Mohammad Kargar, Ahzam Askari, Abbas Doosti, Sadegh Ghorbani-Dalini
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引用次数: 27
摘要
丙型肝炎病毒(HCV)是一个主要的公共卫生问题,也是慢性肝病的主要原因。据估计,全世界有1.8亿人受到感染。在这项研究中,我们建立了一种环介导的等温扩增(LAMP)方法来快速检测HCV基因组RNA,并比较了LAMP与巢式pcr的灵敏度。在62°C等温条件下,用6条针对HCV 5'UTR保守序列的引物在70 min内对30例HCV感染患者的血液样本进行分析。然后用溴化乙酯染色凝胶电泳显示,加入SYBR Green i后裸眼检测。巢式PCR检测HCV阳性的样本均采用LAMP法确认。当通过凝胶电泳和溴化乙锭染色观察时,HCV LAMP检测产物呈阶梯状,有许多不同大小的条带。在反应管中加入SYBR Green I后,阳性样品的颜色由橙色变为绿色,也可以用肉眼检测HCV LAMP产物。HCV LAMP与巢式pcr具有相同的灵敏度,两种系统的检测限均为10拷贝/mL HCV RNA。本文报道的LAMP检测在快速扩增、操作简单和易于检测方面具有优势,将有助于在资源有限的地区(如发展中国家)快速可靠地进行HCV临床诊断。
Loop-Mediated Isothermal Amplification Assay for Rapid Detection of Hepatitis C virus.
Hepatitis C virus (HCV) is a major public health problem and a leading cause of chronic liver disease. An estimated 180 million people are infected worldwide. In this study, we developed a loop-mediated isothermal amplification (LAMP) assay for rapid detection of HCV genomic RNA and compared the sensitivity of LAMP with nested-PCR. A total of 30 blood samples from HCV-infected patients were analyzed with six primers targeting conserved sequences of the HCV 5'UTR within 70 min, under isothermal conditions at 62 °C. Then, visualized by gel electrophoresis with ethidium bromide staining and detected by the naked-eye after adding SYBR Green I. All samples positive for HCV by nested PCR were confirmed by LAMP method. When visualized by gel electrophoresis and ethidium bromide staining, the HCV LAMP assay products appeared in a ladder pattern, with many bands of different sizes. The HCV LAMP product could also be detected by the naked-eye after adding SYBR Green I to the reaction tube and observing a color change from orange to green in positive samples. The HCV LAMP had the same sensitivity as a nested-PCR assay, the detection limit for the both systems were found to be 10 copies/mL of HCV RNA. The LAMP assay reported here is superior for rapid amplification, simple operation, and easy detection and will be useful for rapid and reliable clinical diagnosis of HCV in areas with limited resources, such as developing countries.