多重逆转录-聚合酶链反应快速检测登革病毒及其临床应用

目的 建立登革1～4型病毒的多重逆转录-聚合酶链反应(RT-PCR)快速检测及分型方法。方法 参照登革1～4型病毒核酸序列设计多重RT-PCR引物，并检索国际基因序列数据库初步验证其特异性，随后对PCR反应条件进行优化，以同属于黄病毒科的黄热病毒、流行性乙型脑炎病毒为对照，验证其特异性。并对2003年30份临床疑似登革患者血清标本进行了检测，阳性片段克隆测序验证扩增片段特异性。结果 采用多重PCR引物对登革1～4型病毒进行扩增，分别获得295、237、118、347bp片段，与设计相符；而黄热病毒及流行性乙型脑炎病毒均无非特异性扩增条带，对引物的相关性实验结果表明引物之间不会因相互干扰而出现假阳性结果，30份疑似患者血标本RT-PCR扩增阳性率为83．3％(25／30)，其核酸序列与登革1型病毒柬埔寨株以及中国1997、1999年流行株GD14／97、G1305／99同源性分别为97％、97％、98％。结论 实验证明，所建立的多重PCR方法能够快速地检测和鉴定登革1～4型病毒，为登革病毒的检测及分型提供了一种方便易行的方法。

Development of multiplex reverse translation??polymerase chain reaction methods f or detection of dengue virus type 1??4 and its application in clinical use ??

Objective To develop multiplex reverse translation-polymerase chain reaction(RT-PCR) method for detection of dengue virus type 1-4. Methods Based on the genomes sequence analysis of dengue virus type 1-4, four-pair of primers were designed. The specificity of the primers was primarily tested by searching the GenBank DNA sequence database. The optimal reaction conditions of the multiplex RT-PCR were then established. The specificity of RT-PCR was tested using the homologous yellow fever virus and Japanese encephalitis virus. 30 serum samples of dengue virus from suspected sufferers in the prevalence of dengue virus in 2003 were detected using the methods we developed. Results Positive segments about 295,237,118,347 bp could be seen in the multiplex RT-PCR production of dengue virus type 1-4, respectively. There were no positive segments in the RT-PCR productions of Japanese encephalitis virus and yellow fever virus. 25 of the 30 serum samples showed dengue virus type 1 positive results, while the sequencing results suggesting the amplification sequence having a high homology with dengue virus type 1 strain Cambodia, GD14/97 and GD05/99(97%,97%,98%, respective). Conclusion The method of multiplex RT-PCR we established could be used for early detection and identification of dengue virus type 1-4.