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超声提取 DNA 提高痰标本中结核分枝杆菌的检出率。

Improvement of Mycobacterium tuberculosis detection in sputum using DNA extracted by sonication.

机构信息

Universidade Luterana do Brasil (ULBRA), Programa de Pós-Graduação em Biologia Celular e Molecular Aplicada à Saúde, Canoas, RS, Brasil.

Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Pneumologia, Porto Alegre, RS, Brasil.

出版信息

Braz J Infect Dis. 2020 Sep-Oct;24(5):398-404. doi: 10.1016/j.bjid.2020.08.006. Epub 2020 Sep 12.

Abstract

Tuberculosis (TB) is one of the infectious diseases with high mortality in the world. DNA amplification techniques have been used to overcome barriers to the diagnosis of this disease. However, the success of these methodologies is highly dependent on the DNA obtained from the sample. This study was carried out to verify whether the DNA extracted by sonication (in house method) could yield suitable DNA for amplification by real-time PCR (qPCR). Sixty sputum samples were submitted to DNA extraction using sonication compared to a commercial method (Detect-TB kit, Labtest/MG-Brazil). All DNA samples were amplified by qPCR for IS6110 region (IS6110-qPCR/SYBR Green assay). Out of 60 samples, 40 were positive for TB; of these, all had positive results when extracted by sonication (100%) and 80% when extracted by the commercial method. The limit of detection (LOD) of Mycobacterium tuberculosis (H37Rv strain) by qPCR was 14 CFU/mL when the DNA was extracted by sonication, compared to countless colonies when extracted by commercial kit. In conclusion, the sonication protocol (without purification step) proved to be a simple, fast, and suitable method for obtaining DNA for use in qPCR from sputum samples.

摘要

结核病(TB)是世界上死亡率较高的传染病之一。DNA 扩增技术已被用于克服该疾病诊断的障碍。然而,这些方法的成功高度依赖于从样本中获得的 DNA。本研究旨在验证超声处理(内部方法)提取的 DNA 是否可用于实时 PCR(qPCR)的扩增。将 60 份痰液样本分别采用超声处理和商业化方法(Detect-TB 试剂盒,Labtest/MG-Brazil)提取 DNA。所有 DNA 样本均采用 IS6110 区(IS6110-qPCR/SYBR Green 法)进行 qPCR 扩增。60 份样本中,40 份为 TB 阳性;其中,超声处理提取的所有样本(100%)和商业化方法提取的 80%均为阳性。当采用超声处理提取 DNA 时,qPCR 对结核分枝杆菌(H37Rv 株)的检测限(LOD)为 14 CFU/mL,而采用商业化试剂盒提取时则为无数个菌落。总之,该超声处理方案(无纯化步骤)证明是一种简单、快速且适合从痰液样本中获取 qPCR 用 DNA 的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb6c/9392136/bbc85d243e99/gr1.jpg

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