Propidium monoazide (PMA) or ethidium bromide monoazide (EMA) treatment has been used before nucleic acid detection methods, such as PCR, to distinguish between live and dead cells using membrane integrity as viability criterion. The performance of these DNA intercalating dyes was compared in many studies utilizing different microorganisms. These studies demonstrated that EMA and PMA differ in their abilities to identify nonviable cells from mixed cell populations, depending on the microorganism and the nature of the sample. Due to this heterogeneity, both dyes were used in the present study to specifically distinguish dead from live Candida albicans cells using viable quantitative PCR (qPCR). The viable qPCR was optimized, and the best results were obtained when pre-treating the cells for 10 min in the dark with 25 μM EMA followed by continuous photoactivation for 15 min. The suitability of this technique to distinguish clotrimazole- and fluconazole-treated C. albicans cells from untreated cells was then assessed. Furthermore, the antifungal properties of two commercial essential oils (Thymus vulgaris and Matricaria chamomilla) were evaluated. The viable qPCR method was determined to be a feasible technique for assessing the viability of C. albicans after drug treatment and may help to provide a rapid diagnostic and susceptibility testing method for fungal infections, especially for patients treated with antifungal therapies.

译文

在核酸检测方法(例如PCR)之前,已经使用单叠氮化丙锭(PMA)或溴化乙叠氮化单乙胺(EMA)处理,以膜完整性作为生存力标准来区分活细胞和死细胞。在许多利用不同微生物的研究中,对这些DNA嵌入染料的性能进行了比较。这些研究表明,EMA和PMA从混合细胞群体中鉴定出无活力细胞的能力有所不同,具体取决于微生物和样品的性质。由于这种异质性,在本研究中使用了两种染料,以使用可行的定量PCR(qPCR)特异性区分死者和活白色念珠菌细胞。优化了可行的qPCR,当在黑暗中用25μMEMA在黑暗中预处理细胞10分钟,然后连续光激活15分钟时,可获得最佳结果。然后评估了该技术从未处理的细胞中区分出克霉唑和氟康唑处理过的白色念珠菌细胞的适用性。此外,还评估了两种市售精油(百里香和母菊)的抗真菌性能。确定可行的qPCR方法是评估药物治疗后白色念珠菌生存力的可行技术,并且可能有助于为真菌感染(尤其是抗真菌治疗的患者)提供快速的诊断和药敏测试方法。

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