# Patent

## Title
Rapid identification of Nocardia farcinica

## Abstract

Provided are Nocardia farcinica-specific primers comprising the nucleotide sequence of SEQ ID NO:1-39. Provided is a polynucleotide represented by SEQ ID NO:41 and SEQ ID NO:40. Further provided is a method of identifying a Nocardia farcinica infection in a subject with the primer identified by SEQ ID NO:1-39, or detecting the presence of a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:40 or SEQ ID NO:41. Also provided is a method of identifying Nocardia farcinica infection in a subject by amplifying DNA from the subject using a Nocardia farcinica-specific primer comprising a nucleotide sequence selected from the group consisting of SEQ ID NO:1-39. Further provided is a kit for identifying Nocardia farcinica comprising a Nocardia farcinica-specific primer comprising SEQ ID: NO:1-39 and a kit for identifying Nocardia farcinica comprising a Nocardia farcinica specific primer capable of amplifying SEQ ID NO:41.

## Background
CROSS-REFERENCE TO RELATED APPLICATIONS
This application claims the benefit of U.S. Provisional Application No. 60/560,867, filed on Apr. 9, 2004. The aforementioned application is herein incorporated by reference in its entirety.


BACKGROUND
Members of the genus Nocardia, which are partially acid-fast, aerobic, branched gram-positive bacilli, are opportunistic pathogens commonly found in patients with acute or chronic, suppurative or granulomatous diseases (McNeil and Brown (1994) Clin. Microbiol. Rev. 7: 357-417). Of the greatest clinical importance within this genus is Nocardia farcinica, a member of the N. asteroides complex composed of Nocardia abscessus, Nocardia asteroides sensu stricto type VI (Nocardia cyriacigeorgica), Nocardia nova, and Nocardia farcinica (Wallace et al., (1988) Antimicrob. Agents Chemother. 32:1776-1779). Nocardia farcinica causes localized and disseminated infections, predominantly affecting immunocompromised patients. Differentiation of Nocardia farcinica from other members of N. asteroides complex is important because Nocardia farcinica has a high degree of resistance to various antibiotics, especially to the third-generation cephalosporins, which may make it difficult to treat (Wallace et al., (1988) Antimicrob. Agents Chemother. 32:1776-1779; Wallace et al., (1990) J. Clin. Microbiol 28:2726-2732) and because mouse pathogenicity studies have demonstrated that it may be more virulent than the other N. asteroides complex species (Desmond and Flores (1993) FEMS Microbiol. Lett. 110: 281-284).
Human and animal clinical infections with Nocardia farcinica may occur more frequently than previously recognized (Cohen et al., (2000) Eur. J. Clin. Microbiol. Infect. Dis. 19: 224-227; Manninen et al., (1993) Can. J. Microbiol. 39: 635-641; Torres et al., Eur. J. Clin. Microbiol Infect. Dis. 19: 205-212). Other reports from France, Germany, and the United States have implicated Nocardia farcinica as the cause of postoperative wound infections in patients undergoing cardiac and other vascular surgeries (Blumel et al., (1998) J. Clin. Microbiol. 36:118-122; Boiron et al., (1998) Med. Mycol. 36 Suppl 1: 26-37; Exmelin et al., J. Clin. Microbiol. 34: 1014-1016; Wenger et al., (1998) J. Infect. Dis. 178: 1539-1543). From 1987 through 1989, one of the largest known nocardial mastitis epizootics was reported in all 10 Canadian provinces (Manninen et al., (1993) Can. J. Microbiol. 39: 635-641). The causative agent of the outbreak was initially reported as Nocardia species, but later was presumptively identified as Nocardia farcinica (Manninen et al., (1993) Can. J. Microbiol. 39: 635-641). Further phenotypic and molecular testing at the Actinomycete Reference Laboratory confirmed the identification. It is important to rapidly identify the pathogen not only for antimicrobial therapeutic purposes, but also to establish the spectra of disease and to monitor and control the rate of infection.
Traditional biochemical identification of Nocardia farcinica is often laborious, difficult to replicate, and time-consuming; species identification usually requires up to 3 weeks. In addition, misidentification of Nocardia farcinica may occur because of the phenotypic similarity to species in the related genera, Gordonia, Rhodococcus, and rapidly growing Mycobacterium. Commercially available systems in combination with a few traditional tests have shortened the identification time of Nocardia species to 7 days; however, phenotypic identification to the species level within this genus remains problematic (Biehle et al. (1996) J. Clin. Microbiol. 34: 103-107; Kiska et al., (2002) J. Clin. Microbiol. 40:1346-1351; Muir and Pritchard (1997) J. Clin. Microbiol. 35: 3240-3233). For example, within the genus Nocardia are recently described species, Nocardia africana, Nocardia vaccinii, and Nocardia veterana, that share similar phenotypic (biochemical and susceptibility profiles) and molecular characteristics to N. nova (Conville et al., (2003) J. Clin. Microbiol. 41: 2560-2568). The use of molecular approaches such as PCR targeting portions of the hsp gene and the 16S rRNA gene coupled with restriction endonuclease digestion of PCR products has been the focus of recent investigations for the separation of mycobacteria from the nocardiae as well as for the recognition of species within the genera Mycobacterium and Nocardia (Conville et al., (2003) J. Clin. Microbiol. 41: 2560-2568; Conville et al., (2000) J. Clin. Microbiol. 38: 158-164; Laurent et al., (1999) J. Clin. Microbiol. 37: 99-102); Lungu et al., (1994) Diagn. Microbiol. Infect. Dis. 18: 13-18; Steingrube et al., (1995) J. Clin. Microbiol. 33: 3096-3101; Wilson et al., (1998) J. Clin. Microbiol. 36:148-152). Such methodology has proven to be sensitive, less time-consuming, and less labor-intensive than traditional biochemical methods. However, accurate identification may still be difficult because it relies upon analysis of a relatively few restriction fragments from a single gene, many of which co-migrate between different species. Recently, randomly amplified polymorphic DNA (RAPD) analysis has been described as an identification method for the Nocardia species (Isik and Goodfellow (2002) Syst. Appl. Microbiol. 25:60-67). RAPD analysis has also been described as a useful method for intraspecies discrimination in an epidemiological study of Nocardia farcinica (Exmelin et al., J. Clin. Microbiol. 34: 1014-1016). Exmelin et al. (Exmelin et al., J. Clin. Microbiol. 34: 1014-1016), using RAPD analysis for subtyping, incorporated a single short primer, DKU49, in a low stringency PCR to amplify genomic DNA. While relatively easy to perform, identification based on RAPD profiles suffers from the disadvantage of lacking reproducible profiles unless stringent reaction conditions are observed. For instance, profiles were determined to be dependent on reaction parameters such as annealing temperature, magnesium concentration, the type of thermal cycler, source of DNA polymerase, and both primer and template concentrations. In addition, except for a pronounced 409-bp band, variation of DKU49 profiles were observed among strains of Nocardia farcinica making identification based on RAPD profiles alone difficult (FIG. 1). No correlation between RAPD profiles and epidemiologic relatedness was observed.
To overcome the above disadvantages, compositions and methods to identify Nocardia farcinica are disclosed.
SUMMARY OF THE INVENTION
Provided herein are compositions and methods designed to identify Nocardia farcinica. Provided herein are Nocardia farcinica-specific primers. Further provided is a method of identifying a Nocardia farcinica infection in a subject, comprising contacting DNA from the subject with a Nocardia farcinica-specific primer. Further provided is a method of identifying a Nocardia farcinica infection in a subject, comprising detecting the presence of a Nocardia farcinica-specific polynucleotide. Further provided is a kit for identifying Nocardia farcinica comprising a Nocardia farcinica-specific primer.



BREIF DESCRIPTION OF THE DRAWINGS
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate several aspects described below.
FIG. 1 shows randomly amplified polymorphic DNA patterns of Nocardia farcinica and related species. Lanes 1-3, N. nova isolates, W6310, W6311, and ATCC 33726T, lanes 4-7, Nocardia farcinica isolates, ATCC 3318T, W6434, W6017, and W6255; lane 8, N. brasiliensis, ATCC 19296T; lane 9, Mycobacterium fortuitum, ATCC 6841 T; lane 10, N. transvalensis, ATCC 6865T; lane 11, N. brasiliensis, W6312; lane 12, N. asteroides, ATCC 19247T; lanes 13 and 14, N. abscessus, W6133 and W6335; and lane 15, N. asteroides sensu stricto type VI isolate, W6344. The molecular size standard consisting of a 100-bp DNA ladder is shown on the right margin. The 409-bp fragment for four strains of Nocardia farcinica (lanes 4 to 7) is shown on the left margin.
FIG. 2 shows the DNA sequence of the 314-bp fragment (SEQ ID NO:41) obtained for Nocardia farcinica isolates ATCC 3318T, W6021, W6032, W6954, and W6889. The PCR primers Nf1 (SEQ ID NO:1) and Nf2 (SEQ ID NO:2) are designated by arrows. The two CfoI sites are underlined.
FIG. 3 shows specific amplification of the 314-bp DNA fragment for 17 strains of Nocardia farcinica using primers Nf1 and Nf2. Lanes 1 and 19, the molecular size standard consisting of a 100-bp DNA ladder; lanes 2-17, Nocardia farcinica, ATCC 3318T, W5185, W5492, W5555, W5871, W5952, W6500, W6544, W6859, W6866, W6889, W6925, W6954, W6993, W7022, and W7028; and lane 18, negative control containing no template DNA.
FIG. 4 shows restriction endonuclease digestion of the 314-bp fragment using CfoI from four strains of Nocardia farcinica. Lane 1, the molecular size standard consisting of a 100-bp DNA ladder; lanes 2-5, Nocardia farcinica W6032, W6021, W6954, and W6889. The 218-bp and 78-bp CfoI restriction fragments are shown on the right margin.



DETAILED DESCRIPTION
Provided herein are methods and compositions for identifying Nocardia farcinica. 
As used in the specification and the appended claims, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “a pharmaceutical carrier” includes mixtures of two or more such carriers, and the like.
Throughout this application, various publications are referenced. The disclosures of these publications in their entireties are hereby incorporated by reference into this application in order to more fully describe the state of the art to which this pertains. The references disclosed are also individually and specifically incorporated by reference herein for the material contained in them that is discussed in the sentence in which the reference is relied upon.
Provided herein is a Nocardia farcinica-specific primer. For example, the disclosed primers are capable of hybridizing with the disclosed nucleic acids, such as the SEQ ID NO:40 or SEQ ID NO:41, or with a Nocardia farcinica-specific nucleic acid, such as a Nocardia farcinica-specific fragment of SEQ ID NO:40 or 41. A Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:1 and further provided is a Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:2. Also provided are Nocardia farcinica-specific primers comprising a nucleotide sequence selected from the group consisting of SEQ ID NOS:3-39. The nucleic acids in SEQ ID NOS:1-39 constitute a representative set of primers defined by SEQ ID NO:40.
In one aspect, the primer or fragment can exclude any one or more of the polynucleotides of SEQ ID NOS:1-48 and 52-54. In one aspect the primer is not a primer selected from the group consisting of SEQ ID NOS:22-26, 52, 53 and 54.
In certain embodiments the primers are used to support DNA amplification reactions. Typically the primers will be capable of being extended in a sequence specific manner. Extension of a primer in a sequence specific manner includes any methods wherein the sequence and/or composition of the nucleic acid molecule to which the primer is hybridized or otherwise associated directs or influences the composition or sequence of the product produced by the extension of the primer. Extension of the primer in a sequence specific manner therefore includes, but is not limited to, PCR, DNA sequencing, DNA extension, DNA polymerization, RNA transcription, or reverse transcription. Techniques and conditions that amplify the primer in a sequence specific manner are preferred. In certain embodiments the primers are used for the DNA amplification reactions, such as PCR or direct sequencing. It is understood that in certain embodiments the primers can also be extended using non-enzymatic techniques, where for example, the nucleotides or oligonucleotides used to extend the primer are modified such that they will chemically react to extend the primer in a sequence specific manner. Typically the disclosed primers hybridize with the disclosed nucleic acids or region of the nucleic acids or they hybridize with the complement of the nucleic acids or complement of a region of the nucleic acids.
The term hybridization typically means a sequence driven interaction between at least two nucleic acid molecules, such as a primer or a probe and a gene. A sequence driven interaction is an interaction that occurs between two nucleotides or nucleotide analogs or nucleotide derivatives in a nucleotide specific manner. For example, G interacting with C or A interacting with T are sequence driven interactions. Typically sequence driven interactions occur on the Watson-Crick face or Hoogsteen face of the nucleotide. The hybridization of two nucleic acids is affected by a number of conditions and parameters known to those of skill in the art. For example, the salt concentrations, pH, and temperature of the reaction all affect whether two nucleic acid molecules will hybridize.
Parameters for selective hybridization between two nucleic acid molecules are well known to those of skill in the art. For example, in some embodiments selective hybridization conditions can be defined as stringent hybridization conditions.
For example, when the nucleic acids are used as probes stringency of hybridization can be controlled by both temperature and salt concentration of either or both of the hybridization and washing steps. For example, the conditions of hybridization to achieve selective hybridization may involve hybridization in high ionic strength solution (6×SSC or 6×SSPE) at a temperature that is about 12-25° C. below the Tm (the melting temperature at which half of the molecules dissociate from their hybridization partners) followed by washing at a combination of temperature and salt concentration chosen so that the washing temperature is about 5° C. to 20° C. below the Tm. The temperature and salt conditions are readily determined empirically in preliminary experiments in which samples of reference DNA immobilized on filters are hybridized to a labeled nucleic acid of interest and then washed under conditions of different stringencies. Hybridization temperatures are typically higher for DNA-RNA and RNA-RNA hybridizations. The conditions can be used as described above to achieve stringency, or as is known in the art. (Sambrook et al., Molecular Cloning: A Laboratory Manual, 2nd Ed., Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1989; Kunkel et al. Methods Enzymol. 1987:154:367, 1987 which is herein incorporated by reference for material at least related to hybridization of nucleic acids). A preferable stringent hybridization condition for a DNA:DNA hybridization can be at about 68° C. (in aqueous solution) in 6×SSC or 6×SSPE followed by washing at 68° C. Stringency of hybridization and washing, if desired, can be reduced accordingly as the degree of complementarity desired is decreased, and further, depending upon the G-C or A-T richness of any area wherein variability is searched for. Likewise, stringency of hybridization and washing, if desired, can be increased accordingly as homology desired is increased, and further, depending upon the G-C or A-T richness of any area wherein high homology is desired, all as known in the art. In one aspect, probes include, but are not limited to SEQ ID NO:40 and SEQ ID NO:41. Also disclosed are any sub region of SEQ ID NOS:40 and 41 that are large enough to function as a probe.
Another way to define selective hybridization is by looking at the amount (percentage) of one of the nucleic acids bound to the other nucleic acid. For example, in some embodiments selective hybridization conditions would be when at least about, 60, 65, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 percent of the limiting nucleic acid is bound to the non-limiting nucleic acid. Typically, the non-limiting primer is present, for example, at 10- or 100- or 1000-fold excess. This type of assay can be performed under conditions where both the limiting and non-limiting primer are for example, 10-fold or 100-fold or 1000-fold below their kd, or where only one of the nucleic acid molecules is 10-fold or 100-fold or 1000-fold or where one or both nucleic acid molecules are above their kd.
Another way to define selective hybridization is by looking at the percentage of primer that gets enzymatically manipulated under conditions where hybridization is required to promote the desired enzymatic manipulation. For example, in some embodiments selective hybridization conditions would be when at least about, 60, 65, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 percent of the primer is enzymatically manipulated under conditions which promote the enzymatic manipulation, for example if the enzymatic manipulation is DNA extension, then selective hybridization conditions would exist when at least about 60, 65, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100 percent of the primer molecules are extended. Preferred conditions also include those suggested by the manufacturer or indicated in the art as being appropriate for the enzyme performing the manipulation.
It is understood that there are a variety of methods herein disclosed for determining the level of hybridization between two nucleic acid molecules. It is understood that these methods and conditions may provide different percentages of hybridization between two nucleic acid molecules, but unless otherwise indicated meeting the parameters of any of the methods would be sufficient. For example if 80% hybridization was required and as long as hybridization occurs within the required parameters in any one of these methods it is considered disclosed herein.
It is understood that those of skill in the art understand that if a composition or method meets any one of these criteria for determining hybridization either collectively or singly it is a composition or method that is disclosed herein.
As used herein, it is understood that Nocardia farcinica-specific means that a primer, probe, sequence, polypeptide, nucleic acid (polynucleotide) or other disclosed molecule is species-specific for Nocardia farcinica. Species-specific means that the polynucleotide or polypeptide is not found identically in any other species. For example, comparison with known or newly identified sequences can be performed using BLAST algorithm software. The BLAST algorithm can perform a statistical analysis of the similarity between two sequences (see, for example, Karlin and Altschul, Proc. Natl. Acad. Sci. USA 90:5873, 1993, which is incorporated herein by reference). In one aspect, a Nocardia farcinica-specific primer is a primer that allows for selective amplification of Nocardia farcinica species-specific polynucleotide under stringent PCR conditions, but does not amplify polynucleotides of other Nocardia species or of any other species. Such Nocardia farcinica species-specific polynucleotides include, but are not limited to, SEQ ID NOS:1-47. Non-limiting examples of Nocardia farcinica-specific primers include SEQ ID NOS:1-39.
Provided herein is a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:41. This is a 314 base pair nucleotide fragment that is Nocardia farcinica-specific. Also provided herein is a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:40. This is a 409 base pair nucleotide fragment that is Nocardia farcinica-specific.
A polynucleotide comprising naturally occurring nucleotides linked by phosphodiester bonds can be chemically synthesized or can be produced using recombinant DNA methods, using an appropriate polynucleotide as a template. In comparison, a polynucleotide comprising nucleotide analogs or covalent bonds other than phosphodiester bonds generally will be chemically synthesized, although an enzyme such as T7 polymerase can incorporate certain types of nucleotide analogs into a polynucleotide and, therefore, can be used to produce such a polynucleotide recombinantly from an appropriate template (Jellinek et al., Biochemistry 34:11363-11372 (1995)).
For example, the nucleic acids, such as, the oligonucleotides to be used as primers can be made using standard chemical synthesis methods or can be produced using enzymatic methods or any other known method. Such methods can range from standard enzymatic digestion followed by nucleotide fragment isolation (see for example, Sambrook et al., Molecular Cloning: A Laboratory Manual, 2nd Edition (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1989) Chapters 5, 6) to purely synthetic methods, for example, by the cyanoethyl phosphoramidite method using a Milligen or Beckman System 1Plus DNA synthesizer (for example, Model 8700 automated synthesizer of Milligen-Biosearch, Burlington, Mass. or ABI Model 380B). Synthetic methods useful for making oligonucleotides are also described by Ikuta et al., Ann. Rev. Biochem. 53:323-356 (1984), (phosphotriester and phosphite-triester methods), and Narang et al., Methods Enzymol., 65:610-620 (1980), (phosphotriester method). Protein nucleic acid molecules can be made using known methods such as those described by Nielsen et al., Bioconjug. Chem. 5:3-7 (1994).
Fragments of disclosed nucleotides are provided herein. A fragment of a reference nucleic acid contains only contiguous nucleotides of the reference nucleic acid and is at least one nucleotide shorter than the reference sequence. Similarly, a fragment of a reference protein or polypeptide includes only contiguous amino acids of the reference protein/polypeptide, and is at least one amino acid shorter than the reference sequence. A Nocardia farcinica-specific fragment of a nucleic acid or protein has a nucleotide or amino acid sequence found only in Nocardia farcinica. The term “fragment” or “restriction fragment” also is used herein to refer to a product that can be produced by an enzymatic reaction on a polynucleotide sequence, i.e., a nucleotide produced upon cleavage of a phosphodiester bond in the polynucleotide. Although the term “restriction fragment” is used generally herein to refer to a nucleotide that can be produced by a restriction enzyme reaction, it should be recognized that the fragment need not necessarily be produced by a restriction enzyme reaction, but also can be produced using methods of chemical synthesis to produce a synthetic nucleotide that is equivalent to a restriction fragment. It should be recognized that the terms “polynucleotide”, “nucleotide” or “fragment” are not used herein to suggest a particular size or number of nucleotides comprising the molecule, and that a nucleotide or fragment of the invention can contain up to several nucleic acids or more.
Provided herein is a Nocardia farcinica-specific fragment of the nucleic acid SEQ ID NO:41. Also provided is a Nocardia farcinica specific fragment of SEQ ID NO:41, wherein the fragment is a restriction fragment. In one aspect, the restriction fragment of SEQ ID NO:41 is made using Cfo I. Such a Cfo I restriction fragment may be selected from the group consisting of SEQ ID NOS:42-44. Another fragment provided herein is a Nocardia farcinica-specific fragment of the nucleic acid SEQ ID NO:40. Also provided herein is a Nocardia farcinica-specific fragment of SEQ ID NO:40, wherein the fragment is a restriction fragment. In one aspect, the restriction fragment of SEQ ID NO:40 is made using Cfo I. Such a Cfo I fragment may be selected from the group consisting of SEQ ID NO:43, 45-47. It would be clear to those skilled in the art that other restriction enzymes could be used to produce Nocardia farcinica-specific fragments of the disclosed nucleotide sequences. The provision for fragments and restriction fragments of the disclosed nucleotides is intended to encompass fragments made by other restriction enzymes which may be of varying lengths and nucleotide sequence.
Provided are peptides or polypeptides encoded by the disclosed nucleotide sequences. Provided are any of the peptides produced by the process of expressing any of the disclosed nucleic acids. Polypeptides can be encoded by the disclosed nucleotide sequences. For example, encoded polypeptides include SEQ ID NOS:49-51. The disclosed nucleotide sequences comprise at least three open reading frames, two of which have stop codons. Polypeptides encoded by each open reading frame are disclosed. An isolated Nocardia farcinica-specific polypeptide encoded by a Nocardia farcinica-specific nucleic acid is provided. The isolated polypeptide can be encoded by a nucleic acid selected from the group consisting of SEQ ID NOS:1-48, 52, 53 and 54.
In one aspect, the isolated polypeptide can exclude any one or more of the polypeptides encoded by SEQ ID NOS:1-48 and 52-54. Also provided are the isolated peptides, wherein the peptide does not include SEQ ID NOS:49-51. In one aspect, the isolated peptide is not encoded by SEQ ID NOS: 52-54.
Peptides or polypeptides encoded by the disclosed nucleotide sequences can be used for vaccines or to detect antibodies from a subject directed to the peptides or polypeptides.
The peptides or polypeptides of can be used in the construction of a vaccine comprising an immunogenic amount of the peptide or polypeptide and a pharmaceutically acceptable carrier. The vaccine can be a peptide of the present embodiments or a peptide bound to a carrier or a mixture of bound or unbound antigens. The vaccine can then be used in a method of preventing Nocardia farcinica infection in a subject. The term subject as used throughout the specification includes, but is not limited to, humans, nonhuman primates such as chimpanzees and other apes and monkey species; farm animals such as cattle, sheep, pigs, goats and horses; domestic mammals such as dogs and cats; laboratory animals including rodents such as mice, rats and guinea pigs, and the like. The term does not denote a particular age or sex. Thus, adult and newborn subjects, as well as fetuses, whether male or female, are intended to be covered.
Immunogenic amounts of the peptide can be determined using standard procedures. Briefly, various concentrations of a putative specific immunoreactive peptides or polypeptides are prepared, administered to an animal and the immunological response (e.g., the production of antibodies or cell-mediated response) of an animal to each concentration is determined.
The pharmaceutically acceptable carrier in the vaccine can comprise saline or other suitable carriers (Arnon, R. (Ed.) Synthetic Vaccines I:83-92, CRC Press, Inc., Boca Raton, Fla., 1987). By “pharmaceutically acceptable” is meant a material that is not biologically or otherwise undesirable, i.e., the material may be administered to a subject, along with the peptide, without causing any undesirable biological effects or interacting in a deleterious manner with any of the other components of the pharmaceutical composition in which it is contained. The carrier would naturally be selected to minimize any degradation of the active ingredient and to minimize any adverse side effects in the subject, as would be well known to one of skill in the art.
The vaccine may be administered orally, parenterally (e.g., intravenously), by intramuscular injection, by intraperitoneal injection, transdermally, extracorporeally, topically or the like, including topical intranasal administration or administration by inhalant. As used herein, “topical intranasal administration” means delivery of the compositions into the nose and nasal passages through one or both of the nares and can comprise delivery by a spraying mechanism or droplet mechanism, or through aerosolization of the nucleic acid or vector. Administration of the vaccine by inhalant can be through the nose or mouth via delivery by a spraying or droplet mechanism. Delivery can also be directly to any area of the respiratory system (e.g., lungs) via intubation. The exact amount of the vaccine required will vary from subject to subject, depending on the species, age, weight and general condition of the subject, the severity of the disorder being treated, the particular peptide, its mode of administration and the like. Thus, it is not possible to specify an exact amount for every peptide that may be included in the vaccine. However, an appropriate amount can be determined by one of ordinary skill in the art using only routine experimentation given the teachings herein.
Suitable carriers and their formulations are described in Remington: The Science and Practice of Pharmacy (19th ed.) ed. A. R. Gennaro, Mack Publishing Company, Easton, Pa. 1995. Typically, an appropriate amount of a pharmaceutically-acceptable salt is used in the formulation to render the formulation isotonic. Examples of the pharmaceutically-acceptable carrier include, but are not limited to, saline, Ringer's solution and dextrose solution. These most typically would be standard carriers for administration of drugs to humans or animals, including solutions such as sterile water, saline, and buffered solutions at physiological pH.
A vaccine may include carriers, thickeners, diluents, buffers, preservatives, surface active agents and the like in addition to the molecule of choice and may also include one or more active ingredients such as antimicrobial agents, anti-inflammatory agents, anesthetics, and the like. An adjuvant can also be a part of the carrier of the vaccine, in which case it can be selected by standard criteria based on the peptide used and the mode of administration and the subject (Arnon, R. (Ed.), 1987).
Preparations for parenteral administration may include sterile aqueous or non-aqueous solutions, suspensions, and emulsions. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable organic esters such as ethyl oleate. Aqueous carriers include water, alcoholic/aqueous solutions, emulsions or suspensions, including saline and buffered media. Parenteral vehicles include sodium chloride solution, Ringer's dextrose, dextrose and sodium chloride, lactated Ringer's, or fixed oils. Intravenous vehicles include fluid and nutrient replenishers, electrolyte replenishers (such as those based on Ringer's dextrose), and the like. Preservatives and other additives may also be present such as, for example, antimicrobials, anti-oxidants, chelating agents, and inert gases and the like.
Formulations for topical administration may include ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable.
Compositions for oral administration include powders or granules, suspensions or solutions in water or non-aqueous media, capsules, sachets, or tablets. Thickeners, flavorings, diluents, emulsifiers, dispersing aids or binders may be desirable.
Some of the peptides may potentially be administered as a pharmaceutically acceptable acid- or base-addition salt, formed by reaction with inorganic acids such as hydrochloric acid, hydrobromic acid, perchloric acid, nitric acid, thiocyanic acid, sulfuric acid, and phosphoric acid, and organic acids such as formic acid, acetic acid, propionic acid, glycolic acid, lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid, and fumaric acid, or by reaction with an inorganic base such as sodium hydroxide, ammonium hydroxide, potassium hydroxide, and organic bases such as mono-, di-, trialkyl and aryl amines and substituted ethanolamines.
Effective dosages and schedules for administering a vaccine may be determined empirically, and making such determinations is within the skill in the art. The dosage ranges for the administration of a vaccine are those large enough to produce the desired effect in which the symptoms disorder are effected or in which Nocardia farcinica infection is prevented. By “prevent” is meant to minimize the chance that a subject will develop a Nocardia farcinica infection. The dosage should not be so large as to cause adverse side effects, such as unwanted cross-reactions, anaphylactic reactions, and the like. Generally, the dosage will vary with the age, condition, sex and extent of the disease in the patient, route of administration, or whether other drugs are included in the regimen, and can be determined by one of skill in the art. The dosage can be adjusted by the individual physician or veterinarian in the event of any counterindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days.
If desired, a nucleic acid molecule of the invention can incorporate a detectable moiety. As used herein, the term “detectable moiety” is intended to mean any suitable label, including, but not limited to, enzymes, fluorophores, biotin, chromophores, radioisotopes, colored particles, electrochemical, chemical-modifying or chemiluminescent moieties. Examples include (i) enzymes which can catalyze color or light emitting (luminescence) reactions and (ii) fluorophores. The detection of the detectable moiety can be direct provided that the detectable moiety is itself detectable, such as, for example, in the case of fluorophores. Alternatively, the detection of the detectable moiety can be indirect. In the latter case, a second moiety reactable with the detectable moiety, itself being directly detectable is preferably employed. The detectable moiety may be inherent to a molecular probe. Common fluorescent moieties include: fluorescein, cyanine dyes, coumarins, phycoerythrin, phycobiliproteins, dansyl chloride, Texas Red, and lanthanide complexes.
The disclosed nucleotide sequences can be used as probes. By “probe,” is meant a single-stranded DNA or RNA molecule of defined sequence that can base-pair to a second DNA or RNA molecule that contains a complementary sequence (the “target”). The stability of the resulting hybrid depends upon the extent of the base-pairing that occurs. The extent of base-pairing is affected by parameters such as the degree of complementarity between the probe and target molecules and the degree of stringency of the hybridization conditions. The degree of hybridization stringency is affected by parameters such as temperature, salt concentration, and the concentration of organic molecules such as formamide, and is determined by methods known to one skilled in the art. Probes specific for a given nucleic acid (for example, genes and/or mRNAs) have at least 80%-90% sequence complementarity, preferably at least 91%-95% sequence complementarity, more preferably at least 96%-99% sequence complementarity, and most preferably 100% sequence complementarity to the region of the nucleic acid to which they hybridize. Probes may be detectably-labeled, either radioactively, or non-radioactively, by methods well-known to those skilled in the art.
A detectably labeled nucleic acid molecule, probe, primer or nucleic acid fragment as disclosed herein can be used in hybridization assays, such as Southern or northern blots, screening genomic or cDNA libraries, solution hybridization, ELISA, PCR-ELISA, and in situ hybridization to cell or tissue samples. Probes, primers, and oligonucleotides are also used for methods involving nucleic acid hybridization, such as: nucleic acid sequencing, reverse transcription and/or nucleic acid amplification by the polymerase chain reaction, single stranded conformational polymorphism (SSCP) analysis, restriction fragment polymorphism (RFLP) analysis and electrophoretic mobility shift assay (EMSA). The disclosed nucleic acids or proteins can be placed on a chip or a micro array.
Provided herein are methods of identifying a Nocardia farcinica infection in a subject. In one aspect a method of identifying a Nocardia farcinica infection in a subject, comprising contacting DNA from the subject with the primer comprising the nucleotide sequence of SEQ ID NO:1 is provided. Also provided is a method of identifying a Nocardia farcinica infection in a subject, comprising contacting DNA from the subject with the primer comprising the nucleotide sequence of SEQ ID NO:2. Further provided is a method of identifying a Nocardia farcinica infection in a subject, comprising contacting DNA from the subject with a primer comprising a nucleotide sequence selected from the group consisting of SEQ ID NOS:3-39. The contacted DNA can be isolated from a subject or it can be contacted in situ.
Provided herein is a method of identifying a Nocardia farcinica infection in a subject, comprising detecting the presence of a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:40, the presence of SEQ ID NO:40 being associated with Nocardia farcinica infection. Also provided herein is the method of identifying a Nocardia farcinica infection in a subject, comprising detecting the presence of a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:40, the presence of SEQ ID NO:40 being associated with Nocardia farcinica infection, wherein the detection is by amplification using a Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:48.
Further provided is a method of identifying a Nocardia farcinica infection in a subject, comprising detecting the presence of a polynucleotide consisting of the nucleotide sequence represented by SEQ ID NO:41. For example, methods are provided wherein the detection is by amplification using a Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:1, or wherein the detection is by amplification using a Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:2. Further provided is a method of identifying Nocardia farcinica infection in a subject by amplifying DNA from the subject using a Nocardia farcinica-specific primer comprising a nucleotide sequence selected from the group consisting of SEQ ID NOS:1-39, and detecting the presence of an amplification product, the presence of an amplification being associated with the presence of infection.
The disclosed methods of identifying a Nocardia farcinica infection may utilize PCR technologies. The technology of PCR permits amplification and subsequent detection of minute quantities of a target nucleic acid. Details of PCR are well described in the art, including, for example, U.S. Pat. No. 4,683,195 to Mullis et al., U.S. Pat. No. 4,683,202 to Mullis and U.S. Pat. No. 4,965,188 to Mullis et al., which are hereby incorporated by reference for their teaching of PCR methods. Generally, oligonucleotide primers are annealed to the denatured strands of a target nucleic acid, and primer extension products are formed by the polymerization of deoxynucleoside triphosphates by a polymerase. A typical PCR method involves repetitive cycles of template nucleic acid denaturation, primer annealing and extension of the annealed primers by the action of a thermostable polymerase. The process results in exponential amplification of the target nucleic acid, and thus allows the detection of targets existing in very low concentrations in a sample. PCR is widely used in a variety of applications, including biotechnological research, clinical diagnostics and forensics.
In the disclosed methods, the provided Nocardia farcinica specific primers may be used as the primers in a PCR protocol. Primers are typically used in pairs. Thus, by way of non-limiting example, SEQ ID NO:1 and SEQ ID NO:2 could be used together to amplify a region of Nocardia farcinica specific DNA using a PCR protocol. Such amplification would indicate the presence of, or infection by, Nocardia farcinica. Other disclosed primers could be combined into primer pairs and used to detect the presence of Nocardia farcinica infection in a subject. These combinations could detect the presence of SEQ ID NO:40, SEQ ID NO:41, or other Nocardia farcinica specific sequences internal to SEQ ID NO:40 or SEQ ID NO:41. The determination of effective combinations, given the disclosed primers represented by SEQ ID NOS:1-39, is routine to one skilled in the art. Appropriate primer pair combinations include any primer pair capable amplifying the disclosed Nocardia farcinica specific sequences or any fragment of these sequences. Examples of primer pairs are shown in example two. All appropriate combinations are hereby disclosed and provided.
In one aspect, the PCR assay is performed under high stringency conditions. High stringency conditions means conditions that allow specific amplification of Nocardia farcinica DNA. For example, high stringency PCR conditions could include a PCR cycle comprising 60 seconds at 94° C., 60 seconds at 55° C. and 60 seconds at 72° C. Other high stringency PCR conditions that would allow only specific amplification of Nocardia farcinica DNA could be readily determined by one skilled in the art. Such additional reaction conditions are disclosed herein.
As will be appreciated, numerous variations may be made to optimize the PCR amplification for any particular reaction. Other suitable target amplification methods include the ligase chain reaction (LCR; e.g., Wu, D. Y. and Wallace, R. B., Genomics 4 (1989) 560-9; Landegren, U., et al., Science 241 (1988) 1077-80; Barany, F., Proc Natl Acad Sci USA 88 (1991) 189-93; and Barringer, K. J., et al., Gene 89 (1990) 117-22); strand displacement amplification (SDA; e.g., Walker, G. T., et al., Proc Natl Acad Sci USA 89 (1992) 392-6); transcription amplification (e.g., Kwoh, D. Y., et al., Proc Natl Acad Sci USA 86 (1989) 1173-7); self-sustained sequence replication (3SR; e.g., Fahy, E., et al., PCR Methods Appl 1 (1991) 25-33; Guatelli, J. C., et al., Proc Natl Acad Sci USA 87 (1990) 1874-8); the nucleic acid sequence based amplification (NASBA, Cangene, Mississauga, Ontario; e.g., Compton, J., Nature 350 (1991) 91-2); the transcription-based amplification System (TAS); and the self-sustained sequence replication System (SSR).
One useful variant of PCR is PCR ELISA (e.g., Boehringer Mannheim Cat. No. 1636 111) in which digoxigenin-dUTP is incorporated into the PCR product. The PCR reaction mixture is denatured and hybridized with a biotin-labeled oligonucleotide designed to anneal to an internal sequence of the PCR product. The hybridization products are immobilized on streptavidin coated plates and detected using anti-digoxigenin antibodies. Examples of techniques sufficient to direct persons of skill through in vitro amplification methods are found in PCR Technology: Principles and Applications for DNA Amplification (1992), Eds. H. Erlich, Freemann Press, New York; PCR protocols: A guide to Methods and Applications (1990), Eds. Innis, Gelfand, Snisky and White, Academic Press, San Diego. By non limiting example, PCR ELISA has been described as a method for the identification of Campylobacter jejuni and Camplobacter coli (Sails et al., (2001) Mol. Cellular Probes 15:291-300, which is incorporated herein by reference for the methods taught therein), Leishmania infantum (Martin-Sanchez et al., (2001) Parisitology 122(6):607-15, which is incorporated herein by reference for the methods taught therein), Listeria monocytogenes (Scheu et al., (1999) Lett Appl Microbiol 29(6):416-20, which is incorporated herein by reference for the methods taught therein) and Salmonella (1999) Asian Pac J Allergy Immunol 17(1):41-51, which is incorporated herein by reference for the methods taught therein).
Amplified products may be directly analyzed, e.g., by size as determined by gel electrophoresis; by hybridization to a target nucleic acid immobilized on a solid support such as a bead, membrane, slide, or chip; by sequencing; immunologically, e.g., by PCR-ELISA, by detection of a fluorescent, phosphorescent, or radioactive signal; or by any of a variety of other well-known means. An illustrative example of a detection method uses PCR primers augmented with hairpin loops linked to fluorescein and a benzoic acid derivative that serves as a quencher, such that fluorescence is emitted only when the primers unfold to bind their targets and replication occurs.
In addition, methods known to increase the signal produced by amplification of the target sequence may be used. Methods for augmenting the ability to detect the amplified target include signal amplification system such as: branched DNA signal amplification (e.g., U.S. Pat. No. 5,124,246; Urdea, M. S., Biotechnology (N Y) 12 (1994) 926-8); tyramide signal amplification (TSA) System (DuPont); catalytic signal amplification (CSA; Dako); Q Beta Replicase Systems (Tyagi, S., et al., Proc Natl Acad Sci USA 93 (1996) 5395-400).
One of skill in the art will appreciate that whatever amplification method is used, a variety of quantitative methods known in the art can be used if quantitation is desired. Detailed protocols for quantitative PCR may be found in PCR protocols: A guide to Methods and Applications (1990), Eds. Innis, Gelfand, Snisky and White, Academic Press, San Diego and Ausubet et al., supra (Unit 15) and Diaco, R., Practical Considerations for the Design of Quantitative PCR Assays in “PCR STRATEGIES” (1995) 84-108, Eds. I. e. al., Academic Press, New York; U.S. Pat. No. 5,629,154.
Disclosed herein are kits that are drawn to reagents that can be used in practicing the methods disclosed herein. Provided herein is a kit for identifying Nocardia farcinica comprising a Nocardia farcinica-specific primer. An example of such a kit is a kit containing a primer comprising the nucleotide sequence of SEQ ID NO:1. Also provided is a kit comprising a Nocardia farcinica-specific primer comprising the nucleotide sequence of SEQ ID NO:2. Further provided is a kit comprising a Nocardia farcinica-specific primer comprising a nucleotide sequence selected from the group consisting of SEQ ID NOS:3-39. Also provided is a kit comprising a Nocardia farcinica specific primer comprising a nucleotide sequence capable of amplifying SEQ ID NO:41. The kits can include any reagent or combination of reagent discussed herein or that would be understood to be required or beneficial in the practice of the disclosed methods. For example, the kits could include primers to perform the amplification reactions discussed in certain aspects of the methods, as well as the buffers and enzymes required to use the primers as intended.
EXAMPLES
The following examples are put forth so as to provide those of ordinary skill in the art with a complete disclosure and description of how the compositions and/or methods claimed herein are made evaluated, and used, and are intended to be purely exemplary of the invention and are not intended to limit the scope of what the inventors regard as their invention. Efforts have been made to ensure accuracy with respect to numbers (e.g., amounts, temperature, etc.), but some errors and deviations should be accounted for.
Nocardia farcinica-specific primers were designed for the rapid and specific identification of clinical and environmental isolates of Nocardia farcinica using a species-specific PCR assay. A simple and rapid PCR assay to rapidly and specifically identify Nocardia farcinica clinical isolates offers an alternative to the currently used physiologic methods and may allow earlier initiation of effective therapy, thus improving patient outcome. A PCR assay to identify Nocardia farcinica has significant advantages beyond both phenotypic and other molecular methods for the identification of clinical or environmental isolates. First, a significant reduction in time is required to make an identification. Once DNA was obtained the assay can be completed in 1 day in contrast to 1 week for commercially available biochemical identification (Biehle et al. (1996) J. Clin. Microbiol. 34: 103-107; Kiska et al., (2002) J. Clin. Microbiol. 40:1346-1351; Muir and Pritchard (1997) J. Clin. Microbiol. 35: 3240-3233) and 3 weeks for conventional biochemical identification (Berd (1973) Appl. Microbiol. 25: 665-681). Early identification is important for patient management. Nocardia farcinica has been shown to display a high degree of resistance to several antibiotics and requires prompt treatment with appropriate antimicrobial agents (Wallace et al., (1988) Antimicrob. Agents Chemother. 32:1776-1779; Wallace et al., (1990) J. Clin. Microbiol 28:2726-2732). Second, the RAPD-Ready-to-Go beads make PCR assays easier to prepare and more reproducible due to the reduction in pipeting errors and potential cross-contamination of reagents as well as helping to standardize reaction conditions. Third, the PCR assay using the Nf1/Nf2 primer set is performed at high stringency (55° C.) allowing only the specific amplification of Nocardia farcinica DNA. Other advantages include the requirement for relatively inexpensive equipment for analysis of template DNA. The PCR assay is easy to perform, the results are easy to interpret, and PCR is more sensitive than Southern blot methods. This PCR assay simplifies identification of this emerging bacterial pathogen and provides a useful tool in epidemiologic investigations and/or outbreaks (Manninen et al., (1993) Can. J. Microbiol. 39:635-641; Wenger et al., (1998) J. Infect. Dis. 178:1539-1543).
Example 1
Bacterial strains. A list of the type, reference, and clinical strains used in this study are shown in Table 1.







TABLE 1





Microorganisms used in this study















Deitzia maris ATCC 35013T


Gordonia aichiensis ATCC 33611T


Gordonia bronchialis ATCC 25592T


Gordonia rubropertincta ATCC 14352T


Gordonia sputi ATCC 29627T


Gordonia terrae ATCC 25594T


Gordonia/Rhodococcus complex clinical isolates (Isik and Goodfellow


(2002) Syst. Appl. Microbiol. 25: 60-67)


Mycobacterium fortuitum ATCC 6841T and 1 clinical isolate


Mycobacterium peregrinum ATCC 14467T and 1 clinical isolate


Nocardia abscessus clinical isolates (Blumel et al., (1998) J. Clin.


Microbiol. 36: 118-122)


Nocardia asteroides ATCC 19247T


Nocardia asteroides sensu stricto clinical isolate (Berd (1973) Appl.


Microbiol. 25: 665-681)


Nocardia asteroides sensu stricto type VI clinical isolates (Desmond


and Flores (1993) FEMS Microbiol. Lett. 110: 281-284)


Nocardia brasiliensis ATCC 19296T and 6 clinical isolates


Nocardia brevicatena ATCC 15727, ATCC 15333, and 3 clinical isolates


Nocardia farcinica ATCC 3318T and 23 clinical isolates


Nocardia nova ATCC 33726T, ATCC 33727, and 22 clinical isolates


Nocardia otitidiscaviarum ATCC 14629T and 4 clinical isolates


Nocardia transvalensis ATCC 49872 and ATCC 49873


Rhodococcus coprophilus ATCC 29080T


Rhodococcus equi ATCC 6939T and 4 clinical isolates


Rhodococcus erythropolis ATCC 4277T


Rhodococcus fascians ATCC 12974T


Rhodococcus globerulus ATCC 14898T


Rhodococcus marinonascens ATCC 35653T


Rhodococcus opacus ATCC 51882


Rhodococcus percolatus ATCC 6348T


Rhodococcus rhodnii ATCC 35071T


Rhodococcus rhodochrous ATCC 13808T


Rhodococcus wratislaviensis ATCC 51786T


Tsukamurella inchonensis ATCC 700082T


Tsukamurella paurometabola ATCC 8368T


Tsukamurella pulmonis ATCC 700081T


Tsukamurella tyrosinosolvens DSM 44-234T





ATCC, American Type Culture Collection (Manassas, Va.).


DSM, Deutsche Sammlung von Mikroorganismen Zellkulturen (Braunschweig, Germany).






Thirty-three type and reference strains were obtained from the American Type Culture Collection (ATCC), Manassas, Va. and the type strain Tsukamurella tyrosinosolvens DSM 44-234 was obtained from Deutsche Sammlung von Mikroorganismen Zellkulturen (DSM) (Braunschweig, Germany). The PCR assay primers were derived from the type strain, Nocardia farcinica ATCC 3318. The clinical and geographic sources and the patient's underlying conditions of the 26 clinical isolates of Nocardia farcinica are given in Table 2.








TABLE 2







Nocardia farcinica isolates used in this study











Clinical
Geographic
Underlying


Strain number
source
source
condition





W5185
BAL
Georgia
Pneumonia


W5218
Foot
Not known
Mycetoma


(ATCC 3318T)
wound


W5492
Sternal
Montana
Nosocomial



wound

infection


W5555
Wound
Montana
Cancer


W5871
BAL
France
AIDS


W5952
Cutaneous
Montana
Not known


W6017
Lung
Canada
Pneumonia



biopsy


W6021
Finger
Georgia
Renal transplant



wounda


W6032
Body
Georgia
Renal transplant



fluida


W6255
Not given
New Jersey
Not known


W6434
Not given
Not known
Not known


(ATCC 23826)


W6500
Post-
Ohio
Not known



operative



infection


W6544
Eye
New Jersey
Not known


W6555
Not given
India
Not known


W6859
Not given
Minnesota
Not known


W6866
Sputum
Canada
Pneumonia


W6889
Chest wall
North
Cardiac surgery




Carolina


W6925
Lung biopsy
Delaware
Cancer


W6954
Bronchial
Virginia
Not known



washing


W6993
Post-
Israel
CABG



operative



wound


W7015
Foot
New York
Not known



wound


W7022
Bronchial
Alabama
Not known



washing


W7028
Blood
Ohio
Acute abdomen


W7105
Brain
Pennsylvania
Not known


W7119
Sinus
Alabama
Not known


W7126
Wound
South
Not known




Carolina


W7130
Bronchial
New York
Not known



washing


W7131
Blood
New York
Pulmonary fibrosis,





diabetes, and





malnutrition





BAL, bronchial alveolar lavage;


CABG, coronary artery bypass graft.


aIsolates from the same patient with different ribotype patterns,






The 66 Nocardia species and non-Nocardia isolates were obtained from the culture collection maintained by the Actinomycete Reference Laboratory, Meningitis and Special Pathogens Branch at the Centers for Disease Control and Prevention (Table 1). All isolates were identified by conventional physiologic and biochemical methods and susceptibility patterns, as previously described (Berd (1973) Appl. Microbiol. 25: 665-681; McNeil and Brown (2002) Nocardia pp. 481-500; Wallace et al., (1988) Antimicrob. Agents Chemother. 32:1776-1779; Wallace et al., (1990) J. Clin. Microbiol 28:2726-2732).

DNA preparation. Single colonies, were inoculated onto Lowenstein-Jensen slants (Remel, Lenexa, Kans.), checked for purity on heart infusion agar with 5% rabbit blood (BBL, Microbiology Systems, Cockeysville, Md.), and incubated at 35° C., generally for at least 16 h. The growth was harvested and suspended in 1.5 ml 10 mM Tris-1 mM EDTA (pH 8.0) and adjusted to a turbidity of a McFarland 4 standard. Then, 0.15 mm silica beads were added to 0.5 ml of the resultant stationary-phase culture. Samples were then submerged in boiling water bath for 15 min, followed by an immediate cell disruption in the Mini-beadbeater for 5 min. Bacterial lysates were clarified by three successive centrifugations at 15,000 rpm for 5 min. Template DNA was stored frozen at −20° C.

RAPD analysis of amplicons. Each RAPD reaction mixture contained 1 μl of template DNA, 2.0 μM primer, DKU49 (5′-CCGCCGACCGAG-3′) (SEQ ID NO:48), one Ready-To-Go RAPD Analysis bead (Amersham Pharmacia Biotech, Piscataway, N.J.), and 21.5 μl distilled water. RAPD reaction conditions were previously described by Exmelin et al. (10, which is incorporated herein for its teaching of the RAPD method) except an Applied Biosystems (Foster City, Calif.) Gene Amp PCR System 9700 thermal cycler was used. Following amplification, a 15 μl sample was electrophoresed through a 2.5% agarose gel (1.5% of NuSieve [FMC Bioproducts, Rockland, Me.] and 1% of Agarose [Life Technologies, Grand Island, N.Y.]). Gels were stained with ethidium bromide (0.5 μg/ml), and then photographed. An intense 409-bp band was observed in the lane for Nocardia farcinica ATCC 3318T. The 409-bp band was excised with a razor and DNA from the excised fragment was purified using the buffers and the protocol included in the Qiagen Gel Extraction Kit (Qiagen, Chatsworth, Calif.).

DNA sequencing. The purified 409-bp RAPD fragment (SEQ ID NO:40) was cloned into the multiple cloning site of plasmid pCR-2.1 and then used to transform Escherichia coli strain TOP10F using the reagents and protocols supplied by the manufacturer for the Original TA Cloning Kit (Invitrogen Corp., San Diego, Calif.). Plasmid DNA containing the RAPD fragment was purified by using the protocol and reagents supplied with the Plasmid Midi Protocol (Qiagen). Using primers M13 Reverse and T7 promoter (Invitrogen), both strands of the fragment were sequenced from three independent clones in their entirety using the ABI PRISM BigDye Terminator Cycle Sequencing Ready Reaction Kit (Perkin-Elmer, Applied Biosystems, Foster City, Calif.) with the manufacturer's reagents and recommendations for cycle sequencing. Centrisep columns (Princeton Separations, Adelphia, N.J.) were used to remove unincorporated dye-labeled and unlabeled nucleotides. Sequencing reactions were resolved and analyzed using an ABI PRISM 310 Genetic Analyzer (Applied Biosystems). Sequencher version 4.05 software (Gene Codes Corp., Ann Harbor, Mich.) was used to edit and align the sequence data.

Nocardia farcinica-specific PCR. Based on the nucleotide sequence of the 409-base-pair DNA fragment, species-specific PCR primer pairs, Nf1 (5′-CCGCAGACCACGCAAC) (SEQ ID NO:1) and Nf2 (5′-ACGAGGTGACGGCTGC) (SEQ ID NO:2) were designed using the OLIGO 4.0 program (National Biosciences, Plymouth, Minn.). A 314-bp fragment was expected following PCR amplification of Nocardia farcinica DNA with primer Nf1 and Nf2. PCR reactions consisted of 10 mM Tris-HCl, pH 8.3, 50 mM KCl, 1.5 mM MgCl2, 0.2 μM of primers Nf1 and Nf2, and 1 to 5 μl of genomic DNA, 0.2 mM for each deoxynucleotide triphosphate (dATP, dCTP, dGTP, and dTTP), and 2.5 units of Taq DNA polymerase in a volume of 50 μl. PCR was performed in a Gene Amp PCR System 9700 thermal cycler. Each cycle was comprised of 60 s at 94° C., 60 s at 55° C., and 60 s at 72° C. Following amplification, a 15 μl sample was separated and electrophoresed on 1.5% agarose gels, stained with ethidium bromide (0.5 μg/ml), and then photographed. Following amplification, a 15 μl sample was separated by electrophoresis on 1.5% agarose gels, stained with ethidium bromide (0.5 μg/ml), and then photographed.

Specificity of PCR assays. Specificity of the PCR reactions was confirmed by two methods. Amplicons obtained following PCR with the primer pairs Nf1 and Nf2 were purified using reagents and methods supplied with the QIAquick PCR Purification Kit (Qiagen, Valencia, Calif.). Purified PCR amplicons were digested with restriction endonuclease (CfoI) (Roche Molecular Biochemicals, Indianapolis, Ind.) at 37° C. in the buffer recommended by the manufacturer and the digestion was resolved through a 2.5% NuSieve agarose gel. Two CfoI fragments of 218, and 78 bp were expected to be observed on ethidium bromide stained gels but not the 18 bp fragment located between CfoI sites. The specificity of the 314-bp fragment was also confirmed by direct sequencing in both directions of 100 ng of PCR amplified template using Nf1 and Nf2 as sequencing primers for Nocardia farcinica strains W6954, W6021, W6032, W6889, and ATCC 3318T using the ABIPRISM BigDye Terminator Cycle Sequencing Ready Reaction Kit (Perkin-Elmer).

RESULTS
RAPD profiles.
RAPD profiles generated by using primer DKU49 were previously found to be useful for typing isolates of Nocardia farcinica obtained from a nosocomial outbreak in heart transplant recipients (Exmelin et al., J. Clin. Microbiol. 34: 1014-1016). Our initial comparison of RAPD profiles generated by primer DKU49 of Nocardia farcinica isolates, other Nocardia species, and related species of aerobic actinomycetes indicated its potential utility for identification of Nocardia farcinica isolates (Lentnek et al., 37th ICAAC, abstr. D-75). Representative RAPD profiles of N. nova, Nocardia farcinica, N. brasiliensis, N. transvalensis, N. asteroides, N. asteroides sensu stricto drug patterns 1 (N. abscessus) and 6 (N. cyriacigeorgica), and Mycobacterium fortuitum generated with primer DKU49 are shown in FIG. 1. RAPD profiles for four isolates of Nocardia farcinica showed 9 to 14 bands ranging in size from 200 bp (FIG. 1, lane 7) to >2 kb (FIG. 1, lane 6). While several bands between strains were polymorphic, an intense fragment of approximately 409 bp for all four Nocardia farcinica isolates (FIG. 1, lanes 4-7) was observed. Although the 409-bp band appeared species-specific for Nocardia farcinica, bands approximately this size were observed also for closely related species such as M fortuitum (FIG. 1, lane 9) and N. asteroides (FIG. 1, lane 12). Therefore, the 409-bp fragment of Nocardia farcinica was excised from an agarose gel and purified.
Cloning and nucleotide sequence of the 409-bp RAPD fragment. To further characterize the 409-bp fragment amplified by DKU49 under low stringency conditions, the purified fragment was subcloned into pCR-2.1. Three independent subclones were sequenced in both directions. The DNA sequence of the subclones were identical suggesting the 409-bp fragment was composed of a single homologous DNA element. Whether the 409-bp fragment was unique to Nocardia farcinica or found in other species of bacteria was determined next. Using BLASTN the 409-bp sequence was found not to have any significant homology to any genes or sequences available in the GenBank data base.

PCR assay design and confirmation. Obtaining reproducible RAPD profiles and the changes in the intensities of observed bands hampers widespread use of this method for clinical identification. RAPD analysis requires adherence to rigorous reaction conditions. Variability of RAPD profiles due to annealing of short primers at low stringency conditions leads to mismatch hybridization to the non-perfectly complementary target sequences (Ellsworth et al., (1993) BioTechniques 14:214-217) and demonstrates the need for a more specific PCR-based test. To achieve a more specific and reproducible PCR-based assay for Nocardia farcinica, primers complementary to the 409-bp target sequence were designed. The nucleotide sequences for primers Nf1 and Nf2 are shown in FIG. 2 (SEQ ID NOS:1 and 2). Following amplification of purified Nocardia farcinica genomic DNA at 55° C., a PCR fragment of 314 bp is expected but not from DNA obtained from other bacterial species. FIG. 3 shows a typical agarose gel of the amplification products obtained for 16 Nocardia farcinica clinical isolates amplified using Nf1 and Nf2 primer set; a 314-bp band was observed for all 24 isolates of Nocardia farcinica examined (Table 2). To verify that amplification of Nocardia farcinica with the Nf1/Nf2 primer set amplifies only the expected 314-bp DNA sequence, the 314-bp fragment was digested with the restriction endonuclease CfoI, which contains two CfoI restriction endonuclease sites (FIG. 2) After digestion, three restriction endonuclease fragments of 218, 78 and 18 bp are expected (See SEQ ID NOS:42, 44, 43). A typical pattern of CfoI restriction fragments is shown in FIG. 4 and, except that the 18-bp fragment was not visualized, corresponds to the predicted molecular sizes demonstrating suggesting the specific amplification of Nocardia farcinica 314-bp DNA fragment.

To further elucidate the specificity of the PCR product using the Nf1/Nf2 primer set, the nucleotide sequence for the 314-bp product obtained from five different isolates of Nocardia farcinica was determined. The DNA nucleotide sequences of the 314-bp DNA fragment was identical for all five strains and identical to the appropriate region of the 409-bp RAPD fragment. The nucleotide sequence of the 314-bp fragment is shown in FIG. 2 (SEQ ID NO:41). BLAST searches identified no significant homology of the 314-bp fragment to any sequence deposited in the GenBank database. Analysis of the 314-bp fragment by CfoI digestion and nucleotide sequence analysis demonstrated suggests specific amplification of the Nocardia farcinica target sequence.
Specificity of the PCR assay. To determine the specificity of the PCR assay using the Nf1/Nf2 primer set, genomic DNAs from a total of 56 nocardial species isolates and 41 other bacterial species isolates phylogeneticaly related to the genus Nocardia were tested. The isolates analyzed are listed in Table 1. Whereas a 314-bp band was observed for all 24 isolates of Nocardia farcinica, no amplification products were observed for the other bacterial species suggesting the PCR assay is specific for Nocardia farcinica DNA.
Example 2
Disclosed are 122 primer pairs capable of amplifying portions of SEQ ID NO:40 and 41. These 122 primer pairs are intended to be purely exemplary and are not intended to limit the scope of what the inventors regard as their invention. One of skill in the art could readily identify additional primer pairs that would amplify portions of SEQ ID NO:40 and 41, and these additional primers are considered to be disclosed herein.
Each primer pair is numbered 1-122 in the list below. The nucleotide sequence of the forward primer is shown first, followed by the reverse member of the primer pair. Following the reverse primer pair is a set of five numbers, each on a different line of text. The first number is a quality score, the second number is the expected length of the PCR product using the primer pair, the third number is the calculated difference in Tm (between 0 to 5 C), the fourth number is the position of the forward primer relative to nucleotide 1 of SEQ ID NO:40, and the fifth number is the position of the reverse primer relative to nucleotide 1 of SEQ ID NO:40.










  1




   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 810



                   352



                      0



                         28



                        380



 



  2



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 808



                   348



                      0



                         32



                        380



 



  3



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 806



                   343



                      1



                         37



                        380



 



  4



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 803



                   338



                      4



                         42



                        380



 



  5



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 801



                   330



                      1



                         50



                        380



 



  6



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 799



                   327



                      2



                         53



                        380



 



  7



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 798



                   322



                      0



                         58



                        380



 



  8



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 793



                   311



                      3



                         69



                        380



 



  9



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 792



                   310



                      4



                         70



                        380



 



 10



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 787



                   295



                      1



                         85



                        380



 



 11



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 785



                   291



                      1



                         28



                        319



 



 12



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 783



                   287



                      2



                         32



                        319



 



 13



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 782



                   282



                      0



                         37



                        319



 



 14



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 779



                   277



                      2



                         42



                        319



 



 15



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 778



                   270



                      0



                         28



                        298



 



 16



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 777



                   266



                      0



                         32



                        298



 



 17



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 777



                   269



                      0



                         50



                        319



 



 18



   CTCACCGGACTTCGTCCA (SEQ ID NO:13)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 777



                   268



                      2



                         112



                         380



 



 19



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 775



                   266



                      0



                         53



                        319



 



 20



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 775



                   261



                      1



                         37



                        298



 



 21



   ACTTCGTCCACGCCACCA (SEQ ID NO:14)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 775



                   260



                      0



                        120



                        380



 



 22



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 774



                   258



                      1



                         28



                        286



 



 23



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 774



                   261



                      2



                         58



                        319



 



 24



   CTTCGTCCACGCCACCAA (SEQ ID NO:15)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 774



                   259



                      0



                        121



                        380



 



 25



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 773



                   256



                      4



                         42



                        298



 



 26



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 773



                   254



                      0



                         32



                        286



 



 27



   CACGCCACCAAATCACCA (SEQ ID NO:16)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 772



                   252



                      2



                        128



                        380



 



 28



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 771



                   249



                      2



                         37



                        286



 



 29



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 771



                   248



                      1



                         50



                        298



 



 30



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 770



                   249



                      1



                         70



                        319



 



 31



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 770



                   250



                      0



                         69



                        319



 



 32



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 769



                   244



                      5



                         42



                        286



 



 33



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 769



                   245



                      2



                         53



                        298



 



 34



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 768



                   240



                      0



                         58



                        298



 



 35



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 767



                   236



                      2



                         50



                        286



 



 36



   GTGCGATACAACCGCGAA (SEQ ID NO:17)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 766



                   234



                      2



                        146



                        380



 



 37



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 766



                   234



                      1



                         85



                        319



 



 38



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 765



                   233



                      3



                         53



                        286



 



 39



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 765



                   228



                      1



                         58



                        286



 



 40



   TACAACCGCGAACCCACA (SEQ ID NO:18)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 764



                   228



                      2



                        152



                        380



 



 41



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 764



                   229



                      2



                         69



                        298



 



 42



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 764



                   228



                      3



                         70



                        298



 



 43



   AACCGCGAACCCACACCA (SEQ ID NO:19)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 764



                   225



                      0



                        155



                        380



 



 44



   CGAACCCACACCACCGAA (SEQ ID NO:20)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 762



                   220



                      1



                        160



                        380



 



 45



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 761



                   217



                      4



                         69



                        286



 



 46



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 760



                   213



                      1



                         85



                        298



 



 47



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 760



                   216



                      5



                         70



                        286



 



 48



   ACCGAACGGATTCGCACA (SEQ ID NO:21)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 759



                   208



                      1



                        172



                        380



 



 49



   CTCACCGGACTTCGTCCA (SEQ ID NO:13)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 758



                   207



                      0



                        112



                        319



 



 50



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 757



                   201



                      2



                         85



                        286



 



 51



   ACTTCGTCCACGCCACCA (SEQ ID NO:14)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 756



                   199



                      2



                        120



                        319



 



 52



   CTTCGTCCACGCCACCAA (SEQ ID NO:15)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 755



                   198



                      1



                        121



                        319



 



 53



   CAAACCGATCCGCCGTCA (SEQ ID NO:22)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 755



                   192



                      0



                        188



                        380



 



 54



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 755



                   195



                      0



                         28



                        223



 



 55



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 754



                   191



                      0



                         32



                        223



 



 56



   CACGCCACCAAATCACCA (SEQ ID NO:16)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 754



                   191



                      0



                        128



                        319



 



 57



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 753



                   186



                      1



                         37



                        223



 



 58



   CAAATCCGGCCGACCCAA (SEQ ID NO:23)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 751



                   176



                      0



                        204



                        380



 



 59



   ACTTCGTCCACGCCACCA (SEQ ID NO:14)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 751



                   178



                      0



                        120



                        298



 



 60



   CTTCGTCCACGCCACCAA (SEQ ID NO:15)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 751



                   177



                      0



                        121



                        298



 



 61



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 751



                   181



                      4



                         42



                        223



 



 62



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 750



                   173



                      1



                         50



                        223



 



 63



   CTCACCGGACTTCGTCCA (SEQ ID NO:13)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 750



                   174



                      3



                        112



                        286



 



 64



   GTGCGATACAACCGCGAA (SEQ ID NO:17)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 749



                   173



                      0



                        146



                        319



 



 65



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 749



                   170



                      2



                         53



                        223



 



 66



   CACGCCACCAAATCACCA (SEQ ID NO:16)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 749



                   170



                      2



                        128



                        298



 



 67



   CCGACCCAAATACCCCAA (SEQ ID NO:24)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 748



                   167



                      4



                        213



                        380



 



 68



   TACAACCGCGAACCCACA (SEQ ID NO:18)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 748



                   167



                      0



                        152



                        319



 



 69



   CTTCGTCCACGCCACCAA (SEQ ID NO:15)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 748



                   165



                      1



                        121



                        286



 



 70



   ACTTCGTCCACGCCACCA (SEQ ID NO:14)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 748



                   166



                      0



                        120



                        286



 



 71



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 748



                   165



                      0



                         58



                        223



 



 72



   AACCGCGAACCCACACCA (SEQ ID NO:19)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 747



                   164



                      3



                        155



                        319



 



 73



   CACGCCACCAAATCACCA (SEQ ID NO:16)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 747



                   158



                      3



                        128



                        286



 



 74



   TACCCCAACGCCAGCTGA (SEQ ID NO:25)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 746



                   157



                      0



                        223



                        380



 



 75



   CGAACCCACACCACCGAA (SEQ ID NO:20)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 746



                   159



                      1



                        160



                        319



 



 76



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 746



                   154



                      1



                         28



                        182



 



 77



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 745



                   150



                      2



                         32



                        182



 



 78



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 745



                   154



                      3



                         69



                        223



 



 79



   GTGCGATACAACCGCGAA (SEQ ID NO:17)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 745



                   152



                      1



                        146



                        298



 



 80



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 745



                   153



                      4



                         70



                        223



 



 81



   AACGCCAGCTGATCACCA (SEQ ID NO:26)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 745



                   151



                      1



                        229



                        380



 



 82



   TACAACCGCGAACCCACA (SEQ ID NO:18)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 744



                   146



                      1



                        152



                        298



 



 83



   CGCCTCGATCTCACCCAA (SEQ ID NO:5)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 744



                   145



                      0



                         37



                        182



 



 84



   ACCGAACGGATTCGCACA (SEQ ID NO:21)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 744



                   147



                      1



                        172



                        319



 



 85



   AACCGCGAACCCACACCA (SEQ ID NO:19)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 744



                   143



                      1



                        155



                        298



 



 86



   CGAACCCACACCACCGAA (SEQ ID NO:20)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 743



                   138



                      0



                        160



                        298



 



 87



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 743



                   138



                      1



                         85



                        223



 



 88



   GTGCGATACAACCGCGAA (SEQ ID NO:17)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 743



                   140



                      3



                        146



                        286



 



 89



   AGCTGATCACCAGCCAGA (SEQ ID NO:27)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 743



                   145



                      3



                        235



                        380



 



 90



   CGATCTCACCCAACTCGA (SEQ ID NO:6)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 742



                   140



                      2



                         42



                        182



 



 91



   TACAACCGCGAACCCACA (SEQ ID NO:18)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 742



                   134



                      3



                        152



                        286



 



 92



   CCCAACTCGATCCGCAGA (SEQ ID NO:7)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 742



                   132



                      0



                         50



                        182



 



 93



   CAAACCGATCCGCCGTCA (SEQ ID NO:22)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 741



                   131



                      2



                        188



                        319



 



 94



   ACCGAACGGATTCGCACA (SEQ ID NO:21)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 741



                   126



                      1



                        172



                        298



 



 95



   AACCGCGAACCCACACCA (SEQ ID NO:19)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 741



                   131



                      0



                        155



                        286



 



 96



   CGAACCCACACCACCGAA (SEQ ID NO:20)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 740



                   126



                      2



                        160



                        286



 



 97



   AACTCGATCCGCAGACCA (SEQ ID NO:8)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 740



                   129



                      0



                         53



                        182



 



 98



   GATCCGCAGACCACGCAA (SEQ ID NO:9)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 740



                   124



                      1



                         58



                        182



 



 99



   ACCGAACGGATTCGCACA (SEQ ID NO:21)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 739



                   114



                      2



                        172



                        286



 



100



   CAAACCGATCCGCCGTCA (SEQ ID NO:22)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 738



                   110



                      0



                        188



                        298



 



101



   CACGCAACTTCACCTGGA (SEQ ID NO:10)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 738



                   113



                      0



                         69



                        182



 



102



   CTCACCGGACTTCGTCCA (SEQ ID NO:13)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 738



                   111



                      1



                        112



                        223



 



103



   CAAATCCGGCCGACCCAA (SEQ ID NO:23)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 738



                   115



                      2



                        204



                        319



 



104



   ACGCAACTTCACCTGGAA (SEQ ID NO:11)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 738



                   112



                      1



                         70



                        182



 



105



   CTTCGTCCACGCCACCAA (SEQ ID NO:15)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 737



                   102



                      0



                        121



                        223



 



106



   ACTTCGTCCACGCCACCA (SEQ ID NO:14)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 737



                   103



                      0



                        120



                        223



 



107



   GAAGTCCGTACGCCCCAA (SEQ ID NO:12)



          CGGATCGGTTTGTGCGAA (SEQ ID NO:36)



                 736



                   97



                      0



                         85



                        182



 



108



   CAAACCGATCCGCCGTCA (SEQ ID NO:22)



          GTTGGATGCGCGGTTGCA (SEQ ID NO:34)



                 736



                   98



                      1



                        188



                        286



 



109



   GATGCAACCGCGCATCCA (SEQ ID NO:28)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 736



                   96



                      0



                        284



                        380



 



110



   CCGACCCAAATACCCCAA (SEQ ID NO:24)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 736



                   106



                      1



                        213



                        319



 



111



   CACGCCACCAAATCACCA (SEQ ID NO:16)



          TCAGCTGGCGTTGGGGTA (SEQ ID NO:35)



                 736



                   95



                      2



                        128



                        223



 



112



   CAAATCCGGCCGACCCAA (SEQ ID NO:23)



          GCGGGTGTTCGTGTTGGA (SEQ ID NO:33)



                 736



                   94



                      0



                        204



                        298



 



113



   ATGCAACCGCGCATCCAA (SEQ ID NO:29)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 736



                   95



                      0



                        285



                        380



 



114



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          TTTGGTGGCGTGGACGAA (SEQ ID NO:37)



                 736



                   94



                      0



                         28



                        122



 



115



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          ATTTGGTGGCGTGGACGA (SEQ ID NO:38)



                 736



                   95



                      0



                         28



                        123



 



116



   CAACAACGCCGCCTCGA (SEQ ID NO:3)



          GTGATTTGGTGGCGTGGA (SEQ ID NO:39)



                 736



                   98



                      2



                         28



                        126



 



117



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          GTGATTTGGTGGCGTGGA (SEQ ID NO:39)



                 735



                   94



                      3



                         32



                        126



 



118



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          ATTTGGTGGCGTGGACGA (SEQ ID NO:38)



                 735



                   91



                      1



                         32



                        123



 



119



   AACGCCGCCTCGATCTCA (SEQ ID NO:4)



          TTTGGTGGCGTGGACGAA (SEQ ID NO:37)



                 735



                   90



                      1



                         32



                        122



 



120



   AACGCCAGCTGATCACCA (SEQ ID NO:26)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 735



                   90



                      0



                        229



                        319



 



121



   TACCCCAACGCCAGCTGA (SEQ ID NO:25)



          GGTCGTCCGGTGTGGAA (SEQ ID NO:32)



                 735



                   96



                      2



                        223



                        319



 



122



   ACCGCGCATCCAACACGA (SEQ ID NO:30)



          AGGCTGCGGTGGATGTCA (SEQ ID NO:31)



                 735



                   90



                      1



                        290



                        380



 






In addition to the above 122 primer pairs, another primer pair, by way of non limiting example, is SEQ ID NO:1 and SEQ ID NO:2.
Throughout this application, various publications are referenced. The disclosures of these publications in their entireties are hereby incorporated by reference into this application in order to more fully describe the compounds, compositions and methods described herein.
Various modifications and variations can be made to the compounds, compositions and methods described herein. Other aspects of the compounds, compositions and methods described herein will be apparent from consideration of the specification and practice of the compounds, compositions and methods disclosed herein. It is intended that the specification and examples be considered as exemplary.
Although the present process has been described with reference to specific details of certain embodiments thereof, it is not intended that such details should be regarded as limitations upon the scope of the invention except as and to the extent that they are included in the accompanying claims.

## Claims

1. A method of identifying a Nocardia farcinica infection in a subject, comprising contacting DNA from the subject with a primer comprising the sequence of SEQ ID NO:1 and with a primer comprising the sequence of SEQ ID NO:2, and extending the primer comprising the sequence of SEQ ID NO:1 and the primer comprising the sequence of SEQ ID NO:2 to amplify at least a portion of the contacted DNA and detecting the amplified DNA to identify the Nocardia farcinica infection.

2. A kit for identifying Nocardia farcinica comprising a primer comprising the sequence of SEQ ID NO:1 and a primer comprising the sequence of SEQ ID NO:2.

3. A primer pair comprising a first primer comprising the nucleotide sequence of SEQ ID NO:1 and second primer comprising the nucleotide sequence of SEQ ID NO:2.