Wu Lan, Zhou Zeng-tong, Tang Guo-yao
Department of Oral Medicine, Ninth People's Hospital, School of Stomatology, Shanghai Second Medical University, Shanghai 200011, China.
Shanghai Kou Qiang Yi Xue. 2004 Dec;13(6):544-8.
The present study was attempted to probe into the relation between the genotype of Candida albicans and oral lichen planus, analyze the relativity of the genotype between commensal strains and pathogenic strains, to lay a good foundation for the prevention and treatment for candidiasis.
The present study adopted random amplified polymorphic DNA (RAPD) to analyze 46 Candida species which were isolated from the oral cavity of 9 health adults (N group) and the patients suffering from oral mucosal disease (including 16 lichen planus, LP group and 21 oral candidiasis, OC group).
40 strains were identified as Candida albicans. Different candida species emerged with different genetic types. The genotype of the OC group and N group were similar, genetic homology exits between OC group and N group. There was no distinct similarity in RAPD fingerprinting map of the LP group, which also had significant difference to the genotype of the N group (P<0.001). There was significant difference between OC group and LP group (P<0.001).
(1) The RAPD genotype not only can discriminate candida species, but also can distinguish further different types in the same species. (2) Oral candidiasis may originate from commensal strains. Candida albicans isolated from oral candidiasis were endogenous. (3) According to the results of genotypes, there might be no genetic homology between commensal strains and pathogenic strains in LP group. (4) The genotypes of pathogenic strains were not identical in different kinds of oral mucosa diseases.
本研究旨在探讨白色念珠菌基因型与口腔扁平苔藓之间的关系,分析共生菌株和致病菌株基因型的相关性,为念珠菌病的防治奠定基础。
本研究采用随机扩增多态性DNA(RAPD)技术,对从9名健康成年人(N组)口腔及口腔黏膜病患者(包括16例扁平苔藓,LP组和21例口腔念珠菌病,OC组)口腔分离出的46株念珠菌进行分析。
鉴定出40株白色念珠菌。不同念珠菌种呈现不同的基因类型。OC组与N组的基因型相似,OC组与N组之间存在基因同源性。LP组的RAPD指纹图谱无明显相似性,与N组基因型也有显著差异(P<0.001)。OC组与LP组之间存在显著差异(P<0.001)。
(1)RAPD基因型不仅可以鉴别念珠菌种,还可以进一步区分同一菌种中的不同类型。(2)口腔念珠菌病可能起源于共生菌株。从口腔念珠菌病分离出的白色念珠菌是内源性的。(3)根据基因型结果,LP组的共生菌株和致病菌株之间可能不存在基因同源性。(4)不同类型口腔黏膜病中致病菌株的基因型不同。