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聚合酶链反应对一期梅毒患者的诊断 被引量:6

Detection of Treponema pallidum by polymerse chain reaction (PCR)
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摘要 目的:建立聚合酶链反应(PCR)用于快速检测梅毒螺旋体。方法:根据梅毒螺旋体47ku膜蛋白基因序列,自行设计筛选一对特异寡核苷酸引物,建立梅毒螺旋体的PCR。同时对其进行实验室评价和临床标本的检测验证。结果:PCR对梅毒螺旋体能产生特异性扩增,片段大小为252bp,而对其他生殖道常见菌及人基因组DNA不能扩增出任何片段。检测65例临床标本,PCR检查阳性54例(83.1%),梅毒螺旋体明胶颗粒凝集试验(TPPA)检查阳性52例(80%),梅毒螺旋体暗视野显微镜检查阳性40例(61.5%)。PCR检测结果,与暗视野显微镜检查结果比较,差异有显著性(P<0.01);与梅毒血清学检查结果比较,差异无显著性(P>0.05)。结论:PCR可特异、快速地检测梅毒螺旋体,并具有较好的敏感性。 Objective: To establish PCR assay for rapid detection of Treponema pallidum. Methods: According to specific sequence of Treponema pallidum gene (tpp47 gene), a pair of specific primers were designed and PCR assay was developed. Also PCR was evaluated by clinical samples. Results: The target DNA of Treponema pallidum was specifically amplified by its specific primers. The amplified DNA fragment of Treponema pallidum was 252bp. The DNA fragments of other microorganisms in the genital tract and the human genome were not amplified by PCR. Sixty-five clinical samples were detected by PCR, TPPA and dark-field microscopy and the positivity rate was 83.1%, 80% and 61.5%, respectively. The result of PCR was compared with the results of dark-field microscopy and there was a statistically significant difference (P < 0.01). When compared with the result of TPPA, there was no statistically significant difference (P > 0.05). Conclusion: The study indicates that the PCR assay can specifically, rapidly detect Treponema pallidum with high sensitivity.
机构地区 中国医学科学院
出处 《临床皮肤科杂志》 CAS CSCD 北大核心 2004年第7期413-415,共3页 Journal of Clinical Dermatology
关键词 梅毒螺旋体 聚合酶链反应 treponema pallidum polymerse chain reaction
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  • 1Siqueira RC, Cunha A, Orefice F, et al. PCR with the aqueous humor, blood leukocytes and vitreous of patients affected by cytomegalovirus retinitis and immune recovery uveitis [J].Ophthalmologica, 2004, 218(1):43-48.
  • 2Grce M, Husnjak K, Milutin N, et al. Detection of human papillomaviruses and other agents causing sexually transmitted diseases with molecular diagnosis methods [J]. Acta Med Croatica,2003, 57(4):295-301.
  • 3Palmer HM, Higgins SP, Herring AJ, et al. Use of PCR in the diagnosis of early syphilis in the United Kingdom[J]. Sex Transm Infect, 2003, 79(6):479-483.
  • 4Liu H, Rodes B, Chen CY, et al. New tests for syphilis: rational design of a PCR method for detection of Treponema pallidum in clinical specimens using unique regions of the DNA polymerase I gene[J]. J Clin Microbiol, 2001, 39(5):1941-1946.
  • 5龚匡隆,尤永燕,邵长庚,张津萍,沙仲,孙厚华.一期梅毒患者梅毒螺旋体明胶颗粒凝集试验的检测[J].中华皮肤科杂志,2001,34(3):213-213. 被引量:3

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