Applicability of PCR-DGGE and 16S rDNA Sequencing for Microbiological Analysis of Otitis Media with Effusion

Abstract

Background: The aim of the study was to analyze the performance of PCR-DGGE based assay and its applicability as a tool for the identification of bacteria in the middle ear of children with otitis media with effusion (OME). Methods: The middle ear effusions from 20 children with OME were analyzed both by bacterial culture and by 16S rDNA-gene-targeted PCR assay, DGGE fingerprinting and sequencing analysis. Results: In bacterial culture assay, only three middle ear effusions (15%) showed bacterial growth. None of the samples were positive for anaerobic culture. The PCR assay with 16S rDNA-gene-targeted universal primers was positive in 10 (50%) cases. The subsequent DGGE fingerprinting and 16S rDNA sequencing analysis revealed that the most commonly encountered bacteria in the middle ear effusions of children with OME are Haemophilus influenzae, Alloiococcus otitidis and Bacteroides spp. Conclusions: The present study demonstrated the applicability of PCR-DGGE based assay and 16S rDNA sequencing for analyzing of bacterial diversity in the middle ear effusion of children OME. The results of our study may contribute to a better understanding of the etiology of OME.

Share and Cite:

Kasenõmm, P. and Štšepetova, J. (2012) Applicability of PCR-DGGE and 16S rDNA Sequencing for Microbiological Analysis of Otitis Media with Effusion. International Journal of Otolaryngology and Head & Neck Surgery, 1, 71-76. doi: 10.4236/ijohns.2012.13015.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] R. M. Rosenfeld, L. Culpepper, K. J. Doyle, K. M. Grunfast, A. Hoberman, M. A. Kenna, A. S. Lieberthal, M. Mahoney, R. A. Wahl, C. R. Woods and B. Yawn, “Clinical Practice Quideline: Otitis Media with Effusion,” Otolaryngology—Head and Neck Surgery, Vol. 130, No. 5, 2004, pp. S95-S118. doi:10.1016/j.otohns.2004.02.002
[2] J. C. Post, R. A. Preston, J. J. Aul, M. Larkins-Pettigrew, J. Rydquist-White, K. W. Anderson, R. M. Wadowsky, D. R. Reagan, E. S. Walker, L. A. Kingsley, A. E. Magit and G. D. Ehrlich, “Molecular Analysis of Bacterial Pathogens in Otitis Media with Effusion,” Journal of the American Medical Association, Vol. 273, No. 23, 1995, pp. 1598-1604. doi:10.1001/jama.273.20.1598
[3] U. Gok, Y. Bulut, E. Keles, S. Yalcin and M. Ziya Doymaz, “Bacteriological and PCR Analysis of Clinical Material Aspirated from Otitis Media with Effusions,” International Journal of Pediatric Otorhinolaryngology, Vol. 60, No. 1, 2001, pp. 49-54. doi:10.1016/S0165-5876(01)00510-9
[4] I. Brook, P. Yocum and K. Shah, “Aerobic and Anaerobic Bacteriology of Concurrent Chronic Otitis Media with Effusion and Chronic Sinusitis in Children,” Archives of Otolaryngology—Head and Neck Surgery, Vol. 126, No. 2, 2000, pp. 174-176.
[5] I. Brook, P. Yocum, K. Shah, B. Feldman and S. Epstein, “Microbiology of Serous Otitis Media in Children: Correlation with Age and Length of Effusion,” Annals of Otology, Rhinology, and Laryngology, Vol. 110, No. 1, 2001, pp. 87-90.
[6] I. Brook, P. Yocum, K. Shah, B. Feldman and S. Epstein, “Aerobic and Anaerobic Bacteriological Features of Serous Otitis Media in Children,” American Journal of Otolaryngology, Vol. 4, No. 6, 1983, pp. 389-392. doi:10.1016/S0196-0709(83)80044-1
[7] P. H. Hendolin, L. Paulin and J. Ylikoski, “Clinically Applicable Multiplex PCR for Four Middle Ear Pathogens,” Journal of Clinical Microbiology, Vol. 38, No. 1, 2000, pp. 125-132.
[8] A. J. Beswick, B. Lawley, A. P. Fraise, A. L. Pahor and N. L. Brown, “Detection of Alloiococcus Otitis in Mixed Bacterial Populations from Middle-Ear Effusions of Patients with Otitis Media,” Lancet, Vol. 354, No. 9176, pp. 386-389. doi:10.1016/S0140-6736(98)09295-2
[9] L. Hall-Stoodley, Z. H. Hu, A. Gieseke, L. Nistico, D. Nguyen, J. Hayes, M. Forbes, D. P. Greenberg, B. Dice, A. Burrows, P. A. Wackym, P. Stoodley, J. C. Post, G. D. Ehrlich and J. E. Kerschner, “Direct Detection of Bacterial Biofilms on the Middle-Ear Mucosa of Children with Chronic Otitis Media,” Journal of the American Medical Association, Vol. 296, No. 2, 2006, pp. 202-211. doi:10.1001/jama.296.2.202
[10] H. Coates, R. Thornton, J. Langlands, P. Filion, A. D. Keil, S. Vijayasekaran and P. Richmond, “The Role of Chronic Infection in Children with Otitis Media with Effusion: Evidence for Intracellular Persistence of Bacteria,” Otolaryngology—Head and Neck Surgery, Vol. 138, No. 6, 2008, pp. 778-781. doi:10.1016/j.otohns.2007.02.009
[11] K. Leskinen, P. Hendolin, A. Virolainen-Julkunen, J. Ylikoski and J. Jero, “The Clinical Role of Alloiococcus otitidis in Otitis Media with Effusion,” International Journal of Pediatric Otorhinolaryngology, Vol. 66, No. 1, 2002, pp. 41-48. doi:10.1016/S0165-5876(02)00186-6
[12] M. Storgaard, B. Tarp, T. Ovesen, B. Vinther, P. L. Andersen, N. Obel and J. S. Jensen, “The Occurrence of Chlamydia pneumoniae, Mycoplasma pneumoniae, and Herpesviruses in Otitis Media with Effusion,” Diagnostic Microbiology and Infectious Disease, Vol. 48, No. 2, 2004, pp. 97-99. doi:10.1016/j.diagmicrobio.2002.03.001
[13] X. Wang, S. P. Heazlewood, D. O. Krause and M. Florin, “Molecular Characterization of the Microbial Species That Colonize Human Ileal and Colonic Mucosa by Using 16 rDNA Sequence Analysis,” Journal of Applied Microbiology, Vol. 95, No. 3, 2003, pp. 508-520. doi:10.1046/j.1365-2672.2003.02005.x
[14] G. Muyzer, E. C. De Waal and A. G. Uitterlinder, “Profiling of Complex Microbial Populations by Denaturing Gradient Gel Electrophoresis Analysis of Polymerase Chain Reaction Amplified Genes Coding for 16S rRNA,” Applied and Environmental Microbiology, Vol. 59, No. 3, 1993, pp. 695-700.
[15] E. G. Zoetendal, A. D. L. Akkermans and W. M. de Vos, “Molecular Characterization of Microbial Communitiesbased on 16 rRNA Sequence Diversity,” In: L. Dijkhoorn, K. J. Towner and M. Struelens, Eds., New Approaches for Generation and Analysis of Microbial Typing Data, Elsevier Science, Amsterdam, 2001, pp. 267-298. doi:10.1016/B978-044450740-2/50012-5
[16] C. F. Favier, E. V. Vaughan, W. M. De Vos and A. D. L. Akkermans, “Molecular Monitoring of Succession of Bacterial Communities in Human Neonates,” Applied and Environmental Microbiology, Vol. 68, No. 1, 2002, pp. 219-226. doi:10.1128/AEM.68.1.219-226.2002
[17] J. Maukonen, M.-L. M?tto, M. Suihko and M. Saarela, “Intra-Individual Diversity and Similarity of Salivary and Faecal Microbiota,” Journal of Medical Microbiology, Vol. 57, No. 12, 2008, pp. 1560-1568. doi:10.1099/jmm.0.47352-0
[18] H. J. Monstein, A. Tiveljung, C. H. Kraft, K. Borch and J. Jonasson, “Profiling of Bacterial Flora in Gastric Biopsies from Patients with Helicobacter pylori-Associated Gastritis and Histologically Normal Control Individuals by Temperature Gradient Gel Electrophoresis and 16S rDNA Sequence Analysis,” Journal of Medical Microbiology, Vol. 49, No. 9, 2000, pp. 817-822.
[19] B. E. Ley, C. J. Linton, S. Longhurst, H. Jalal and M. R. Millar, “Eubacterial Approach to the Dianosis of Bacterial Infection,” Archives of Disease in Childhood, Vol. 77, No. 2, 1997, pp. 148-149. doi:10.1136/adc.77.2.148
[20] K. Wilson, “Preparation of Genomic DNA from Bacteria,” In: F. M. Ausubel, R. Brent, R. E. Kingston, D. D. Moore, J. G. Seidman and J. A. Smith, Eds., Current Protocols in Molecular Biology, Greene Publishing Associates/Wiley Interscience, New York, 1987.
[21] D. J. Lane, “16S/23S rRNA Sequencing,” In: E. R. Stackebrandt and M. Goodfellow, Eds., Nucleic Acid Techniques in Bacterial Systematics, John Wiley & Sons, New York, 1991, pp. 115-147.
[22] N. Fromin, J. Hamelin, S. Tarnawski, D. Roesti, K. Jourdain-Miserez, N. Forestier, S. Teyssier-Cuvelle, F. Gillet, M. Aragno and P. Rossi, “Statistical Analysis of Denaturating Gel Electrophoresis (DGGE) Fingerprinting Patterns,” Environmental Microbiology, Vol. 4, No. 11, 2002, pp. 634-643. doi:10.1046/j.1462-2920.2002.00358.x
[23] M. Saffer, J. F. L. Neto, O. B. Piltcher and V. F. Petrillo, “Chronic Secretory Otitis Media: Negative Bacteriology,” Acta Otolaryngologica, Vol. 116, No. 2, 1996, pp. 836839. doi:10.3109/00016489609137936
[24] K. Tano, R. von Essen, P. O. Erikson and A. Sj?stedt, “Alloiococcus otitidis—Otitis Media Pathogen or Normal Bacterial Flora?” APMIS, Vol. 116, No. 9, 2008, pp. 785790. doi:10.1111/j.1600-0463.2008.01003.x
[25] H. R. Jousimies-Somer, P. H. Summanen, H. Wexler, S. M. Finegold, S. E. Gharbia and H. N. Shah, “Bacteroides, Porphyromonas, Prevotella, Fusobacterium, and Other Anaerobic Gram-Negative Bacteria,” In: P. R. Murray, E. J. Baron, J. H. Jorgensen, M. A. Pfaller and R. Y. Yolken, Eds., Manual of Clinical Microbiology, 8th Edition, ASM Press, Washington DC, 2003, pp. 880-901.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.