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目的探讨聚合酶链反应(PCR)扩增TTV核酸的优化条件,初步测定慢性丙型肝炎及慢性非甲-戊,非庚肝炎患者中TT病毒的检出率.方法将标本分别予以4℃保存1wk、室温保存1wk及1wk内将标本于-35℃与室温间反复冻融6次3种储存方法.分别以SDS-蛋白酶K方法(方法1),NP-40法(方法2)及聚乙二醇法提取TTVDNA,分别以套式PCR与单管套式PCR检测TTV.以PCR直接序列分析方法测定扩增产物以验证扩增产物的特异性.结果在10份已知病毒标志均为阴性的血清中,方法1与方法2提取核酸后可在4份血清中检出TTV,方法3提取核酸后的检出率为0.1次PCR、单管PCR与单管套式PCR对10份已知病毒标志均为阴性血清的TTV检出率分别为10%,40%和40%.将2份血清按原血清、10-1~10-10系列稀释后检测,发现,1次PCR、套式PCR和单管套式PCR的检出水平分别为原倍、10-5与10-4及阴性、10-4与10-4.4℃保存1wk、室温保存1wk及反复冻融标本的最低检测稀释度为10-5,10-4,10-3与10-4,10-4,10-3.对一份PCR产物进行序列分析证实为TTV特异性基因.检测31份慢性丙型?
Objective To investigate the optimal conditions for the amplification of TTV nucleic acid by polymerase chain reaction (PCR) and preliminary detection of the detection rate of TT virus in patients with chronic hepatitis C and chronic non-A-hepatitis and non-hepatitis C virus. Methods The specimens were stored at 4 ℃ for 1wk, stored at room temperature for 1wk and 1wk, respectively. The samples were frozen and thawed repeatedly at -35 ℃ and room temperature for 6 times. TTVDNA was extracted by SDS-proteinase K method (method 1), NP-40 method (method 2) and polyethylene glycol method respectively, and TTV was detected by nested PCR and single-tube nested PCR respectively. Amplification products were determined by PCR direct sequence analysis to verify the specificity of the amplified product. Results In 10 serums with known virus sign negative, TTV was detected in 4 serums after extracting nucleic acids by method 1 and method 2, and the detection rate after method 3 extraction was 0.1 PCR Tuberculosis PCR and single-tube nested PCR for 10 samples of known viruses were negative serum TTV detection rates were 10%, 40% and 40%. The two serum samples were diluted according to the original serum and 10-1-10-10. The results showed that the detection rates of primary PCR, nested PCR and single-pipe PCR were 10 times, 10-5 and 10- 4 and negative, 10-4 and 10-4.4 ℃ preservation 1wk, 1wk at room temperature and repeated freeze-thaw specimens of the lowest detection dilution of 10-5,10-4,10-3 and 10-4,10-4 , 10-3. Sequence analysis of a PCR product confirmed TTV-specific genes. Detect 31 chronic C?