RT Journal Article T1 A Real-Time PCR Assay for Detection of Low Pneumocystis jirovecii Levels. A1 Ruiz-Ruiz, Susana A1 Ponce, Carolina A A1 Pesantes, Nicole A1 Bustamante, Rebeca A1 Gatti, Gianna A1 San Martin, Viviana A1 Gutierrez, Mireya A1 Borquez, Pamela A1 Vargas, Sergio L A1 Magne, Fabien A1 Calderon, Enrique J A1 Perez-Brocal, Vicente A1 Moya, Andres K1 low P. jirovecii loads K1 major surface glycoproteins K1 mitochondrial large subunit rRNA K1 real-time PCR K1 simultaneous detection AB Here we report a new real-time PCR assay using SYBR Green which provides higher sensitivity for the specific detection of low levels of Pneumocystis jirovecii. To do so, two primer sets were designed, targeting the family of genes that code for the most abundant surface protein of Pneumocystis spp., namely the major surface glycoproteins (Msg), and the mitochondrial large subunit rRNA (mtLSUrRNA) multicopy gene, simultaneously detecting two regions. PCR methods are instrumental in detecting these low levels; however, current nested-PCR methods are time-consuming and complex. To validate our new real-time Msg-A/mtLSUrRNA PCR protocol, we compared it with nested-PCR based on the detection of Pneumocystis mitochondrial large subunit rRNA (mtLSUrRNA), one of the main targets used to detect this pathogen. All samples identified as positive by the nested-PCR method were found positive using our new real-time PCR protocol, which also detected P. jirovecii in three nasal aspirate samples that were negative for both rounds of nested-PCR. Furthermore, we read both rounds of the nested-PCR results for comparison and found that some samples with no PCR amplification, or with a feeble band in the first round, correlated with higher Ct values in our real-time Msg-A/mtLSUrRNA PCR. This finding demonstrates the ability of this new single-round protocol to detect low Pneumocystis levels. This new assay provides a valuable alternative for P. jirovecii detection, as it is both rapid and sensitive. PB Frontiers Research Foundation SN 1664-302X YR 2022 FD 2022-01-11 LK http://hdl.handle.net/10668/20615 UL http://hdl.handle.net/10668/20615 LA en NO Ruiz-Ruiz S, Ponce CA, Pesantes N, Bustamante R, Gatti G, San Martin V, et al. A Real-Time PCR Assay for Detection of Low Pneumocystis jirovecii Levels. Front Microbiol. 2022 Jan 11;12:787554. DS RISalud RD Jul 30, 2025