e and 50 %
isopropanol.
PCR
For H. pylori genotyping, a
sequence specific, nested PCR
approach was performed as
described earlier by Koehler et al.
[5]. Briefly, genomic sub-fragments
of the virulence factors
vacA, cagA, and iceA were amplified
by the combined use of allelespecific
primer sets (vacA s1/s2,
vacA m1/m2, cagA, and iceA 1/2)
in two PCR amplification steps,
each starting with a preincubation
at 95C for 5 minutes, then followed
by 35 cycles of 1 minute
denaturation at 95 C, 1 minute annealing at 58 C and 1 minute
extension at 72 C. PCR yielded
products with sizes varying from
102 bp to 301 bp.
Analysis of PCR-products
PCR products were analyzed using
standard agarose gel electrophoresis
and Lab-on-a-chip technology
on the Agilent 2100 bioanalyzer
using the Agilent DNA 1000
LabChip kit according to the
manufacturer's instructions.
Results and discussion
In a previous study 5 we have
established a nested multiplex
PCR (mPCR) assay in order to
identify the different virulence factors
of Helicobacter pylori, vacA,
cagA and iceA genotypes in routinely
processed gastric biopsies
which are formalin fixed and
paraffin embedded. The nested
mPCR assays with a limited number
of primer sets produced reliable,
distinct amplification products
of all specimens. The combined
PCR assays for the simultaneous
detection of the vacA midregions
m1 and m2, as well as the
combined detection of iceA1 and
iceA2 were routinely performed.
The semi-nested PCR for the
detection of the vacA signal
regions s1 and s2 was usually
combined with the nested PCR for
the cagA gene. The established
mPCR assay permits the simultaneous
analysis of all seven different
diagnostically relevant alleles.
However, tested on a broad spectrum
of di
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