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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
E.R. Cobo et al. / Theriogenology 68 (2007) 853860854
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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
E.R. Cobo et al. / Theriogenology 68 (2007) 853860858
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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.
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