Mitchell Stephanie L, Wolff Bernard J, Thacker W Lanier, Ciembor Paula G, Gregory Christopher R, Everett Karin D E, Ritchie Branson W, Winchell Jonas M
Respiratory Disease Branch, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS G-03, Atlanta, GA 30333, USA.
J Clin Microbiol. 2009 Jan;47(1):175-81. doi: 10.1128/JCM.01851-08. Epub 2008 Nov 12.
Human infection with Chlamydophila (Chlamydia) psittaci can lead to psittacosis, a disease that occasionally results in severe pneumonia and other medical complications. C. psittaci is currently grouped into seven avian genotypes: A through F and E/B. Serological testing, outer membrane protein A (ompA) gene sequencing, and restriction fragment length polymorphism analysis are currently used for distinguishing these genotypes. Although accurate, these methods are time-consuming and require multiple confirmatory tests. By targeting the ompA gene, a real-time PCR assay has been developed to rapidly detect and genotype C. psittaci by light-upon-extension chemistry and high-resolution melt analysis. Using this assay, we screened 169 animal specimens; 98 were positive for C. psittaci (71.4% genotype A, 3.1% genotype B, 4.1% genotype E, and 21.4% unable to be typed). This test may provide insight into the distribution of each genotype among specific hosts and provide epidemiological and epizootiological data in human and mammalian/avian cases. This diagnostic assay may also have veterinary applications during chlamydial outbreaks, particularly with respect to identifying the sources and tracking the movements of a particular genotype when multiple animal facilities are affected.
人类感染鹦鹉热嗜衣原体(鹦鹉热衣原体)可导致鹦鹉热,该病偶尔会引发严重肺炎及其他医学并发症。鹦鹉热衣原体目前分为七种禽类基因型:A至F以及E/B。血清学检测、外膜蛋白A(ompA)基因测序和限制性片段长度多态性分析目前用于区分这些基因型。尽管这些方法准确,但耗时且需要多次验证试验。通过靶向ompA基因,已开发出一种实时PCR检测方法,可通过延伸发光化学和高分辨率熔解分析快速检测鹦鹉热衣原体并进行基因分型。使用该检测方法,我们筛查了169份动物标本;98份鹦鹉热衣原体呈阳性(71.4%为A基因型,3.1%为B基因型,4.1%为E基因型,21.4%无法分型)。该检测可能有助于了解特定宿主中每种基因型的分布情况,并提供人类及哺乳动物/禽类病例的流行病学和动物流行病学数据。这种诊断检测在衣原体爆发期间也可能有兽医应用,特别是在多个动物设施受到影响时,用于识别来源和追踪特定基因型的传播情况。