中国媒介生物学及控制杂志 ›› 2010, Vol. 21 ›› Issue (3): 229-232.

• 论著 • 上一篇    下一篇

TaqMan荧光定量PCR检测1型登革热病毒及临床应用

白志军1,2,刘建伟1,洪文艳1,任瑞文1,陈万山3,卢业成3,张复春3,方美玉1,林立辉1   

  1. 1 广州军区疾病预防控制中心疾病控制科(广州 510507); 2 广州市疾病预防控制中心病毒免疫科(广州 510080); 3 广州市第八人民医院
  • 收稿日期:2009-02-20 出版日期:2010-06-20 发布日期:2010-06-20
  • 通讯作者: 方美玉,Email: junewhite@163.com; 张复春,Email: zfc8y@yahoo.com.cn
  • 作者简介:白志军(1977-),男,硕士,主管技师,长期从事病原学研究。
  • 基金资助:

    “十五” 军队医药卫生科研基金(01Z014)

Establishment of TaqMan probe?based fluorescence quantitative PCR for Dengue virus type 1 and its clinical application 

BAI Zhi-Jun, LIU Jian-Wei, HONG Wen-Yan, REN Rui-Wen, CHEN Wan-Shan, LU Ye-Cheng, ZHANG Fu-Chun, FANG Mei-Yu, LIN Li-Hui   

  1.  1 Center for Disease Control and Prevention of Guangzhou Military Distric, Guangzhou 510507, Guangdong Province, China; 2 Guangzhou Center for Disease Control and Prevention, Guangzhou 510080, Guangdong Province, China; 3 The 8th People’s Hospital of Guangzhou
  • Received:2009-02-20 Online:2010-06-20 Published:2010-06-20
  • Contact: FANG Mei?yu, Email: junewhite@163.com; ZHANG Fu?chun, Email: zfc8y@yahoo.com.cn
  • Supported by:

    Supported by the Grant from “fifteenth” Science and Technology Program of Military (No. 01Z014)

摘要:

目的 建立登革热1型病毒(DV1)TaqMan荧光定量PCR快速检测方法及应用于临床诊断。方法 根据DV1 5′端非编码区基因保守序列,设计一套特异性引物和TaqMan探针。用4个血清型DV标准毒株为对照,收集40份DV1临床血清为检测标本。通过对DV1标准毒株RT?PCR后,采用体外转录方式获得RNA模板作为阳性对照,检测所建立TaqMan荧光定量PCR方法的特异性。取DV?IgM/IgG 用ELISA检测患者血清,将TaqMan荧光定量PCR和DV?IgM/IgG ELISA进行敏感性比较。结果 所建立方法的最低检测限约为每反应10个基因拷贝。发病后不同时间采集的登革热患者血清标本检测结果为:发病1~3 d的患者RT?PCR阳性检出率最高(81.25%);4~6 d ELISA?IgM检出率最高(85.00%);7 d后ELISA?IgG检出率最高(75.00%)。结论 在登革热的早期诊断中建立的RT?PCR具有较高的敏感性、特异性和重复性,可作为DV1的快速诊断方法。

关键词: 登革热1型病毒, 荧光定量RT?PCR, TaqMan探针, 检测

Abstract:

Objective To establish a TaqMan probe?based fluorescence quantitative PCR assay for rapid detection of Dengue virus type 1 (DV1) to facilitate the clinical diagnosis. Methods A set of specific primers and TaqMan probes were designed for the RT?PCR according to the conservative gene sequences at the 5′-terminal non?coding regions of DV1. A total of 40 sera samples were collected from patients with dengue fever, and four serotypes of standard DV strains were used as the control. The specificity of the established TaqMan?based fluorescence quantitative PCR assay was determined using the RNA templates obtained through in vitro transcription in the RT?PCR of the standard strains as a positive control. The sensitivity of the assay was then compared with that of the DV?IgM/IgG?based ELISA by assessing the sera samples. Results The lowest detection limit of the established method was approximately 10 gene copies per reaction. As to the positive results among the sera samples collected from patients at different stages after onset, the RT?PCR had the highest positive detection rate during the first three days after onset (81.25%), while the ELISA?IgM had the highest positive detection rate from day 4 to day 6 after onset (85.00%). After 7 d, ELISA?IgG had the highest positive detection rate (75.00%). Conclusion The established RT?PCR assay was a highly sensitive, specific and reproducible approach for rapid detection of DV1, conducive to the early diagnosis of dengue fever.

Key words: Dengue virus type 1, Fluorescence quantitative RT?PCR, TaqMan probe, Detection

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