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Evaluation of Propionibacterium acnes Isolates Using Contour-clamped Homogeneous Electric Field Gel Electrophoresis
Authors:T Daniel Ting  Kenneth C Chern  David M Meisler  Gerri S Hall  Cindy C Knapp  Laura J Doyle  M Ludwig  Marion Tuohy  Robert E Foster  Careen Y Lowder
Institution:a Division of Ophthalmology, Cleveland Clinic Foundation, Cleveland Clinic Foundation, Cleveland, OH, U.S.A.;b Cleveland Clinic Foundation, Department of Microbiology, Cleveland Clinic Foundation, Cleveland, OH, U.S.A.
Abstract:Contour-clamped homogeneous electric field electrophoresis was performed to compare strains ofPropionibacterium acnes isolated from patients with chronic postoperative endophthalmitis. Propionibacterium acnes isolates were obtained from the vitreous humor of nine patients with chronic postoperative endophthalmitis following cataract surgery. In two of the patients, P. acnes isolates were also obtained from the aqueous humor as well as from the vitreous humor. Bacterial DNA was digested using Not I and Spe I restriction endonucleases. The DNA fragments were then subjected to contour-clamped homogeneous electric field electrophoresis and the DNA banding patterns were analysed. Eight nonidentical banding patterns were identified among the nine vitreous isolates of P. acnes. In each of the two cases from which aqueous and vitreous isolates were recovered from the same eye, the banding patterns were identical. Contour-clamped homogeneous electric field electrophoresis is a powerful method to distinguish P. acnes isolates based on DNA banding patterns and could be used in the epidemiological study of clinical processes caused by this organism.
Keywords:contour-clamped homogeneous electric field electrophoresis  endophthalmitis  Propionibacterium acnes  strain differentiation  vitreous fluid
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