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定量实时聚合酶链反应和磁分离策略用于围产期妇女尿液中B族链球菌的特异性检测

Quantitative real-time PCR and magnetic separation strategy for specific detection of group B streptococcus in perinatal Women's urine.

作者信息

Tang Xu, Fan Lin-Ping, Liu Yang

机构信息

Department of Clinical Laboratory, Jiangxi Maternal and Child Health Hospital, Nanchang, 330008, Jiangxi, China.

Department of Clinical Laboratory, Medical Center of Burn Plastic and Wound Repair, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, China.

出版信息

Pract Lab Med. 2023 Dec 27;38:e00348. doi: 10.1016/j.plabm.2023.e00348. eCollection 2024 Jan.

Abstract

INTRODUCTION

Group B streptococcus(GBS)often causes adverse outcomes such as urinary system infection, intrauterine infection, premature birth, and stillbirth in perinatal women. Perinatal screening of GBS is conducive to guiding clinical scientific intervention and improving delivery outcomes.This study quantitative real-time PCR (RT-qPCR) combined with magnetic separation was used for GBS detection.

MATERIALS AND METHODS

Sample pre-treatment in this study involved the utilization of magnetic separation (MS) technology, aiming to expedite the detection process and enhance detection sensitivity, and the cfb gene of group B streptococcus was used as the target gene to establish quantitative real-time PCR (RT-qPCR) to detect group B streptococcus.

RESULTS

It was found that penicillin-functionalized magnetic beads had a good ability to enrich and capture group B Streptococcus.The findings revealed an exceptional detection sensitivity, with the ability to detect B streptococcus in urine samples at levels as low as 10 CFU/mL.

CONCLUSIONS

The utilization of MS technology in conjunction with the RT-qPCR (MS-RT-qPCR) assay, as demonstrated in this study, offers a viable approach for prenatal screening of group B streptococcus among perinatal women.

摘要

引言

B族链球菌(GBS)常导致围产期女性出现泌尿系统感染、宫内感染、早产和死产等不良后果。围产期GBS筛查有助于指导临床科学干预并改善分娩结局。本研究采用定量实时荧光定量聚合酶链反应(RT-qPCR)结合磁分离技术进行GBS检测。

材料与方法

本研究中的样本预处理采用磁分离(MS)技术,旨在加快检测过程并提高检测灵敏度,以B族链球菌的cfb基因作为靶基因建立定量实时荧光定量聚合酶链反应(RT-qPCR)来检测B族链球菌。

结果

发现青霉素功能化磁珠具有良好的富集和捕获B族链球菌的能力。研究结果显示出卓越的检测灵敏度,能够检测出尿液样本中低至10 CFU/mL水平的B族链球菌。

结论

如本研究所示,将MS技术与RT-qPCR(MS-RT-qPCR)检测法结合使用,为围产期女性B族链球菌的产前筛查提供了一种可行的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/408c/10794924/9102d817162f/gr1.jpg

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