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为了早期快速诊断黄病毒感染,在其NS1基因序列设计了一对通用引物,扩增序列长度为413bp;在登革病毒(DEN)1,2,3,4型和乙型脑炎病毒(JEV)设计了各型的内引物,扩增序列长度分别是DEN1型为262bp,DEN2型为189bp,DEN3型为392bp,DEN4型为97bp,JEV为323bp。应用逆转录-聚合酶链反应(RT-PCR)成功地扩增了DEN1-4型和JEV基因部分片段,其扩增片段的大小与设计相符合。应用套式PCR检测临床诊断为登革热的患者血清标本78份,证实DEN1型阳性18份,DEN2型阳性48份,其中8份同时合并感染DEN4型。采用套式PCR检测临床诊断为乙型脑炎患者血标本42份,证实乙型脑炎病毒感染者35份。结果表明,该法能直接检测发病患者早期血标本中的病毒基因,并在2天内完成对黄病毒的鉴别诊断。
In order to rapidly diagnose flavivirus infection in early stage, a pair of universal primers was designed based on its NS1 gene sequence. The amplified sequence length was 413 bp. In the dengue virus (DEN) 1, 2, 3, 4 and JEV ) Designed various types of primers, the length of the amplified sequences were DEN1 type was 262bp, DEN2 type was 189bp, DEN3 type was 392bp, DEN4 type was 97bp, JEV was 323bp. The cDNA fragments of DEN1-4 gene and JEV gene were successfully amplified by reverse transcription-polymerase chain reaction (RT-PCR). The size of amplified fragment was in accordance with the design. 78 samples of dengue fever were detected by nested PCR, 18 of which were positive for DEN1 and 48 were positive for DEN2, of which 8 were infected with DEN4 at the same time. Using nested PCR detection of 42 cases of blood samples of patients with Japanese encephalitis, 35 cases of Japanese encephalitis virus were confirmed. The results showed that the method can directly detect the virus gene in the early blood samples of the patients and complete the differential diagnosis of the flavivirus within 2 days.