Abstract
Background Bifidobacterium longum subspecies infantis (B. infantis) is a commensal bacterium enriched in the microbiota of breastfed infants and associated with beneficial effects on infant gut health. Clinical studies evaluating B. infantis supplementation in infants have reported increased colonization, reduced inflammation, enhanced vaccine responsiveness, and improved growth outcomes. To support rigorous evaluation of these effects in further clinical trials, reliable and validated methods for quantifying B. infantis in stool are needed.
Methods
We validated a quantitative real-time PCR (qPCR) assay against a conserved B. infantis genomic target. Assay performance was evaluated using DNA from the B. infantis strain Bi-26TM, spiked infant stool pools, and matrix controls. Validation parameters included linearity, sensitivity, accuracy, within- and between-run reproducibility, recovery, and matrix interference, with acceptance criteria informed by bioanalytical best practices.
Results
The assay demonstrated robust performance across validation parameters. Linearity was confirmed over at least six orders of magnitude (R2 > 0.99; mean efficiency 96.4%), with a lower limit of quantification of 37.36 genome equivalents / reaction. Analytical sensitivity was high, with a 95% limit of detection of 4.67 genome equivalents / reaction. Accuracy across multiple stool pools met acceptance criteria, with mean deviation from nominal values of 0.39 log10. Reproducibility was strong, with within-run variability of 0.37% and between-run variability of 1.78%. Recovery averaged 41.3%, exceeding the predefined minimum threshold, and matrix interference was minimal.
Conclusions
This study reports a validated qPCR assay suitable for quantifying B. infantis Bi-26 DNA in stool samples collected in stabilized formats. Its robust analytical performance supports its use in clinical and translational research evaluating B. infantis colonization and its health impacts in early infant life.
Competing Interest Statement
MG, JS, MP, PR, NT, NY, UZ, and NF declare no competing interests. AK is a member (unpaid) of the International Probiotics Association and participates on its Advisory Board. HW reports grants from University of Cologne, University of Witten / Herdecke, CleverCulture Systems, and IlluminOss; consulting fees and payment or honoraria for lectures, presentations or speakers bureaus from Deutsche Akkreditierungsstelle (DAkkS), and leadership or fiduciary role at University of Witten / Herdecke and Dr. Wisplinghoff Laboratories.
Abbreviations
- B Infantis
- Bifidobacterium longum subspecies infantis
- HMOs
- Human milk oligosaccharides
- WAZ
- Weight-for-age Z score
- WLZ
- Weight-for-length Z score
- qPCR
- Quantitative real-time PCR
- IFF
- International Flavors and Fragrances
- CV
- Coefficient of variation
- LLOQ
- Lower limit of quantification
- ULOQ
- Upper limit of quantification
- LOD95
- Limit of Detection (95%)
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