Tian Guo-zhong, Shao Zhu-jun, Zhang Li, Li Xiao-jing, Zhu Bing-qing, Yang Ya-jing, Xu Li, Gao Yuan, Wang Xiao-lei
National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2008 Aug;29(8):806-9.
To develop a rapid method for detecting Haemophilus influenzae by multiplex polymerase chain reaction (M-PCR).
Primers (Hi) were designed for amplification of p6 gene coding P6 protein of Haemophilus influenzae, which was used to identify Haemophilus influenzae species. Primers (Hi-cap) were designed for amplification of bexA gene which coding capsular polysaccharide (cap) synthesis was used for detecting whether Haemophilus influenzae isolates possess bexA gene relating to cap synthesis. Twelve primers (Hia-Hif) were designed for amplification of cap synthesis gene to identify the cap-type of Haemophilus influenzae. Other relative enteric pathogenic bacteria were amplified by M-PCR to serve as controls. 200 strains isolated from patients were identified. Results from M-PCR were compared to two methods including V and X factors grow requirement test and standard slide agglutination serotyping (SAST).
The results indicated that the M-PCR assay was high specificity and sensitivity and might be valuable for differential diagnosis of Haemophilus influenzae. The sensitivity of detection was 0.935 pg. 189 strains out of the 200 belonged to Haemophilus influenzae isolates, and one isolate was cap-type f. An agreement results were seen among the V and X factors grow requirement test, SAST and M-PCR methods.
M-PCR method showed satisfactory sensitivity, specificity and stability for detecting and identifying Haemophilus influenzae, and could be used in clinic diagnosis, surveillance and rapid diagnosis for plague of Haemophilus influenzae.
建立一种通过多重聚合酶链反应(M-PCR)快速检测流感嗜血杆菌的方法。
设计引物(Hi)用于扩增流感嗜血杆菌编码P6蛋白的p6基因,以鉴定流感嗜血杆菌菌种。设计引物(Hi-cap)用于扩增编码荚膜多糖(cap)合成的bexA基因,以检测流感嗜血杆菌分离株是否拥有与cap合成相关的bexA基因。设计12条引物(Hia-Hif)用于扩增cap合成基因,以鉴定流感嗜血杆菌的cap类型。通过M-PCR扩增其他相关肠道病原菌作为对照。对从患者中分离出的200株菌株进行鉴定。将M-PCR的结果与V和X因子生长需求试验及标准玻片凝集血清分型(SAST)这两种方法进行比较。
结果表明,M-PCR检测具有高特异性和敏感性,对流感嗜血杆菌的鉴别诊断可能具有重要价值。检测灵敏度为0.935 pg。200株菌株中有189株属于流感嗜血杆菌分离株,其中1株为f型cap。V和X因子生长需求试验、SAST和M-PCR方法之间的结果一致。
M-PCR方法在检测和鉴定流感嗜血杆菌方面显示出令人满意的灵敏度、特异性和稳定性,可用于临床诊断、监测及流感嗜血杆菌疫情的快速诊断。