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血小板HPA-3,HPA-15基因分型微滴式数字PCR检测体系的构建

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目的 建立血小板HPA-3,HPA-15基因分型的微滴式数字PCR(ddPCR)高灵敏检测方法,并初步探索应用于孕妇外周血胎儿游离DNAHPA抗原相容性检测的可行性。方法 针对HPA-3,HPA-15的SNP突变位点,设计特异性引物及MGB探针,优化ddPCR退火温度及引物浓度等扩增条件,建立最佳反应体系,明确检验程序。对该检测方法进行方法学性能评估包括特异性、灵敏度、重复性和稳定性。利用ddPCR技术对2022年6月至2023年6月67例临床血液标本进行检测,将等位基因分型结果与基因测序结果比较,并对52例母体外周血胎儿游离DNA HPA抗原进行检测。结果 检测血小板HPA-3,HPA-15的ddPCR方法,引物及探针特异性良好,HPA-3,HPA-15的最佳退火温度分别为:61。6℃,60。2℃;体系最佳引物浓度分别为:900nM,700nM;探针终浓度均为250nM。拷贝数定量检测范围为:2~20 000 copies,检测下限为0。1 copies/µL且线性良好。在低拷贝数标本中,HPA-3及HPA-15实际检测值的批内及批间变异系数(CV)均<5%。对67份人血液标本DNA的HPA-3,HPA-15基因型检测,结果与基因测序结果完全一致。应用于胎母血小板HPA-3,HPA-15基因型检测结果符合预期。结论 本研究构建的HPA-3,HPA-15 ddPCR检测体系准确性高,重复性及稳定性较好,灵敏度高,可应用于临床血小板HPA-3,HPA-15基因型供者库的建立、基因配型及胎母血小板相容性检测等。
Construction of a droplet digital PCR detection system for platelet HPA-3 and HPA-15 genotyping
Objective To establish a highly sensitive detection method of platelet HPA-3 and HPA-15 genotyping by droplet digital PCR(ddPCR),and to explore the feasibility of applying it to the detection of human platelet antigen(HPA)compatibility in maternal peripheral blood fetal free DNA.Methods For SNP mutation sites of HPA-3 and HPA-15,specific primers and MGB probes were designed,and amplification conditions such as annealing temperature and primer concentration of ddPCR were optimized to establish the optimal reaction system and clarify the test procedures.The methodological performance of the assay was evaluated,including specificity,sensitivity,repeatability and stability.ddPCR was used to detect 67 clinical blood samples,and the allele typing results were compared with the gene sequenc-ing results.The fetal free DNA HPA antigen of 52 maternal peripheral blood samples was detected.Results The ddP-CR method for detecting platelet HPA-3 and HPA-15 showed good specificity of primers and probes.The optimal anneal-ing temperatures for HPA-3 and HPA-15 were 61.6℃ and 60.2℃,respectively.The optimal concentrations of primers were 900 nM and 700 nM respectively.The final concentration of the probe was 250 nM.The quantitative detection range of copy number was 2 to 20 000 copies,with lower limit of detection of 0.1 copies/μL,and the linearity is good.In low copy number samples,the intra-and inter batch coefficient of variation(CV)of actual detection values for HPA-3 and HPA-15 were both lower than 5%.The detection results of HPA-3 and HPA-15 genotypes of 67 blood samples were consistent with the gene sequencing results,and its application in fetomaternal platelet HPA-3,HPA-15 genotype detec-tion met expectations.Conclusion The HPA-3 and HPA-15 ddPCR detection system constructed in this study has high accuracy,good repeatability,stability and sensitivity,and can be applied to the establishment of platelet HPA-3 and HPA-15 genotype donor pool,gene matching and fetomatemal platelet compatibility detection.

human platelet antigen(HPA)droplet digital PCR(ddPCR)genotypinggene frequency

孔小娇、王红梅、段生宝、刘铁梅

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吉林大学中日联谊医院,吉林长春 130033

中国科学院苏州生物医学工程技术研究所

HPA 微滴式数字PCR 基因分型 基因频率

江苏省科技项目苏州市基础研究试点项目

BE2022743SJC2022013

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(1)
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