Polymerase chain reaction (PCR) is routinely used to confirm the
presence of Mycobacterium avium subsp.
paratuberculosis (MAP) in the diagnosis of ovine Johne's
disease (OJD). In a recent study to overcome specificity issues
with the current PCR we also developed an internal amplification
control (IAC) to monitor the integrity of individual reactions.
This is important given the opportunity to introduce PCR inhibitory
substances within samples. Unlike other internal controls that
require cloning and other molecular manipulations, this IAC only
requires PCR capability for its production. The IAC was constructed
in a two step PCR process that amplified a region of the
Mycobacterium avium subsp. avium (MAA) genome
that is not present in the MAP genome using composite primers made
of an MAA region and an MAP region. The IAC was then incorporated
in to a multiplex PCR that included a new MAP specific target to
increase specificity. The analytical sensitivity of the IAC and
multiplex PCR was established prior to evaluation on DNA samples
that had been previously examined for OJD. The IAC had no adverse
effects on the analytical sensitivity of the MAP specific multiplex
PCR. The new PCR test was successfully used to determine the
presence/absence of MAP in 25 faecal samples with known OJD status
and simultaneously determine the integrity of each reaction. We
present a new multiplex PCR for MAP that incorporates an IAC. The
procedure used to produce the IAC is simple and highly adaptable to
other PCR-based diagnostic tests.