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用RT-PCR法检测肾移植患者巨细胞病毒感染的初步研究
引用本文:于青,李学义,尚明花,孙喜元,王祥慧,余龙,徐琴君.用RT-PCR法检测肾移植患者巨细胞病毒感染的初步研究[J].中华器官移植杂志,1998,19(4):232-234.
作者姓名:于青  李学义  尚明花  孙喜元  王祥慧  余龙  徐琴君
作者单位:1. 上海市第一人民医院肾脏科,200080
2. 复旦大学遗传学研究所
3. 上海市第一人民医院泌尿外科
摘    要:采用逆转录聚合酶链反应法检测人类巨细胞病毒主要直接早期抗原DNA和mRNA。抽取20名患者37份血标本,结果11份mRNA阳性,其巨细胞病毒DNA均为阳性,其中7人临床伴发热,白细胞减少,血小板减少,3人血肌酐〉177μmol.L^1,2例丙氨酸转氨酶轻度升高。

关 键 词:逆转录  聚合酶链反应  巨细胞病毒  肾移植

Detection of cytomegalovirus mRNA and DNA in peripheral blood leukocytes from kidney recipients
Yu Qing,Li Xueyi,Shang Minghua,et al..Detection of cytomegalovirus mRNA and DNA in peripheral blood leukocytes from kidney recipients[J].Chinese Journal of Organ Transplantation,1998,19(4):232-234.
Authors:Yu Qing  Li Xueyi  Shang Minghua  
Institution:Yu Qing,Li Xueyi,Shang Minghua,et al. Department of Nephrology,Shanghai First People's Hospital,Shanghai 200080
Abstract:Human cytomegalovirus (CMV) major immediate early antigen DNA and mRNA in peripheral blood leukocytes were detected by using RT PCR. Thirty seven blood samples were obtained from 20 kidney transplant recipients. The results showed that 11 blood samples from 8 patients were CMV mRNA positive and DNA negative. Among CMV mRNA negative blood samples, 4 showed CMV DNA( ). Of the 8 CMV mRnA( ) patients, 7 underwent disease, whereas all of the mRNA(-) remained infectious symptom free. In conclusion, CMV DNA in peripheral blood leukocytes might be a sensitive marker for CMV infection. However, the specificity with regard to its clinical significance is less clear, since infections considered to be latent may be detected. The detection of CMV mRNA may be of value in the diagnosis of active CMV infection in immunosuppressant patients.
Keywords:RT-PCR  Human cytomegalovirus  Infection  Kidney/transplantation  
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