Amplification primers and nucleic acid probes for the detection of Coccidioides immites

Abstract: The present invention describes oligonucleotides targeted to Coccidioides immitis nucleic acid sequences which are particularly useful to aid in detecting Coccidioides immitis . The oligonucleotides can aid in detecting Coccidioides immitis in different ways such as by acting as hybridization assay probes, and/or amplification primers.

Description: Field of the Invention This invention relates to the design and use of oligonucleotides targeted to Coccidioides immitis nucleic acid. Different types of oligonucleotides are described including hybridization assay probes, helper probes, and amplification oligonucleotides. The oligonucleotides are particularly useful for detecting the species Coccidioides immitis in test samples, such as from sputum, tissue samples, body fluids, experimental solutions and cultures. Background of the Invention Coccidioides immitis is the etiologic agent of the fungal disease coccidioidomycosis (San Joaquin Valley Fever). Infection in man and other animals usually occurs following inhalation of arthroconidia into the lungs. Disease may be evident after an incubation period of one to four weeks. Approximately 60 percent of those infections are asymptomatic or characterized by a self-limiting upper respiratory infection. The remaining 40 percent of infections proceed to the lower respiratory tract resulting in mild or severe pneumonia which may resolve spontaneously or progress to form pulmonary nodules or cavities, occasionally resembling tuberculosis or carcinoma. In rare cases, the infection may disseminate to almost any organ of the body, including the skin, bone and central nervous system. Recent increases in infections by fungal pathogens, including Coccidioides immitis have increased the need for a rapid and sensitive method of detection for Coccidioides immitis. See William A. Check, CAP Today, August 1994, 1, 12-16. Conventional laboratory identification methods used to identify C. immitis include culture on fungal media, growth rate, colony morphology, microscopic morphology, animal inoculation and biochemical tests. These tests may require long incubation periods and require additional confirmatory tests. Identification begins with culture of the specimen on fungal media. The time required for growth to a visible, cobweb-like colony varies from 3 to 21 days and the mature colony morphology varies. Additional growth is needed before the characteristic microscopic sporulation pattern of alternating arthroconidia may be seen. Many species of fungi other than C . immitis may produce similar colony and sporulation patterns, including such naturally occurring soil fungi as Malbranchea and Uncinocarpus spp. Some yeast-like organisms such as Geotrichum and Trichosporon spp. may also resemble C . immitis. Animal inoculation is another method sometimes used to detect Coccidioides immitis by producing the species-specific spherules characteristic of Coccidioides immitis. Still other confirmatory tests based on exoantigen extraction have been described, but these tests may take 3 to 5 days or longer to perform. Summary of the Invention This invention concerns amplification oligonucleotides and methods of detecting Coccidioides immitis. Hybridization assay probes, amplification primers, and helper probes are described. Hybridization assay probes can preferentially hybridize under stringent hybridization assay conditions to a Coccidioides immitis nucleic acid target region to form a detectable duplex indicating the presence of Coccidioides immitis in a test sample. Amplification primers are used to prime amplification reactions producing Coccidioides immitis target nucleic acid which can be detected by the probes described herein. Also featured are probe mixes for use in hybridization assays for the detection of Coccidioides immitis . In a first aspect, the description features a hybridization assay probe having one of the following sequences: The probe can distinguish Coccidioides immitis from closely related phylogenetic neighbors, by preferentially hybridizing to a Coccidioides immitis target nucleic acid sequence region under stringent hybridization assay conditions. The hybridization assay probe is useful for detecting the presence of Coccidioides immitis and/or for determining the quantity of Coccidioides immitis present in a test sample, e.g., samples of sputum, urine, blood, tissue sections, food, soil and water. Other hybridization probes to the 28S rRNA subunit of Coccidioides immitis have been previously described in Milliman, U.S. Patent No. 5,284,747 or US 5.501.951. Probes contain a nucleotide sequence perfectly complementary, or substantially complementary, to a Coccidioides immitis target sequence. Hybridization assay probes are sufficiently complementary to nucleic acid containing a target sequence to form a detectable hybrid probe:target duplex under stringent hybridization assay conditions. A hybridization assay probe is preferably between 15 and 100 nucleotides in length, more preferably between 15 and 50 nucleotides in length. Even more preferably the probe is between 15 and 25 nucleotides in length. Hybridization assay probes are preferably labeled with a reporter group moiety such as a radioisotope, a fluorescent moiety, a chemiluminescent moiety, an enzyme, or a ligand, incorporated into the probe. The moiety can be used to detect or confirm probe hybridization to its target sequence. By "preferentially hybridize" is meant that under stringent hybridization assay conditions, hybridization assay probes can hybridize to their target nucleic acids to form stable probe:target hybrids indicating the presence of the target nucleic acid and do not form a sufficient number of stable probe:non-target hybrids to indicate the presence of a closely related non-target nucleic acid. Thus, the probe hybridizes to target nucleic acid to a sufficiently greater extent than to non-target nucleic acid to enable one skilled in the art to accurately detect the presence of Coccidioides immitis and distinguish its presence from that of a closely related organism. Organisms "closely related" to Coccidioides immitis include Malbranchea albolutea , Blastomyces dermatitidis, Candida parapsilosis , Histoplasma capsulatum , Auxarthron thaxteri , Gymnoascus dugwayensis , Aspergillus flavus , Myxotrichum deflexum , Aspergillis niger , Candida krusei , Candida glabrata , Aspergillis fumigatus , Arachnioites flavoluteus , Oidiodendron echinulatum , Candida albicans, and Malbranchea dendriticus . The most clinically important, closely related organisms are Blastomyces dermatitidis and Histoplasma capsulatum . Another aspect relates to compositions containing a nucleic acid hybrid made up of a hybridization assay probe and a Coccidioides immitis nucleic acid molecule having a nucleic acid sequence substantially complementary thereto. The hybrid is a stable nucleic acid structure comprising a double-stranded, hydrogen-bonded region, preferably 15 to 100 nucleotides in length. Such hybrids include RNA:RNA, RNA:DNA, or DNA:DNA duplex molecules. The hybridization probe present in the nucleic acid hybrid will contain one of the following sequences: SEQ ID NOs: 21-24. Substantially complementary means that the nucleic acid sequence is able to preferentially hybridize under stringent hybridization assay conditions to a target nucleic acid region. Preferably, the probe has a region of 9 out of 10 bases which are complementary to the corresponding target region. More preferably, the probe has a region of 14 out of 17 bases which are complementary to the corresponding target region. Another aspect features probe mixes containing a hybridization probe and a helper probe for use in a hybridization assay. Helper probes can be used to facilitate hybridization of a hybridization assay probe to its target sequence region. Helper probes facilitate hybridization by enhancing the kinetics and/or the Tm of the target:hybridization probe duplex. Helper probes are generally described in Hogan and Milliman, U.S. Patent No. 5,030,557. In a preferred embodiment, the helper oligonucleotides of the probe mixes comprise, consist essentially of, consist of or are substantially similar to the helper probe sequence: or its RNA equivalent (SEQ ID NO:27). The hybridization assay probe of the probe mix will contain one of the following sequences: SEQ ID NOs: 21-24. "RNA and DNA equivalent nucleotides" refer to RNA and DNA molecules having the equivalent base pair hybridization properties. RNA and DNA equivalents have different sugar groups ( i.e. , ribose versus deoxyribose), and may differ by the presence of uracil in RNA and thymine in DNA. The difference between RNA and DNA equivalents do not contribute to differences in substantially similar nucleic acid sequences. With respect to a hybridization assay probe or a helper probe, a "substantially similar" nucleotide sequence is a nucleotide sequence identical to, or having no more than a 10% nucleotide base difference than an identified nucleotide sequence (excluding substitution of a RNA or DNA equivalent nucleotide, e.g., substituting T for U or U for T) and which enables the probe to hybridize to Coccidioides immitis nucleic acid under stringent hybridization conditions used to detect Coccidioides immitis. With respect to amplification oligonucleotides, a "substantially similar" nucleotide sequence is a nucleotide sequence identical to, or having no more than a 10% nucleotide base difference than an identified nucleotide sequence (excluding substitution of a RNA or DNA equivalent nucleotide) and which enables an amplification oligonucleotide to prime the amplification of Coccidioides immitis target nucleic acid under amplification conditions. In alternate embodiments, substantially similar for a hybridization assay probe, helper probe, or amplification oligonucleotide refers to a 5% difference in complementarity to an oligonucleotide containing a particular nucleotide sequence. The phrases "consists essentially of" or "consisting essentially of" mean that the oligonucleotide has a nucleotide sequence substantially similar to a specified nucleotide sequence and is preferably no more than four additional nucleotides longer or two nucleotides shorter. Thus, these phrases contain both a sequence length limitation and a sequence variation limitation. Any additions or deletions are non-material variations of the specified nucleotide sequence which do not prevent the oligonucleotide from having its claimed property. For instance, with respect to hybridization probes and helper probes, any additions or deletions would not prevent the hybridization probes or helper probes from being able to preferentially hybridize under stringent hybridization assay conditions to its target nucleic acid over non-target nucleic acids. With respect to an amplification oligonucleotide, any additions or deletions would not prevent the amplification oligonucleotide from being able to hybridize to Coccidioides immitis nucleic acid under amplification conditions, or to prime amplification reactions producing target Coccidioides immitis nucleic acid under amplification conditions. The invention features amplification oligonucleotides useful for amplifying Coccidioides immitis target regions. Amplification oligonucleotides are preferably 15 to 100 nucleotides in length, more preferably 15 to 60 nucleotides. Amplification oligonucleotides may have modifications, such as blocked 3' termini. Amplification oligonucleotides can act as primers and may be part of promoter-primer combinations, i.e. , a primer having a specific nucleic acid sequence attached to the 5' terminus that is recognized by an RNA polymerase (including, but not limited to, the promoter sequence for T7, T3, or SP6 RNA polymerase, or sequences enhancing initiation or elongation of RNA transcription by an RNA polymerase). One example of a promoter sequence includes the sequence SEQ ID NO: 41 5'-AATTTAATAC GACTCACTAT AGGGAGA-3'. Other examples of useful promoter sequences are contained in various commercially available vectors including, for example, pBluescript® vectors from Stratagene Cloning Systems or the pGEM™ vectors from Promega Biotec. Preferably, amplification oligonucleotides contain a primer sequence having, consisting essentially of, consisting of, or substantially similar to one of the following sequences: More preferably, the amplification oligonucleotide will contain a primer sequence corresponding to SEQ ID NOs: 33, 35, 37, 39. Even more preferably, the amplification oligonucleotide will contain a primer sequence corresponding to SEQ ID NOs: 37, 39. Examples of amplification oligonucleotides having a promoter sequence are: More preferably, amplification oligonucleotides have, consist essentially of, consist or, or are substantially similar to, sequences provided by SEQ ID NOs: 5, 13. Even more preferably, amplification oligonucleotides have or consist essentially of sequences provided by SEQ ID NO: 13. Amplification oligonucleotides can be used in nucleic acid amplification procedures, such as the polymerase chain reaction or Transcription Mediated Amplification reaction using RNA polymerase, DNA polymerase and RNaseH or its equivalent, as described by Kacian and Fultz supra , hereby incorporated by reference herein. In addition, other methods of making use of transcription in amplification assays are described in Sninsky et al. , U.S. Patent No. 5,079,351. Amplification oligonucleotides hybridize with a target nucleic acid and may act as a primer for nucleic acid synthesis. The oligonucleotides amplified by extension of the primers will be complementary to the hybridization assay probe. Preferably, promoters which are recognized by an RNA polymerase such as T7, T3 or SP6 RNA polymerase are used for the transcription-based amplification. Amplification means increasing the number of nucleic acid molecules having at least one target nucleic acid sequence complementary to a hybridization assay probe. In order to increase the amplification of oligonucleotides containing target sequences, amplification preferably includes the production of target-template strands containing a double-stranded promoter region to serve as templates for RNA polymerase. In other aspects, methods are described for using the hybridization assay probes, helper probes and amplification oligonucleotides to detect Coccidioides immitis and to distinguish Coccidioides immitis from closely related organisms. These amplification assays preferably involve amplifying target nucleic acid in a sample to be tested, contacting the amplified sequences under stringent hybridization assay conditions with a hybridization assay probe which preferentially hybridizes with Coccidioides immitis nucleic acid over nucleic acids present in closely related organisms, and measuring the amount of hybridized probe. The sample is preferably food, soil, or water; a clinical sample such as sputum, urine, blood, or tissue sections; or nucleic acid isolated from a cultured sample. More preferably, the amplification assay will be used to detect Coccidioides immitis directly from a clinical sample. Detection directly from a clinical sample means that culture of the sample on fungal media is not carried out prior to detection or amplification. Preferably the amplification assay utilizes a hybridization probe consisting of one of the following sequences: SEQ ID NOs:17-24. Helper probes for use in preferred embodiments of the amplification assay have, or are substantially similar to SEQ ID NO:25 and SEQ ID NO:27. Amplification oligonucleotides which can be used in preferred embodiments of the amplification assay have, consist essentially of, consist of, or are substantially similar to SEQ ID NOs:1, 5, 13. More preferably, the amplification oligonucleotides used in the amplification assay will have, consist essentially of, consist of, or are substantially similar to SEQ ID NOs: 5, 13. Even more preferably, the amplification oligonucleotides used in the amplification assay will have, consist essentially of, consist of, or will be substantially similar to SEQ ID NOs:13. In other embodiments, the amplification oligonucleotides will preferably have, consist essentially of, consist of, or be substantially similar to SEQ ID NOs:9, 11, 29, 31, 33, 35, 37, 39; in addition, these amplification oligonucleotides will preferably contain a nucleic acid sequence to the 5' terminus which is a promoter for an RNA polymerase, preferably T7 RNA polymerase. Even more preferably this added nucleic acid sequence will consist essentially of SEQ ID NO:41. The oligonucleotides targeted to Coccidioides immitis offer a rapid, non-subjective method of identification and quantitation of Coccidioides immitis by detecting the presence of specific nucleic acid sequences unique to different species and strains of Coccidioides immitis. The probes of this invention can be used in hybridization assays to identify Coccidioides immitis isolated from culture in less than an hour. Furthermore, use of an amplification step allows detection of C . immitis directly from clinical samples in less than three hours. Combining an amplification step with a hybridization assay in the amplification assay increases the amount of target and can thus eliminate the need for culturing C . immitis and its inherent risk of infection to laboratory workers. If a hybridization assay or amplification assay is performed in conjunction with culture tests, the assay can warn laboratory workers of the presence of C . immitis in a culture sample. Other features and advantages of the invention will be apparent from the following description of the preferred embodiments thereof, and from the claims. Description of the Preferred Embodiments Described herein are preferred sequences for hybridization assay probes, helper probes, and amplification oligonucleotides designed to hybridize to target sequences in Coccidioides immitis rRNA or rDNA. In addition, preferred mixes of hybridization assay probes and helper probes useful for detecting Coccidioides immitis are described. Also described are hybrids formed by a hybridization assay probe and a target sequence. Preferred methods for using the probes and amplification oligonucleotides to detect Coccidioides immitis are included in this description. I. Construction and Use of Hybridization Assay Probes. A. Obtaining rRNA Sequences With the exception of viruses, all prokaryotic organisms contain rRNA genes encoding RNA homologous to 5S rRNA, 16S rRNA and a larger rRNA molecule known as 23S rRNA. In the eukaryotes these rRNA molecules are the 5S rRNA, 18S rRNA and 28S rRNA which are substantially similar to the prokaryotic molecules. Milliman, U.S. Patent No. 5,284,747, previously described nucleic acid probes complementary to particular 28S rRNA sequences obtained from Coccidioides immitis . Sequence information was obtained experimentally and from published information. ( See Weisburg, et al. , J. Bacteriol 171:6455 (1989).) Experimental information was obtained by isolating and sequencing rRNA from various organisms using standard techniques known in the art. More specifically, rRNA sequence information was obtained by first using oligonucleotide primers complementary to conserved regions which vary little between prokaryotic organisms. The oligonucleotide primers were hybridized to the conserved regions in purified rRNA which were specific to the 28S subunit, and extended with the enzyme reverse transcriptase and deoxyribonucleotides to produce cDNA. E.g. , Lane et al. , Proc. Nat'l Acad. Sci. USA 82:6955 (1985). B. Probe Design Strands of deoxyribo- ("DNA") or ribo- ("RNA") nucleic acid are formed from nucleotide units joined in a specific arrangement, or sequence. A nucleotide subunit contains a "base" structure and is distinguished from another nucleotide by the base. Bases include adenine (A), cytosine (C), thymine (T), guanine (G), uracil (U), or inosine (I)). The structures of the bases in the nucleotides permit certain pairs of bases to interact with one another through the formation of hydrogen bonds. Generally, A is hydrogen bonded to T or U, while G is hydrogen bonded to C. At any point along the chain, therefore, one may find the classical base pairs AT or AU, TA or UA, GC, or CG. One may also find AG, GU and other "wobble" or mismatched base pairs. Bases which can hydrogen bond are said to be complementary to one another. Two single strands of DNA or RNA may specifically align and associate ("hybridize") to form a double stranded-structure in which the two strands are held together by the hydrogen bonds which form between pairs of complementary bases. When a first single-strand of nucleic acid contains sufficient contiguous complementary bases to a second, and those two strands are brought together under conditions promoting their hybridization, double-stranded nucleic acid results. Under appropriate conditions, double-stranded DNA/DNA, RNA/DNA, or RNA/RNA hybrids may be formed. Conditions which decrease the likelihood of forming a given double-stranded hybrid are said to be more stringent conditions than conditions in which hybrid formation is less likely. A probe is generally a single-stranded nucleic acid sequence which is complementary to some degree to a nucleic acid oligonucleotide "target region" consisting of a "target sequence" sought to be detected. The probe may contain a detectable moiety such as a radioisotope, antigen or chemiluminescent moiety. A background description of the use of nucleic acid hybridization as a procedure for the detection of particular nucleic acid sequences is described by Hogan et al., International Patent Application No. PCT/US87/03009, entitled "Nucleic Acid Probes for Detection and/Or Quantitation of Non-Viral Organisms" . Using methods known to those skilled in the art, and described herein, variable regions of rRNA sequences from the 28S rRNA of Coccidioides immitis were identified. The rRNA molecule exhibits a close relationship of secondary structure to function. This close relationship is caused in part by intramolecular hydrogen bonding interactions between different regions of the rRNA molecule. The hydrogen bond interactions leads to the formation of a double helix structure whose "strands" are different regions of the same rRNA molecule. The formation of this double-stranded helix imposes restrictions on evolutionary changes in the primary sequence so that the secondary structure is maintained. This allows two very different sequences to be aligned based on the conserved primary sequence and also on the conserved secondary structure elements. Potential target sequences for the hybridization assay probes described herein were identified by noting variations in the homology of the aligned sequences. The sequence evolution at each of the variable regions is mostly divergent. Because of this divergence, corresponding rRNA variable regions of more distant phylogenetic relatives of Coccidioides immitis show greater differences from Coccidioides immitis rRNA than do the rRNAs of phylogenetically closer relatives. Sufficient variation between Coccidioides immitis and its clinically important, closely related phylogenetic relatives, such as Blastomyces dermatitidis and Histoplasma capsulatum , was observed to identify preferred target sites and design hybridization assay probes useful for distinguishing between nucleic acids of these organisms. These variable regions were subsequently used as target sequence regions for hybridization assay probes. B. Oligonucleotide Probes The present application describes hybridization assay probes specific for Coccidioides immitis, and their use in a specific assay to detect Coccidioides immitis, distinguishing it from closely related taxonomic or phylogenetic neighbors. Also described are amplification oligonucleotides which can be used to amplify target sequences and helper probes to facilitate probe:target hybrid formation. A hybridization assay probe is an oligonucleotide which can distinguish Coccidioides immitis from closely related phylogenetic neighbors, by preferentially hybridizing to a Coccidioides immitis target nucleic acid sequence region under stringent hybridization assay conditions. The featured probes consist of one of the following sequences: SEQ ID NOs:21-24. By "oligonucleotide," "nucleotide polymer" or "nucleic acid" is meant two or more nucleotide subunits covalently joined together. The sugar groups of the nucleotide subunits may be ribose, deoxyribose, or modified derivatives thereof such as O-methyl ribose. The nucleotide subunits may be joined by linkages such as phosphodiester linkages, modified linkages or by non-nucleotide moieties, that do not prevent preferential hybridization of the oligonucleotide to its complementary target nucleic acid. Modified linkages include those linkages in which a standard phosphodiester linkage is replaced with a different linkage, such as a phosphothionate linkage, or methylphosphonate linkage. The probes are isolated nucleic acids. By "isolated nucleic acid" is meant an oligonucleotide or nucleic acid molecule which is present in a form not found in nature without human intervention ( e.g. , recombined with foreign nucleic acid, isolated, or purified to some extent). Preferably, the isolated nucleic acid probe is present in a preparation where it constitutes at least 90% of the total nucleic acid present prior to its use. The probes may also contain additional nucleotides complementary, or not complementary, to nucleic acid sequences contiguous to the target region, so long as such additional nucleotides do not prevent hybridization to the target region, and in the case of hybridization assay probes do not prevent preferential hybridization. Non-complementary sequences, such as a promoter sequence, a binding site for RNA transcription, a restriction endonuclease recognition site, or sequences which will confer a desired secondary or tertiary structure such as a catalytic active site can be used to facilitate detection and/or amplification. As illustrated by examples described below, the described hybridization assay probes can detect Coccidioides immitis and distinguish it from Malbranchea dendriticus and Oidiodendron echinalatum. The probes can also distinguish Coccidioides immitis from other closely related taxonomic or phylogenetic neighbors, such as Blastomyces dermatitidis and Histoplasma capsulatum . C. Hybridization Hybridization assay probes and helper probes hybridize to their target sequence under stringent hybridization conditions. Oligonucleotides acting as helper probes or amplification oligonucleotides do not need to be able to preferentially hybridize to Coccidioides immitis nucleic acid. Preferential hybridization of hybridization assay probes to their target nucleic acids can be accomplished by choosing the appropriate hybridization assay conditions and proper probe design. The stability of the probe: target nucleic acid hybrid should be chosen to be compatible with the assay and washing conditions so that stable, detectable hybrids form only between nucleic acids having highly complementary sequences. Manipulation of one or more of the different assay parameters determines the exact sensitivity and specificity of a particular hybridization assay probe. Preferential hybridization can occur under stringent hybridization assay conditions. In general, reducing the degree of complementarity of an oligonucleotide targeted region to its target sequence region decreases the degree or rate of hybridization of the probe oligonucleotide to its target sequence region. However, additional non-complementary nucleotide(s) may facilitate the ability of an oligonucleotide to discriminate against non-target organisms. Preferential hybridization can be measured using techniques known in the art and described herein, such as in the examples provided below. Preferably, there is at least a 100-fold difference between target and non-target hybridization signals, more preferably at least a 1,000-fold difference, even more preferably at least a 10,000-fold difference. Also preferably, non-target hybridization signals are not more than background level. The following guidelines are useful for designing probes and determining specific stringent hybridization assay conditions. Because the sensitivity and specificity of hybridization reactions such as those described herein are affected by a number of factors, including the hybridization assay probe nucleotide sequence and length, the sequence of the target sequence region, the degree of homology between the target sequence and the analogous ribosomal nucleic acid sequences from closely related organisms, the hybridization temperature, and the composition of hybridization reagents, the manipulation of one or more of those factors will determine the exact sensitivity and specificity of a particular probe, whether perfectly complementary to its target or not. The importance and effect of various hybridization assay conditions, explained further herein, are known to those skilled in the art. First, the stability of the probe:target nucleic acid hybrid should be chosen to be compatible with the assay and washing conditions so that stable, detectable hybrids form only between nucleic acids having highly complementary sequences. Probes should be designed to have an appropriate melting temperature (Tm). This may be accomplished by varying the probe length and nucleotide composition (percentage of G + C versus A + T). The probe length and nucleotide composition are preferably chosen to correspond to a Tm about 2-10°C higher than the temperature at which the final assay will be performed. For instance, the Tm can be increased by avoiding long A and T rich sequences, or by terminating the hybrids with G:C base pairs. The beginning and end points of the probe should be chosen so that the length and %G and %C result in a Tm about 2-10 °C higher than the temperature at which the final assay will be performed. In general, the optimal hybridization temperature for an oligonucleotide is approximately 5°C below the melting temperature for a given duplex. Incubation at temperatures below the optimum temperature may allow mismatched base sequences to hybridize and can therefore decrease specificity. The longer the oligonucleotide, the more base pairs are present to hydrogen bond and, in general, the higher the Tm. The base composition of the probe is significant because G-C base pairs exhibit greater additional hydrogen bonding and therefore greater thermal stability than A-T base pairs. (See, e.g. , 2 Sambrook, et al. , Molecular Cloning: A Laboratory Manual 11 (2d ed. 1989) [hereinafter Molecular Cloning].) Thus, hybridization involving complementary nucleic acids of higher G-C content will be stable at higher temperatures. To ensure specificity of a hybridization assay probe for its target, it is preferable to design probes which hybridize only with target nucleic acid under conditions of high stringency. Under high stringency conditions only highly complementary nucleic acid hybrids will form. Accordingly, the stringency of the assay conditions determines the amount of complementarity which should exist between two nucleic acid strands in order to form a hybrid under those conditions. Stringency should be chosen to maximize the difference in stability between the probe:target hybrid and potential probe:non-target hybrids. In addition, proper specificity may be achieved by minimizing the length of the hybridization assay probe having perfect complementarity to sequences of non-target organisms by minimizing the length of perfect complementarity to non-target organisms, avoiding G and C rich regions of homology to non-target sequences, and by constructing the probe to contain as many destabilizing mismatches to non-target sequences as possible. Whether a probe sequence is appropriate for detecting only a specific type of organism depends largely on the thermal stability difference between probe:target hybrids and probe:non-target hybrids. In designing probes, the differences in these Tm values should be as large as possible ( e.g. , at least 2°C and preferably 5°C or more). The length of the target nucleic acid sequence and, accordingly, the length of the probe sequence can also be important. In some cases, there may be several sequences from a particular region, varying in location and length, which will yield probes with the desired hybridization characteristics. In other cases, one sequence may be significantly better than another which differs from it merely by a single base. While it is possible for nucleic acids that are not perfectly complementary to hybridize, the longest stretch of perfectly homologous base sequence generally determines hybrid stability. Third, regions of the rRNA which are known to form strong internal structures inhibitory to hybridization are less preferred target regions. Likewise, probes with extensive self-complementarity should be avoided. If a strand is wholly or partially involved in an intramolecular or intermolecular hybrid it will be less able to participate in the formation of a new intermolecular probe:target hybrid. Ribosomal RNA molecules are known to form very stable intramolecular helices and secondary structures by hydrogen bonding. By designing a probe to a region of the target nucleic acid which remains substantially single-stranded under hybridization conditions, the rate and extent of hybridization between probe and target may be increased. Coccidioides immitis target sequences may initially be present as part of a nucleic acid duplex. For example, a genomic rDNA target occurs naturally in a double-stranded form. The polymerase chain reaction (PCR) also gives rise to a double-stranded product. These double-stranded targets require denaturation prior to hybridization. Appropriate denaturation and hybridization conditions are known in the art ( e.g. , E.M. Southern, J. Mol. Biol. 98:503 (1975)). The rate of hybridization may be measured by determining the C 0 T ½ . The rate at which a probe hybridizes to its target is a measure of the thermal stability of the target secondary structure in the probe region. The standard measurement of hybridization rate is the C 0 T ½ which is measured as moles of nucleotide per liter times seconds. Thus, it is the concentration of probe times the half-life of hybridization at that concentration. This value is determined by hybridizing various amounts of probe to a constant amount of hybrid for a fixed time. For example, 0.05 pmol of target is incubated with 0.0012, 0.025, 0.05, 0.1 and 0.2 pmol of probe for 30 minutes. The amount of hybrid after 30 minutes is measured by the Hybridization Protection Assay as described below. The signal is then plotted as a log of the percent of maximum Relative Light Units (RLU) (from the highest probe concentration) versus probe concentration (moles of nucleotide per liter). RLU are a measurement of the quantity of photons emitted by the labeled-probe measured by the luminometer. The C 0 T ½ is found graphically from the concentration corresponding to 50% of maximum hybridization multiplied by the hybridization time in seconds. These values range from 9.0x10 -6 to 9x10 -5 with the preferred values being less than 3.5x10 -5 . Other methods of nucleic acid reassociation can be used. For example, Kohne and Kacian, EP 229442, entitled "Accelerated Nucleic Acid Reassociation Method," describes a method to accelerate nucleic acid reassociation. A preferred method to determine Tm measures hybridization using a hybridization protection assay (HPA) according to Arnold, et al., U.S. Patent No. 5,283,171, entitled "Homogeneous Protection Assay." Tm can be measured using HPA in the following manner. Probe molecules are labeled with an acridinium ester. Probe: target hybrids are formed in a lithium succinate buffer (0.1 M lithium succinate buffer, pH 5.0, 2 mM EDTA, 2 mM EGTA, 10% (w/v) lithium lauryl sulfate) using an excess amount of target. Aliquots of the solution containing the nucleic acid hybrids are then diluted in the lithium succinate buffered solution and incubated for five minutes at various temperatures starting below that of the anticipated Tm (typically 55°C) and increasing in 2-5° increments. This solution is then diluted with a mild alkaline borate buffer (0.15 M sodium tetraborate, pH 7.6, 5% (v/v) TRITON® X-100) and incubated at a lower temperature (for example 50°C) for ten minutes. Under these conditions the acridinium ester attached to the single-stranded probe is hydrolyzed, while the acridinium ester attached to hybridized probe is relatively protected from hydrolysis. Thus, the amount of acridinium ester remaining after hydrolysis treatment is proportional to the number of hybrid molecules. The remaining acridinium ester can be measured by monitoring the chemiluminescence produced from the remaining acridinium ester by adding hydrogen peroxide and alkali to the solution. Chemiluminescence can be measured in a luminometer ( e.g. , the Gen-Probe LEADER® I or LEADER ® 50). The resulting data is plotted as percent of maximum signal (usually from the lowest temperature) versus temperature. The Tm is defined as the temperature at which 50% of the maximum signal remains. In addition to the method above, Tm may be determined by isotopic methods known to those skilled in the art ( see e.g. , Hogan et al. , supra ). The Tm for a given hybrid varies depending on the nature of the hybridization solution used. Factors such as the concentration of salts, detergents, and other solutes can affect hybrid stability during thermal denaturation (see J. Sambrook, et al., supra). Conditions such as ionic strength and incubation temperature under which a probe will be used should be taken into account in constructing a probe. It is known that the thermal stability of a hybrid nucleic acid increases with the ionic strength of the reaction mixture. On the other hand, the addition of chemical reagents which disrupt hydrogen bonds, such as formamide, urea, DMSO and alcohols, can greatly reduce hybrid thermal stability and thereby increase the stringency of hybridization. In general, optimal hybridization for synthetic oligonucleotide probes of about 10-50 bases in length occurs approximately 5°C below the melting temperature for a given duplex. Incubation at temperatures below the optimum may allow mismatched base sequences to hybridize and can therefore result in reduced specificity. Examples of specific stringent hybridization conditions for hybridization assay probes are provided in the examples described below. Additional sets of stringent hybridization conditions can be determined based on the present disclosure by those of ordinary skill in the art. D. Oligonucleotide Synthesis Defined oligonucleotides may be produced by any of several well known methods, including automated solid-phase chemical synthesis using cyanoethylphosphoramidite precursors. Barone et al. , Nucleic Acids Research 12:4051 (1984). In addition, other well-known methods for construction of synthetic oligonucleotides may be employed. Molecular Cloning , supra (2:11). Following synthesis and purification of an oligonucleotide, several different procedures may be utilized to determine the acceptability of the oligonucleotide in terms of size and purity. Such procedures include polyacrylamide gel electrophoresis and high pressure liquid chromatography, both of which are known to those skilled in the art. Once synthesized, selected oligonucleotide hybridization assay probes may also be labeled with a reporter group by an of several well known methods. Molecular Cloning , supra (2:11). Useful labels include radioisotopes as well as non-radioactive reporting groups. Isotopic labels include 3 H, 35 S, 32 P, 125 I, Cobalt and 14 C. Isotopic labels can be introduced into an oligonucleotide by techniques known in the art such as nick translation, end labeling, second strand synthesis, reverse transcription, and by chemical methods. When using radio-labeled probes, hybridization can be detected by autoradiography, scintillation counting, or gamma counting. The chosen detection method depends on the hybridization conditions and the particular radio-isotope used for labeling. Non-isotopic materials can also be used for labeling, and may be introduced internally between nucleotides or at an end of the oligonucleotide. Modified nucleotides may be incorporated enzymatically or chemically. Chemical modifications of the probe may be performed during or after synthesis of the probe, for example, by the use of non-nucleotide linker groups as described by Arnold et al. , entitled "Non-Nucleotide Linking Reagents for Nucleotide Probes," EPO application number 88308766.0, publication number 313219 [hereinafter Non-Nucleotide Linking Reagents ], hereby incorporated by reference herein. Non-isotopic labels include fluorescent molecules, chemiluminescent molecules, enzymes, cofactors, enzyme substrates, haptens or other ligands. Preferably, the hybridization assay probes are labeled with an acridinium ester. Acridinium ester labeling may be performed as described by Arnold et al., U.S. Patent No. 5,185,439 entitled "Acridinium Ester Labeling and Purification of Nucleotide Probes" issued February 9, 1993. II. Hybrids Containing a Hybridization Assay Probe and a Coccidioides Immitis Target Seguence. Another aspect is a hybrid formed by a hybridization assay probe and a target sequence from Coccidioides immitis. The formed hybrid is useful for detecting the presence of target. For example, acridinium ester ("AE") present in hybrid is resistant to hydrolysis in alkali solution while acridinium ester present in single-stranded nucleic acid is hydrolyzed in alkali solution. Thus, binding of AE-labeled probe to target can be detected, after hydrolysis of the unbound AE-labeled probe, by measuring chemiluminescence of acridinium ester remaining in the nucleic acid hybrid. Additionally, the formed hybrid can be used to purify hybridized target from unhybridized probe, thereby removing background due to unhybridized probe. For example, hybrid molecules can be selectively retained on hydroxyapatite columns or filters using methods well known to those skilled in the art. III. Mixes of Hybridization Assay Probes and Helper Probes Mixes of hybridization assay probes and helper probes can be used in the detection of Coccidioides immitis. Helper probes are used to enhance the rate of nucleic acid hybridization of an assay probe with its target nucleic acid and to facilitate the hybridization of the hybridization assay probe to its target. In addition, helper probes are sufficiently complementary to their target nucleic acid sequence to form a helper probe:target duplex under stringent hybridization assay conditions. The stringent hybridization assay conditions used with a given helper probe are determined by the conditions in which a hybridization assay probe is used to preferentially hybridize to its target sequence. Regions of single-stranded RNA and DNA can be involved in secondary and tertiary structures even under stringent hybridization assay conditions. Such structures can sterically inhibit, or even block hybridization of a hybridization assay probe to its target region. Hybridization of the helper probe alters the secondary and tertiary structure of the target nucleic acid, thereby rendering the hybridization assay probe target region more accessible. As a result helper probes enhance the kinetics and/or the Tm of the target:hybridization probe duplex. Helper probes are generally selected to hybridize to nucleic acid sequences located near the hybridization assay probe target region. Helper probes which can be used with the hybridization assay probes of the present invention are targeted to target nucleic acid sequence regions of the sequence provided by SEQ ID No: 26. The targeted region in the helper probe which is complementary to the target region preferably contains at least 10 nucleotides of which at least 9 out of the 10 nucleotides are perfectly complementary to a nucleic acid sequence present in the target region. V. Amplification Oligonucleotides and Amplification Assay Conditions Methods of amplifying the number of target sequences in a sample can be combined with the use of probe sequences to increase the sensitivity and applicability of the detection assay. (Miller, et al., Evaluation of Gen-Probe Amplified Mycobacterium Tuberculosis Direct Test and PCR for Direct Detection of Mycobacterium tuberculosis in Clinical Specimens, J. Clin. Micro. 1994: 393-397; Reddy, et al., Specific amplification of Aspergillus fumigatus DNA by polymerase chain reaction, Mol. Cell. Probes 7: 121-126 (1993)). Amplification oligonucleotides can act as primers for primer extension reactions and may also be part of promoter-primer combinations to amplify a Coccidioides immitis target sequence by TMA. Preferably the amplification oligonucleotide will contain a primer sequence having, consisting essentially of, consisting of, or substantially similar to a sequence provided by SEQ ID NOs: 29, 31, 33, 35, 37, 39. More preferably, the amplification oligonucleotide will contain a primer sequence having, consisting essentially of, consisting of, or substantially similar to a sequence provided by SEQ ID NO: 33, 35, 37, 39. Even more preferably, the amplification oligonucleotide will contain a primer sequence having, consisting essentially of, consisting of, or substantially similar to a sequence provided by SEQ ID NO: 37, 39. Preferably the amplification oligonucleotide containing a primer sequence will have a promoter sequence attached to the 5' terminus of the primer sequence. Preferably the promoter sequence will have, consist essentially of, consist of, or be substantially similar to SEQ ID NO: 41. Preferably the amplification oligonucleotides for use in TMA have, consist essentially of, consist of, or are substantially similar to a sequence corresponding to SEQ ID NOs: SEQ ID NOs:1, 5, 13. More preferably, the amplification oligonucleotide will have, consist essentially of, consist of, or be substantially similar to a sequence corresponding to SEQ ID NOs: 5, 13. In an even more preferred embodiment, the amplification oligonucleotide will have, consist essentially of, consist of, or be substantially similar to a sequence corresponding to SEQ ID NO: 13. The degree of amplification observed with a set of primers or promoter-primers depends on several factors, including the ability of the oligonucleotides to hybridize to their specific target sequences and their ability to be extended or recognized by an RNA polymerase. While oligonucleotides of different lengths and base composition may be used, more preferred amplification oligonucleotides have target binding regions of 30-60 bases and a predicted hybrid Tm of about 65°C. A target nucleic acid sequence present on a nucleic acid molecule can be amplified using a primer amplification oligonucleotide which hybridizes to the anti-sense target strand 3' of the target sequence and a promoter-primer amplification oligonucleotide which hybridizes to the sense strand 3' of the target sequence. Extension of the promoter-primer gives rise to RNA copies of the target sequence. Extension of the primer on the anti-sense strand gives rise to copies of the sense strand "template" for the RNA polymerase which recognizes the promoter-primer. Preferably primers have, consist essentially of, consist of, or are substantially similar to the sequences provided by SEQ ID NOs: 9, 11. These primers may also contain an additional promoter sequence added to the 5' terminus of the primer sequence. The preferred target sites for amplification oligonucleotides are regions greater than about 15 bases in length. The amplified region, defined by the amplification oligonucleotides, is preferably about 350 bases, and more preferably within 150 bases. Parameters affecting probe hybridization such as Tm, complementarity and secondary structure also affect primer hybridization and therefore performance of the amplification oligonucleotides. These considerations, which were discussed above in the section concerning probe design, can be modified depending upon the amplification conditions. For example, amplification can be carried out under conditions of lower stringency than diagnostic hybridization assay conditions. The degree of non-specific extension (primer-dimer or non-target copying) can affect amplification efficiency. Primers are preferably selected to have low self-or cross complementarity, particularly at the 3' ends of the sequence. Long homopolymer tracts and high GC content are preferably avoided to reduce spurious primer extension. Computer programs are commercially available to aid in this aspect of the design. Probe mixes containing hybridization assay probes, helper probes, and amplification oligonucleotides can also be used in amplification assays for the detection of Coccidioides immitis. IV. Examples: Examples are provided below illustrating different aspects and embodiments of the present invention. The examples illustrate methodologies by which oligonucleotides described herein can be obtained and tested. Example I: Procedures Example A: Lysis of Fungal Strains and Clinical Specimens. Reference fungal strains (Table 1) used in the nucleic acid amplification experiments were obtained from the American Type Culture Collection (ATCC, Rockville, MD) and cultured on Sabourd's dextrose agar. Clinical specimens were cultured and the fungi were identified using standard culture and identification methods. In addition, fungal colonies were identified as Coccidioides immitis using the AccuProbe® Coccidioides immitis Culture Identification Test. Sputum specimens were digested by treating with an equal volume of N-acetyl-L-cysteine-NaOH (1%) for 15 minutes. 1.5 mL aliquots were concentrated by centrifugation at 10,000 x g for 5 min. Kent, P. T., Kubica G. Public Health Mycobacteriology. A Guide for the Level III Laboratory . Atlanta, GA; Centers for Disease Control (1985). Supernatant fluid was decanted, and 50 µ l of sediment was added to a TB lysing tube containing 0.17 g of 0.2-0.3mm glass beads, 110 µ l 5% w/v sorbitol, and 300 µ l of a solution of 10 mM N-acetyl-L-cysteine-NaOH, 40mM Trizma base, 2 mM disodium EDTA adjusted to pH 8.0 with HCl (TB SDB solution). 100 µ l of fluid of upper chest fluid, lower chest fluid, expressed swabs or abscess fluid was added to 1 ml of flashtrack wash solution (18 mM NaCl, 5.7 mM sodium azide, 5 mM HEPES (0.5 sodium salt), 0.1% w/v Saponin, adjusted to pH 7.5 with 4M NaOH). Samples were vortexed and then centrifuged in eppendorf tubes for 5 min. at 10,000g. The supernatants were decanted and resuspended in 1 ml of flashtrack wash solution. The pellet was resuspended in 200 µ l TB SDB and vortexed. 50 µ l of each sample was added to a TB lysing tube containing .17 g of 0.2-0.3mm glass beads, 110 µ l 5% w/v sorbitol, and 300 µ l of TB SDB and glass beads. Fluid specimens such as cerebrospinal fluid (CSF) were concentrated by centrifugation in the same manner, the supernatant decanted, and 50 µ l of sediment was added to a TB lysing tube containing .17 g of 0.2-0.3mm glass beads, 110 µ l 5% w/v sorbitol, and 300 µ l of TB SDB. For measurement from cultures, 1 µ l loopful of fungal cells were added to a TB lysing tube containing .17 g of 0.2-0.3mm glass beads, 110 µ l 5% w/v sorbitol, and 300 µ l of TB SDB. Once samples were added to the TB lysing tube, samples from sputum and other fluids were treated in the same manner. The samples were sonicated in a waterbath for 15 minutes at room temperature. Next the cells were heat-killed in a heat block for 10 min. at 95°C. Dilutions were then made in TB SDB. Samples were used promptly or frozen at -70°C for later use. Example B: Amplified Assay for Coccidioides immitis. The assay illustrated in this section utilizes an isothermal target-based, transcription mediated amplification (TMA) system. Following lysis of the fungal organisms by sonication in an enclosed tube using a water bath sonicator, the released rRNA was amplified via the TMA method described below into numerous target sequences which were then detected in the same tube using a homogenous protection assay. Liquid primers were diluted 30 pmols each/25 µ l of a solution of PAR (4 mM ATP, 4 mM CTP, 4 mM GTP, 4 mM UTP, 1 mM dATP, 1 mM dCTP, 1 mM dGTP, 1 mM dTTP, 40 mM Trizma Base, 20 mM MgCl 2 , 17 mM KCl, 5% w/v polyvinylpyrrolidone, adjusted to pH 7.5 using 1M NaOH and 6 M HCl). 25 µ l of the primers in PAR were added to the bottom of a polypropylene test tube. 200 µ l of the oil reagent were added to each tube. 50 µ l of rRNA diluted to the correct concentration in TB SDB were added to each tube (except for the negative controls which received 50 µ l of SDB only). Samples were then placed in a heat block at 95°C for 10 min. The tubes were placed in a water bath at 42°C for 5 min. 25 µ l containing reverse transcriptase (458 units/ µ l and T7 RNA polymerase (367 units/ µ l) in enzyme dilution buffer (60 mM N-acetyl-L- cysteine, 1 mM EDTA (free acid), 0.01% Phenol Red (0.5% solution), 140 mM Trizma Base, 70mM KCl, 20% v/v glycerol, and 10% v/v Triton X-102 adjusted to pH 8 with 6 M HCl) was added to each tube while the tubes remained in the 42°C water bath. The rack was gently shaken, the tubes were covered with sealing cards, and the tubes were incubated at 42°C for an additional 2 hours. The tubes were removed from the water bath, and the hybridization probe assay was performed. Alternatively, samples could be refrigerated for later testing. Two primers were used in the amplification step: a T7 RNA polymerase promoter/primer, and a primer. The T7 promoter-primer was complementary to a region of the sense strand 3' of the hybridization probe target sequence. Extension of this primer gives rise to RNA copies of the target sequence. The primer is complementary to a region of the anti-sense strand 3' from the target sequence. Extension of the primer on the anti-sense strand therefore gives rise to copies of the sense strand "template" for the T7 RNA polymerase. Amplification of antisense target sequences by TMA thus occurred as the sense strand was first copied by the DNA polymerase activity of reverse transcriptase and second, these sense strand copies were used as templates by RNA polymerase to amplify the anti-sense strand nucleic acids containing the target sequence. The process repeats autocatalytically. Amplification of rRNA from clinical specimens is also described in Jonas et al., Detection and Identification of Mycobacterium tuberculosis Directly from Sputum Sediments by Amplification of rRNA, pp. 2410-2416 (1993). Example II: Hybridization Probe Assay: A probe specific for Coccidioides immitis was identified by sequencing with a primer complementary to the 28S rRNA of Coccidioides immitis. The probe SEQ ID NO:21 was characterized and shown to be specific for Coccidioides immitis. The probe distinguished Coccidioides immitis from phylogenetically near, clinically important neighbors including Blastomyces dermatitidis and Histoplasma capsulatum. To demonstrate the reactivity and specificity of the probe for Coccidioides immitis, a hybridization probe assay was performed. RNA was hybridized to the acridinium ester-labeled probe in the presence of unlabeled helper probe. Helper probe consisted of the sequence corresponding to SEQ ID NO:25: GAACAGGACG TCATAGAGGG TGAGAATCC. Ninety µ l of a probe mixture in probe hybridization buffer (100 mM succinic acid, 230 mM of LiOH, 150 mM aldrithiol-2, 1.2M LiCl 2 , 20 mM EDTA, 20 mM EGTA, 3% v/v ethyl alcohol, 2% v/v lithium lauryl sulfate adjusted to pH 4.7 with 2M LiOH) containing 2.5 pmols helper probe and 10 µ l of probe (0.05 or 0.1 pmols/reaction) were added to each tube. The probe mixture contained an acridinium ester-labeled probes having one of the following nucleotide sequences: and unlabeled helper probe: The tubes were vortexed well and incubated at 60°C for 15 min. 300 µ l of 600 mM boric acid, 182 mM NaOH, and 1% v/v adjusted to pH 8.5 with 4 M NaOH (selection reagent) was added to each sample. The samples were then incubated at 60°C for 10 min. The samples were removed from the water bath and allowed to stand at room temperature for 5 min. before reading in a Gen-Probe luminometer for 2 seconds with a standard 2 injection format. A value of 30,000 relative light units (RLU) was used as the proposed cutoff for a positive test. Each run included amplification positive and negative controls. Quadruplicate assays were run for each determination, and the mean RLU values were calculated. Example IV: Specificity of the Amplified Hybridization Probe Assay. Purified rRNA preparations and sonicated fungal culture lysates were used to estimate the specificity of the test. Two probes were tested in the amplification assay: SEQ ID NO: 17 (Tables 1A-C) and SEQ ID NO: 21 (Table 1D-E). A T7 promoter-primer containing the sequence corresponding to SEQ ID NO:13 and a primer containing the sequence provided by SEQ ID NO:9 were used to obtain the results in Tables 1A and 1C. A T7 promoter-primer containing the sequence corresponding to SEQ ID NO:5 and a primer sequence containing the sequence provided by SEQ ID NO:9 were used to obtain the results in Table 1B. Strains representing other single pathogens and closely related organisms were included in the panel. Only Coccidioides immitis strains were positive (>30,000 RLU) in the assay. The following data show that the probes did not cross react with organisms from a wide phylogenetic cross section. The samples were also tested with a probe which has a very broad specificity. A positive signal from this probe provided confirmation of sample adequacy (data not shown). Specificity of Hybridization Probe SEQ ID NO:17 With rRNA Templates ATCC Organism rRNA Concentration Average RLU's (-) Control 0 fg 1,615 Coccidioides immitis (+) cont 500 fg 391,321 Malbranchea albolutea 500 fg 1,264 Blastomyces dermatitidis 500 fg 1,247 Histoplasma capsulatum 500 fg 1,171 Auxarthron thaxteri 500 fg 4,613 Gymnoascus dugwayensis 500 fg 1,255 (-) cont 0 fg 5,867 Coccidioides immitis (+) cont 50 fg 450,393 Coccidioides immitis (+) cont 500 fg 737,434 Aspergillus flavus 500 fg 2,432 Myxotrichum deflexum 500 fg 1,610 Aspergillus niger 500 fg 2,307 Candida krusei 500 fg 1,793 Candida 500 fg 5,022 glabrata Aspergillus fumigatus 500 fg 2,574 Arachnioites flavoluteus 500 fg 2,929 Candida parapsilosis 500 fg 2,100 Oidiodendron echinulatum 500 fg 1,247 Candida albicans 500 fg 3,189 * The RLU' s are averages of 4 replicates except for the value for Candida glabrata which is the average of 2 replicates. The primers used were the T7 promoter- primer SEQ ID NO:13 and the primer SEQ ID NO:9. Specificity of Hybridization Probe (SEQ ID NO:17) With rRNA Templates ATCC Organism rRNA Concentration Average RLU's (-) cont 0 fg 2,977 Coccidioides immitis (+) cont 500 fg 604,535 Malbranchea albolutea 500 fg 1,247 Blastomyces dermatitidis 500 fg 2,224 Histoplasma capsulatum 500 fg 968 Auxarthron thaxteri 500 fg 1,072 Gymnoascus dugwayensis 500 fg 7,638 (-) cont 0 fg 2,421 Coccidioides immitis (+) cont 50 fg 618,916 Coccidioides immitis (+) cont 500 fg 652,483 Aspergillus flavus 500 fg 2,475 Myxotrichum deflexus 500 fg 1,572 Aspergillus niger 500 fg 1,575 Candida krusei 500 fg 1,702 Candida glabrata 500 fg 2,234 Candida albicans 500 fg 1,607 Arachnioites flavoluteus 500 fg 1,521 Aspergillus fumigatus 500 fg 2,945 Candida parapsilosis 500 fg 2,210 Oidiodendron echinulatum 500 fg 5,726 * The RLU' s are the averages of 4 replicates except for Aspergillus flavus, Candida krusei and Candida galbrata which are the average of 3 replicates. The T7 promoter/primer which was used contained the sequence provided by SEQ ID NO:5 and the primer which was used contained the sequence in SEQ ID NO:9. Specificity Testing with ATCC Cell Lysates and rRNA Organism ATCC# Average RLU Coccidioides immitis 46900 1,544,446 Coccidioides immitis 38149 1,496,889 Coccidioides immitis 28868 1,424,771 Coccidioides immitis 38146 1,478,833 Coccidioides immitis (1x10-2) 38146 1,612,038 Coccidioides immitis(1x10-5) 38146 1,395,387 Coccidioides immitis(1x10-9) 38146 810,204 Histoplasma capsulatum 11407 968 Histoplasma capsulatum 38904 1,110 Blastomyces dermatitidis 60916 1,483 Trichophyton terrestre 28188 2,865 Trichophyton rubrum 10218 4,978 Trichophyton rubrum 28188 2,865 Trichophyton rubrum CI-4373 3,369 Uncinocarpus reeseii 34533 1,891 Gymnoascus dugwayensis 18899 1,621 Arachnioitus flavoluteus 28364 10,336 28364 1,903 Malbranchea dendritica 34527 4,747 Malbranchea arcuata 34523 1,500 Malbranchea albolutea 34522 1,871 Malbranchea gypseum 24102 4,338 Myxotrichum deflexum 15686 2,143 Auxarthron thaxteri 15598 1,414 Oidiodendron echinulatum 16287 1,497 Aspergillus flavus 10124 2,432 Aspergillus niger 16888 2,307 Aspergillus fumigatus 16907 2,574 Candida krusei 6258 1,793 Candida glabrata 48435 2,234 Candida albicans 18804 3,189 Candida parapsilosis 22019 2,100 Negative control 1,364 Coccidioides immitis CI-W95 1,501,719 (+)control Trichophyton terrestre CI-1441 1,859 Trichophyton terrestre CI-TR-9 2,839 Trichophyton terrestre CI-TR-73 2,924 Specificity of Hybridization Probe SEQ ID NO:21 With rRNA Templates ATCC Organism rRNA Concentration Average RLU's (-) Control Coccidioides immitis "A" 0 fg 938 Endospore 9x10 5 590,111 " 9x10 3 454,899 " 9 540,528 " 0.9 348,205 Malbranchea dendritica 500 fg 1,264 Oidiodendron echinulatum 500 fg 1,247 Specificity of Hybridization Probe SEQ ID NO:21 With rRNA Templates ATCC Organism rRNA Concentration Average RLU's (-) cont 0 fg 21,616 Coccidioides immitis (+) control 100 fg 96.453 Coccidioides immitis (+) control 100 fg 143,076 Coccidioides immitis (+) control 200 fg 137,590 Coccidioides immitis (+) control 500 fg 84,636 Malbranchea albolutea 500 fg 13,873 Blastomyces dermatitidis 500 fg 11,802 Histoplasma capsulatum 500 fg 10,790 Auxarthron thaxteri 500 fg 13,724 Gymnoascus dugwayensis 500 fg 10,420 Myxotrichum deflexum 500 fg 17,156 Aspergillus niger. 500 fg 15,943 Candida krusei 500 fg 16,861 Candida 500 fg 12,515 glabrata Arachnioites flavoluteus 500 fg 13,532 Candida parapsilosis 500 fg 14,368 Oidiodendron echinulatum 500 fg 12,656 Candida albicans 500 fg 13,946 The above data confirm that the probes described herein are capable of distinguishing Coccidioides immitis from its closely related phylogenetic neighbors in amplification assays. Example V: Sensitivity of the Amplified Hybridization Probe Assay To Detect Cultured Coccidioides immitis. The sensitivity of the assay was determined by testing serial dilutions of purified Coccidioides immitis rRNA. The test detected as little as 5 fg of rRNA with an average signal of 1,265,406 RLU, a value above the linear range of the luminometer. Two assays using different probes were carried out. The probes contained the sequences in SEQ ID NO: 17 (Table 2) and SEQ ID NO: 21 (Table 3). Another approach to determine the sensitivity of the assay was to test dilutions of 3 different endospore preparations using two different probes: SEQ ID NO: 21 (Table 4) and SEQ ID NO: 17 (Table 5). The number of endospores in each test was determined by direct counting using a hemocytometer. The amplified assay was able to detect as little as one endospore per test. To determine if the assay would produce positive RLU signals in clinical specimens, dilutions of endospores were added to 5 culture-negative sputum sediments previously digested according to the method of Kent, et al. Kent, P. T., Kubica G. Public Health Mycobacteriology. A Guide for the Level III Laboratory . Atlanta, GA; Centers for Disease Control (1985). Again, positive signals were obtained with as few as one endospore per test. Endospores were also seeded into aliquots of culture-negative CSF prior to centrifugation, and as few as 3 endospores per test produced a positive result. Sensitivity of Hybridization Assay Probe SEQ ID NO:17 Using rRNA Template Amplification Oligonucleotides C. immitis rRNA Concentration Average RLU's SEQ ID NO: 13 & SEQ ID NO: 9 5 fg 1,265,406 " 20 fg 1,878,058 " 50 fg 1,645,021 " 100 fg 1,749,740 " (-) cont 2,582 SEQ ID NO:5 & SEQ ID NO:9 5 fg 22,979 " 20 fg 343,184 " 50 fg 489,363 " 100 fg 672,477 " (-) cont 1,867 SEQ ID NO:1 & SEQ ID NO:9 5 fg 11,639 " 20 fg 7,191 " 50 fg 45,217 " 100 fg 185,162 " (-) cont 2,299 * The RLU's are averages of 4 replicates. Sensitivity of Hybridization Assay Probe SEQ ID NO: 17 Using rRNA Templates Amplification Oligonucleotides C. immitis rRNA Concentration Average RLU's SEQ ID NO:13 & SEQ ID NO:9 5 fg 528,577 " 20 fg 830,764 " 50 fg 743,241 " 100 fg 780,634 " (-) cont 1,779 SEQ ID NO:5 & SEQ ID NO:9 5 fg 6,517 " 20 fg 30,320 " 50 fg 159,855 " 100 fg 238,620 " (-) cont 1,842 SEQ ID NO:1 & SEQ ID NO:9 5 fg 9,611 " 20 fg 116,592 " 50 fg 139,480 " 100 fg 120,685 " (-) cont 1,658 * The RLU's are averages of 4 replicates. The results in Tables 2 and 3 illustrate the large difference in the level of signal obtained in amplification assays (as measured in RLU's) using the same primer and three different T7 promoter-primers (SEQ ID NO:13, SEQ ID NO:5, and SEQ ID NO:1). The three promoter-primers were targeted near to each other on Coccidioides immitis 28S RNA, contained the same promoter sequence, and had similar length primer sequences. The amplification assays using the promoter-primer containing SEQ ID NO:13 gave rise to the highest signals in the different assays. The assays using the promoter-primer containing SEQ ID NO:5 gave rise to higher signals than the assays using the promoter-primer SEQ ID NO:1 when the probe containing SEQ ID NO:17 was used. The amplification assays using the promoter-primer containing SEQ ID NO:5 gave rise to higher signals at 50 fg and 100 fg of rRNA than the amplification assays using the promoter-primer containing SEQ ID NO:1 when the probe containing SEQ ID NO:21 was used. The sequence specified in SEQ ID NO:13 is 53 nucleotides long and is complementary to a 26 nucleotide region which begins 3 nucleotides 3' of the target region targeted by the sequence SEQ ID NO:21. The sequence provided in SEQ ID NO:5 is 49 nucleotides long and is complementary to a 22 nucleotide region which begins 15 nucleotides 3' of the target region targeted by the sequence SEQ ID NO:21. The sequence provided in SEQ ID NO:1 is 51 nucleotides long and is complementary to a 24 nucleotide region which begins 23 bases 3' of the target region targeted by the SEQ ID NO:21. Thus, the results achieved using the three promoter primers are very different, despite the similarity between the three promoter-primers. Sensitivity of Hybridization Assay Probe (SEQ ID NO:21) Using Endospore and Spherule Dilutions Sample Type Endospore Input Average RLU's "A" Endospore 9x10 5 590,111 " 9x10 3 454,899 " 9 540,528 " 0.9 348,205 "B" Endospores 6.5x10 4 580,569 " 6.5x10 2 606,883 " 6.5 415,189 " 0.65 143,655 " 0.065 2,289 "C" Mixed Endos & Spherules 3.25x10 6 573,807 " 3.25x10 4 623,849 " 3.25x10 2 494,017 " 3.25 131,760 " 0.325 1,679 (-) control None 983 Sensitivity of Hybridization Assay Probe (SEQ ID NO:17) Using rRNA Templates "A" Preparation Endospores per Assay RLU's 9 x 10 5 1619925 9 x 10 3 1455427 9 1163369 0.9 360861 "B" Preparation Endospores per Assay RLU's 6.5 x 10 4 1402927 6.5 x 10 2 1347311 6.5 1339671 0.65 533590 0.065 3652 "C" Preparation Mixed Endospores and Spherules RLU's 3.25 x 10 6 1359644 3.25 x 10 4 1366980 3.25 x 10 2 1218693 3.25 210010 0.325 2160 Negative Control 1320 *The T7 promoter-primer used contained the sequence corresponding to SEQ ID NO: 13 and the primer used contained the sequence provided by SEQ ID NO: 9. Example VI: Sensitivity of the Amplified Hybridization Probe Assay in Detecting Coccidioides immitis Directly From Clinical Specimens. The results (average of 4 replicate RLU values) with clinical specimens are shown in Table 6. Five homogenized lung and pleural tissue specimens from 4 patients gave positive results from 176,235 to 1,475,187 RLU's. Four respiratory secretion specimens (sputum, bronchial washings and chest fluid) from 3 patients gave positive results from 86,998 to 1,342,617 RLU's. One patient with disseminated coccidioidomycosis produced positive signals of 569,969 and 953,985 RLU from swabs of abscess drainage. All of these specimens were positive for C. immitis by fungal culture and/or histopathology. Two CSF specimens and one sputum specimen from three patients were negative by the prototype test. The RLU values ranged from 1,747 to 12,850. These specimens were culture-negative for C. immitis. Additional results confirming the detection of Coccidioides immitis in clinical specimens are shown in Tables 7-9. The probe used in these experiments was SEQ ID NO:17. The T7 promoter-primer used contained the sequence corresponding to SEQ ID NO: 13 and the primer used contained the sequence corresponding to SEQ ID NO: 9. Coccidioides immitis was detected in pleural tissue, lung abscess tissue, pleural mass, lung mass, lung fluid, a sputum sample, and bronchial wash (Tables 6 and 7). In addition, Coccidioides immitis was detected in samples from abscesses (Table 8). Patient Specimens C . immitis Culture or Histopathology Positive : Patient # Specimen Average RLU 1 L. Pleural Tissue 941,285 1 L. Pleural Mass 1,441,898 2 L. Lung Abscess 176,235 3 L. Lung Mass 1,475,187 4 R. Lung Fluid 1,315,485 5 Sputum 1,009,956 6 Bronchial Wash 1,342,617 7 Upper Chest Fluid 258,259 7 Lower Chest Fluid 86,998 8 Lateral Leg Abscess 953,985 8 Medial Leg Abscess 569,969 C . immitis Culture Negative Specimens: 9 CSF 12,850 10 CSF 1,747 11 Sputum Sediment 6,786 PATIENT SAMPLES Sample Type Average rlu's L. Pleural Tissue T40995 941,285 T40995 (10 -1 ) 4,043 Lung Abscess Tissue F44901 176,235 F44901 (10 -1 ) 294,295 L. Pleural Mass T40996 1,441,898 T40996 (10 -1 ) 1,593,774 Left Lung Mass W46404 1,475,187 W46404 (10 -1 ) 1,549,916 Right Lung Fluid 94441230212 1,315,485 94441230212 (10 -1 ) 198,645 Sputum Sample PN114 1,009,956 PN114 (10 -1 ) 633,191 Bronchial Wash W49281 1,342,617 W49281 (10 -1 ) 889,543 (-) Control 1,052 (+) Control 1,763,026 PATIENT SAMPLES Sample Number Average RLU's L. Pleural Tissue 5,766 L. Pleural Tissue (10 -1 ) 3,554 L. Pleural Tissue (10 -2 ) 2,832 L. Pleural Tissue (10 -3 ) 2,583 Lung Abscess Tissue 208,062 Lung Abscess Tissue (10 -1 ) 113,559 Lung Abscess Tissue (10 -2 ) 7,663 Lung Abscess Tissue (10 -3 ) 3,406 L. Pleural Mass 1,741,846 L. Pleural Mass (10 -1 ) 1,777,578 L. Pleural Mass (10 -2 ) 852,297 L. Pleural Mass (10 -3 ) 265,296 Left Lung Mass 962,209 Left Lung Mass (10 -1 ) 1,260,207 Left Lung Mass (10 -2 ) 4,592 Left Lung Mass (10 -3 ) 3,920 Right Lung Fluid 179,199 Right Lung Fluid (10 -1 ) 238,102 Right Lung Fluid (10 -2 ) 8,203 Lung Fluid (10 -3 ) 3,007 Sputum Sample 816,631 Sputum Sample (10 -1 ) 29,590 Sputum Sample (10 -2 ) 200,518 Sputum Sample (10 -3 ) 2,267 Bronchial Wash 55,001 Bronchial Wash (10 -1 ) 58,067 Bronchial Wash (10 -2 ) 18,499 Bronchial Wash (10 -3 ) 12,812 (+) Cont 140,045 (-) Cont 2,752 Patient Samples* Sample Type Average RLU's Elbow Abscess (Garcia) 1,527,707 Medial Abscess (Garcia) 1,020,833 Elbow Abscess (Garcia) 1,178,792 Abscess (Knox) 1,196,953 Abscess (Knox) 1,056,303 (-) Cont 5,007 Example VII: Effects of NaOH Concentration on Sensitivity . In order to determine the effects of NaOH concentration during treatment of sputum specimens with N-acetyl-L-cysteine-NaOH, sputum specimens from two different patients were treated at 1% and 4% NaOH during this step of the sample preparation. The results are shown below in Table 10. PATIENT SAMPLES TABLE XIV NaOH Concentration Average RLU's Patient 1: 1% NaOH 230,162 1% NaOH 203,551 4% NaOH 1,005,982 4% NaOH 1,080,525 Patient 2: 1% NaOH 13,875 1% NaOH 13,175 4% NaOH 157,216 4% NaOH 14,530 (-) Control 5,077 Other embodiments are within the following claims. Thus while several embodiments have been shown and described, various modifications may be made, without departing from the spirit and scope of the present invention. SEQUENCE LISTING (1) GENERAL INFORMATION: (i) APPLICANT: (A) NAME: GEN-PROBE INCORPORATED (B) STREET: 9880 Campus Point Drive (C) CITY: San Diego (D) STATE: CA (E) COUNTRY: USA (F) POSTAL CODE (ZIP): 92121 (ii) TITLE OF INVENTION: AMPLIFICATION PRIMERS AND NUCLEIC ACID PROBES TARGETED TO COCCIDIOIDES IMMITIS NUCLEIC ACID (iii) NUMBER OF SEQUENCES: 41 (iv) COMPUTER READABLE FORM: (A) MEDIUM TYPE: Floppy disk (B) COMPUTER: IBM PC compatible (C) OPERATING SYSTEM: PC-DOS/MS-DOS (D) SOFTWARE: PatentIn Release #1.0, Version #1.30 (EPO) (v) CURRENT APPLICATION DATA: APPLICATION NUMBER: (2) INFORMATION FOR SEQ ID NO: 1: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 51 (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) SEQUENCE DESCRIPTION: SEQ ID NO: 1: (2) INFORMATION FOR SEQ ID NO: 2: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 51 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) SEQUENCE DESCRIPTION: SEQ ID NO: 2: (2) INFORMATION FOR SEQ 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Claims: An amplification oligonucleotide consisting of a 22-100 base sequence having a nucleotide sequence selected from the group consisting of: SEQ ID NOs: 9, 11, 29, 31, 33, 35, 37, and 39. The amplification oligonucleotide of Claim 1 wherein said oligonucleotide further comprises at its 5' end a nucleic acid sequence recognized by an RNA polymerase or which enhances initiation or elongation by an RNA polymerase. The amplification oligonucleotide of Claim 2, wherein said nucleic acid sequence is a promoter sequence recognized by said RNA polymerase. The amplification oligonucleotide of Claim 2, wherein said nucleic acid sequence consists of SEQ ID NO:41. An amplification oligonucleotide consisting essentially of a nucleotide sequence selected from the group consisting of: SEQ ID NOs: 1, 5, 13, 29, 31, 33, 35, 37, and 39. The amplification oligonucleotide of Claim 5, consisting of said nucleotide sequence. The amplification oligonucleotide of Claim 5 wherein said nucleotide sequence is selected from the group consisting of: SEQ ID NOs: 5, 33, and 35. The amplification oligonucleotide of Claim 5 wherein said nucleotide sequence is selected from the group consisting of: SEQ ID NOs: 13, 37, and 39. A method for detecting the presence of Coccidioides immitis in a test sample and distinguishing said Coccidioides immitis from Histoplasma capsulatum and Blastomyces dermatitidis, comprising the steps of: a) contacting said test sample under stringent hybridization assay conditions with a nucleic acid hybridization assay probe which forms a hybrid stable for detection under stringent hybridization conditions with Coccidioides immitis nucleic acid, and said probe consisting of a 22-100 base sequence having a nucleotide sequence selected from the group consisting of: SEQ ID NOs: 21, 22, 23, and 24; wherein said probe can distinguish Coccidioides immitis nucleic acid from Histoplasma capsulatum and Blastomyces dermatitidis nucleic acid under stringent hybridization assay conditions; and (b) measuring a presence or amount of said hybrid stable for detection; said method further comprising the step of amplifying said Coccidioides immitis target nucleic acid prior to said step (a), wherein said amplifying uses an amplification oligonucleotide consisting essentially of a sequence selected from the group consisting of: SEQ ID NOs: 1, 5, 13, 29, 31, 33, 35, 37, and 39. The method of Claim 9, wherein said oligonucleotide consists essentially of a sequence selected from the group consisting of: SEQ ID NOs: 5, 33, and 35. The method of Claim 9, wherein said oligonucleotide consists essentially of a sequence selected from the group consisting of: SEQ ID NOs:13, 37, and 39. The method of Claim 9, wherein said sample is a clinical sample and said method is used to detect and distinguish Coccidioides immitis from Histoplasma capsulatum, Blastomyces dermatitidis, Oidiodendron echinulatum, and Malbranchea dendriticus, if present, directly from a clinical specimen. The method of Claim 9, wherein said amplifying uses an amplification oligonucleotide consisting of a 22-100 base sequence having a nucleotide sequence selected from the group consisting of: SEQ ID NOs: 29, 31, 33, 35, 37, and 39. The method of Claim 13, wherein said amplification oligonucleotide further comprises at its 5' end a nucleic acid sequence recognized by an RNA polymerase or which enhances initiation or elongation by an RNA polymerase. The method of Claim 9, wherein said amplification oligonucleotide is recognized by said RNA polymerase. A method for detecting the presence of Coccidioides immitis in a test sample and distinguishing said Coccidioides immitis from Histoplasma capsulatum and Blastomyces dermatitidis, comprising the steps of: (a) amplifying Coccidioides immitis target nucleic acid in a test sample using an amplification oligonucleotide consisting of a 22-100 base sequence having a nucleotide sequence selected from the group consisting of: SEQ ID NOs: 29, 31, 33, 35, 37, and 39; (b) contacting the amplified target nucleic acid under stringent hybridization assay conditions with a nucleic acid hybridization assay probe which forms a hybrid stable for detection under stringent hybridization conditions with Coccidioides immitis nucleic acid, and said probe consisting of a 22-100 base sequence having a nucleotide sequence selected from the group consisting of: SEQ ID NOs:17, 18, 19, 20, 21, 22, 23, and 24; wherein said probe can distinguish Coccidioides immitis nucleic acid from Histoplasma capsulatum and Blastomyces dermatitidis nucleic acid under stringent hybridization assay conditions; and (c) measuring a presence or amount of said hybrid stable for detection.

Inventors: CLARK KATHLEEN A, MCALLISTER DIANE L, CLARK, KATHLEEN A., MCALLISTER, DIANE L.
Applicants: GEN PROBE INC, GEN-PROBE INCORPORATED
Application year: 1996
Main classification: C12Q1
IPC codes: C12N15, C12Q1