[1]张 孟a,李 倩b,周华君b,等.巢氏PCR扩增低拷贝HBV全基因组方法的建立及应用[J].现代检验医学杂志,2018,33(03):44-49.[doi:10.3969/j.issn.1671-7414.2018.03.013]
 ZHANG Menga,LI Qianb,ZHOU Hua-junb,et al.Establishment and Application of Nested PCR Amplification Method for the Whole Genome of HBV with the Low Copy[J].Journal of Modern Laboratory Medicine,2018,33(03):44-49.[doi:10.3969/j.issn.1671-7414.2018.03.013]
点击复制

巢氏PCR扩增低拷贝HBV全基因组方法的建立及应用()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第33卷
期数:
2018年03期
页码:
44-49
栏目:
论著
出版日期:
2018-07-17

文章信息/Info

Title:
Establishment and Application of Nested PCR Amplification Method for the Whole Genome of HBV with the Low Copy
文章编号:
1671-7414(2018)03-044-06
作者:
张 孟a李 倩b周华君b孙长贵b成 军b戴玉柱b
中国人民解放军第一一七医院a.财经中心; b.检验科,杭州 310013
Author(s):
ZHANG MengaLI QianbZHOU Hua-junbSUN Chang-guibCHENG JunbDAI Yu-zhub
a.Financial Services Center; b.Department of ClinicalLaboratory, the 117th Hospital of PLA,Hangzhou 310013,China
关键词:
乙型肝炎病毒 低拷贝 全基因 巢式聚合酶链式反应
分类号:
R512.62; Q503
DOI:
10.3969/j.issn.1671-7414.2018.03.013
文献标志码:
A
摘要:
目的 建立一种用于低拷贝乙型肝炎病毒(HBV)不同基因型全基因组扩增的巢式聚合酶链式反应(nested PCR)方法及应用评价。方法 通过设计和改良一组对HBV各基因型(A,B,C,D,E,F,G)DNA均具有较高扩增效率的通用巢式简并引物,采用两步法分六段(Ⅰa,Ⅰb,Ⅱa,Ⅱb,Ⅲ,Ⅳ)扩增低拷贝HBV基因组,比较不同反应条件对于PCR扩增产物的影响(退火温度,引物浓度),建立一种适合于低拷贝HBV全基因组扩增的方法; 同时采用该方法对57份低浓度HBsAg乙肝感染者(HBsAg<10IU/ml)的全基因组进行扩增、测序、拼接并进行评价。结果 该方法的灵敏度可达25IU/ml,重复性好,对57份低浓度HBsAg乙肝感染者进行扩增,其中全基因扩增49例(86.0%),各片段(Ⅰa,Ⅰb,Ⅱa,Ⅱb,Ⅲ,Ⅳ)扩增分别为:53例(93.0%),52例(91.2%),54例(94.7%),54例(94.7%),55例(96.5%)和49例(86.0%),说明该方法适用于慢性低浓度HBsAg乙肝感染者HBV DNA全基因扩增。结论 该文为慢性低浓度HBsAg乙肝感染者的全基因系列分析提供了高灵敏度、高特异度的方法,可在低浓度HBsAg感染者流行病学调查中发挥重要作用,同时为巢氏PCR扩增反应体系的优化提供了参考。
Abstract:
Abstract:Objective To establish and evaluate a nested polymerase chain reaction(nested PCR)method for the whole genome amplification of hepatitis B virus(HBV)with low copy in the different genotypes.Methods By designing and improving a set of universal nested degenerate primers with high amplification efficiency for all HBV genotypes(A,B,C,D,E,F,G),and the low copy HBV genome was divided into six segments(Ⅰa,Ⅰb,Ⅱa,Ⅱb,Ⅲ,Ⅳ)which were amplified by the two step method.The effects ofdifferent reaction conditions of the PCR amplification products(annealing temperature,primer concentration)were compared.A method suitable for the whole genome amplification of low copy HBV was established,and amplified,sequenced,spliced and evaluated of the whole genome of 57 hepatitis B infected persons with low-level HBsAg(HBsAg<10 IU/ml)was completed by this method.Results The sensitivity of the method was 25IU/ml and reproducible,and 57 cases of hepatitis B infection with low-level HBsAg were amplified,in whichtotal gene amplification was 49(86%)cases.Each segment(Ⅰa,Ⅰb,Ⅱa,Ⅱb,Ⅲ,Ⅳ)was 53 cases(93%),52 cases(91.2%),54 cases(94.7%),54 cases(94.7%),55 cases(96.5%)and 49 cases(86.0%),respectively.This method was suitable for the amplification of HBV DNA of chronic hepatitis B infection with low-level HBsAg.Conclusion This study provides a highly sensitive and highly specific method for the analysis of the whole gene sequence of chronic hepatitis B infection with low-level HBsAg.It can play an important role in the epidemiological investigation of HBV infection with low-level HBsAg,and provides a reference for the optimization of the nesting PCR amplification reaction system.

参考文献/References:

[1] 成 军,孙长贵,陈 瑜.慢性HBV感染者低浓度HBsAg持续存在的临床特点及分子流行病学研究进展[J].现代检验医学杂志,2010,25(2):1-5. Cheng J,Sun CG,Chen Y.Progress in clinical characteristics and molecular epidemiology of chronic HBV infection with sustained low-level HBsAg[J].J Mod Lab Med,2010,25(2):1-5.
[2] Liu C,Chen T,Lin J,et al.Evaluation of the performance of four methods for detection of hepatitis B surface antigen and their application for testing116 455 specimens[J].J Virol Methods,2014,196(21):174-178.
[3] Jia W,Qi X,Ji YY,et al.Low serum hepatitis B surface antigen level predicts compensated cirrhosis caused by chronic hepatitis B in HBeAg positive patients in east china[J].Hepat Mon,2015,15(8):e29183.
[4] 成 军,孙长贵,陈 瑜,等.慢性HBV感染者低浓度HBsAg相关分子调查研究[J].中华检验医学杂志,2009,32(10):1128-1132. Cheng J,Sun CG,Chen Y,et al.Molecular analysis on chronic hepatitis B patients with low-level HBsAg[J].Chin J Lab Med,2009,32(10):1128-1132.
[5] Gunther S,Li BC,Miska S,et al.A novel method for efficient amplification of whole hepatitis B virus genomes permits rapid functional analysis and reveals deletion mutants in immunosuppressed patients[J].J Virol,1995,69(9):5437-5444.
[6] Chook JB,Teo WL,Ngeow YF,et al.Universal primers for detection and sequencing of hepatitis B virus genomes across genotypes A to G[J].J Clin Microbiol,2015,53(6):1831-1835.
[7] Porter-Jordan K,Rosenberg EI,Keiser JF,et al. Nested polymerase chain reaction assay for the detection of cytomegalovirus overcomes false positivescaused by contamination with fragmented DNA[J].J Med Virol,1990,30(2):85-91.
[8] 何紫琪,李从荣,尹 路.乙型肝炎病毒逆转录酶基因突变的临床意义[J].现代检验医学杂志,2016,31(4):83-86. He ZQ,Li CR,Yin L.Clinical significance of reverse transcriptasegene mutations in the hepatitis B virus[J].J Mod Lab Med,2016,31(4):83-86.
[9] Lopez MM,Llop P,Olmos A,et al.Are molecular tools solving the challenges posed by detection of plant pathogenic bacteria and viruses[J].Curr Issues Mol Biol,2009,11(1):13-45.
[10] Stadhouders R,Pas SD,Anber J,et al.The effect of primer-template mismatches on the detection and quantification of nucleic acids using the5' nuclease assay[J].J Mol Diagn,2010,12(1):109-117.
[11] 郭 燕,蔡 斌,段 勇,等.HBsAb阳性隐匿性乙型肝炎病毒感染者HBV PreS-S区基因突变研究[J].现代检验医学杂志,2017,32(4):16-20. Guo Y,Cai B,Duan Y,et al.Study on PreS-S gene mutation of HBV in occult hepatitis B virus infected persons with positive HBsAb[J].J Mod Lab Med,2017,32(4):16-20.
[12] Datta S,Ghosh A,Dasgupta D,et al.Novel point and combo-mutations inthe genome of hepatitis B virus-genotype D:characterization and impact on liver disease progression to hepatocellular carcinoma[J].PLoS One,2014,9(10):e110012.

相似文献/References:

[1]李步荣,张彤,李丽华,等.CHB患者HBV基因型及耐药突变基因联合检测临床研究[J].现代检验医学杂志,2015,30(05):40.[doi:10.3969/j.issn.1671-7414.2015.05.012]
 LI Bu-rong,ZHANG Tong,LI Li-hua,et al.Clinical Study of Combined Detection about Hepatitis B Virus Genotypes and Drug Resistant Mutation Genes in Patients with Chronic Hepatitis B[J].Journal of Modern Laboratory Medicine,2015,30(03):40.[doi:10.3969/j.issn.1671-7414.2015.05.012]
[2]景媛媛,李锦,段勇,等.青年献血人群HBV/OBI感染者血清中IL-10表达水平的分析[J].现代检验医学杂志,2015,30(05):107.[doi:10.3969/j.issn.1671-7414.2015.05.033]
 JING Yuan-yuan,LI Jin,DUAN Yong,et al.Analysis of IL-10 in Serum of Blood Donors with OBI/HBV Infection among Young Adults[J].Journal of Modern Laboratory Medicine,2015,30(03):107.[doi:10.3969/j.issn.1671-7414.2015.05.033]
[3]谢小娟,李小侠,李芒会,等.孕产妇及其新生儿的HBV检测结果相关性分析[J].现代检验医学杂志,2015,30(02):80.[doi:10.3969/j.issn.1671-7414.2015.02.025]
 XIE Xiao-juan,LI Xiao-xia,LI Mang-hui,et al.Correlation Analysis of Maternal and Neonatal HBV Test Results[J].Journal of Modern Laboratory Medicine,2015,30(03):80.[doi:10.3969/j.issn.1671-7414.2015.02.025]
[4]何紫琪,李从荣,尹 路.乙型肝炎病毒逆转录酶基因突变的临床意义[J].现代检验医学杂志,2016,31(04):83.[doi:10.3969/j.issn.16717-414.2016.04.022]
 HE Zi-qi,LI Cong-rong,YIN Lu.Clinical Significance of Reverse Transcriptase Gene Mutations in the Hepatitis B Virus[J].Journal of Modern Laboratory Medicine,2016,31(03):83.[doi:10.3969/j.issn.16717-414.2016.04.022]
[5]王海宁,李万顺,孙巨军.乙肝病毒血清标志物、外周血T淋巴细胞与HBV-DNA的相关性分析[J].现代检验医学杂志,2016,31(04):113.[doi:10.3969/j.issn.16717-414.2016.04.032]
 WANG Hai-ning,LI Wan-shun,SUN Ju-jun.Correlation Study on Serum Markers of Hepatitis B Virus and Peripheral T Lymphocytes as Well as HBV-DNA in Patients with Hepatitis B[J].Journal of Modern Laboratory Medicine,2016,31(03):113.[doi:10.3969/j.issn.16717-414.2016.04.032]
[6]解 娟,刘文康,李 玲,等.化学发光分析法定量检测住院患者HBV血清标志物及临床意义[J].现代检验医学杂志,2017,32(03):40.[doi:10.3969/j.issn.1671-7414.2017.03.011]
 XIE Juan,LIU Wen-kang,LI Ling,et al.Clinical Implication of HBV Serum Markers Detected with Chemiluminescent Immunoassay in Inpatients of Xi’an Area[J].Journal of Modern Laboratory Medicine,2017,32(03):40.[doi:10.3969/j.issn.1671-7414.2017.03.011]
[7]徐少华,赵 静,朱 琳,等.HBeAg阳性慢性乙型肝炎患者大量输血后其血清标志物变化研究[J].现代检验医学杂志,2017,32(06):147.[doi:10.3969/j.issn.1671-7414.2017.06.001]
 XU Shao-hua,ZHAO Jing,ZHU Lin,et al.Changes of Serum Markers in Patients with HBeAg Positive Chronic Hepatitis B after Massive Blood Transfusion[J].Journal of Modern Laboratory Medicine,2017,32(03):147.[doi:10.3969/j.issn.1671-7414.2017.06.001]
[8]梁湘辉,樊树洁.HBV感染者病毒载量与外周血白细胞VCS参数的相关性探讨[J].现代检验医学杂志,2018,33(06):115.[doi:10.3969/j.issn.1671-7414.2018.06.030]
 LIANG Xiang-hui,FAN Shu-jie.Correlative Study between Viral Load of Patients with HBV and VCS Parameters of Peripheral Blood Leukocytes[J].Journal of Modern Laboratory Medicine,2018,33(03):115.[doi:10.3969/j.issn.1671-7414.2018.06.030]
[9]刘 杨,彭道荣,霍 豆,等.慢性HBV 感染自然史不同阶段血清HBsAg 水平及与血清HBV-DNA 载量相关性的研究[J].现代检验医学杂志,2020,35(03):11.[doi:10.3969/j.issn.1671-7414.2020.03.003]
 LIU Yang,PENG Dao-rong,HUO Dou,et al.Study on Serum HBsAg Level and Its Correlation with Serum HBV-DNA Load in Different Phase of Natural History of Chronic HBV Infection[J].Journal of Modern Laboratory Medicine,2020,35(03):11.[doi:10.3969/j.issn.1671-7414.2020.03.003]
[10]泽汪格玛,杨建蓉,欧仕颖,等.慢性HBV感染患者血清CP,HNF1α与肝组织病理分级及分期的相关性研究[J].现代检验医学杂志,2022,37(03):177.[doi:10.3969/j.issn.1671-7414.2022.03.037]
 ZE Wanggema,YANG Jian-rong,OU Shi-ying,et al.Correlation between Serum CP, HNF 1α and Pathological Grading, Staging of Liver Tissues in Patients with Chronic HBV Infection[J].Journal of Modern Laboratory Medicine,2022,37(03):177.[doi:10.3969/j.issn.1671-7414.2022.03.037]

备注/Memo

备注/Memo:
基金项目:浙江省自然科学基金项目(LY15H200001)。 作者简介:张 孟(1965-),女,本科,副主任技师,主要从事临床免疫学检验诊断研究,E-mail:zhangm117@sina.cn。 通讯作者:戴玉柱(1985-),男,硕士,副主任技师,主要从事临床免疫学检验诊断研究,E-mail:dyz5895@qq.com。
更新日期/Last Update: 2018-04-16