首页|ERA实时荧光法快速检测乙肝病毒的建立与应用

ERA实时荧光法快速检测乙肝病毒的建立与应用

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基于酶促重组等温扩增(ERA)技术构建一种快速检测乙肝病毒的实时荧光检测方法.根据乙肝病毒聚合酶编码区(P区)保守序列设计引物和探针,对引物、温度、荧光探针浓度等反应条件进行优化,建立ERA实时荧光法最佳反应体系,再对其敏感性、特异性、抗干扰能力、临床样本检出效果进行验证.结果显示:ERA实时荧光法在 42℃、20 min内可完成对乙肝病毒的检测,最低检出限为 102 copies/μL;除乙肝病毒外,其他 4 种病毒(甲肝病毒、丙肝病毒、EB病毒、巨细胞病毒)均未产生荧光扩增曲线,具有良好的特异性和抗干扰能力;以实时荧光PCR法检测结果为标准,ERA实时荧光法检测 58 份乙肝病毒临床样本的灵敏度为 97.37%、特异度为 100%、阴性预测值为 95.24%、阳性预测值为 100%、Kappa值为 0.96.成功建立了一种简单、快速、灵敏、特异、低成本的乙肝病毒早期检测方法,满足乙肝病毒快速检测的需要.
Establishment and application of ERA real-time fluorescence method for rapid detection of hepatitis B virus
This study is to establish a real-time fluorescence detection method for rapidly detecting the hepatitis B virus using enzyme recombinase amplification(ERA)technology.The primers and probes were designed according to the conserved sequence of the poly-merase coding region(P region)of the hepatitis B virus,and the reaction conditions,such as primers,temperature,and fluorescent probe concentration,were optimized to establish the optimal reaction system of the ERA real-time fluorescence assay,which was fur-ther validated in terms of sensitivity,specificity,anti-jamming capacity,and clinical samples.The results showed that the ERA real-time fluorescence method could detect the presence of the hepatitis B virus within 20 minutes at 42℃,with a limit of detection of 102 cop-ies/μL.The other four viruses(hepatitis A virus,hepatitis C virus,Epstein-Barr virus,and Cytomegalovirus)did not show fluorescence amplification curves,indicating reasonable specificity and anti-interference ability.When compared to the real-time fluorescence PCR method,the ERA real-time fluorescence method for 58 hepatitis B virus clinical samples exhibited a sensitivity of 97.37%,a specificity of 100%,a negative predictive value of 95.24%,a positive predictive value of 100%,and Kappa value of 0.96.This study successfully established a simple,rapid,sensitive,specific,and low-cost method for early detection of hepatitis B virus to meet the need for rapid detection.

enzymatic recombinase amplification(ERA)technologyrapid detectionhepatitis B virusthe ERA real-time fluorescence methodearly diagnosis

翁兴墉、邹林涛、周璇、唐红花、何军、邓仲良

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南华大学 衡阳医学院 公共卫生学院,衡阳 421001

南华大学衡阳医学院附属第一医院,衡阳 421001

南华大学衡阳医学院附属南华医院 检验科,衡阳 421001

酶促重组等温扩增技术 快速检测 乙肝病毒 ERA实时荧光法 早期诊断

湖南省教育厅重点项目湖南省自然科学基金项目

21A02612022JJ30501

2024

生物学杂志
合肥市科学技术协会

生物学杂志

CSTPCD北大核心
影响因子:0.554
ISSN:2095-1736
年,卷(期):2024.41(4)