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[2001年至2005年广州地区霍乱弧菌主要致病相关基因特征分析]

[Analysis of characteristics of major pathogenicity-related genes of Vibrio cholerae isolated in Guangzhou area from 2001 to 2005].

作者信息

Wang Ming, Li Xiao-quan, Mo Zi-yao, Liu Yu-fei, Deng Zhi-ai, Shen Ji-chuan, Zhang Xin-qiang

机构信息

Guangzhou Center for Disease Control and Prevention, Guangzhou, 510080, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2006 Jul;40(4):257-61.

Abstract

OBJECTIVE

To apply multiplex polymerase chain reaction (MPCR) assay and sequencing in study of the carrying status of four pathogenicity-related genes of Vibrio cholerae (V.cholerae) and the variation of ctxA.

METHODS

Primers targeting cholera toxin sub-unit A gene (ctxA), toxin-coregulated pilus gene (tcpA), accessory cholera enterotoxin gene (ace), zonula occludens toxin gene (zot) were designed and the MPCR method was applied to detect the pathogenicity-related genes of 276 strains of V.cholerae isolates. The amplified fragments of ctxA gene were sequenced and the genetic homology of the amplified fragments of ctxA was analyzed.

RESULTS

Of the 276 strains of V.cholerae, 93.9% strains from human sources belong to the pathogenicity-related genes type A (ctxA(+)tcpA(+)ace(+)zot(+) type) and 6.1% belong to pathogenicity-related genes type C (ctxA(-)tcpA(-)ace(-)zot(-) type). Type A strains from clinical sources were isolated from patients with mild to severe symptom and carriers, among which 68.5% were isolated from patients with mild symptom and 21.9% from carriers. All 63.6% of type C strains from clinical sources were isolated from patients with mild symptom and 36.4% from carriers. The proportion of type C strains that caused mild symptom was higher than that of type A strains. Of the 78 strains isolated from the environment, 9.0% strains belong to pathogenicity-related type A and 35.9% belong to the pathogenicity-related genes type B (ctxA(-)tcpA(-)ace(+)zot(+) type), while 55.1% belong to pathogenicity-related genes type C. The sequencing results showed little genetic variation among the amplified fragments for ctxA.

CONCLUSION

MPCR disclosed the polymorphic status of pathogenicity-related gene patterns in V.cholerae isolates of Guangzhou, providing effective means for further study on evolution of pathogenicity-related genes among V.cholerae isolates from human and environmental sources. This study also offers significant guidance for effective prevention, control and warning against cholera epidemic in local area.

摘要

目的

应用多重聚合酶链反应(MPCR)检测及测序技术,研究霍乱弧菌4种致病性相关基因携带情况及ctxA基因变异情况。

方法

设计针对霍乱毒素亚单位A基因(ctxA)、毒素协同调节菌毛基因(tcpA)、辅助霍乱肠毒素基因(ace)、紧密连接毒素基因(zot)的引物,采用MPCR方法检测276株霍乱弧菌分离株的致病性相关基因。对ctxA基因扩增片段进行测序,并分析其遗传同源性。

结果

276株霍乱弧菌中,来源于人体的菌株93.9%属于致病性相关基因A型(ctxA(+)tcpA(+)ace(+)zot(+)型),6.1%属于致病性相关基因C型(ctxA(-)tcpA(-)ace(-)zot(-)型)。临床来源的A型菌株从症状轻至重的患者及携带者中分离得到,其中68.5%从症状轻的患者中分离得到,21.9%从携带者中分离得到。临床来源的C型菌株63.6%从症状轻的患者中分离得到,36.4%从携带者中分离得到。引起轻症的C型菌株比例高于A型菌株。从环境中分离的78株菌中,9.0%属于致病性相关A型,35.9%属于致病性相关基因B型(ctxA(-)tcpA(-)ace(+)zot(+)型),55.1%属于致病性相关基因C型。测序结果显示ctxA基因扩增片段间遗传变异较小。

结论

MPCR揭示了广州地区霍乱弧菌分离株致病性相关基因模式的多态性状况,为进一步研究霍乱弧菌人源和环境源分离株致病性相关基因的进化提供了有效手段。本研究也为当地霍乱疫情的有效防控及预警提供了重要指导。

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