Abstract
Yersinia pestis, the causative agent of plague, is responsible for about 700 human cases of bubonic and pneumonic plague each year. Yet the disease is far more prevalent within rodent reservoirs than in humans. One of the main means of outbreak prevention is extensive wildlife surveillance, where accurate and rapid detection is essential to prevent spillover into the human population from which, it may otherwise spread more rapidly and over larger distances. Moreover, detection and quantification of the agent aids in investigative studies to understand aspects of the pathogen such as transmission mechanics, pathology, contamination risk and more. Partially based on a previously developed assay by Gabitzsch et al. 2008 we designed a TaqMan® mismatch amplification mutation assay (TaqMAMA) where a primer leverages a species-specific SNP in the chromosomal single copy ferric uptake regulator gene of Yersinia pestis. The assay allows for specific, rapid detection and quantification of Yersinia pestis using only a single species-specific marker in a highly conserved virulence gene. This low-cost and simple modification of an existing assay eliminates the need for running multiple molecular markers for pathogen detection or performing time-consuming culturing and counting of colonies for quantification.
Background
The causative agent of plague, Yersinia pestis, reached infamy after causing three devastating human pandemics during recorded history. The disease however, is mainly a vector-borne, wildlife disease, circulating within rodent populations across the world, which occasionally spills over into human populations. Today there are approximately 700 reported human cases of plague worldwide each year with more than 100 deaths (World Health Organization, 2017), most of which occur in Africa. Due to the pandemic history of the pathogen and the continued potential for human outbreaks, close surveillance of its presence in wildlife systems has been incorporated into several local and national surveillance programs, some dating back to the beginning of the 1900s (Melikishvili, 2006).
Plating of infected animal tissues or fleas and subsequent counting of bacterial colonies is a well-established, sensitive and widely used method in many surveillance programs and in diagnostics (Bevins et al., 2012). This is a time-consuming method that exposes the workers to infectious material for extended time. The culturing of Y. pestis has historically had challenges due to the relatively slow growth of Yersinia spp. compared to the near omnipresent contaminating microbes on traditional media (Dennis et al., 1999; Gupta et al., 2015; Sarovich et al., 2010). To overcome some of these issues, new and improved growth media with increased selectivity for Y. pestis have been developed but still struggle with obstacles such as reduced recovery rate of the pathogen and desired level of selectivity leading to underestimation of bacterial numbers (Ber et al., 2003; Riehm et al., 2011; Sarovich et al., 2010). As of today, culturing remains a gold standard for detection and in particular quantification.
The recent development of immunoassay tests for rapid and easy detection in the form of dipsticks have become preferential, particularly for quick diagnostics in challenging field conditions in remote locations (Chanteau et al., 2003; Simon et al., 2013). Yet immunoassays are typically not sensitive enough to pick up cases of low-level infections or early on in infections where only small amounts or no antibody is present (Andrianaivoarimanana et al., 2012; Chanteau et al., 2003; Simon et al., 2013). Other limitations of these assays are potential false negative results due to the lack of detection of strains that have genetic deletions of the assays target (such as the F1 capsular antigen) (Anisimov et al., 2004; Eppinger et al., 2010; Perry and Fetherston, 1997). They are also altogether unsuitable for quantification.
In the era of sequencing and genomics and the power and relative ease of PCR based methods, the gold standard of detection is shifting from culture-based methods towards molecular tools. In this context, PCR based assays are able to detect the pathogen at low quantities making them the most appropriate choice for investigative studies where maximal sensitivity is required. Yet specific detection of bacterial pathogens using PCR or immunoassay tests must often navigate several major obstacles, many being the products of bacterial evolution. Most pathogens evolve out of complexes of related species, where mechanisms like horizontal gene transfer (HGT) allows a constant exchange of genetic elements, often as plasmids or genetic islands (Juhas, 2015). As a result of these evolutionary trends, specific detection of the target of interest, as is the case for many pathogenic bacteria including Y. pestis and Y. pseudotuberculosis, can be difficult (Achtman et al., 1999; Easterday et al., 2005; U’Ren et al., 2005). For Y. pestis, its recent evolution from Y. pseudotuberculosis, has been accomplished through a process of functional gene loss and gain through HGT within Enterobacteriaceae. This results in Y. pestis being, more or less, a clone of Y. pseudotuberculosis with shared elements from other members of Enterobacteriaceae (Achtman et al., 1999; Hinnebusch et al., 2016).
Historically, discrimination between Y. pestis and Y. pseudotuberculosis has been challenging for methods targeting chromosomal sequences, due to the high degree of genetic similarity between the two species (Califf et al., 2015; Chain et al., 2004; Gabitzsch et al., 2008; Neubauer et al., 2000). A work around has been to use multiple assays to detect specific combinations and variants of genes located on the chromosome and/or the plasmids of Y. pestis (Stewart et al., 2008; Tomaso et al., 2003). Still, the problems with finding Y. pestis specific genes on the main chromosome also extends to plasmid targets, such as the pCD1 plasmid, a homologue of pYV1 found in Y. pseudotuberculosis and Y. enterocolitica (Hu et al., 1998; Portnoy et al., 1984).
The two most conventional targets for detection of Y. pestis both under laboratory and field conditions are the Capsule antigen fraction 1 (caf1) gene on the pMT1 plasmid and the plasminogen activator gene (pla) on the pPCP plasmid. Pla is one of the most widely used markers for PCR based detection of Y. pestis in ancient human remains, animals and environmental samples due to it being present on the pPCP plasmid which is present in multiple copies in the bacteria and its presumed high specificity for Y. pestis (Harbeck et al., 2013; Stewart et al., 2008; Tomaso et al., 2008). However, recently it has been established that the gene is present and highly conserved in closely related bacterial species, and consequently is no longer considered a specific marker for Y. pestis (Armougom et al., 2016; Hänsch et al., 2015). Generally, a minimum of one other independent molecular marker is required to positively determine presence of the bacteria; these include genes caf1 and Yersinia murine toxin (ymt) from the pMT1 plasmid, Low calcium response V antigen (lcrV) from the pCD1 plasmid, pesticin gene on pPCP or chromosomal targets such as 16S or Inner membrane protein yihN (yihN) gene either in separate or multiplex real-time PCR assays (Iqbal et al., 2000; Stewart et al., 2008; Tomaso et al., 2008; 2003; Woron et al., 2006). Furthermore plasmids are subject to variation in copy number during certain conditions, such as during an infection (Wang et al., 2016). Parkhill et al. showed that Y. pestis on average contain about 200 copies of the pPCP1 plasmid (Parkhill et al., 2001), which is partly the reason for the preference of pla as target for detection as the gene is present in high copy number, yet the variability in copy number is a severe drawback for quantifying Y. pestis concentrations (Stewart et al., 2008; Tomaso et al., 2003).
By combining the established TaqMan® assay with a mismatch amplification mutation assay (TaqMAMA) (Cha et al., 1992), Glaab and Skopek (Glaab and Skopek, 1999) developed a powerful and rapid method of discriminating specific single nucleotide alleles in real-time providing a valuable tool for several fields of science dealing with discrimination between highly similar targets (Achtman et al., 1999; Chain et al., 2004; Lärkeryd et al., 2014). TaqMAMA assays have successfully been designed to specifically amplify, detect and quantify a particular allele when it is paramount to distinguish between highly similar DNA sequences. Most of these have been developed in cancer research (Abbaszadegan et al., 2009; Cha et al., 1992), but also for work in bioforensics or surveillance when positive detection and discrimination of a pathogen from close genetic neighbors is vital (Achtman, 2008; Easterday et al., 2005). Previously, Gabitzsch et al. (Gabitzsch et al., 2008) developed a TaqMan® assay to detect the ferric uptake regulator (fur) gene for the specific quantification of Y. pestis, yet has become outmoded as new sequences have become available showing the gene is highly conserved in other Yersinia and more widely occurs within Enterobacteriaceae. Fortuitously, a 100% Y. pestis-specific SNP exists within this gene inward from the priming site of the reverse primer (YpfurR) from the Gabitzsch assay (Fig. 1). Here we leverage this species-specific SNP to provide a simple and cheap augmentation to the original assay creating the only single target assay for Y. pestis, which is quantitative, sensitive and rapid as well as, species-specific.
Results
In silico screen of SNP, a private allele for Y. pestis
The ubiquitous presence of the Y. pestis allele was confirmed by both megaBLAST and BLASTn searches (NCBI) of the fur gene sequence from CO92 and the PCR fragment. In both cases the allele was conserved in all 981 published fur gene sequences for Y. pestis (a global representation), while the alternate allele was present in all 853 available fur gene sequences of Y. pseudotuberculosis and all 2950 available fur gene sequences of the other members of the Yersinia genus (May 2018, Fig. 1). A BLASTn search of the fur sequence of CO92 against the genome assembly of the strain used in this study, Az-26 (1102) (not published) confirmed the presence of the Y. pestis allele in the fur gene of this strain, as well as 100% identity with all published Y. pestis. The SNP, as to date, is a private allele for Y. pestis.
Specificity
The specificity of the furMAMA assay was assessed by analyzing serial 10-fold dilutions of genomic DNA in quadruplicates from Y. pestis and Y. pseudotuberculosis alongside the original assay from Gabitzsch et al. (Gabitzsch et al., 2008). We found no difference in the amplification efficiency between Y. pestis and Y. pseudotuberculosis when using the original reverse primer from the original assay across all DNA concentrations (Fig. 2 (A)). Our augmented assay successfully quantifies concentrations of Y. pestis ranging from 5 ng (~100 000 000 genome copies) to 50 fg (~10 genome copies) with a slight shift in amplification efficiency (higher Cq values) compared to when the original reverse primer is used (Fig. 2 (C)). In contrast, we find amplification failure in all dilutions of Y. pseudotuberculosis and were only able to achieve false positives using extremely high concentrations of Y. pseudotuberculosis template in the furMAMA assay where we saw some weak cross-reactivity in three of four replicates at 5 ng and one of the quadruplicates at 500 pg (Fig. 2 (D)). A combined 90 replicates consisting of 64 non-template controls (NTC), and (assumed) negative tissue and soil samples (from non-endemic areas) did not show any amplification.
Specific quantification and sensitivity of the assay
To evaluate the ability of specific quantification and the sensitivity of the furMAMA assay, 10-fold serial dilutions of Y. pestis were analyzed. The assay successfully amplified Y. pestis over a dynamic range of concentrations with a correlation coefficient (R2) of 0.99 (Fig. 2 (B)) and was able to consistently quantify as little as 50 fg, which is equivalent to 10 bacterial genomes. The assay showed sporadic amplification at levels of the 5 fg concentration (3 out of 33 reactions).
Detection by conventional PCR
The furMAMA assay was also run as a standard PCR without probe to test its applicability as a detection only assay for when quantification equipment is not available. The primer pair successfully amplified Y. pestis and did not produce a PCR product of the correct size for any of the quadruplicates of Y. pseudotuberculosis (results not shown).
Screening for inhibition by rodent tissue and soil extracts
In order to assess possible effects of foreign DNA on the furMAMA assay we ran target-spiked controls over a standard dilution range of concentrations (5ng to 50fg) into DNAs extracted from rodent tissues and soils. Y. pestis DNA was spiked into several types of DNA extracts including ear, tail, liver and spleen from several rodent species including, great gerbil (Rhombomys opimus), lab mouse (Mus musculus) and bank vole (Myodes glareolus) and DNA from soil from a previous study (Turner et al., 2016). Regardless of background DNA (tissue or soil) the assay still detects and quantifies across the range tested without non-specific cross-reactivity. Environmental samples such as soil extracts can show a high degree of inhibition depending on the sample and extraction method used (Whitehouse and Hottel, 2007). Our assay successfully amplified soil extracts spiked with Y. pestis although we did observe an approximately 10-fold reduction in amplification efficiency that persisted despite the addition of BSA to the reaction.
Discussion
Although many PCR-based assays exist for Y. pestis, none combines species specificity with accurate quantification. The furMAMA assay is designed to specifically amplify a fragment of the fur gene in Y. pestis while preventing amplification of the gene fragment in other members of the Yersinia genus including its close genetic neighbor Y. pseudotuberculosis where the gene fragment only differs by a single SNP. The SNP in the fur gene fragment targeted by our furMAMA assay is private to, and ubiquitous in all Y. pestis. Specificity is acquired in a single assay through allele-specific amplification of this SNP in a key virulence gene, fur, whose presence is found throughout Enterobacteriaceae without the need for further molecular targets (Fig. 1). Leveraging a specific SNP within a gene, as done here, is an efficient and robust method for specific detection of a given bacterial pathogen and can aid in pathogen detection in metagenomes using next generation sequencing where close relatives are present in high numbers (Valseth et al., 2017). This circumvents the present issues of specificity when targeting pathogens with high degree of genetic similarity. A recent large-scale comparative study of Y. pestis and Y. pseudotuberculosis genomes showed that fewer genes than previously reported in smaller studies were unique to Y. pestis (Califf et al., 2015). However, both specific combinations, variants of genes and SNPs, the last example demonstrated here, will be unique to this slowly mutating pathogen (Cui et al., 2013).
The original assay published by Gabitzsch et al. (Gabitzsch et al., 2008) was developed to quantify Y. pestis in fleas for their work on flea transmission in a laboratory experimental setup and not initially aimed at diagnostics or quantification in field-collected samples. They tested the specificity by running PCR on reference DNA from 28 species, including E. coli and other gram-negative bacteria, and reported cross-reactivity for 6 Yersinia species, including Y. enterocolitica. Surprisingly, they did not report cross-reactivity with Y. pseudotuberculosis. BLAST of the derived fur gene fragment from the Gabitzsch assay resulted in 99% overall homology with Y. pseudotuberculosis sequence and high homology between other Yersinia spp. Indeed, we found the original assay amplifies both Y. pestis and Y. pseudotuberculosis with equal efficiency (Fig. 2 (A)). In contrast, the amplification failure of Y. pseudotuberculosis with the YpfurR_MAMA primer establishes our assay’s ability to distinguish between the two highly genetically similar pathogens, as well as the ability to quantify Y. pestis over a broad range of concentrations (Fig. 2(D and C)). The Y. pestis SNP in the fur gene is universally present in all available Y. pestis genomes, which limits the probability of false negative results. Conversely, the absence of the mutation in all other Yersinia and Enterobacteriaceae reduce the likelihood of false positive results. Our assay presented false positives and very low-level cross-reactivity at the highest concentration of Y. pseudotuberculosis DNA produced from whole genome amplification (WGA). The lack of access to a larger collection of Y. pseudotuberculosis prohibited us from further testing of cross-reactivity but based on the specificity testing in silico and by targeting a conserved SNP in the Y. pestis genome we are confident this will not be a major problem.
Conclusions
Our assay provides an alternative to the longstanding culturing method and the immunoassays by providing a highly sensitive and rapid way of both specifically detecting and quantifying Y. pestis in tissue samples. To our knowledge, this is the first assay to target a species-specific SNP in a chromosomal gene of Y. pestis with the aim of detecting and quantifying the amount of the bacteria in tissue samples.
Materials and Methods
Bacterial strains and DNA extractions
Y. pestis strain Az-26 (1102) was isolated from an organ suspension of Meriones vinogradovi in 1969, 1.5 km southeast of Sirab village in the Nakhchivan Autonomous Republic of Azerbaijan. The culture has been stored at the Republican Anti-Plague Station laboratory in Baku, Azerbaijan. The culture became non-viable, yet it was still possible to isolate DNA from the material in 2012 using Qiagen DNeasy® Blood and Tissue kit following extraction protocol for gram-negative bacteria.
Y. pseudotuberculosis Type III strain was donated by Jack C. Leo and Dirk Linke (University of Oslo). DNA was isolated from broth culture using Qiagen Blood and Tissue kit following manufacturer’s instructions (Qiagen Inc., USA).
Rodent DNA
No animals were killed for the purpose of this study. We procured samples of rodent DNA for this study by reaching out to both internal and external colleagues with existing DNA samples stored. The DNA samples stem from unpublished work as detailed below.
The great gerbil DNA was provided by colleagues in China where the male individual was captured as part of work carried out in the Junggar Basin of Xinjiang Province, China (unpublished).
The C57BL6 mouse DNA stem from work conducted at the Institute of Immunology at Oslo University Hospital, Rikshospitalet, Norway (unpublished). The animal was originally obtained from Janvier labs (https://www.janvier-labs.com/rodent-research-models-services/researchmodels/per-species/inbred-mice/product/c57bl6jrj.html).
The bank vole DNA belongs to the EcoTick-project on tick-/rodent-borne diseases conducted at the University of Oslo (unpublished).
Whole genome amplification (WGA) and standard curves
Whole genome amplification was performed on both bacterial strains using the REPLI-g Mini Kit (Qiagen) following the manufacturer’s instructions for subsequent creation of a dynamic range of DNA starting at high concentrations for standard curves. DNA concentrations after WGA were determined using the Qubit dsDNA BR Assay kit (molecular probes, Life Technologies) and the Qubit 2.0 fluorometer. The standard curves were generated from that starting concentration as serial 10-fold dilutions in TE buffer in the following concentrations: 5 ng, 500 pg, 50 pg, 5 pg, 500 fg, 50 fg and 5 fg.
TaqMAMA Primers and Probe design
Forward primer and probe were identical to oligos designed by Gabitzsch et al. (Gabitzsch et al., 2008) while the reverse primer was modified to a MAMA primer to specifically amplify Y. pestis. This required the ultimate 3’ base to be complementary to the Y. pestis SNP while the penultimate 3’ base was designed to mismatch with the shared sequence between Y. pestis and Y. pseudotuberculosis (underlined in Table 2). Several reverse MAMA primers were designed with different nucleotide mismatches at the 3’ penultimate position. These were tested for specificity and amplification efficiency before ultimately choosing the YpfurR_MAMA primer.
TaqMAMA PCR protocol
For all experiments, PCR was conducted in 96-well plates (Roche LightCycler® 480 Multiwell Plate 96) using 10-μL reactions that contained final concentrations of 600 nM of both forward and reverse primers, 250 nM probe, 1x Express qPCR Supermix (Invitrogen, by Life Technologies)) and 1μL template DNA. Real-time PCR was performed on a LightCycler® 96 Instrument (Roche) as a two-step PCR with the following conditions: 95 °C for 2 min and 50 cycles of 95 °C for 15 s and 64 °C for 60 s.
Specificity tests
Given limited access to a large strain collection of Yersinia, specificity was largely assessed using bioinformatics (BLAST) of available sequence data (see “Bioinformatics” below). Therefore, the specificity and kinetics of the assay was done through analyzing genomic DNA from a representative of both alleles (see Fig. 1); Y. pestis strain Az-26 (1102) and Y. pseudotuberculosis Type III strain running both original reverse primer (YpfurR) and the modified MAMA primer (YpfurR_MAMA) in separate, parallel reactions over a dynamic range of DNA concentrations (5 ng to 5 fg).
Sensitivity tests
Sensitivity of the furMAMA assay was determined by analyzing serial 10-fold dilutions of genomic DNA from the Y. pestis strain Az-26 (1102) ranging from 5 ng to 5 fg with the lowest dilution being equivalent to one bacterial genome.
Testing applicability on tissue and environmental samples
The applicability of the assay on rodent tissue samples was tested by running, in parallel, DNA extractions of liver and spleen from a great gerbil (Rhombomys opimus), DNA from the tail of a C57BL6 mouse (Mus musculus) and DNA extracted from the ear of a Bank vole (Myodes glareolus) with and without spike-in of Y. pestis DNA standard curve. Real-time PCR was conducted in 96-well plates (Roche LightCycler® 480 Multi-well Plate 96) using 10-μL reactions that contained final concentrations of 600 nM of both forward and reverse primer, 250 nM probe, 1x Express qPCR Supermix (Invitrogen, by Life Technologies)), 1 μL template DNA and for the spiked samples an additional 1 μL DNA from one of the standard curve concentrations.
The ability of the assay to detect Y. pestis despite the inhibitory effects often seen in environmental samples, was tested by using DNA extractions of soil samples diluted 1:10. The soil samples were run in parallel with non-acetylated Bovine Serum Albumin (New England Biolabs) added, with or without DNA from the Y. pestis standard curve in the following manner 1) soil + BSA, 2) soil + standard curve and 3) soil + standard curve + BSA. Real-time PCR was conducted as above with the exception that the reactions containing BSA did so in a final concentration of 1mg/ml.
Detection using standard PCR
The primers were also tested with standard PCR to determine their applicability as a pure detection-based assay. PCR was conducted in 8-well PCR strips in 10-μL reactions that contained a final concentration of 600 nM both forward and reverse primer, 1x Express qPCR Supermix and 1 μL template DNA. PCR was performed on a MJ Research PTC-200 Peltier Thermal Cycler Instrument as a two-step PCR with the following conditions: 94 °C for 2 min and 40 cycles of 94 °C for 15 s and 64 °C for 60 s. Successful amplification was confirmed by running a 3% agarose gel stained with GelRed (Biotium) at 75 V for 1 hr and 20 min in TAE buffer.
Bioinformatics
Specificity of the SNP was assessed across available Yersinia and other related Enterobacteriaceae genomes by performing both megaBLAST and BLASTn searches of the PCR fragment and the whole fur gene from Y. pestis CO92 (Accession no. NC_003143.1, locus_tag=YPO2634) as query in the NCBI database using default parameters. BLAST hits were inspected to confirm which allele was present in the sequence. Finally, the presence of the Y. pestis allele in the strain used in this study (Az-26 (1102)) was confirmed by a BLASTn search using the fur gene from Y. pestis CO92 as query against a BLAST database generated from the Az-26 (1102) genome assembly. From these data an alignment was made using representative sequences from BLAST searches through Geneious (https://www.geneious.com) and aligned using Jalview (Waterhouse et al., 2009).
Declarations
Acknowledgements
We would like to thank Jack C. Leo and Dirk Linke at the Department of Biosciences, University of Oslo for providing the Y. pseudotuberculosis Type III strain. For the use of the great gerbil DNA, the C57BL6 mouse DNA and the bank vole DNA we would like to thank Ruifu Yang (Beijing Institute of Microbiology and Epidemiology, China) and Yujiang Zhang (Xinjiang CDC, China), Shuo-Wang Qiao (Institute of Immunology at Oslo University Hospital, Rikshospitalet, Norway) and Atle Mysterud (University of Oslo, Norway). We would also like to thank Bradd Haley for bioinformatics support. Lastly, we would like to thank Monica H. Solbakken and Boris V. Schmid for helpful comments on the manuscript.
Authors contributions
WRE and PN conceived and planned the experiments and analyzed the data. PN carried out the experiments and performed bioinformatics. SG procured and isolated the Y. pestis strain Az-26 (1102) for this study. The manuscript was written with input from all authors. All authors read and approved the final manuscript.
Availability of data and materials
The Y. pestis strain analyzed during this study (Az-26(1102)) is not publicly available due to said strain being non-viable at isolation. The genome sequence is available from the corresponding author upon reasonable request.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Ethics approval and consent to participate
The DNA samples used in this study stems from existing samples stored by internal and external colleagues and hence the appropriate approvals were previously obtained as specified below.
The use of great gerbil tissue was approved by the Committee for Animal Welfares of Xinjiang CDC, China.
The bank vole was captured as part of EcoTick-project on tick-/rodent-borne diseases led by Atle Mysterud (University of Oslo) and permission for trapping rodents were given by the Norwegian Environmental Agency (ref 2013/11201) and hence conform to the Norwegian laws and regulations.
The C57BL6 mouse was used in a project at the Institute of Immunology at Oslo University Hospital, Rikshospitalet, Norway and is subject to protocol number 3775 from the Norwegian Food Safety Authority. This agency evaluates all applications and approvals for ethical handling of animals and animal experiments in Norway.
Funding
P. N. is supported by a Molecular Life Sciences (MLS) grant (now Uio: Life Science) from the University of Oslo as well as through Colloquia 3 at the Centre for Ecological and Evolutionary Synthesis (CEES) at the University of Oslo. W. R. E. is supported by Colloquia 3 at CEES at the University of Oslo. The funding bodies had no role in the design, analysis or interpretation of the results nor were they involved in writing the manuscript.
Footnotes
Email address: Pernille Nilsson: pernille.nilsson{at}ibv.uio.no,
Shair Gurbanov: shair-gurbanov{at}mail.ru,
W. Ryan Easterday: w.r.easterday{at}ibv.uio.no
Abbreviations
- Fur gene
- Ferric uptake regulator
- BSA
- Bovine serum albumin
- Caf1
- Capsule antigen fraction 1
- Cq
- Quantification cycle
- HGT
- Horizontal gene transfer
- lcrV
- Low calcium response V antigen
- Pla
- Plasminogen activator
- SNP
- Single nucleotide polymorphism
- TAE
- Tris-acetate-EDTA
- TaqMAMA
- TaqMan® mismatch amplification mutation assay
- TE
- Tris-EDTA
- WGA
- Whole genome amplification
- yihN
- Inner membrane protein yihN
- Ymt
- Yersinia murine toxin