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实时荧光定量聚合酶链反应检测法在利用三种分子靶点诊断人福尔马林固定石蜡包埋组织中的组织胞浆菌病中的应用

Application of Real-Time PCR Assays for the Diagnosis of Histoplasmosis in Human FFPE Tissues Using Three Molecular Targets.

作者信息

López Luisa F, Tobón Ángela M, Cáceres Diego H, Chiller Tom, Litvintseva Anastasia P, Gade Lalitha, González Ángel, Gómez Beatriz L

机构信息

Medical and Experimental Mycology Group, Corporación para Investigaciones Biológicas (CIB), Medellín 050034, Colombia.

Instituto Colombiano de Medicina Tropical, Universidad CES, Medellín 055450, Colombia.

出版信息

J Fungi (Basel). 2023 Jun 25;9(7):700. doi: 10.3390/jof9070700.

Abstract

Histoplasmosis is a fungal infection caused by the thermally dimorphic fungus This infection causes significant morbidity and mortality in people living with HIV/AIDS, especially in countries with limited resources. Currently used diagnostic tests rely on culture and serology but with some limitations. No molecular assays are commercially available and the results from different reports have been variable. We aimed to evaluate quantitative real-time PCR (qPCR) targeting three protein-coding genes of (100-kDa, H and M antigens) for detection of this fungus in formalin-fixed paraffin-embedded (FFPE) samples from patients with proven histoplasmosis. The sensitivity of 100-kDa, H and M qPCR assays were 93.9%, 91% and 57%, respectively. The specificity of 100-kDa qPCR was 93% when compared against samples from patients with other mycoses and other infections, and 100% when samples from patients with non-infectious diseases were used as controls. Our findings demonstrate that real-time PCR assays targeting 100-kDa and H antigen showed the most reliable results and can be successfully used for diagnosing this mycosis when testing FFPE samples.

摘要

组织胞浆菌病是一种由双态真菌引起的真菌感染。这种感染在艾滋病毒/艾滋病患者中会导致严重的发病和死亡,尤其是在资源有限的国家。目前使用的诊断测试依赖于培养和血清学,但存在一些局限性。没有商业化的分子检测方法,不同报告的结果也各不相同。我们旨在评估针对三种蛋白质编码基因(100-kDa、H和M抗原)的定量实时PCR(qPCR),用于检测来自确诊组织胞浆菌病患者的福尔马林固定石蜡包埋(FFPE)样本中的这种真菌。100-kDa、H和M qPCR检测的灵敏度分别为93.9%、91%和57%。与其他真菌病患者和其他感染患者的样本相比,100-kDa qPCR的特异性为93%;以非感染性疾病患者的样本作为对照时,特异性为100%。我们的研究结果表明,针对100-kDa和H抗原的实时PCR检测显示出最可靠的结果,在检测FFPE样本时可成功用于诊断这种真菌病。

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