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双探针实时荧光定量PCR检测对拉米呋啶耐药的乙型肝炎患者HBV变异
引用本文:凤敏华,吴婴,黄荣辉. 双探针实时荧光定量PCR检测对拉米呋啶耐药的乙型肝炎患者HBV变异[J]. 临床检验杂志, 2010, 28(3): 175-176
作者姓名:凤敏华  吴婴  黄荣辉
作者单位:上海市奉贤中心医院核医学科;
摘    要:目的研究双探针实时荧光定量PCR方法检测对拉米夫定耐药的乙肝患者血清中HBV病毒变异的可行性。方法用双探针MGB实时荧光定量PCR法检测拉米夫定治疗后的乙型肝炎患者血清,确定HBV YMDD变异类型,与测序法进行比对。结果68例标本中本法测出27例YMDD野生株,20例Y IDD变异株,11例YVDD变异株,与直接测序结果一致。另有10例标本测得为混合株,经克隆后测序证实,混合株中存在优势株。直接测序只能检测出优势株。结论双探针MGB实时荧光定量PCR法可以快速、准确地测出HBV DNA混合变异毒株。

关 键 词:实时荧光定量PCR  乙型肝炎病毒  拉米夫定  YMDD变异  
收稿时间:2009-09-21
修稿时间:2010-03-02

Application of dual-probe real-time PCR assay for detection of lamivudine-resistance hepatitis B virus
FENG Min-hua,WU Yin,HUANG Rong-hui. Application of dual-probe real-time PCR assay for detection of lamivudine-resistance hepatitis B virus[J]. Chinese Journal of Clinical Laboratory Science, 2010, 28(3): 175-176
Authors:FENG Min-hua  WU Yin  HUANG Rong-hui
Affiliation:Department of Nuclear Medicine of Shanghai Fengxian Central Hospital/a>;Shanghai 201400/a>;China
Abstract:Objective To investigate the feasibility of dual-probe real-time PCR assay for detection of lamivudine-resistance hepatitis B virus.Methods MGB probes with different fluorescences were designed and synthesized.The serum samples of hepatitis B patients treated with lamivudine were detected by real-time PCR and sequencing,and the results were compared.Results In total 68 serum samples,27 samples are YMDD,20 YIDD and 11 YVDD,which was consistent with that of sequencing(85.3%).10 samples were detected to be mix...
Keywords:real-time PCR  hepatitis B virus  lamivudine  YMDD variant  
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