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实时荧光定量 PCR 法检测多种标本来源的 57 型人腺病毒

Real-time qualitative PCR for 57 human adenovirus types from multiple specimen sources.

机构信息

Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minnesota, USA.

出版信息

J Clin Microbiol. 2012 Mar;50(3):766-71. doi: 10.1128/JCM.05629-11. Epub 2011 Dec 14.

Abstract

Human adenoviruses (HAdVs) are ubiquitous double-stranded DNA viruses that cause a wide array of diseases in humans including pharyngitis, pneumonia, gastroenteritis, hemorrhagic cystitis, and keratoconjunctivitis. They also cause life-threatening opportunistic infections in immunocompromised individuals and are responsible for outbreaks in certain populations. Diagnosis is traditionally by cell culture or antigen detection methods. However, some HAdVs can take up to 4 weeks to isolate, and diarrheagenic types 40 and 41 will not grow in routine cell culture. Therefore, the goal of this study was to design a rapid, real-time PCR assay to detect all known 57 HAdV types from multiple different specimen sources. Primers and fluorescence resonance energy transfer hybridization probes were designed to target a 185-bp region of the penton base gene of HAdV. The analytical sensitivity was determined to be 10 copies/μl for HAdV types showing exact primer/probe homology in specimen matrix. Using whole-virus strains, the analytical sensitivity for representative HAdV types ranged from 10(-1) to 10(3) 50% tissue culture infective dose (TCID(50))/ml. The assay demonstrated 100% sensitivity and 99% specificity. This real-time PCR assay provides a rapid method for the detection of all 57 known HAdV types from respiratory specimens, blood, stool, urine, and ocular swabs.

摘要

人类腺病毒(HAdVs)是一种普遍存在的双链 DNA 病毒,可导致人类多种疾病,包括咽炎、肺炎、肠胃炎、出血性膀胱炎和角膜炎。它们还会导致免疫功能低下个体的严重机会性感染,并导致某些人群的暴发。传统上通过细胞培养或抗原检测方法进行诊断。然而,一些 HAdVs 可能需要长达 4 周的时间才能分离出来,而腹泻型 40 型和 41 型不会在常规细胞培养中生长。因此,本研究的目的是设计一种快速、实时 PCR 检测方法,以检测来自多种不同标本来源的所有已知 57 种 HAdV 型。设计了针对 HAdV 五邻体基因为靶点的 185bp 区域的引物和荧光共振能量转移杂交探针。在标本基质中显示与引物/探针完全同源的 HAdV 型的分析灵敏度确定为 10 拷贝/μl。使用全病毒株,代表 HAdV 型的分析灵敏度范围为 10(-1)至 10(3) 50%组织培养感染剂量(TCID(50))/ml。该检测方法的敏感性为 100%,特异性为 99%。这种实时 PCR 检测方法提供了一种从呼吸道标本、血液、粪便、尿液和眼拭子中快速检测所有 57 种已知 HAdV 型的方法。

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