实时定量PCR技术在角膜移植供体乙型肝炎病毒筛查中的应用

王 涛;凌士奇;黄 挺;黄 捷

新医学 ›› 2011, Vol. 42 ›› Issue (11) : 720.

新医学 ›› 2011, Vol. 42 ›› Issue (11) : 720.
论著

实时定量PCR技术在角膜移植供体乙型肝炎病毒筛查中的应用

  • 王 涛;凌士奇;黄 挺;黄 捷
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目的:探讨采用实时定量PCR技术对角膜移植材料进行HBV DNA筛查的可行性。方法:采用实时定量PCR技术对22例角膜移植供体血样和球外筋膜、角膜、色素膜中HBV DNA进行定性和定量分析。比较血样标本和眼组织中检测HBV DNA的特异度、敏感度及不同眼组织中HBV DNA载量的差异。结果:在18例HBV阳性和4例HBV阴性的供体材料中,血样、球外筋膜、角膜和色素膜组织HBV DNA检测的敏感度分别为83%(15/18)、100%(18/18)、83%(15/18)和78%(14/18),检测的特异度均为100%。对球外筋膜、角膜和色素膜HBV DNA的定量分析显示,单位质量色素膜中HBV DNA的载量最高,球外筋膜和角膜HBV DNA载量比较差异无统计学意义。结论:应用实时定量PCR技术检测球外筋膜中HBV DNA可以作为一种角膜移植供体病原体筛查的检测手段。

Abstract

Objective:To discuss the feasibility of using real-time quantitative PCR technique on HBV DNA screening for corneal graft material. Mehtods:The blood and extraocular fascia, cornea, pigmented membrane of 22 cases of corneal transplantation donor were qualitatively and quantitatively analyzed with real-time quantitative PCR. The specificity and sensitivity of blood specimen and ocular tissues were compared in detecting HBV DNA, and the differences of HBV DNA content among ocular tissues were done. Results:In 18 patients with HBV positive and 4 cases of HBV negative donor material, sensitivity are respectively 83%(15/18), 100%(18/18), 83%(15/18) and 78%(14/18) in blood, extraocular fascia, cornea and pigment membrane HBV DNA detection, and the specificity were all 100%. Extraocular fascia, corneal and pigmented membrane HBV DNA quantitative analysis showed, unit quality pigment membrane HBV DNA load is highest, extraocular fascia and corneal HBV DNA load no statistical difference. Conclusion:Application of real-time quantitative PCR technique for the detection of HBV DNA in extraocular fascia can be used as a corneal transplant donor pathogen screening detection means.

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王 涛;凌士奇;黄 挺;黄 捷. 实时定量PCR技术在角膜移植供体乙型肝炎病毒筛查中的应用[J]. 新医学, 2011, 42(11): 720

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