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Genotype cm as

Manufactured by Hain Lifescience
Sourced in Germany

The GenoType CM/AS is a molecular diagnostic lab instrument designed to perform nucleic acid amplification tests. It is capable of automated extraction, amplification, and detection of specific genetic targets. The core function of this product is to provide a standardized and efficient platform for molecular-based analysis and detection of target sequences.

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4 protocols using genotype cm as

1

Comprehensive Inventory of NTM Isolates

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The survey include the complete collection of 147 NTM strains, isolated from the same number of patients, from a total of 42,055 clinical specimens at the Laboratory of Clinical Mycobacteriology of Pisa University Hospital, Italy, during an 11-year study period from 1 January 2004 to 31 December 2014. In the case of multiple consecutive positive cultures from the same patient, only the first isolate was included in the present study. All strains were isolated by using the BACTEC MGIT960 liquid culture system (Becton Dickinson, USA) and were identified by molecular probes (InnoLipa [Innogenetics, Belgium] and/or Genotype CM/AS [Hain Lifescience, Germany]) and by a multiplex PCR designed to discriminate MAC organisms [10 (link)]. Patients’ clinical information, including gender, age and site of infection, was obtained from clinical records; distinction between community-versus hospital-acquired infections was not possible.
Research ethics approval was not necessary for retrospective studies in our Institution; informed consent was not required as the data were analyzed anonymously.
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2

Rapid Identification of Mycobacterial Infections

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The Capilia TB-Neo assay (an immunochromatographic test) was performed to all repeat-culture positive samples in accordance with the manufacturer’s instructions (TAUNS Laboratories, Inc., Shizuoka, Japan) to differentiate MTB complex from NTM infections. The Capilia TB-Neo detects MPT64 protein secreted by species of MTB complex. Isolates of MTB complex detected by Capilia TB-Neo were further subjected to a GenoType MTBC assay (Hain Lifescience, Nehren, Germany) for confirmation and identification to the species level. In order to identify species that were Capilia TB-Neo negative (NTM suspects), 2 additional genotyping methods: the GenoType CM/AS (Hain Lifescience) were performed according to the manufacturer’s instructions. GenoType CM can simultaneously detect and differentiate up to 27 clinically relevant NTM species from MTBC. GenoType AS can detect and differentiate an additional 19 NTM species.
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3

Mycobacterial Species Identification Protocol

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PCR was carried out in the GTQ Cycler 96 using the protocol in the user guide (Hain Lifescience, Nehren, Germany). Speciation was carried out using GenoType®CM/AS (Hain Lifescience, Nehren, Germany) protocol on TwinCubator (Hain Lifescience, Nehren, Germany). Species-specific probes are mounted to the DNA strips to determine complementary strands from amplified DNA samples [28 (link), 29 (link)]. Table 1 below shows that MAC and Mycobacterium abscessus complex (MABC) that could not be speciated by this technique were further speciated using GenoType® NTM-DR (Hain Lifescience, Nehren, Germany) protocol [30 (link)]. DNA amplicon that could not be identified to species level the same day of amplification were stored at– 200C. On the other hand, isolates that GenoType® CM/AS assay could not GenoType® to species level are stored at– 800C for sequencing of 16S rRNA gene.
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4

Identification of Mycobacterial Species

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Cultures were grown in both solid egg Loewenstein-Jensen medium and Middlebrook 7H9 broth in the automated bacteriological BACTEC 960 system. Species identification involved microbiology (cultures and biochemical tests) and molecular genetic (GenoType CM/AS, Hain Lifescience, Germany) methods according to manufacturers' manuals.
The primary differentiation of the isolated culture of acid-fast mycobacteria for its belonging to the M. tuberculosis complex or to NTM based on the growth intensity, colony morphology, smear microscopy stained by Ziehl-Neelsen, and also by immunochromatographic "BD MGIT TBc ID" (Becton, Dickinson, USA). Identification of the isolated NTM culture prior to the species was performed by GenoType CM/AS test system (HainLifescience, Germany) and biochemical tests (niacin, nitrate reductase, semi-quantitative catalase, urease, arylsulfatase, Tween-80 hydrolysis, determination of thermostable catalase and potassium telluride potency). The results of identification of the NTM species by microbiological and molecular-genetic methods coincided in 100% of cases. If it was impossible to determine the species of NTM within the avium-intracellulare complex by microbiological methods, only molecular-genetic data were used.
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