Stoddard Robyn Anne
National Center for Zoonotic, Vector-Borne, and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Methods Mol Biol. 2013;943:257-66. doi: 10.1007/978-1-60327-353-4_17.
Rapid diagnosis of leptospirosis, through culture and/or serology, can be difficult without proper expertise and is often delayed due to the length of time required to obtain results. Polymerase chain reaction (PCR), more specifically the real-time detection of the amplified PCR product, is a methodology that can provide a diagnosis in a timelier manner compared to culture and serology. There are a limited number of real-time PCR (qPCR) assays for detecting Leptospira and not all of these assays are able to distinguish pathogenic from nonpathogenic species. In addition, there are a variety of probe technologies and qPCR instruments that are utilized with these assays. This chapter presents a qPCR assay that targets lipL32, a gene which is present only in pathogenic Leptospira spp. This assay utilizes a TaqMan probe and instructions for use on either the Lightcycler 1.2 (Roche Diagnostics, Indianapolis, IN) or the ABI 7500 (Applied Biosystems, Foster City, CA) are provided.
如果没有专业知识,通过培养和/或血清学对钩端螺旋体病进行快速诊断可能会很困难,而且由于获取结果所需的时间较长,诊断往往会延迟。聚合酶链反应(PCR),更具体地说是对扩增的PCR产物进行实时检测,与培养和血清学相比,是一种能够更及时地做出诊断的方法。用于检测钩端螺旋体的实时PCR(qPCR)检测方法数量有限,而且并非所有这些检测方法都能区分致病性和非致病性菌种。此外,这些检测方法还使用了多种探针技术和qPCR仪器。本章介绍了一种针对lipL32的qPCR检测方法,lipL32是一种仅存在于致病性钩端螺旋体属中的基因。该检测方法使用TaqMan探针,并提供了在Lightcycler 1.2(罗氏诊断公司,印第安纳波利斯,印第安纳州)或ABI 7500(应用生物系统公司,福斯特城,加利福尼亚州)上的使用说明。