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评估GRA6作为确定合并弓形虫性脑炎的艾滋病毒/艾滋病患者脑脊液中基因型的遗传标记物。

EVALUATION OF GRA6 AS GENETIC MARKER FOR DETERMINING GENOTYPE IN THE CEREBROSPINAL FLUID OF HIV/AIDS PATIENTS WITH TOXOPLASMIC ENCEPHALITIS.

作者信息

Nora Harminarti, Puspa Sari Ika, Tunas Artama Wayan, Darma Imran, Agnes Kurniawan

机构信息

Doctoral Program in Biomedical Sciences, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

Department of Parasitology, Faculty of Medicine Universitas Andalas, Padang, Indonesia.

出版信息

Afr J Infect Dis. 2024 Oct 25;19(1):29-35. doi: 10.21010/Ajidv19i1.4. eCollection 2025.

Abstract

BACKGROUND

Toxoplasmic encephalitis is a severe manifestation of infection, with potentially fatal outcomes, particularly among immunocompromised patients. Clinical manifestation of this infection is associated with a specific genotype of , requiring the use of genetic marker for genotype determination.

AIMS

This study critically evaluated the application of GRA6 gene as genetic marker for genotyping in cerebrospinal fluid (CSF) samples from HIV/AIDS patients diagnosed with Toxoplasmic encephalitis.

METHODS

The study analyzed 69 CSF samples from HIV/AIDS patients with Toxoplasmic encephalitis. These samples tested positive for IgG serology and SAG2 PCR, while GRA6 genotyping was conducted using PCR-sequencing methods.

RESULTS

The results showed that GRA6 had potential for genotyping in positive control settings from culture cells. However, there was limited effectiveness in CSF samples from Toxoplasmic encephalitis patients.

CONCLUSION

GRA6 had been proven effective as a genetic marker for the identification of genotype among HIV/AIDS patients with Toxoplasmic encephalitis. However, the evaluation of GRA6 showed more effectiveness in cultured cells compared to direct clinical samples, such as cerebrospinal fluid obtained from HIV/AIDS patients with Toxoplasmic encephalitis.

摘要

背景

弓形虫性脑炎是感染的一种严重表现形式,具有潜在的致命后果,尤其是在免疫功能低下的患者中。这种感染的临床表现与特定的基因型有关,需要使用基因标记物来确定基因型。

目的

本研究严格评估了GRA6基因作为基因标记物在诊断为弓形虫性脑炎的HIV/AIDS患者脑脊液(CSF)样本中进行基因型分型的应用。

方法

该研究分析了69例诊断为弓形虫性脑炎的HIV/AIDS患者的脑脊液样本。这些样本的弓形虫IgG血清学检测和SAG2 PCR检测呈阳性,同时使用PCR测序方法进行GRA6基因分型。

结果

结果表明,GRA6在来自培养细胞的阳性对照设置中具有进行基因型分型的潜力。然而,在弓形虫性脑炎患者的脑脊液样本中效果有限。

结论

GRA6已被证明是诊断为弓形虫性脑炎的HIV/AIDS患者中鉴定弓形虫基因型的有效基因标记物。然而,与直接临床样本(如从诊断为弓形虫性脑炎的HIV/AIDS患者获得的脑脊液)相比,GRA6在培养细胞中的评估显示出更高的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9356/11607786/37bdcada1b88/AJID-19-29-g001.jpg

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