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通过聚合酶链反应检测乙型肝炎表面抗原阴性血清中的乙型肝炎病毒DNA:不同引物对和条件的评估

Detection of hepatitis B virus DNA in hepatitis B surface antigen-negative serum by polymerase chain reaction: evaluation of different primer pairs and conditions.

作者信息

Gomes S A, Yoshida C F, Niel C

机构信息

Department of Virology, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

出版信息

Acta Virol. 1996 Jun;40(3):133-8.

PMID:8891092
Abstract

The presence of hepatitis B virus (HBV) DNA was investigated by polymerase chain reaction (PCR) in the serum of twenty Brazilian blood donors. All sera were negative for hepatitis B surface antigen (HBsAg), 17 of them presented antibodies to the hepatitis B core antigen (anti-HBc) as the unique serological marker of HBV infection, and 3 were positive for antibodies to HBsAg (anti-HBs) and anti-HBc. PCR assays were carried out using different pairs of oligonucleotides designed from conserved sequences of C, pre-S and S regions of the HBV genome. First, all oligonucleotide pairs were tested in PCR using plasmids carrying HBV genome from ayw or adw strains as templates. One-round PCR assays were able to detect 100-25,000 molecules of plasmid DNA, depending on the oligonucleotide pair, while semi-nested PCR assays detected 10-1000 molecules. The frequency of HBV DNA-positive results with HBsAg-sera varied from 0% to 50% depending upon the PCR assay. The results indicated that a number of both isolated anti-HBc and anti-HBs+, anti-HBc+ samples contained HBV DNA at a very low concentration, neighboring the limit of detection.

摘要

采用聚合酶链反应(PCR)对20名巴西献血者血清中的乙型肝炎病毒(HBV)DNA进行了检测。所有血清的乙型肝炎表面抗原(HBsAg)均为阴性,其中17人仅以乙型肝炎核心抗原抗体(抗-HBc)作为HBV感染的唯一血清学标志物,3人乙型肝炎表面抗原抗体(抗-HBs)和抗-HBc呈阳性。使用根据HBV基因组C区、前S区和S区保守序列设计的不同寡核苷酸对进行PCR检测。首先,以携带ayw或adw株HBV基因组的质粒为模板,在PCR中对所有寡核苷酸对进行检测。一轮PCR检测能够检测到100 - 25,000个质粒DNA分子,具体取决于寡核苷酸对,而半巢式PCR检测能检测到10 - 1000个分子。根据PCR检测方法的不同,HBsAg阴性血清中HBV DNA阳性结果的频率在0%至50%之间。结果表明,一些单独的抗-HBc样本以及抗-HBs +、抗-HBc +样本中均含有极低浓度的HBV DNA,接近检测限。

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