cultivo vs pcr

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    protozoon identification by microscopic examination

    [15] have been the most routinely employed diagnostic

    test for bovine trichomonosis in bulls [1518]. However,

    the sensitivity (Se) of culture for diagnosis ofT. foetus,

    although it is considered the gold-standard method,

    varied from 84 to 96% under experimental conditions

    [17,1921] to low as 70% under field suboptimalconditions [18]. Lack of appropriate specificity (Sp) is

    another limitation of culture since Trichomonads,

    Tetratrichomonads spp. and Pentatrichomonas hominis,

    morphologically similar to T. foetus by light microscopy

    were isolated from cultured preputial smegma of bulls

    [5,2224]. The AI industry in the USA prescribes for

    bovine trichomonosis a rigorous protocol of sixweeklyT.

    foetus negative cultures for bulls older than 365 day of

    age [13]; although this diagnostic routine hasproven to be

    highly effective in controlling disease, the industry is

    continually looking for new or improved diagnosticmethods.

    We hypothesize that polymerase chain reaction

    (PCR)-based diagnosis of bovine trichomonosis may

    be at least as sensitive and specific as culture because it

    relieson the amplificationof DNA from the organism and

    not on the successful culture of the live organism.

    Experimentally, PCR detected T. foetus from cultured

    isolates, cervico-vaginal mucus, and tissues from female

    genitalia [5,20,22,2527]; in vitro, it differentiated T.

    foetus from other related trichomonads, such as

    Tetratrichomonads spp. [27,28]. However, Se and Spof PCR on smegma taken directly from bulls, where

    samples may contain inhibitory factors and DNA may be

    easily disrupted, are unknown. The time interval of

    smegma samples from the field collection to processing

    in the diagnostic laboratory could also affect results of

    PCR and culture in the diagnosis of T. foetus. Longer

    intervals between sampling and DNA extraction may

    decrease the sensitivity of PCR, and improper tempera-

    ture storage of samples prior to culture incubation may

    kill T. foetus or allow growth of contaminants [17,18].

    The objectives of this study were to determine the Se

    and Sp of In Pouch TF1 culture and PCR for detectingT. foetus directly from the genital secretions in

    experimentally infected bulls and to investigate whether

    a 24-h delay affected this diagnosis.

    2. Materials and methods

    2.1. Strains used for bull inoculums

    T. foetus D1 strain, isolated from a cow with

    pyometra in a herd outbreak of trichomonosis and

    employed to vaginally infect heifers [2931], was used

    for experimental T. foetus inoculation of bulls. The D1

    strain was grown in Diamonds trypticase yeast extract

    maltose media containing 10% fetal calf serum [32] and

    incubated at 37 8C. In the development of subcultures

    and axenic cultures, penicillin (1000 UI/mL), strepto-

    mycin (1 mg/mL) and nystatin (500 UI/mL) were

    added.To validate the Sp of the diagnostic tests, some bulls

    were inoculated with a Tetratrichomonas spp. strain

    isolated from preputial samples of a virgin bull [5] and

    cultured at 37 8C in Diamonds tryptycase yeast extract

    maltose media containing 10% bovine serum [32].

    Simultaneously, some bulls were inoculated with

    Campylobacter (C.) fetus venerealis and some with

    C. fetus fetus, both occasional inhabitants of the bulls

    preputial cavity [33,34]. The C. fetus venerealis strain

    was isolated from a C. fetus venerealis- induced

    abortion submitted to the California Animal Healthand Food Safety Laboratory; and, the C. fetus fetus

    strain was obtained from the American Type Culture

    Collection, Manassas, Va. (ATCC 15296). Both C. fetus

    venerealis and C. fetus fetus were incubated at 37 8C in

    a microaerophilic atmosphere on Skirrow medium

    [33,35].

    2.2. Inoculation and sampling of bulls

    Mature (46-year-old) Holstein or Jersey bulls

    (n = 79) negative by T. foetus and C. fetus venerealisculture, were selected and randomly assigned to

    treatment groups as follows: 19 bulls were inoculated

    with 106 live T. foetus, 13 were inoculated with 107

    motile C. fetus venerealis, 11 were inoculated with 106

    live T. foetus and 107 motile C. fetus venerealis (dual

    infection), 9 were inoculated with 106 live Tetratricho-

    monas spp., 8 were inoculated with 107 motile C. fetus

    fetus, and 19 were not inoculated. The assignment of

    groups determined two populations: bulls exposed to T.

    foetus (n = 30) and bulls not exposed to T. foetus

    (n = 49). The sample size of 30 or more animals per

    group for these two proportions (exposed versus notexposed) with an expected difference of 70% or more

    between true infected and negative populations had a

    power test of 0.91. The infective doses were based on

    previous reports of T. foetus [1,36] and C. fetus

    venerealis experimental infections [37,38]. The infec-

    tive doses were suspended in 2 mL of phosphate-

    buffered saline (PBS) and inoculated into the fornix of

    the preputial cavity. Following the infusion, the

    preputial orifice was manually held closed while the

    operator externally massaged the fornix area for

    approximately 1 min. For each bull, genital secretions

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    (preputial smegma) were collected weekly from 2 week

    before to 6 week post-inoculation. An aliquot was

    inoculated into In Pouch TF1 culture media and other

    aliquot in PBS for PCR. Samples from 40 of the 49

    controls bulls were analyzed by culture and PCR; and,

    samples of the remaining nine bulls were arbitrarily

    analyzed by PCR only. These nine bulls were alwaysPCR negative. The bulls were inoculated and sampled

    by using an insemination/infusion pipette (79 cm

    long 0.64 cm o.d. 0.32 cm i.d.; Cassou straws,

    IMV, France) covered by a plastic sheath. Inside the

    preputial cavity, the pipette was pulled forward through

    the sheath to expose the tip and moved back and forward

    in short strokes adjacent to the glans penis, especially

    near the fornix, while aspirating and massaging the

    glans penis to encourage greater amounts of smegma in

    to the pipette. A new kit was used for each bull to

    prevent cross contamination. All bulls were hygieni-cally sampled by the same qualified operator, and latex

    exam gloves were changed between bulls.

    2.3. Culture and PCR on preputial samples with

    short and long time shipping simulation

    Effect of storage of the preputial secretion samples

    on the culture and PCR methodology for T. foetus

    detection was investigated simulating short (4 h) and

    long (24 h) shipping periods. For culture, aliquots of

    smegma from 39 of the 79 bulls (seven inoculated withT. foetus, six with C. fetus venerealis, seven with T.

    foetus and C. fetus venerealis, six with Tetratrichomo-

    nas spp., six with C. fetus fetus, and seven not

    inoculated) were immediately inoculated into two

    different In Pouch TF1 pouches, which remained at

    room temperature (approximately 22 8C) for the short

    or long period, before being incubated at 37 8C. For

    PCR, aliquots of smegma of the same 39 bulls were

    taken into two different containers and immediately

    refrigerated at 4 8C for the short or long period, before

    DNA extraction.

    2.4. Culture and polymerase chain reaction (PCR)

    on genital secretion samples

    Preputial smegma was tested for T. foetus by culture

    utilizing a highly selective medium, In Pouch TF1

    (Biomed Diagnostics, San Jose, CA, USA) [19,39].

    Samples were incubated at 37 8C and examined on days

    1, 3, 5, and 7 after sampling by placing a drop on a glass

    slide and observing them at 40100 magnification

    using light microscopy [5,19,22,29]. Samples were

    considered positive when living trichomonads with size,

    shape and a wave-like, rapid and irregular jerky

    movement of the protozoan body compatible with T.

    foetus were observed [5].

    For PCR, DNA was extracted directly from preputial

    secretions in PBS using proteinase K digestion (Dneasy

    Tissue Kit Qiagen, Germany 69504). Specific primers

    (TFR1, TFR2, TFR3 and TFR4) for the 5.8S rRNAgene and the flanking internal transcribed spacer

    regions ITS1 and ITS2 of T. foetus were utilized

    [28]. Primers TFR1 (TGC TTC AGT TCA GCG GGT

    CTT CC) and TFR2 (CGG TAG GTG AAC CTG CCG

    TTG G) amplify the rRNA gene derived from

    conserved sequences of the 30-end of the 18S subunit

    rRNA gene and the 50-end of the 28S subunit rRNA

    gene, defining the Trichomonadidae family by yielding

    a product from all members of this family of 372-bp

    [28]. The TFR3 (CGG GTC TTC CTATAT GAG ACA

    GAA CC), complementary to the 50

    -end of the 28SrRNA gene; and TFR4 (CCT GCC GTT GGA TCA

    GTT TCG TTA A), located at the border of the 18S

    rRNA gene and ITS1, specifically target T. foetus,

    yielding a product of 347 bp [27]. The PCR reaction

    was carried out in a 50 mL final volume with a sample

    template volume of 3 mL. The DNA polymerase used

    was 2.0 U AmpliTaq Gold, and the final concentrations

    of magnesium chloride, dNTPs, and primers were

    maintained at 15 mM, 5 mM, and 400 mM, respec-

    tively. Amplification was carried out in a Perkin-Elmer

    2400 thermocycler with one cycle of 958

    C for 10 min,35cycles of 95 8C for 30 s,60 8C for 30 s, and 72 8Cfor

    1 min,andafinalextensionstepof72 8C for 7 min[27].

    Amplicons were separated by electrophoresis on 1.5%

    agarose gel and detected by staining with ethidium

    bromide. Extracted DNA from T. foetus and Tricho-

    monas vaginalis were used as a positive and negative

    control, respectively.

    2.5. Statistical analysis

    For analysis, the 30 bulls exposed to T. foetus,

    including those inoculated only with T. foetus (n = 19)and those inoculated with both T. foetus and C. fetus

    venerealis (n = 11) (dual infection), were considered as

    the inoculated group. In the same way, the 49 bulls

    not exposed to T. foetus, including those bulls

    inoculated with other microorganisms (Tetratrichomo-

    nas spp. (n = 9), C. fetus fetus (n = 8), only C. fetus

    venerealis (n = 13)) and those not inoculated (n = 19)

    were considered as the control group. Assuming all

    the T. foetus inoculated bulls were potentially

    infected, Se was defined as the probability of the

    test finding positive results among bulls which were

    E.R. Cobo et al. / Theriogenology 68 (2007) 853860 855

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    inoculated with T. foetus [Se: true positives/(true

    positives + false negatives)]. Furthermore, Sp was

    defined as the probability of the test finding no positive

    result among bulls which were not inoculated with T.

    foetus [Sp: true negatives/(true negatives + false posi-

    tives)]. The Se and Sp were calculated at each week

    post-inoculation for culture alone, PCR alone, and bothculture and PCR in parallel. The Se and Sp of culture

    alone, PCR alone, and both culture and PCR in parallel

    on animals sampled in two, three, and six consecutive

    weeks were also calculated. Parallel interpretation

    schemes (positive if at least one test was positive;

    negative only if the sample yielded negative results for

    both culture and PCR) were used to maximize

    sensitivity of detecting all infected animals [40].

    Groups inoculated with T. foetus or not inoculated

    were assumed to represent the state of nature.

    The effect of storage of the preputial secretionsamples on the PCR and culture methodology for T.

    foetus detection was analyzed using Kappa statistics

    agreement between results from the 4 and 24 h

    simulated shipping time periods.

    3. Results

    3.1. Culture

    For culture, 26 of 30 T. foetus inoculated bulls

    (86.7%) yielded at least one culture positive resultduring the 6-week period, whereas four bulls were

    negative throughout the study. From 180 smegma

    samples of T. foetus inoculated bulls, 122 (67.7%)

    yielded culture positive results.

    3.2. PCR

    For PCR, 27 of 30 T. foetus inoculated bulls (90.0%)

    yielded at least one PCR positive result during the 6-week period, whereas three bulls were negative

    throughout the study. From 180 smegma samples of

    T. foetus inoculated bulls, 119 (66.1%) yielded PCR

    positive results.

    3.3. In parallel tests

    Considering both tests in parallel in the same sample,

    28 of 30 T. foetus inoculated bulls (93.3%) yielded at

    least one culture and/or PCR positive result during the

    6-week period, whereas two bulls were negative forboth methods throughout the study. From 180 smegma

    samples of T. foetus inoculated bulls, 141 (78.3%)

    yielded culture and/or PCR positive results. Thus, the

    estimated proportion of bulls inoculated with T. foetus

    that became infected (i.e. positive to at least once

    culture and/or PCR) was similar for culture (86.7%),

    PCR (90.0%), and both culture and PCR (93.3%). The

    proportion of bulls infected (i.e. positive to culture

    and/or PCR) inoculated with T. foetus alone or in

    combination with C. fetus venerealis (dual infection)

    was 89.5% (17 of 19 bulls T. foetus infected) and100.0% (11 of 11 bulls T. foetus infected), respectively

    (P = 0.14).

    E.R. Cobo et al. / Theriogenology 68 (2007) 853860856

    Table 1

    Sensitivity (Se) and specificity (Sp) and the 95% precision (margin of error, MOE; expressed as %) for T. foetus culture, PCR, and both (parallel)

    methods, on smegma samples from bulls inoculated or not inoculated with T. foetus weekly sampled for 6 week post-inoculation

    Week Group Culture PCR Both (parallel)

    Pos Neg Se MOE Sp MOE Pos Neg Se MOE Sp MOE Pos Neg Se MOE Sp MOE

    1 Inoc 20 10 12 18 22 8

    Cont 1 39 67 17 100 5 0 49 40 18 100 0 1 39 73 16 98 5

    2 Inoc 20 10 19 10 23 7

    Cont 1 39 67 17 100 5 1 47 66 17 98 4 2 38 77 15 95 7

    3 Inoc 19 11 21 9 25 5

    Cont 1 39 63 17 100 5 1 48 70 16 98 4 1 39 83 13 98 5

    4 Inoc 21 9 21 9 23 7

    Cont 0 40 70 16 100 0 1 48 70 16 98 4 0 40 77 15 100 0

    5 Inoc 22 8 22 8 23 7

    Cont 0 40 73 16 100 0 1 48 73 16 98 4 1 39 77 15 98 5

    6 Inoc 20 10 23 7 25 5

    Cont 0 40 67 17 100 0 1 48 77 15 98 4 0 40 83 13 100 0

    Av Inoc 20.3 9.7 19.7 10.2 23.5 6.5

    Cont 0.5 3 9.5 68 17 100 2 0.8 48 66 16 98 3 0.8 39.2 78 15 98 4

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    3.4. Testing on samples taken on consecutive weeks

    When analyzing only one diagnostic test (culture or

    PCR) and the combination of both tests on the same

    sample (in parallel) per week in a 6-week post-

    inoculation period, the average Se for detecting T. foetus

    infected bulls was: for culture, 67.8%; for PCR, 65.9%;and for the combination of both, 78.3% (Tables 1 and 2).

    For the 6-week period, the Se of culture and/or PCR

    were not significantly different by weeks, with the

    exception of PCR alone at week 1 where the Se was

    particularly low (40%; Table 1). The average Sp for

    culture was 99%, for PCR 98%, and for both 98%, with

    no significant differences among weeks (Table 1).

    The current standard diagnosis of six weekly

    consecutive cultures had a Se of 86.7% and a Sp of

    97.5% (Table 2). The culture results interpreting two

    consecutive weeks together had a Se of 76.0% and Sp of98.5%; and PCR interpreting two consecutive weeks had

    a Se of 78.0% and Sp of 96.7% (Table 2). Interpreting

    three consecutive weeks, the culture results had a Se of

    80.0% and Sp of 98.1%; and, PCR a Se of 85.0% and Sp

    of 95.4%. Higher Se and Sp were observed when the

    combination of both culture and PCR on the same sample

    was interpreted for three consecutive weeks (Se 87.5%

    and Sp 95.6%) and six consecutive weeks (Se 93.3% and

    Sp 92.5%)(Table 2).Regarding the Sp of themethods, for

    culture, one control bull (inoculated with Tetratricho-

    monas spp.) and, for PCR, four control bulls (threeinoculated with C. fetus venerealis and one with C. fetus

    fetus) yielded positive results for T. foetus at a single or

    few intermittent weeks.

    3.5. Storage effects

    Smegma samples stored 4 and 24 h yielded almost

    the same culture result, since only one sample

    disagreed, being positive for T. foetus culture at 4 h

    but negative at 24 h. Likewise, agreement of PCR on

    smegma samples processed at 4 and 24 h afterextraction had no discrepancy (Kappa 1 0.2) as 49

    samples were positive and 203 negative to PCR at both 4

    and 24 h.

    4. Discussion

    We investigated alternative strategies for T. foetus

    diagnoses by culture or PCR and the parallel

    interpretation of the test results of several consecutive

    weeks. A single culture or PCR seemed to be equally

    sensitive detecting T. foetus (Se of 67.8 and 65.9%,respectively). Also, culture and PCR had similar Se

    when analyzing combinations of two (76.0 and 78.0%,

    respectively), three (80.0 and 85.0%, respectively), and

    six (86.7 and 90.0%, respectively) consecutive weeks.

    Sp was greater than 90% for all these testing schemes.

    The similar performance of culture and PCR agrees

    with in vitro studies where PCR made from 5-day

    cultures of male genital secretions agreed 92.9% with

    culture [18]. The current gold-standard of six weekly

    cultures for diagnosing T. foetus in bulls yielded a Se of

    86.7% and Sp of 97.5%. However, the use of PCR forthree consecutive weeks (Se 85.0%, Sp 95.4%) and both

    culture and PCR on the same sample for three

    consecutive weeks (Se 87.5%, Sp 95.6%) appeared to

    be similar to this standard of six weekly cultures.

    Culture and PCR tests in parallel on a single sample had

    a Se (78.3%) and Sp (98.5%) similar to culture (Se

    76.0%, Sp 98.5%) or PCR (Se 78.0%, Sp 96.7%)

    applied on two consecutive weeks. As expected, the use

    of both methods together for six consecutive weeks had

    the highest Se (93.3%) and high Sp (92.5%). These

    alternative strategies for T. foetus diagnostics utilizing

    culture and PCR may require less time and perhaps lesscost in the surveillance of AI bulls and beef bulls prior to

    the breeding season. Combinations of tests to classify

    individuals as positive or negative have been used in

    many diagnostic, health-certification, disease-surveil-

    lance and eradication programs for livestock disease

    [40]. Moreover, knowing the Se and Sp of a diagnostic

    test (In Pouch TF1 and PCR) the positive and the

    negative predictive values can be calculated, but these

    values will be influenced by the prevalence of the

    disease (bovine trichomonosis) in a specific geographic

    area. However, results for tests that measure similar

    E.R. Cobo et al. / Theriogenology 68 (2007) 853860 857

    Table 2

    Sensitivity (Se) and specificity (Sp) and the 95% confidence intervals

    for T. foetus culture, PCR, and both methods applied alone or

    combined for 2, 3, or 6 week

    Test(s) Week Se (%) 95% CI Sp (%) 95% CI

    Cult 1 67.8 51.1; 84.1 98.8 96.3; 101.2

    PCR 1 65.9 49.5; 81.8 98.3 95.0; 101.6

    Both 1 78.3 63.7; 93.0 98.5 95.6; 101.4Cult 2 76.0 60.8; 91.3 98.5 95.6; 101.4

    PCR 2 78.0 64.0; 92.0 96.7 91.6; 101.9

    Both 2 83.3 70.2; 96.5 96.5 90.9; 102.1

    Cult 3 80.0 65.8; 94.2 98.1 94.5; 101.8

    PCR 3 85.0 72.3; 97.7 95.4 89.6; 101.2

    Both 3 87.5 75.9; 99.1 95.6 9.4; 101.9

    Cult 6 86.7 74.5; 98.8 97.5 92.7; 102.3

    PCR 6 90.0 79.3; 100.7 91.8 84.2; 99.5

    Both 6 93.3 84.4; 102.3 92.5 84.3; 100.7

    Bulls considered positive had to have a culture and/or PCR positive

    results on their smegma samples at least once during the 6-week

    period. Bulls considered negative had to have culture and PCR

    negative results on all of their samples.

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    biological targets (in this case identification of T.

    foetus by culture and identification of fragments of

    DNA by PCR) may be similarly affected by same

    circumstances, such as low organism concentration or

    improper sample storage. Thus, combination of tests

    that measure different biological processes, such as

    detection of the agent by culture/PCR and antibodyresponse, are recommended although preputial and

    systemic humoral immune response appears not to be

    associated with natural T. foetus infection in bulls

    [10,41].

    The proportion of bulls inoculated with T. foetus and

    infected (i.e. positive to culture and/or PCR at least

    once) was high (>85%) in agreement with previous

    literature [1,42]. However, some infected bulls yielded

    sporadic negative culture or PCR results due likely to

    the insensitivity of the method, presence of inhibitors,

    variation of the sampling, or fluctuation of the protozoalpopulation in the preputial cavity [16,18]. Conversely,

    we were unable to demonstrate infection by either

    method at any time in two of 30 T. foetus-inoculated

    bulls (6.7%) for the 6-week post-inoculation period,

    although they were inoculated with infective doses.

    This individual natural resistance to the disease,

    reported previously [1,36], could be determined by

    factors such as host genetic variations or specific

    preputial inhabiting flora, that need to be defined. From

    the similar T. foetus infection rate between groups

    inoculated alone with T. foetus and in combination withC. fetus venerealis, we inferred that the presence ofC.

    fetus venerealis did not alter the colonizing properties of

    T. foetus.

    We observed that In Pouch TF1 culture had a Se of

    67.8% identifying positive samples from T. foetus

    inoculated bulls. Similarly, in other work, we have

    reported that culture yielded a Se of 72.4% detecting

    bulls naturally exposed to T. foetus [7]. However, on

    samples from bulls chronically and persistently infected

    with T. foetus, In Pouch TF1 (95.8%) [19] and Diamond

    (81.6% to 93.2%) [39] culture yielded an apparently

    better sensitivity detecting T. foetus than we reportedhere. The lower Se reported in this study may be

    attributed to the fact that all T. foetus inoculated bulls

    (and their samples) were considered potentially

    infected for the purpose of providing a gold standard

    for the calculation of the Se and Sp, although we were

    unable to demonstrate infection in two bulls by any

    means. Conversely, this lower sensitivity may reflect

    limitations that could happen while testing bulls under

    natural conditions, where some bulls become easily

    infected and harbor large quantities of protozoa,

    whereas other bulls may be naturally resistant to

    the disease or maintain the infection at low levels. The

    present study encourages the use of In Pouch TF1 for

    bovine trichomonosis diagnosis in bulls because, as

    discussed above, it identified T. foetus infected bulls,

    especially when applied repeated times, and because it

    was comparable to other reliable methods such as PCR.

    Conversely, In Pouch TF1 was insensitive for othertrichomonads since only Tetratrichomonas spp. was

    capable of only temporary growth in smegma samples

    of one bull experimentally inoculated with Tetratricho-

    monas spp.

    The PCR method we used successfully detected T.

    foetus when applied directly to smegma samples of

    bulls experimentally inoculated with T. foetus. In

    agreement, Felleisen TFR3/4 primers were capable

    of detecting T. foetus on: several isolations from

    outbreaks; on vaginal mucus of heifers; on formalin-

    fixed paraffin-embedded infected endometrial tissues;and, on infected aborted bovine fetuses [26]. The in

    vitro biological sensitivity of TFR3/4 was approxi-

    mately 90% and the specificity of 98% [18], detecting as

    little as 0.03 pg of purified T. foetus DNA [27] or

    approximately two organisms per milliliter of sheath-

    wash samples under laboratory conditions [18]. Thus,

    we confirmed the Felleisen PCR as a sensitive method

    to detect T. foetus in genital samples taken directly from

    bulls, and we reaffirmed its use as a diagnostic method

    in cattle production. Conversely, the finding of sporadic

    false negative results in some infected bulls indicatedPCR is still an imperfect method. Degradation of DNA,

    due to poor specimen preparation, inadequate sampling,

    transportation [43], and presence of blood [18],

    DNAase or natural flora in bovine preputial smegma,

    could affect those primers with larger target sequences.

    Our interpretation is that a low Se of PCR alone in

    preputial samples at week 1 may have occurred because

    the T. foetus primers that we used in field-collected

    samples apparently did not detect small numbers of

    organisms or organisms that do not propagate as

    expected [27]. This inability of PCR to accurately detect

    T. foetus early after inoculation may be overcome by theculture that allows organisms to multiply by incubation.

    We inferred that PCR had a high specificity and

    accurately distinguished T. foetus from other tricho-

    monads, since Tetratrichomonas spp. were difficult to

    detect even when we knew exactly which bull was

    inoculated and when. The sporadic finding of PCR-

    positive results in non-T. foetus inoculated bulls may

    indicate that occasionally trichomonads with some

    grade of DNA homology with T. foetus could normally

    inhabit the preputial cavity. Alternatively, these bulls

    could have arrived already T. foetus infected. Though

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    errors in our sampling and/or PCR methodology are

    possible, they were not reported. In vitro studies

    validated the specificity of primers TFR3/4 for

    differentiating phylogenetically closely related organ-

    isms because no amplification was observed with

    genomic DNAs of T. vaginalis, Trichomonas gallinae,

    Tetratrichomonas gallinarum, Trichomonas tenax, andP. hominis as well as genomic DNA of bacteria and

    bovine cells [27,28,44]. Other ways to distinguish

    different trichomonads, such as fixation of smears and

    staining [45] or electron microscopy [22,24], may

    require further handling and be more expensive. Lastly,

    the agreement between culture and PCR in samples

    stored up to 24 h indicated that these methods could be

    efficiently applied to smegma samples properly stored.

    Specifically, smegma samples that are commonly

    shipped by overnight bus or couriers should be kept

    at room temperature for culture and at 48C for PCR.

    Especially important for PCR is that maintaining

    samples at 4 8C may limit proliferation of T. foetus

    and other organisms from the preputial cavity, which

    secrete hydrolytic enzymes that cause rapid DNA

    breakdown [46].

    5. Conclusion

    If sample quality/quantity is adequate and the sample

    is handled appropriately, the PCR and culture may offer

    similar Se and Sp for detecting T. foetus in smegmafrom infected bulls. Moreover, PCR or both tests

    applied in parallel on smegma samples sampled on three

    consecutive weeks may be as sensitive and specific as

    the current gold-standard of six weekly cultures.

    Acknowledgments

    We thank the National Association of Animal

    Breeders (NAAB) and Certified Semen Services, Inc.,

    for their support and the AI companies, ABS-Global,

    Accelerated Genetics, Alta-Genetics USA, Andro-

    genics/Jerseyland Sires, Genex Cooperative, and SelectSires that provided the bulls for the research.

    References

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