Haffajee Anne D, Yaskell Tina, Torresyap Gay, Teles Ricardo, Socransky Sigmund S
Department of Periodontology, The Forsyth Institute, Boston, MA 02115, USA.
J Clin Periodontol. 2009 Aug;36(8):642-9. doi: 10.1111/j.1600-051X.2009.01434.x. Epub 2009 Jun 26.
To compare polymerase chain reaction (PCR) with subsequent reverse hybridization (micro-IDent test) and checkerboard DNA-DNA hybridization for the identification of 13 bacterial species in subgingival plaque samples.
Subgingival plaque samples were taken using paper points and curettes from two sites each with pocket depth <4, 4-6 and >6 mm at baseline and 3 months in 25 periodontitis subjects and two sites in 25 periodontally healthy subjects. Samples were analysed for their content of 13 bacterial species using both assays. Similarities for each species between techniques were determined using regression analysis. Differences between health and periodontitis were determined using the Mann-Whitney test.
Three hundred and fifty samples were evaluated using both techniques. Regression analysis indicated that 10/13 test species showed significant positive correlations between the counts determined by checkerboard analysis and levels determined by the PCR-based test after adjusting for 13 comparisons. The highest rank correlations of 0.58, 0.49 and 0.46 were seen for Treponema denticola, Fusobacterium nucleatum and Eubacterium nodatum, respectively (p<0.0001). Both tests could distinguish samples from healthy and periodontitis subjects.
Detection patterns of 10/13 test species in subgingival plaque samples from periodontitis and healthy subjects were similar using the two molecular techniques.
比较聚合酶链反应(PCR)联合后续反向杂交(微鉴定试验)和棋盘式DNA-DNA杂交技术对龈下菌斑样本中13种细菌的鉴定效果。
在25例牙周炎患者和25例牙周健康者中,于基线期和3个月时分别用纸尖和刮匙从每个牙周袋深度<4mm、4 - 6mm和>6mm的两个部位采集龈下菌斑样本,牙周健康者则从两个部位采集样本。使用这两种检测方法分析样本中13种细菌的含量。采用回归分析确定各技术对每种细菌检测结果的相似性。采用曼-惠特尼检验确定健康组与牙周炎组之间的差异。
两种技术共评估了350个样本。回归分析表明,在对13项比较进行校正后,13种检测细菌中的10种在棋盘式分析计数与基于PCR的检测水平之间显示出显著正相关。齿垢密螺旋体、具核梭杆菌和结节真杆菌的最高等级相关性分别为0.58、0.49和0.46(p<0.0001)。两种检测方法均能区分健康和牙周炎患者的样本。
使用这两种分子技术,牙周炎患者和健康受试者龈下菌斑样本中13种检测细菌中的10种的检测模式相似。