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目的为适应临床上需同时检测庚型肝炎病毒(HGV)与丙型肝炎病毒(HCV)感染情况,建立了二重逆转录-聚合酶链反应(RT-PCR)及微孔板反向杂交法。方法根据HCV与HGV基因高度保守区自行设计引物,建立了用二重RT-PCR同时检测HCV与HGVRNA方法,并分别用HCV与HGV特异探针微孔板反向杂交检测PCR产物。结果PCR产物经测序,HCV与Takamizawa等及Choo等报道的核苷酸同源性分别为931%~941%与925%~937%,HGV与Simons等、Linnen等及常锦红等的核苷酸同源性分别为907%~925%、920%~921%与943%~945%。测定敏感度约是单式扩增电泳法的100倍,20次重复测定HCV与HGV的CV值分别为89%与98%。微孔板杂交NaOH最佳终浓度为01~015mol/L,最佳杂交时间为30~50分钟。137例血清样本检测表明,在肝炎患者与血透患者HCV单独阳性为139%,HGV为51%,HCV与HGV同时阳性为58%。结论本文用微孔板杂交酶呈色技术检测HCV与HGV二重RT-PCR产物敏感、特异、快速,重复性良好,无溴乙锭污染,经?
To establish a dual-reverse-transcription-polymerase chain reaction (RT-PCR) and microplate reverse hybridization assay in order to meet the need of simultaneous detection of hepatitis G virus (HGV) and hepatitis C virus (HCV) . Methods Based on the highly conserved regions of HCV and HGV genes, primers were designed and used to detect HCV and HGV RNA simultaneously by double RT-PCR. PCR products were detected by reverse hybridization between HCV and HGV-specific microplate. Results The PCR products were sequenced. The nucleotide homology of HCV and Takamizawa et al. And Choo et al. Were 931% ~ 941% and 925% ~ 937% respectively. HGV, Simons et al., Linnen et al And Chang Jinhong nucleotide homology were 90 7% ~ 92 5%, 92 0% ~ 92 1% and 94 3% 94 5%. The sensitivity of the assay was about 100-fold higher than that of the single-stranded amplification gel electrophoresis. The CV values of HCV and HGV in 20 replicates were 89% and 98%, respectively. Microplate hybridization NaOH optimum final concentration of 0 1 ~ 0 15mol / L, the best hybridization time of 30 to 50 minutes. 137 cases of serum samples showed that in patients with hepatitis and hemodialysis patients HCV positive alone was 13 9%, HGV was 5 1%, HCV and HGV positive at 5 8%. CONCLUSION: This study was designed to detect the sensitivity of HCV and HGV dual RT-PCR products by microplate hybridization and the specificity, rapidity, reproducibility and ethidium bromide-