临床儿科杂志 ›› 2014, Vol. 32 ›› Issue (7): 672-.doi: 10.3969 j.issn.1000-3606.2014.07.019

• 综合报道 • 上一篇    下一篇

两种多位点聚合酶链反应技术在结核分枝杆菌复合群鉴定中的价值

李晓迎,黄延风,潘云,朱朝敏,刘芮汐,黎梅花,苏薇   

  1. 重庆医科大学附属儿童医院感染消化科 儿童发育疾病研究教育部重点实验室 儿科学重庆市重点实验室 重庆市儿童发育重大疾病诊治与预防国际科技合作基地( 重庆 400014)
  • 收稿日期:2014-07-15 出版日期:2014-07-15 发布日期:2014-07-15
  • 通讯作者: 黄延风 E-mail:ymhykq@126.com

The value of rapid species identif ication of Mycobacterium tuberculosis by two kinds of multi-locus polymerase chain reaction in children

LI Xiaoying, HUANG Yanfeng, PAN Yun, ZHU Chaomin, LIU Ruixi, LI Meihua, SU Wei   

  1. Department of Infection and Gastroenterology, Children’s Hospital of Chongqing Medical University, Key Laboratory of Developmental Diseases in Childhood Ministry of Education, Key Laboratory of Pediatrics in Chongqing, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing 400014, China
  • Received:2014-07-15 Online:2014-07-15 Published:2014-07-15

摘要: 目的 评价多位点聚合酶链反应(PCR) 在儿童结核分枝杆菌复合群鉴定中的临床价值。方法 收集经初步鉴定为结核病分支杆菌的临床分离株,分别经传统PNB/TCH 鉴定,以及选择7 基因位点16SrRNA、Rv0577、IS1561、Rv1510、Rv1970、Rv3877/8 及Rv3120,及4 基因位点ropB、RD1、RD8(present)、RD8(deleted),采用聚合酶链反应(PCR)对其进行扩增和鉴定。结果 共收集204 株临床分离菌株,传统PNB/TCH 鉴定结果为,结核分枝杆菌199 株,牛结核分枝杆菌3 株,非结核分枝杆菌2 株。4 位点PCR 鉴定结果为,结核分枝杆菌196 株,牛结核分枝杆菌2 株,卡介苗3株,非结核分枝杆菌3 株。7 位点PCR 鉴定结果为,结核分枝杆菌191 株,牛结核分枝杆菌2 株,卡介苗3 株,非洲分枝杆菌Ⅰ型4 株,山羊分枝杆菌和田鼠分枝杆菌各1 株,非结核分枝杆菌2 株。结论 两种PCR 方法均较传统方法简便快捷,且均可较快的鉴定结核分枝杆菌复合群更多的亚种。7 位点能鉴定出除非洲分枝杆菌Ⅱ型以外的所有儿童结核分枝杆菌复合群的亚种。4 位点在鉴定卡介苗菌株中更加迅速简便。

Abstract: Objective To evaluate the clinical value of multi-locus polymerase chain reaction (PCR) for identifying Mycobacterium tuberculosis complex isolated in children. Methods The isolates were collected and were first determined by PNB/TCH medium. 7-point PCR sites including 16SrRNA, Rv0577, IS1561, Rv1510, Rv1970, Rv3877/8 and Rv3120, and 4-point PCR sites including ropB, RD1, RD8 (present), RD8 (deleted) were used to amplify them by PCR. Results Total of 204 isolates were collected, in which 199 were Mycobacterium tuberculosis, 3 were Mycobacterium bovis, and 2 were non-tuberculous mycobacteria by the PNB/TCH method. 4-point PCR analysis showed that 196 were Mycobacterium tuberculosis, 2 were Mycobacterium bovis, 3 were BCG species and 3 were non-tuberculous mycobacteria. 7-point PCR analysis showed that 191 were Mycobacterium tuberculosis, 2 were Mycobacterium bovis, 3 were BCG species, 4 were African Mycobacterium type I, 1 was Mycobacterium caprae, 1 was Mycobacterium microti and 2 were non-tuberculous mycobacteria. Conclusion Compared with the conventional method, the PCR identification in 4-point PCR method and 7-point PCR method could rapidly identify the BCG among the complex group in children tuberculosis. 7-point PCR method was able to identify all the subspecies of Mycobacterium, except Africa Mycobacterium. 4-point PCR method would be more rapid and easier in the identification of BCG strains.