基于小沟凹槽探针特异性检测23种人乳头瘤病毒分型的研究

A study of specific detections of 23 human papillomavirus genotypes based on minor groove probe

  • 摘要:
    目的 建立一种高特异性人乳头瘤病毒(HPV)分型检测的荧光定量聚合酶链式反应方法。
    方法 设计针对23种HPV分型的特异性引物和小沟凹槽(MGB)探针,优化引物、探针序列及反应体系,利用中国食品药品检定研究院公布的第二代HPV全基因组分型国家参考品验证其有效性、灵敏度、精密度和交叉特异性,并将其应用于已确定亚型的患者宫颈脱落细胞筛查。
    结果 23种引物和探针均通过有效性、灵敏度、交叉特异性及精密度的检验,最低检出限达100拷贝/µL,变异系数≤3.18%。 在114份临床样品的筛查中,100份为阳性,14份为阴性,均与已知结果相符。
    结论 本研究建立的分型检测体系能特异性检测23种HPV并对其进行基因分型,可作为一个候选的理想检测方法,为临床HPV感染诊断提供有效参考。

     

    Abstract:
    Objective To established a real-time polymerase chain reaction assay with high specificity for the detections of genotypes of human papillomavirus (HPV).
    Methods Specific primers and minor groove binder (MGB) probes were designed for 23 HPV genotypes. The primer-probe sequences and reaction system were optimized. The second-generation national reference for HPV genotyping, published by the China National Institute for Food and Drug Control, was used to evaluate the effectiveness, sensitivity, precision, and cross-specificity of the assay. The assay was then applied in the cervical cell screening of patients with known subtypes.
    Results All the 23 primers and binders were tested for validity, sensitivity, cross-specificity and precision. In sensitivity test, the minimum detection limit could reach 100 copies/µL, and the coefficient of variation was ≤3.18%. Of the 114 clinical samples, 100 were positive and 14 were negative, all were consistent with known results.
    Conclusion The genotype detection system established in this study can specifically detect 23 HPV species and identify their genotypes, which can be used as a potential ideal detection method to provide effective reference for the clinical diagnosis of HPV infection.

     

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