irradiation following stain with ethidium bromide. Bands were excised and re-amplified, using the same primers and profile but without the GC clamp. This second PCR product was purified and sequenced with the HDA forward primer via dideoxy chain termination. Analysis of results was carried out using the GenBank nucleotide database and BLAST algorithm [39] (link).
Preparation of the 8% polyacrylamide denaturing gradient and gel electrophoresis was done according to the manufacturers instructions for the D-Code Universal Detection System (Bio-Rad) with a 30–50% gradient of urea and formamide. The gel was run in Tris-acetate buffer and pre-heated to C. The gel was run at 130V for 2 hours or until the xylene cyanol dye front reached the lower end of the gel. DNA was visualized by UV irradiation following stain with ethidium bromide. Bands were excised and re-amplified, using the same primers and profile but without the GC clamp. This second PCR product was purified and sequenced with the HDA forward primer via dideoxy chain termination. Analysis of results was carried out using the GenBank nucleotide database and BLAST algorithm [39] (link).