Sensitivity and specificity of five different mycoplasma detection assays

Leukemia. 1992 Apr;6(4):335-41.

Abstract

The sensitivity and specificity of five different mycoplasma detection tests were evaluated in comparison with the classical microbiological culture assay on agar plates as the reference method: direct fluorochrome DNA staining (direct DAPI), DNA staining of an indicator cell line (indirect DAPI), RNA hybridization with a cDNA specific for ribosomal mycoplasmal RNA, an enzyme-linked immunosorbent assay (ELISA) with mycoplasma-specific antibodies, and a biochemical cytotoxicity assay (6-MPDR). A large panel of continuous cell lines (20 adherent and 233 suspension cell lines, most of the latter were human leukemia-lymphoma cell lines) were analyzed for infection with mycoplasma. The results of the comparative analysis for sensitivity and specificity of the various tests were as follows: 100% and 100% for the indirect DAPI, 100% and 98% for the RNA hybridization assay, 87% and 94% for the direct DAPI, 72% and 100% for the ELISA, 75% and 90% for the biochemical 6-MPDR assay. Each of these approaches has both advantages and disadvantages with regard to cost, time, reliability, specificity, and sensitivity. The best compromise for routine mycoplasma testing is a combination of several techniques (e.g. direct culture on agar, RNA hybridization, and direct or indirect DAPI).

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Bacteriological Techniques
  • DNA, Bacterial / analysis
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Mice
  • Mycoplasma / genetics
  • Mycoplasma / isolation & purification*
  • Nucleic Acid Hybridization
  • Predictive Value of Tests
  • Purine Nucleosides
  • RNA, Bacterial / analysis
  • RNA, Ribosomal / analysis
  • Reproducibility of Results
  • Sensitivity and Specificity

Substances

  • DNA, Bacterial
  • Purine Nucleosides
  • RNA, Bacterial
  • RNA, Ribosomal
  • 6-methylpurine 2'-deoxyriboside