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实时逆转录聚合酶链反应快速预测药物敏感性的奥司他韦耐药变异体的人群分析。

Population analysis of oseltamivir-resistant variants for the rapid prediction of drug susceptibility by real-time reverse transcription polymerase chain reaction.

机构信息

Department of Pediatrics, Fukushima Medical University.

出版信息

Fukushima J Med Sci. 2022 Dec 21;68(3):153-159. doi: 10.5387/fms.2022-15. Epub 2022 Aug 31.

Abstract

This study investigated whether quantitative real-time reverse transcription polymerase chain reaction (qRT-PCR), using specific probes composed of locked nucleic acids (LNA/qRT-PCR), designed to evaluate H1N1 pdm09 H275Y, H3N2 E119V and R292K variant populations, could replace a neuraminidase (NA) inhibition assay to determine the 50% inhibitory concentration (IC) of NA activity.For H1N1 pdm09, when the H275Y variant RNA load was 50% or 70% and the infective H275Y variant load was 40% or 70%, the IC were >10- and 100-fold higher, respectively, than that of the wild-type (WT) strain. For H3N2, when the E119V RNA load and infective E119V variant load were >90% and >60%, respectively, the IC of the mixed sample was >10-fold higher than that of the WT strain. The variant-mixed samples with a 70% or 80% R292K variant RNA load and a 60% or 70% infective R292K variant load exhibited >10- and 100-fold decreased susceptibility, respectively, compared with that of the WT. A positive correlation between the variant RNA load and infective variant load populations was observed.The LNA/qRT-PCR method can be used to improve the treatment and management of patients during antiviral therapy for influenza virus infection.

摘要

本研究旨在探讨使用针对 H1N1 pdm09 H275Y、H3N2 E119V 和 R292K 变异株设计的、包含锁核酸(LNA)的实时荧光定量逆转录聚合酶链反应(qRT-PCR)(LNA/qRT-PCR),是否可以替代神经氨酸酶(NA)抑制测定法来确定 NA 活性的 50%抑制浓度(IC)。对于 H1N1 pdm09,当 H275Y 变异 RNA 载量为 50%或 70%,感染性 H275Y 变异载量为 40%或 70%时,IC 值分别比野生型(WT)株高 10 倍和 100 倍。对于 H3N2,当 E119V RNA 载量和感染性 E119V 变异载量分别大于 90%和 60%时,混合样本的 IC 值比 WT 株高 10 倍以上。当 70%或 80%的 R292K 变异 RNA 载量和 60%或 70%的感染性 R292K 变异载量时,变异混合样本的敏感性分别比 WT 株降低 10 倍和 100 倍。观察到变异 RNA 载量与感染性变异株群体之间存在正相关。LNA/qRT-PCR 方法可用于改善流感病毒感染患者在抗病毒治疗期间的治疗和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5214/9840889/e2b1d89cf043/2185-4610-68-153-g001.jpg

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