Cho Sang-Nae, Brennan Patrick J
Department of Microbiology, Yonsei University College of Medicine, 134 Shinchon-dong, Seoul 120-752, South Korea.
Tuberculosis (Edinb). 2007 Aug;87 Suppl 1:S14-7. doi: 10.1016/j.tube.2007.05.001. Epub 2007 Jun 20.
While microscopy and culture are still the major backbone for laboratory diagnosis of tuberculosis (TB), new methods including molecular diagnostic tests have evolved over the last two decades. The majority of molecular tests have been focused on: (i) detection of nucleic acids both DNA and RNA, which are specific to Mycobacterium tuberculosis, by amplification techniques such as polymerase chain reaction (PCR); and (ii) detection of mutations in the genes which are associated with resistance to anti-tuberculosis drugs by sequencing or nucleic acid hybridization. In the session of the conference on diagnosis of TB, there were two presentations: one on the development of new diagnostic tools for drug resistant M. tuberculosis, and the other on issues involved in the application of new diagnostic tools for multidrug resistant (MDR)-TB, pediatric TB and HIV-TB.
虽然显微镜检查和培养仍然是结核病实验室诊断的主要支柱,但在过去二十年中,包括分子诊断测试在内的新方法不断发展。大多数分子测试集中于:(i)通过聚合酶链反应(PCR)等扩增技术检测结核分枝杆菌特有的核酸,包括DNA和RNA;以及(ii)通过测序或核酸杂交检测与抗结核药物耐药性相关的基因突变。在结核病诊断会议环节,有两个报告:一个是关于耐药结核分枝杆菌新诊断工具的开发,另一个是关于耐多药结核病(MDR-TB)、儿童结核病和HIV-TB新诊断工具应用中涉及的问题。