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婴幼儿人巨细胞病毒mRNA在不同感染时期表达的研究

李娟   

  1. 天津市儿童医院
  • 收稿日期:2014-04-03 修回日期:2014-05-05 出版日期:2014-08-15 发布日期:2014-08-15
  • 通讯作者: 李娟

Study of Human Cytomegalovirus mRNA Transcription Profile at Different Infection Stages in Infants

Juan LI   

  1. Department of Gastroenterology and Hepatology, Tianjin Children’s Hospital, Tianjin 300074, China
  • Received:2014-04-03 Revised:2014-05-05 Published:2014-08-15 Online:2014-08-15
  • Contact: Juan LI

摘要:

【摘要】目的  探讨IE mRNA和pp67mRNA是否可以作为早期检测诊断人巨细胞病毒(HCMV)感染的标志物。 方法  采用荧光定量PCR的方法,在HCMV感染初诊患儿中检测IE mRNA和pp67mRNA的表达特征。结果  传统病毒DNA检测方法检测的阴性患儿中,仍然有一部分已经表达IE mRNA,而在初诊病毒DNA检测阳性的患儿中,100%表达HCMV感染后期的pp67mRNA。结论  mRNA检测具有比DNA更高的灵敏性,应该根据不同时期病毒mRNA表达特征制定不同的治疗方案。

关键词: 巨细胞病毒, 婴儿, 新生, IE mRNA, pp67mRNA, 病毒检测

Abstract:

[Abstract] Objective   Human cytomegalovirus (HCMV) can induce infection in multiple organs, including genitouri?
nary system, central nervous system and liver. It can even lead to serious defects and death. China, as a high-incidence area of HCMV, need employ early treatment. However, the sensitivity of present HCMV diagnosis is not satisfied.Methods   In the present study, we focused on transcription level of HCMV IE and pp67mRNA using real- time quantitative PCR. Results   IEmRNA was positive even in a portion of patients who were regarded as negative by traditional DNA diagnosis method. On the other hand, pp67mRNA that were normally expressed at the late stage of HCMV infection was100% posi?tive in the first-visit patients who were regarded as positive using traditional DNA diagnosis method. Conclusion   The pres?ent study indicated that mRNA detection based on PCR method was more sensitive compared with DNA detection for assess?ing HCMV virus infection. Finally, different treatment should be performed upon mRNA transcription profile at different in?fection stages

Key words: cytomegalovirus, infant, newborn, IE mRNA, pp67mRNA, virus identification