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寡核苷酸阵列鉴定临床上重要的厌氧菌。

Identification of clinically important anaerobic bacteria by an oligonucleotide array.

机构信息

Department of Medical Laboratory Science and Biotechnology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

J Clin Microbiol. 2010 Apr;48(4):1283-90. doi: 10.1128/JCM.01620-09. Epub 2010 Feb 3.

Abstract

Anaerobic bacteria can cause a wide variety of infections, and some of these infections can be serious. Conventional identification methods based on biochemical tests are often lengthy and can produce inconclusive results. An oligonucleotide array based on the 16S-23S rRNA intergenic spacer (ITS) sequences was developed to identify 28 species of anaerobic bacteria and Veillonella. The method consisted of PCR amplification of the ITS regions with universal primers, followed by hybridization of the digoxigenin-labeled PCR products to a panel of 35 oligonucleotide probes (17- to 30-mers) immobilized on a nylon membrane. The performance of the array was determined by testing 310 target strains (strains which we aimed to identify), including 122 reference strains and 188 clinical isolates. In addition, 98 nontarget strains were used for specificity testing. The sensitivity and the specificity of the array for the identification of pure cultures were 99.7 and 97.1%, respectively. The array was further assessed for its ability to detect anaerobic bacteria in 49 clinical specimens. Two species (Finegoldia magna and Bacteroides vulgatus) were detected in two specimens by the array, and the results were in accordance with those obtained by culture. The whole procedure of array hybridization took about 8 h, starting with the isolated colonies. The array can be used as an accurate alternative to conventional methods for the identification of clinically important anaerobes.

摘要

厌氧菌可引起多种感染,其中一些感染可能很严重。基于生化试验的传统鉴定方法通常耗时较长,且结果可能不确定。本研究基于 16S-23S rRNA 基因间隔区(ITS)序列设计了寡核苷酸微阵列,用于鉴定 28 种厌氧菌和韦荣球菌。该方法包括使用通用引物对 ITS 区进行 PCR 扩增,然后将地高辛标记的 PCR 产物与固定在尼龙膜上的 35 个寡核苷酸探针(17-30 个碱基)杂交。通过测试 310 个目标菌株(我们旨在鉴定的菌株),包括 122 个参考菌株和 188 个临床分离株,确定了该微阵列的性能。此外,还使用 98 个非目标菌株进行了特异性测试。该微阵列对纯培养物鉴定的灵敏度和特异性分别为 99.7%和 97.1%。进一步评估了该微阵列在 49 份临床标本中检测厌氧菌的能力。该微阵列在两份标本中检测到两种细菌(巨大消化链球菌和脆弱拟杆菌),结果与培养法一致。从分离的菌落开始,杂交的整个过程约需 8 小时。该微阵列可作为传统方法的准确替代方法,用于鉴定临床重要的厌氧菌。

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