用于快速检测社区获得性肺炎五种细菌病因的多重实时聚合酶链反应的开发。

Development of multiplex real-time PCR for the rapid detection of five bacterial causes of community acquired pneumonia.

作者信息

Al-Marzooq Farah, Imad M A Mustafa, How S H, Kuan Y C

机构信息

Department of Basic Medical Sciences, Kulliyyah of Medicine, International Islamic University Malaysia.

出版信息

Trop Biomed. 2011 Dec;28(3):545-56.

DOI:
Abstract

Establishing a microbial diagnosis for patients with community-acquired pneumonia (CAP) is still challenging and is often achieved in only 30-50% of cases. Polymerase chain reaction (PCR) has been shown to be more sensitive than conventional microbiological methods and it could help to increase the microbial yield for CAP patients. This study was designed to develop, optimize and evaluate multiplex real-time PCR as a method for rapid differential detection of five bacterial causes of CAP namely Streptococcus pneumoniae, Burkholderia pseudomallei and atypical bacterial pathogens, Mycoplasma pneumoniae, Chlamydophila pneumoniae and Legionella pneumophila. Duplex and triplex real-time PCR assays were developed using five sets of primers and probes that were designed based on an appropriate specific gene for each of the above CAP pathogens. The performance of primers for each organism was tested using SYBR Green melt curve analysis following monoplex realtime PCR amplification. Monoplex real-time PCR assays were also used to optimize each primers-probe set before combining them in multiplex assays. Two multiplex real-time PCR assays were then optimized; duplex assay for the differential detection of S. pneumoniae and B. pseudomallei, and triplex assay for the atypical bacterial pathogens. Both duplex and triplex real-time PCR assays were tested for specificity by using DNA extracted from 26 related microorganisms and sensitivity by running serial dilutions of positive control DNAs. The developed multiplex real-time PCR assays shall be used later for directly identifying CAP causative agents in clinical samples.

摘要

对社区获得性肺炎(CAP)患者进行微生物诊断仍具有挑战性,通常只有30%-50%的病例能够确诊。聚合酶链反应(PCR)已被证明比传统微生物学方法更敏感,它有助于提高CAP患者的微生物检出率。本研究旨在开发、优化和评估多重实时PCR,作为快速鉴别CAP五种细菌病原体的方法,这五种病原体分别是肺炎链球菌、类鼻疽伯克霍尔德菌以及非典型细菌病原体肺炎支原体、嗜肺衣原体和嗜肺军团菌。利用五组引物和探针开发了双重和三重实时PCR检测方法,这些引物和探针是根据上述每种CAP病原体的适当特异性基因设计的。在单重实时PCR扩增后,使用SYBR Green熔解曲线分析测试每种生物体引物的性能。在将它们组合成多重检测之前,单重实时PCR检测也用于优化每个引物-探针组。然后对两种多重实时PCR检测进行了优化;用于鉴别肺炎链球菌和类鼻疽伯克霍尔德菌的双重检测,以及用于非典型细菌病原体的三重检测。通过使用从26种相关微生物中提取的DNA测试双重和三重实时PCR检测的特异性,并通过对阳性对照DNA进行系列稀释来测试敏感性。开发的多重实时PCR检测方法稍后将用于直接鉴定临床样本中的CAP病原体。

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