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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1997 Jul;35(7):1897–1899. doi: 10.1128/jcm.35.7.1897-1899.1997

Comparison of methods for extraction of nucleic acid from hemolytic serum for PCR amplification of hepatitis B virus DNA sequences.

A Klein 1, R Barsuk 1, S Dagan 1, O Nusbaum 1, D Shouval 1, E Galun 1
PMCID: PMC229868  PMID: 9196220

Abstract

The sensitivity of PCR for the amplification of target nucleic acid sequences in clinical diagnostics may often be reduced due to the presence of inhibitory factors. Hemolytic serum contains a number of PCR inhibitors, one of which is hemin. In this study we have found that conventional methods of DNA extraction were not sufficient for the removal of PCR-inhibitory compounds in hemolytic serum. We have therefore compared the efficiency of several commercial and noncommercial methods of nucleic acid purification from hemolytic serum samples prior to PCR amplification. Separation with the QIAamp HCV kit, dialysis with Millipore filters, and bovine serum albumin absorption were all found to be suitable extraction methods for eliminating inhibitors from hemolytic serum for PCR amplification. Using these methods we were able to detect very low levels of hepatitis B virus DNA in hemolytic serum.

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Selected References

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  1. Byrnes J. J., Downey K. M., Esserman L., So A. G. Mechanism of hemin inhibition of erythroid cytoplasmic DNA polymerase. Biochemistry. 1975 Feb 25;14(4):796–799. doi: 10.1021/bi00675a023. [DOI] [PubMed] [Google Scholar]
  2. Demeke T., Adams R. P. The effects of plant polysaccharides and buffer additives on PCR. Biotechniques. 1992 Mar;12(3):332–334. [PubMed] [Google Scholar]
  3. Galun E., Burakova T., Ketzinel M., Lubin I., Shezen E., Kahana Y., Eid A., Ilan Y., Rivkind A., Pizov G. Hepatitis C virus viremia in SCID-->BNX mouse chimera. J Infect Dis. 1995 Jul;172(1):25–30. doi: 10.1093/infdis/172.1.25. [DOI] [PubMed] [Google Scholar]
  4. Gilgen M., Höfelein C., Lüthy J., Hübner P. Hydroxyquinoline overcomes PCR inhibition by UV-damaged mineral oil. Nucleic Acids Res. 1995 Oct 11;23(19):4001–4002. doi: 10.1093/nar/23.19.4001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kaneko S., Miller R. H., Feinstone S. M., Unoura M., Kobayashi K., Hattori N., Purcell R. H. Detection of serum hepatitis B virus DNA in patients with chronic hepatitis using the polymerase chain reaction assay. Proc Natl Acad Sci U S A. 1989 Jan;86(1):312–316. doi: 10.1073/pnas.86.1.312. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Katcher H. L., Schwartz I. A distinctive property of Tth DNA polymerase: enzymatic amplification in the presence of phenol. Biotechniques. 1994 Jan;16(1):84–92. [PubMed] [Google Scholar]
  7. Khan G., Kangro H. O., Coates P. J., Heath R. B. Inhibitory effects of urine on the polymerase chain reaction for cytomegalovirus DNA. J Clin Pathol. 1991 May;44(5):360–365. doi: 10.1136/jcp.44.5.360. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Levere R. D., Gong Y. F., Kappas A., Bucher D. J., Wormser G. P., Abraham N. G. Heme inhibits human immunodeficiency virus 1 replication in cell cultures and enhances the antiviral effect of zidovudine. Proc Natl Acad Sci U S A. 1991 Mar 1;88(5):1756–1759. doi: 10.1073/pnas.88.5.1756. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mullis K. B., Faloona F. A. Specific synthesis of DNA in vitro via a polymerase-catalyzed chain reaction. Methods Enzymol. 1987;155:335–350. doi: 10.1016/0076-6879(87)55023-6. [DOI] [PubMed] [Google Scholar]
  10. Panaccio M., Lew A. PCR based diagnosis in the presence of 8% (v/v) blood. Nucleic Acids Res. 1991 Mar 11;19(5):1151–1151. doi: 10.1093/nar/19.5.1151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Paterlini P., Gerken G., Nakajima E., Terre S., D'Errico A., Grigioni W., Nalpas B., Franco D., Wands J., Kew M. Polymerase chain reaction to detect hepatitis B virus DNA and RNA sequences in primary liver cancers from patients negative for hepatitis B surface antigen. N Engl J Med. 1990 Jul 12;323(2):80–85. doi: 10.1056/NEJM199007123230202. [DOI] [PubMed] [Google Scholar]
  12. Ross J. A., Nelson G. B., Holden K. L. DNA isolation from small tissue samples using salt and spermine. Nucleic Acids Res. 1991 Nov 11;19(21):6053–6053. doi: 10.1093/nar/19.21.6053. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Ruano G., Pagliaro E. M., Schwartz T. R., Lamy K., Messina D., Gaensslen R. E., Lee H. C. Heat-soaked PCR: an efficient method for DNA amplification with applications to forensic analysis. Biotechniques. 1992 Aug;13(2):266–274. [PubMed] [Google Scholar]
  14. Shieh Y. S., Wait D., Tai L., Sobsey M. D. Methods to remove inhibitors in sewage and other fecal wastes for enterovirus detection by the polymerase chain reaction. J Virol Methods. 1995 Jul;54(1):51–66. doi: 10.1016/0166-0934(95)00025-p. [DOI] [PubMed] [Google Scholar]
  15. Tsutsui K., Mueller G. C. Hemin inhibits virion-associated reverse transcriptase of murine leukemia virus. Biochem Biophys Res Commun. 1987 Dec 16;149(2):628–634. doi: 10.1016/0006-291x(87)90414-1. [DOI] [PubMed] [Google Scholar]
  16. Vandenvelde C., Scheen R., Defoor M., Duys M., Dumon J., Van Beers D. Suppression of the inhibitory effect of denatured albumin on the polymerase chain reaction by sodium octanoate: application to routine clinical detection of hepatitis B virus at its infectivity threshold in serum. J Virol Methods. 1993 May;42(2-3):251–263. doi: 10.1016/0166-0934(93)90037-r. [DOI] [PubMed] [Google Scholar]
  17. Wadowsky R. M., Laus S., Libert T., States S. J., Ehrlich G. D. Inhibition of PCR-based assay for Bordetella pertussis by using calcium alginate fiber and aluminum shaft components of a nasopharyngeal swab. J Clin Microbiol. 1994 Apr;32(4):1054–1057. doi: 10.1128/jcm.32.4.1054-1057.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wiedbrauk D. L., Werner J. C., Drevon A. M. Inhibition of PCR by aqueous and vitreous fluids. J Clin Microbiol. 1995 Oct;33(10):2643–2646. doi: 10.1128/jcm.33.10.2643-2646.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. de Lomas J. G., Sunzeri F. J., Busch M. P. False-negative results by polymerase chain reaction due to contamination by glove powder. Transfusion. 1992 Jan;32(1):83–85. doi: 10.1046/j.1537-2995.1992.32192116439.x. [DOI] [PubMed] [Google Scholar]

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