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从伊朗伊拉姆粪便样本中对溶组织内阿米巴进行分子鉴定。

Molecular identification of Entamoeba histolytica from stool samples of Ilam, Iran.

作者信息

Najafi Azar, Mirzaei Asad, Kermanjani Ali, Abdi Jahangir, Ghaderi Abolhassan, Naserifar Razi

机构信息

Department of Medical Parasitology, Paramedical Faculty, Ilam University of Medical Sciences, Ilam, Iran; Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.

Department of Medical Parasitology, Paramedical Faculty, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

Comp Immunol Microbiol Infect Dis. 2019 Apr;63:145-147. doi: 10.1016/j.cimid.2019.01.003. Epub 2019 Jan 15.

Abstract

INTRODUCTION

Amoebiasis is a multifactorial, life-threatening public health issue and the third parasitic disease cause of mortality in worldwide, particularly in low- and mid-income countries. The aim of this study was to attempt to explore genetic encoding differences of CP8 (conserved gene) of Entamoeba histolytica/Entamoeba dispar in its various infectious properties isolated from Ilam located at a southwest part of Iran.

MATERIALS AND METHODS

A total of 2023 stool samples were collected between 2016 and 2018 from the hospital in Ilam, of which only 30 isolates were identified as E. histolytica/E. dispar. These isolates were collected from the intensive care unit, infectious disease, and surgery settings. The isolates were identified and the polymerase chain reaction (PCR) was performed to detect the CP8 gene. In all stages, Entamoeba histolytica HM1: IMSS was used as a positive control.

RESULTS

In genotype confirmation, only two isolates had the CP8 gene found in the PCR technique. The sequencing results confirmed the mentioned gene with 99%-100% specificity.

CONCLUSION

It is concluded that PCR is highly sensitive to detect E. histolytica and indicating this important role as screening tools in direct DNA extraction from stool samples and valuable technique in early detection of symptomatic and asymptomatic E. histolytica patients.

摘要

引言

阿米巴病是一个多因素的、危及生命的公共卫生问题,是全球第三大致死性寄生虫病,在低收入和中等收入国家尤为突出。本研究的目的是尝试探究从伊朗西南部伊拉姆分离出的溶组织内阿米巴/迪氏内阿米巴CP8(保守基因)在其各种感染特性方面的遗传编码差异。

材料与方法

2016年至2018年间,从伊拉姆医院共收集了2023份粪便样本,其中仅30株分离株被鉴定为溶组织内阿米巴/迪氏内阿米巴。这些分离株来自重症监护病房、传染病科和外科。对分离株进行鉴定,并进行聚合酶链反应(PCR)以检测CP8基因。在所有阶段,均使用溶组织内阿米巴HM1:IMSS作为阳性对照。

结果

在基因型确认中,PCR技术仅检测到两株分离株含有CP8基因。测序结果证实了该基因具有99%-100%的特异性。

结论

得出结论,PCR检测溶组织内阿米巴具有高度敏感性,表明其在从粪便样本直接提取DNA中作为筛查工具的重要作用,以及在早期检测有症状和无症状溶组织内阿米巴患者方面的宝贵技术。

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