CN109797207A - A method of detection four resistance mutation sites of plasmodium falciparum k13 gene - Google Patents

A method of detection four resistance mutation sites of plasmodium falciparum k13 gene Download PDF

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CN109797207A
CN109797207A CN201910145224.4A CN201910145224A CN109797207A CN 109797207 A CN109797207 A CN 109797207A CN 201910145224 A CN201910145224 A CN 201910145224A CN 109797207 A CN109797207 A CN 109797207A
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primer
specific
plasmodium falciparum
gene
follows
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石莹
田绿波
樊学军
何纬
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Sichuan International Travel Sanitary Health-Care Center
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Sichuan International Travel Sanitary Health-Care Center
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Abstract

The invention discloses a kind of methods for detecting four resistance mutation sites of plasmodium falciparum k13 gene, belong to plasmodium falciparum qinghaosu drug resistant gene detection technique field, this method is that the detection of four resistance mutation sites of plasmodium falciparum k13 gene is realized based on GeXP system;This method is specifically includes the following steps: 1) the design primer group primer sets include a pair of of universal primer and four pairs of specific primers for plasmodium falciparum k13 four resistance mutation sites of gene;2) DNA of plasmodium falciparum is extracted;3) amplification system is established;4) amplified production separates;5) type of mutated gene is determined;Above-mentioned four pairs of specific primers are actually to convert the amplification of multipair peculiar specific primer to the amplification of a pair of of universal primer carrying out PCR amplification, so that the amplification efficiency of each template reaches unanimity, without influencing the amplification efficiency of each peculiar specific primer, to achieve the purpose that really high-throughput detection and identification multiple pathogens.

Description

A method of detection four resistance mutation sites of plasmodium falciparum k13 gene
Technical field
The invention belongs to plasmodium falciparum qinghaosu drug resistant gene detection technique fields, and in particular to a kind of detection malignant malaria The method of protozoon k13 four resistance mutation sites of gene.
Background technique
In recent years, with Chinese international trade, export of labour services it is increased, overseas input-response relation also increased significantly. Drug resistance plasmodium falciparum is widely distributed in the whole world, causes serious harm to human health.Detect Introduced cases plasmodium falciparum Related mutation gene, effectively drug resistance to Introduced cases plasmodium falciparum early detection can be carried out, to control in time The spread speed of plasmodium falciparum and in time adjustment therapeutic regimen, delay the generation of plasmodium resistance, extend making for antimalarial agent With the time, have great importance to the work for eliminating plasmodium falciparum.
Plasmodium falciparum generates universal drug resistance to traditional antimalarial in world wide, it has also become global malaria is hindered to disappear An important factor for except process[1].In recent years, in south east asia, discovery qinghaosu drug resistant falciparum malaria protozoon was also qinghaosu The use of class drug brings potential threat[2].Current research discovery, plasmodium falciparum Kelch spirochetal protein gene The mutation in site and plasmodium falciparum are closely related to the generation of qinghaosu resistance on (K13-propeller gene, k13)[3]。 Hereafter Talundzic etc.[4], Tun etc.[5]With Wang etc.[6]The malignant malaria of Thailand, Burma and China-Myanmar border prevalence is found respectively The multiple sites of K13 gene of protozoon strain mutate.Feng etc.[7]The malignant malaria of returned personnel of overseas working to Guangxi infection is former Worm the study found that C580Y mutation rate highest (2.7%) in all mutational sites of K13 gene.When the certain site hairs of K13 gene Raw mutation, can weaken the interaction of K13-propeller albumen and receptor protein, lead to the generation of qinghaosu drug resistance[3]Cause This, with detect K13 gene kelch structural domain it is polymorphic come predict plasmodium falciparum qinghaosu drug resistance have theory support.
Multiplex PCR and multiple fluorescence PCR are two kinds and apply more detection and identification technology in a variety of cause of disease mixed infections. Multiplex PCR needs multipair primer combination to combine amplification to competition simultaneously in a reaction system, can generate interference between primer, often Increase pair of primers, the probability for forming complicated primer dimer greatly increases, and sensibility is lower, and multiplex PCR produces in addition more Object need to be by agarose electrophoresis ability observable as a result, it is difficult to distinguish the band less than 100bp;And multiple fluorescence PCR is due to probe Mark the fluorophor of different wave length, such as mark it is more, can mutually generate interference it is bigger, sensibility is lower.Multiplex PCR and The target gene limited amount of multiple fluorescence PCR detection can only generally carry out the detection of 2 to 4 weights, real high pass is all not achieved Measure the purpose of quick detection and analysis multiple pathogens.
Summary of the invention
The technical problems to be solved by the invention are as follows: multiplex PCR and the target gene quantity of multiple fluorescence PCR detection have Limit can only generally carry out the detection of 2 to 4 weights, and the mesh of really high-throughput quickly detection and analysis multiple pathogens is all not achieved 's.The present invention provides a kind of method for detecting four resistance mutation sites of plasmodium falciparum k13 gene.
Technical scheme is as follows: a method of detection four resistance mutation sites of plasmodium falciparum k13 gene, This method is that the detection of four resistance mutation sites of plasmodium falciparum k13 gene is realized based on GeXP system;Plasmodium falciparum k13 Four resistance mutation sites of gene are respectively as follows: Y493H, R539T, I543T and C580Y;
GeXP system combines multiple PCR technique and capillary electrophoresis technique;
This method specifically includes the following steps:
1) design primer group
The primer sets include a pair of of universal primer and for four pairs of plasmodium falciparum k13 four resistance mutation sites of gene Specific primer, four pairs of specific primers are respectively as follows: Y493H specific primer, R539T specific primer, I543T specificity and draw Object and C580Y specific primer;
Y493H specific primer is the end connection universal primer sequence composition in Y493H;R539T specific primer is It is formed in the end connection universal primer sequence of R539T;I543T specific primer is the end connection universal primer in I543T Sequence composition;C580Y specific primer is the end connection universal primer sequence composition in C580Y;
2) DNA of plasmodium falciparum is extracted
The DNA that plasmodium falciparum is extracted from the blood of human body needs that RNA first is added in the blood of human body before extracting Enzyme;And the concentration of plasmodium falciparum is not less than 5 × 10 in the blood of human body of detection3copy/μL;
3) amplification system is established
Initiation polyad is combined by four pairs of specific primers described in step 1) and using the universal primer of fluorescent marker System's amplification, specifically are as follows: by four pairs of specific primers described in step 1), using the universal primer and step 2) of fluorescent marker In extracted malignant malaria original DNA mix to establish amplification system;
4) amplified production separates
Obtained product after step 3) amplification is subjected to capillary electrophoresis technique separation,
5) type of mutated gene is determined
The PCR product containing fluorescent marker after the completion of amplification in step 4) is detected and calculated through GeXP detection window The size of amplified fragments compares the size for the amplified fragments that the size of amplified fragments obtains after quality-control product amplification to really Determine the type of mutated gene.
The working principle of the invention or have the beneficial effect that PCR reaction at the beginning of, first by reversed specific primer and original mRN In conjunction with carrying out reverse transcription reaction, then synthesize by positive specific primer the second chain of cDNA, hereafter, by forward primer with reversely draw The specific sequence of object starts PCR reaction by template of cDNA, amplifies the complementary series of universal primer respectively;Again by reactant Prevailing fluorescent marker universal primer in system is complementary sequence combination, causes following amplification.
It is combined using fluorescent marker universal primer and specific primer and causes multiple system amplification, thus multipair primer Amplification be converted into the amplification of a pair of of universal primer, so that the amplification efficiency of each template is reached unanimity, the expansion without influencing each primer Increasing Efficiency, to achieve the purpose that really high-throughput detection and identification multiple pathogens.
The amplification preference of traditional multiple PCR technique caused by this method has been well solved due to PCR selection and PCR drift Multiplex amplification product be separated into single-stranded by property, this method, detects amplified fragments using capillary electrophoresis separation, Neng Gouqu Slitting band is less than the amplified production of 100bp.
It further limits, the forward primer sequence of the Y493H specific primer are as follows: AGGTGACACTATAGAATATGG AAGTGCTGTATTGAATAATTTCTTACAC,
The reverse primer sequences of the Y493H specific primer are as follows: GTACGACTCACTATAGGGAATTTGACGTAACA CCACAATTATTTCTTCTAG;
The forward primer sequence of the R539T specific primer are as follows: AGGTGACACTATAGAATATAATTGTGGTGTTA CGTCAAATGGTACA;
The reverse primer sequences of the R539T specific primer are as follows: GTACGACTCACTATAGGGATACATTCGGTATA ATAGAAGAGCCATCATA;
The forward primer sequence of the I543T specific primer are as follows: AGGTGACACTATAGAATATGGTGTTACGTCAA ATGGTAGAATTTATTGTACT;
The reverse primer sequences of the I543T specific primer are as follows: GTACGACTCACTATAGGGACTCTCACCATTAG TTCCACCAATGAC;
The forward primer sequence of the C580Y specific primer are as follows: AGGTGACACTATAGAATAATACCCCTAGATCA TCAGCTATGTGT;
The reverse primer sequences of the C580Y specific primer are as follows: GTACGACTCACTATAGGGAATTATATAAGAAT CTGACAATGTGGCAGCT。
It further limits, the universal primer includes upstream primer and downstream primer, the primer sequence of upstream primer are as follows: AGGTGACACTATAGAATA, the primer sequence of downstream primer are as follows: GTACGACTCACTATAGGGA.
It further limits, the specific amplified clip size of the Y493H is 200bp;The specific amplified segment of the R539T Size is 113bp;The specific amplified clip size of the I543T is 232bp;The specific amplified clip size of the C580Y is 374bp。
It further limits, is to calculate amplified fragments according to detection segment and standard molecule segment transit time in step 4) Length.
Detailed description of the invention
Fig. 1 is the PCR reaction product electrophoretogram of R539T specific primer;
Fig. 2 is the PCR reaction product electrophoretogram of I543T specific primer;
Fig. 3 is the PCR reaction product electrophoretogram of C580Y specific primer;
Fig. 4 is the PCR reaction product electrophoretogram of Y493H specific primer;
Fig. 5 is the PCR reaction product electrophoretogram of four pairs of specific primers;
Fig. 6 is the GeXP substance PCR testing result of R539T specific primer;
Fig. 7 is the GeXP substance PCR testing result of Y493H specific primer;
Fig. 8 is the GeXP substance PCR testing result of I543T specific primer;
Fig. 9 is the GeXP substance PCR testing result of C580Y specific primer;
Figure 10 is the GeXP multiplex PCR testing result of the mixture of C580Y specific primer and R539T specific primer;
Figure 11 is the GeXP multiplex PCR testing result of the mixture of R539T specific primer and Y493H specific primer;
Figure 12 is the GeXP multiplex PCR testing result of the mixture of R539T specific primer and I543T specific primer;
Figure 13 is the mixture of C580Y specific primer, R539T specific primer and Y493H specific primer GeXP multiplex PCR testing result;
Figure 14 is the mixture of I543T specific primer, R539T specific primer and Y493H specific primer GeXP multiplex PCR testing result;
Figure 15 is I543T specific primer, R539T specific primer, Y493H specific primer and C580Y specificity The GeXP multiplex PCR testing result of the mixture of primer.
Specific embodiment
It is illustrated below using specific embodiment.Embodiments of the present invention include but is not limited to the following example.
Embodiment 1
1) design primer group
Bibliography and ncbi database, search for the nearly 8 years plasmodium falciparums molecular labeling of resistance to qinghaosu k13 gene order and Its four SNP sites, and albumen and nucleotide sequence are downloaded from GenBank database, it is carried out using Clustalx software more Sequence homology compares analysis, by comparison result input GeXP eXpress Profiler tool design four to specific primer. Four pairs of specific primers are analyzed using 6.0 software of NCBIPrimer-Blast, Primer Premier 5.0 and Oligo Screening.Plasmodium vivax (Plasmodium vivax), the malariae (Plamodiummalariae) of nearly edge are downloaded simultaneously Series carries out homologous interference assessment.
Sample collection and plasmodium falciparum DNA are extracted
Positive plasmid quality-control product and positive clinical sample with the configuration of 4 kinds of plasmodium falciparum drug resistance gene mutational sites This DNA, negative quality-control product is configured as control using the wild type plasmodium plasmid for not carrying drug resistance gene mutated gene.It is positive Plasmid quality-control product is that the plasmid of synthesis Plasmodium falciparum sweet wormwood plain gene k13 is configured according to a certain concentration.
2) the plasmodium falciparum molecular labeling of resistance to qinghaosu k13 gene information
PF3D7_1343700kelch protein K13[Plasmodium falciparum 3D7]
Gene symbol PF3D7_1343700
Gene description kelch protein K13
Locus tag PF3D7_1343700
Gene type protein coding
RNA name kelch protein K13
Lineage Eukaryota;Alveolata;Apicomplexa;Aconoidasida;Haemosporida; Plasmodiidae;Plasmodium;Plasmodium(Laverania).
3) the plasmodium falciparum molecular labeling of resistance to qinghaosu k13 gene amino acid sequence
MEGEKVKTKANSISNFSMTYDRESGGNSNSDDKSGSSSENDSNS
FMNLTSDKNEKTENNSFLLNNSSYGNVKDSLLESIDMSVLDSNFDSKKDFLPSNLSRT
FNNMSKDNIGNKYLNKLLNKKKDTITNENNNINHNNNNNNLTANNITNNLINNNMNSP
SIMNTNKKENFLDAANLINDDSGLNNLKKFSTVNNVNDTYEKKIIETELSDASDFENM
VGDLRITFINWLKKTQMNFIREKDKLFKDKKELEMERVRLYKELENRKNIEEQKLHDE
RKKLDIDISNGYKQIKKEKEEHRKRFDEERLRFLQEIDKIKLVLYLEKEKYYQEYKNF
ENDKKKIVDANIATETMIDINVGGAIFETSRHTLTQQKDSFIEKLLSGRHHVTRDKQG
RIFLDRDSELFRIILNFLRNPLTIPIPKDLSESEALLKEAEFYGIKFLPFPLVFCIGG
FDGVEYLNSMELLDISQQCWRMCTPMSTKKAYFGSAVLNNFLYVFGGNNYDYKALFET
EVYDRLRDVWYVSSNLNIPRRNNCGVTSNGRIYCIGGYDGSSIIPNVEAYDHRMKAWV
EVAPLNTPRSSAMCVAFDNKIYVIGGTNGERLNSIEVYEEKMNKWEQFPYALLEARSS
GAAFNYLNQIYVVGGIDNEHNILDSVEQYQPFNKRWQFLNGVPEKKMNFGAATLSDSY
IITGGENGEVLNSCHFFSPDTNEWQLGPSLLVPRFGHSVLIANI
4) the plasmodium falciparum molecular labeling of resistance to qinghaosu k13 gene DNA sequence
ATGGAAGGAGAAAAAGTAAAAACAAAAGCAAATAGTATCTCGAATTTTTCTATGACGTATGATAGGGAA TCTGGTGGTAACAGCAATAGTGATGATAAAAGCGGAAGTAGTAGCGAGAATGATTCTAATTCATTTATGAATCTAAC TAGTGATAAAAATGAGAAAACGGAAAATAATAGTTTCCTTTTAAATAATAGTAGTTATGGAAATGTTAAAGATAGCC TATTAGAATCCATTGATATGAGTGTATTAGATTCGAACTTTGATAGTAAAAAAGATTTTTTACCAAGTAATTTATCA AGAACATTTAATAATATGTCTAAAGATAATATAGGAAATAAATATTTAAATAAATTGTTAAATAAAAAAAAAGATAC TATTACAAATGAAAATAATAATATTAATCATAATAATAATAATAATAATCTGACAGCAAATAATATAACTAATAATC TTATTAATAATAATATGAATTCTCCATCAATTATGAATACCAACAAAAAAGAGAATTTTTTAGATGCAGCAAATCTT ATAAATGATGATTCTGGATTAAACAATTTAAAAAAATTTTCAACTGTAAATAATGTAAATGATACTTATGAAAAGAA AATTATTGAAACGGAATTAAGTGATGCTAGTGATTTTGAAAATATGGTAGGTGATTTAAGAATTACATTTATTAATT GGTTAAAAAAGACACAAATGAATTTTATTCGAGAAAAAGATAAATTATTTAAAGATAAGAAAGAACTAGAAATGGAA AGAGTACGATTGTACAAAGAATTAGAAAACCGTAAAAATATTGAAGAACAGAAATTACATGATGAAAGAAAGAAATT AGATATTGATATATCTAATGGTTATAAACAAATAAAAAAAGAAAAAGAAGAACATAGGAAACGATTTGATGAAGAAA GATTAAGATTTTTACAAGAAATCGATAAAATTAAATTAGTATTATATTTAGAAAAAGAAAAATATTATCAAGAATAT AAAAATTTTGAGAATGATAAAAAAAAAATTGTTGATGCAAATATTGCTACTGAAACTATGATTGATATTAATGTTGG TGGAGCTATTTTTGAAACATCTAGACATACCTTAACACAACAAAAAGATTCATTTATAGAGAAATTATTAAGTGGAA GACATCATGTAACCAGAGATAAACAAGGAAGAATATTCTTAGATAGGGATAGTGAGTTATTTAGAATTATACTTAAC TTCTTAAGAAATCCGTTAACTATACCCATACCAAAAGATTTAAGTGAAAGTGAAGCCTTGTTGAAAGAAGCAGAATT TTATGGTATTAAATTTTTACCATTCCCATTAGTATTTTGTATAGGTGGATTTGATGGTGTAGAATATTTAAATTCGA TGGAATTATTAGATATTAGTCAACAATGCTGGCGTATGTGTACACCTATGTCTACCAAAAAAGCTTATTTTGGAAGT GCTGTATTGAATAATTTCTTATACGTTTTTGGTGGTAATAACTATGATTATAAGGCTTTATTTGAAACTGAGGTGTA TGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTAAATATACCTAGAAGAAATAATTGTGGTGTTACGTCAA ATGGTAGAATTTATTGTATTGGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCATATGATCATCGTATG AAAGCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTGTGTTGCTTTTGATAATAAAATTTA TGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGAATAAATGGGAACAAT TTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATATATGTTGTTGGAGGT ATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATGGCAATTTCTAAATGG TGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAATTACAGGAGGAGAAAATGGCG AAGTTCTAAATTCATGTCATTTCTTTTCACCAGATACAAATGAATGGCAGCTTGGCCCATCTTTATTAGTTCCCAGA TTTGGTCACTCCGTTTTAATAGCAAATATATAA
5) the plasmodium falciparum molecular labeling of resistance to qinghaosu k13 gene mutation site information
ATGGAAGGAGAAAAAGTAAAAACAAAAGCAAATAGTATCTCGAATTTTTCTATGACGTATGATAGGGA ATCTGGTGGTAACAGCAATAGTGATGATAAAAGCGGAAGTAGTAGCGAGAATGATTCTAATTCATTTATGAATCTA ACTAGTGATAAAAATGAGAAAACGGAAAATAATAGTTTCCTTTTAAATAATAGTAGTTATGGAAATGTTAAAGATA GCCTATTAGAATCCATTGATATGAGTGTATTAGATTCGAACTTTGATAGTAAAAAAGATTTTTTACCAAGTAATTT ATCAAGAACATTTAATAATATGTCTAAAGATAATATAGGAAATAAATATTTAAATAAATTGTTAAATAAAAAAAAA GATACTATTACAAATGAAAATAATAATATTAATCATAATAATAATAATAATAATCTGACAGCAAATAATATAACTA ATAATCTTATTAATAATAATATGAATTCTCCATCAATTATGAATACCAACAAAAAAGAGAATTTTTTAGATGCAGC AAATCTTATAAATGATGATTCTGGATTAAACAATTTAAAAAAATTTTCAACTGTAAATAATGTAAATGATACTTAT GAAAAGAAAATTATTGAAACGGAATTAAGTGATGCTAGTGATTTTGAAAATATGGTAGGTGATTTAAGAATTACAT TTATTAATTGGTTAAAAAAGACACAAATGAATTTTATTCGAGAAAAAGATAAATTATTTAAAGATAAGAAAGAACT AGAAATGGAAAGAGTACGATTGTACAAAGAATTAGAAAACCGTAAAAATATTGAAGAACAGAAATTACATGATGAA AGAAAGAAATTAGATATTGATATATCTAATGGTTATAAACAAATAAAAAAAGAAAAAGAAGAACATAGGAAACGAT TTGATGAAGAAAGATTAAGATTTTTACAAGAAATCGATAAAATTAAATTAGTATTATATTTAGAAAAAGAAAAATA TTATCAAGAATATAAAAATTTTGAGAATGATAAAAAAAAAATTGTTGATGCAAATATTGCTACTGAAACTATGATT GATATTAATGTTGGTGGAGCTATTTTTGAAACATCTAGACATACCTTAACACAACAAAAAGATTCATTTATAGAGA AATTATTAAGTGGAAGACATCATGTAACCAGAGATAAACAAGGAAGAATATTCTTAGATAGGGATAGTGAGTTATT TAGAATTATACTTAACTTCTTAAGAAATCCGTTAACTATACCCATACCAAAAGATTTAAGTGAAAGTGAAGCCTTG TTGAAAGAAGCAGAATTTTATGGTATTAAATTTTTACCATTCCCATTAGTATTTTGTATAGGTGGATTTGATGGTG TAGAATATTTAAATTCGATGGAATTATTAGATATTAGTCAACAATGCTGGCGTATGTGTACACCTATGTCTACCAA AAAAGCTTATTTTGGAAGTGCTGTATTGAATAATTTCTTATAC(Y493H, TAC > CAC) GTTTTTGGTGGTAATAA CTATGATTATAAGGCTTTATTTGAAACTGAGGTGTATGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTA AATATACCTAGAAGAAATAATTGTGGTGTTACGTCAAATGGTAGA(R539T, AGA > ACA) ATTTATTGTATT (I543T, ATT > ACT) GGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCATATGATCATCGTAT GAAA GCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTGT(C580Y, TGT > TAT) GTTGCTTTT GATAATAAAATTTATGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGAA TAAATGGGAACAATTTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATAT ATGTTGTTGGAGGTATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATGG CAATTTCTAAATGGTGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAATTACAGG AGGAGAAAATGGCGAAGTTCTAAATTCATGTCATTTCTTTTCACCAGATACAAATGAATGGCAGCTTGGCCCATCTT TATTAGTTCCCAGATTTGGTCACTCCGTTTTAATAGCAAATATATAA
6) universal primer
Upstream primer: AGGTGACACTATAGAATA
Downstream primer: GTACGACTCACTATAGGGA
7) specific primer
Design four pairs of specific primers primer sequence and four resistance mutation sites specific amplified clip size such as Shown in table 1;
1 specific primer sequence table of table
8) prepared by standard items
Four SNP sites of the plasmodium falciparum molecular labeling of resistance to qinghaosu k13 gene are downloaded from GenBank database The mutant sequences of (Y493H, R539T, I543T and C580Y), choose the sequence of specific amplified, and stored DNA concentration is 5 × 106copy/mL。
Wherein, the PCR amplification sequence and primer information of four pairs of specific primers are as follows:
Y493H, total 603bp
TGGAAGTGCTGTATTGAATAATTTCTTACACGTTTTTGGTGGTAATAACTATGATTATAAGGCTTTATT TGAAACTGAGGTGTATGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTAAATATACCTAGAAGAAATAATT GTGGTGTTACGTCAAATGGTAGAATTTATTGTATTGGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCA TATGATCATCGTATGAAAGCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTGTGTTGCTTT TGATAATAAAATTTATGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGA ATAAATGGGAACAATTTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATA TATGTTGTTGGAGGTATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATG GCAATTTCTAAATGGTGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAAT
R539T, total 603bp
TGGAAGTGCTGTATTGAATAATTTCTTATACGTTTTTGGTGGTAATAACTATGATTATAAGGCTTTATT TGAAACTGAGGTGTATGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTAAATATACCTAGAAGAAATAATT GTGGTGTTACGTCAAATGGTACAATTTATTGTATTGGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCA TATGATCATCGTATGAAAGCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTGTGTTGCTTT TGATAATAAAATTTATGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGA ATAAATGGGAACAATTTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATA TATGTTGTTGGAGGTATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATG GCAATTTCTAAATGGTGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAAT
I543T, total 603bp
TGGAAGTGCTGTATTGAATAATTTCTTATACGTTTTTGGTGGTAATAACTATGATTATAAGGCTTTATT TGAAACTGAGGTGTATGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTAAATATACCTAGAAGAAATAATT GTGGTGTTACGTCAAATGGTAGAATTTATTGTACTGGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCA TATGATCATCGTATGAAAGCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTGTGTTGCTTT TGATAATAAAATTTATGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGA ATAAATGGGAACAATTTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATA TATGTTGTTGGAGGTATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATG GCAATTTCTAAATGGTGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAAT
C580Y, total 603bp
TGGAAGTGCTGTATTGAATAATTTCTTATACGTTTTTGGTGGTAATAACTATGATTATAAGGCTTTATT TGAAACTGAGGTGTATGATCGTTTAAGAGATGTATGGTATGTTTCAAGTAATTTAAATATACCTAGAAGAAATAATT GTGGTGTTACGTCAAATGGTAGAATTTATTGTATTGGGGGATATGATGGCTCTTCTATTATACCGAATGTAGAAGCA TATGATCATCGTATGAAAGCATGGGTAGAGGTGGCACCTTTGAATACCCCTAGATCATCAGCTATGTATGTTGCTTT TGATAATAAAATTTATGTCATTGGTGGAACTAATGGTGAGAGATTAAATTCTATTGAAGTATATGAAGAAAAAATGA ATAAATGGGAACAATTTCCATATGCCTTATTAGAAGCTAGAAGTTCAGGAGCAGCTTTTAATTACCTTAATCAAATA TATGTTGTTGGAGGTATTGATAATGAACATAACATATTAGATTCCGTTGAACAATATCAACCATTTAATAAAAGATG GCAATTTCTAAATGGTGTACCAGAGAAAAAAATGAATTTTGGAGCTGCCACATTGTCAGATTCTTATATAAT
The positive plasmid quality-control product and negative serum of having demarcated concentration in step 1) are configured according to certain concentration, added The Proclion 300 for entering 0.05%, is dispensed according to 0.5ml specification, and -20 DEG C save backup.
9) specificity verification of four pairs of specific primers
It is mould using the positive sample containing synthetic plasmid in step 1) after four pairs of specific primer isoconcentrations are mixed Plate, aqua sterilisa are that negative control carries out list primer single mode plate PCR reaction, verify the feasibility of specific primer, determine this experiment Primer concentration and RT-PCR reaction condition used.
Shown in reaction system such as table 2, reaction condition is as shown in table 3:
2 PCR reaction system table of table
PCR reaction reagent Amount/hole (μ L)
10X PCR Buffer 2
25mM MgCl2 4
Four species-specific primer F mixing 2
Four species-specific primer R mixing 2
Taq DNA Polymerase 0.7
DNA profiling 4.3(20ng)
ddH2O 5
Total 20
3 PCR reaction condition table of table
Step Temperature Time
1 94℃ 10 minutes
2 94℃ 30 seconds
3 54-62 DEG C of Gradient annealing 30 seconds
4 70℃ 1 minute
5 N/A Repeat 2-4 step 30 time
6 4℃ Continue: until collecting PCR product
Take 10 μ LPCR to do agarose electrophoresis, Maker band be respectively from top to bottom 600bp, 500bp, 400bp, 300bp, 200bp and 100bp.Band 1-5 is respectively 54 DEG C, 56 DEG C, 58 DEG C, 60 DEG C, 62 DEG C of Gradient annealing temperature.Selection is suitably moved back Fiery temperature.Experimental result is as follows: PCR reaction product electrophoretogram is as shown in Figs. 1-5;Wherein, Fig. 1 is R539T specific primer PCR reaction product electrophoretogram;Fig. 2 is the PCR reaction product electrophoretogram of I543T specific primer;Fig. 3 is that C580Y specificity is drawn The PCR reaction product electrophoretogram of object;Fig. 4 is the PCR reaction product electrophoretogram of Y493H specific primer, and Fig. 5 is four pairs of specificity The PCR reaction product electrophoretogram of primer;
Each amplified fragments size of four pairs of specific primers is respectively as follows: C580Y specific primer 374bp, R539T in Fig. 5 Specific primer 113bp, I543T specific primer 232bp, Y493H specific primer 200bp;
Obtained by Fig. 1-Fig. 5 display: the specificity verification of four pairs of specific primers is as a result, it has been found that four pairs of specificity are drawn The specificity of object is good, and band is single, without obvious miscellaneous band.Return of goods temperature is good in 54 DEG C -62 DEG C amplifications, determines that PCR expands Increasing optimum annealing temperature is 56 DEG C.
10) feasibility of four pairs of primer amplifieds
Four pairs of specific primers are mixed with comparable sodium with universal primer, PCT primer mix is that all specificity are drawn The mixing of upstream primer and downstream primer in object, the upstream primer of each pair of specific primer and the concentration of downstream primer are 200nM;Universal primermix is the mixing of the upstream primer and downstream primer in universal primer, universal primer it is upper The concentration for swimming primer and downstream primer is 2 μM;
The positive sample of synthetic plasmid is template, and aqua sterilisa is that negative control carries out more primer multi-template PCR reactions, verifying The feasibility of multiplex amplification system.
Reaction system is as shown in table 4, and reaction condition is as shown in table 5:
4 PCR reaction system table of table
PCR reaction reagent Amount/hole (μ L)
10X PCR Buffer 2
25mM MgCl2 4
PCR primer mix 2
universal primer mix 2
Taq DNA Polymerase 0.7
DNA profiling 9.3(50ng)
Total 20
PCR reaction is carried out by temperature shown in table 5 after each substance in table 4 is mixed;
5 PCR reaction condition table of table
Step Temperature Time
1 94℃ 10 minutes
2 94℃ 30 seconds
3 60℃ 30 seconds
4 70℃ 1 minute
5 N/A Repeat 2-4 step 10 time
6 94℃ 30 seconds
7 50℃ 30 seconds
8 70℃ 1 minute
9 N/A Repeat 6-8 step 10 time
10 94℃ 30 seconds
11 50℃ 30 seconds
12 70℃ 1 minute
13 N/A Repeat 2-4 step 20 time
14 4℃ Continue: until collecting PCR product
After PCR, PCR product and reagent are added in 96 hole sample panels in ratio shown in table 6.
6 reaction system of table
GeXP sample Amount/hole (μ L)
SLS sample solution 38.5
DNASize Standard-400 0.5
PCR product 1
Total 40
Mineral oil 1 drop
Prepare separating liquid: about 220 μ L separating liquids are added on 96 hole separating liquid plates in an appropriate number of hole.Select " Frag- 3 " sample separation methods, (being detailed in GenomeLab GeXP genetic analyzer specification) interpretation of result (are detailed in GenomeLab GeXP genetic analyzer specification).
A) plasmid for being separately added into a kind of mutated genes carries out more primer single mode plate GeXP as template, as a result such as Fig. 6 Shown in~9;
Wherein: Fig. 6 is the GeXP substance PCR testing result of R539T specific primer;Fig. 7 is Y493H specific primer GeXP substance PCR testing result;Fig. 8 is the GeXP substance PCR testing result of I543T specific primer;Fig. 9 is that C580Y is special The GeXP substance PCR testing result of property primer;
B) carry out more primer multi-templates of the plasmid of two kinds, three kinds, four kinds mutated genes as template are being added at random GeXP, as a result as shown in Figure 10~15;
Wherein: Figure 10 is the GeXP multiplex PCR detection of the mixture of C580Y specific primer and R539T specific primer As a result;Figure 11 is the GeXP multiplex PCR testing result of the mixture of R539T specific primer and Y493H specific primer;Figure 12 For the GeXP multiplex PCR testing result of R539T specific primer and the mixture of I543T specific primer;Figure 13 is C580Y special The GeXP multiplex PCR testing result of the mixture of specific primer, R539T specific primer and Y493H specific primer;Figure 14 For the GeXP multiplex PCR detection of the mixture of I543T specific primer, R539T specific primer and Y493H specific primer As a result;Figure 15 is I543T specific primer, R539T specific primer, Y493H specific primer and C580Y specific primer Mixture GeXP multiplex PCR testing result;
From Fig. 6~15: the PCR product of the mixing plasmid containing four pairs of specific primers is 4 purpose bands, by 15 Figure is it is found that four peak values of specific amplification meet R539T positioned at being 113.24bp, 200.09bp, 232.14bp, 374.85bp The specific amplified clip size of specific primer, Y493H specific primer, I543T specific primer and C580Y.
11) GeXP multi-PCR detection method stability experiment
A) source of people DNA is interfered
GD1 group, in the PCR system of 20 μ L, it is 5 × 10 that concentration, which is added,3Copy's is mixed containing four species-specific primers Conjugative plasmid and 5ng people's complete genome DNA;GD2 group, in the PCR system of 20 μ L, it is 5 × 10 that concentration, which is added,3Copy's contains four The mixing plasmid and 50ng people's complete genome DNA of species-specific primer;GD3 group, in the PCR system of 20 μ L, it is 5 that concentration, which is added, ×103The mixing plasmid and 500ng people's complete genome DNA containing four species-specific primers of copy.Every group is done 18 repetitions.
B) source of people RNA is interfered
GR1 group, in the PCR system of 20 μ L, it is 5 × 10 that concentration, which is added,3Copy's is mixed containing four species-specific primers Conjugative plasmid and 500ng people RNA;
GR2 group, in the PCR system of 20 μ L, it is 5 × 10 that concentration, which is added,3Copy's is mixed containing four species-specific primers Conjugative plasmid and 50ng people RNA;
GR3 group, in the PCR system of 20 μ L, it is 5 × 10 that concentration, which is added,3Copy's is mixed containing four species-specific primers Conjugative plasmid and 5ng people RNA.Every group is done 18 repetitions, shown in measurement result table 7:
7 Detection of Stability result of table
By table 7 the results show that GD1 and GR1 do not influence the testing result to SNP, there are one by GD2, GD3, GR2 and GR3 Determine interference;Therefore, it needs to be added RNA enzyme appropriate when extracting DNA, removes RNA, while needing to control template in PCR system Amount of DNA, total amount be no more than 50ng, avoid PCR amplification from being interfered.
C) detection limit determines
Detection limit range
Standard items are diluted to 5 × 10 with standard dilutions6Copy/ μ L, then does 10 doubling dilutions, and each gradient is dense The sample of degree repeats 20 parts, and testing result is as shown in table 8, by the minimum standard product concentration with 90%-95% positive rate As minimum detection limit.
Each Concentration Testing of table 8 limits result
As shown in Table 8, the detection of GeXP multiple PCR method is limited to 5 × 103copy/μL。
12) specificity of GeXP multiple PCR method
4 kinds of SNP mutations of K13 gene in plasmodium falciparum are detected, four groups of samples is separately designed, is tertian fever group, three respectively Day malaria group, tertian fever+malignant malaria group and malarlae malaria+malignant malaria group, the sample of each concentration should do 3 multiple holes in every group, point Not are as follows:
Group 1: Plasmodium vivax (Plasmodium vivax) DNA (5 × 106Copy), multiple for detecting GeXP Whether PCR method is able to detect Plasmodium vivax DNA;
Group 2: malariae (Plamodiummalariae) DNA (5 × 106Copy), multiple for detecting GeXP Whether PCR method is able to detect malariae DNA;
Group 3: wild type plasmodium falciparum DNA (5 × 106Copy), whether can for detecting GeXP multiple PCR method Enough detect wild type plasmodium falciparum DNA;
Group 4: Plasmodium vivax DNA (5 × 103) and saltant type plasmodium falciparum copy (Plamodiummalariae) synthetic plasmid DNA (5 × 103copy);
Group 5: malariae DNA (5 × 103) and saltant type plasmodium falciparum copy (Plamodiummalariae) synthetic plasmid DNA (5 × 103copy);
Group 6: wild type plasmodium falciparum DNA (5 × 103) and saltant type plasmodium falciparum copy (Plamodiummalariae) synthetic plasmid DNA (5 × 103copy);
Testing result is as shown in table 9:
9 detection method specificity of table confirms result
As shown in Table 9, the specificity of GeXP multiple PCR method is good, can exclude Plasmodium vivax, malariae DNA and wild type plasmodium falciparum.
13) detection performance
The detection performance verifying of GeXP multiple PCR method includes: positive coincidence rate, negative match-rate, total coincidence rate, sensitive Degree, specificity and method efficiency.
Using Plasmid DNA standard items (4 parts), the clinical samples (8 parts), compound sample respectively containing four species-specific primers (12 parts) and other plasmodium samples (4 parts), totally 28.Wherein positive clinical sample is by Chinese Center for Disease Control and Prevention parasitism Worm is provided, including Y493H sudden change sample 2, and R539T sudden change sample 1, I543T sudden change sample 2, C580Y sudden change sample 3.All sample standard deviations are sent outside carry out gene sequencing, and the results are shown in Table 10,
10 clinical samples GeXP result of table
11 GeXP of table is compared with gene sequencing result
The diagnostic of 12 GeXP of table is evaluated
By table 10, it is found that the sensitivity of GeXP multiple PCR method is 100%, specificity is for table 11 and table 12 99.81%, accuracy 99.15%, compared with PCR sequencing PCR, testing result consistency is 99.32%.
14) clinical application
The plasmodium falciparum specimen dna detected in laboratory 2016-2018 entry and exit crowd is collected, totally 28, is applied GeXP multiple PCR method detects plasmodium falciparum k13 resistant gene mutational site Y493H, R539T, I543T and C580Y, knot Fruit is feminine gender.
Embodiment 2
A method of detection four resistance mutation sites of plasmodium falciparum k13 gene, this method are based on GeXP system Realize the detection of four resistance mutation sites of plasmodium falciparum k13 gene;Four resistance mutation sites of plasmodium falciparum k13 gene It is respectively as follows: Y493H, R539T, I543T and C580Y;
GeXP system combines multiple PCR technique and capillary electrophoresis technique;
This method specifically includes the following steps:
1) design primer group
The primer sets include a pair of of universal primer and for four pairs of plasmodium falciparum k13 four resistance mutation sites of gene Specific primer, four pairs of specific primers are respectively as follows: Y493H specific primer, R539T specific primer, I543T specificity and draw Object and C580Y specific primer;
Y493H specific primer is the end connection universal primer sequence composition in Y493H;R539T specific primer is It is formed in the end connection universal primer sequence of R539T;I543T specific primer is the end connection universal primer in I543T Sequence composition;C580Y specific primer is the end connection universal primer sequence composition in C580Y;
2) DNA of plasmodium falciparum is extracted
The DNA that plasmodium falciparum is extracted from the blood of human body needs that RNA first is added in the blood of human body before extracting Enzyme;And the concentration of plasmodium falciparum is not less than 5 × 10 in the blood of human body of detection3copy/μL;
3) amplification system is established
Initiation polyad is combined by four pairs of specific primers described in step 1) and using the universal primer of fluorescent marker System's amplification, specifically are as follows: by four pairs of specific primers described in step 1), using the universal primer and step 2) of fluorescent marker In extracted malignant malaria original DNA mix to establish amplification system;
4) amplified production separates
Obtained product after step 3) amplification is subjected to capillary electrophoresis technique separation,
5) type of mutated gene is determined
The PCR product containing fluorescent marker after the completion of amplification in step 4) is detected and calculated through GeXP detection window The size of amplified fragments compares the size for the amplified fragments that the size of amplified fragments obtains after quality-control product amplification to really Determine the type of mutated gene.
The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention.The technology of the industry Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and the above embodiments and description only describe this The principle of invention, without departing from the spirit and scope of the present invention, various changes and improvements may be made to the invention, these changes Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appended claims and its Equivalent thereof.

Claims (5)

1. a kind of method for detecting four resistance mutation sites of plasmodium falciparum k13 gene, which is characterized in that this method is to be based on The detection of GeXP system realization four resistance mutation sites of plasmodium falciparum k13 gene;Four resistances of plasmodium falciparum k13 gene Mutational site is respectively as follows: Y493H, R539T, I543T and C580Y;
GeXP system combines multiple PCR technique and capillary electrophoresis technique;
This method specifically includes the following steps:
1) design primer group
The primer sets include a pair of of universal primer and special for four pairs of plasmodium falciparum k13 four resistance mutation sites of gene Property primer, four pairs of specific primers be respectively as follows: Y493H specific primer, R539T specific primer, I543T specific primer with And C580Y specific primer;
Y493H specific primer is the end connection universal primer sequence composition in Y493H;R539T specific primer be The end connection universal primer sequence of R539T forms;I543T specific primer is the end connection universal primer sequence in I543T Column composition;C580Y specific primer is the end connection universal primer sequence composition in C580Y;
2) DNA of plasmodium falciparum is extracted
The DNA that plasmodium falciparum is extracted from the blood of human body needs that RNA enzyme first is added in the blood of human body before extracting;And The concentration of plasmodium falciparum is not less than 5 × 10 in the blood of human body of detection3copy/μL;
3) amplification system is established
It is combined four pairs of specific primers described in step 1) and using the universal primer of fluorescent marker and causes multiple system expansion Increase, specifically are as follows: by four pairs of specific primers described in step 1), using institute in the universal primer and step 2) of fluorescent marker The DNA of the malignant malaria original of extraction mixes to establish amplification system;
4) amplified production separates
Obtained product after step 3) amplification is subjected to capillary electrophoresis technique separation,
5) type of mutated gene is determined
The PCR product containing fluorescent marker after the completion of amplification in step 4) is detected through GeXP detection window and calculates amplification The size of segment compares the size for the amplified fragments that the size of amplified fragments obtains after quality-control product amplification so that it is determined that prominent Become the type of gene.
2. a kind of method for detecting four resistance mutation sites of plasmodium falciparum k13 gene according to claim 1, special Sign is, the forward primer sequence of the Y493H specific primer are as follows: AGGTGACACTATAGAATATGGAAGTGCTGTATT GAATAATTTCTTACAC,
The reverse primer sequences of the Y493H specific primer are as follows: GTACGACTCACTATAGGGAATTTGACGTAACACCAC AATTATTTCTTCTAG;
The forward primer sequence of the R539T specific primer are as follows: AGGTGACACTATAGAATATAATTGTGGTGTTACGTC AAATGGTACA;
The reverse primer sequences of the R539T specific primer are as follows: GTACGACTCACTATAGGGATACATTCGGTATAATAG AAGAGCCATCATA;
The forward primer sequence of the I543T specific primer are as follows: AGGTGACACTATAGAATATGGTGTTACGTCAAATGG TAGAATTTATTGTACT;
The reverse primer sequences of the I543T specific primer are as follows: GTACGACTCACTATAGGGACTCTCACCATTAGTTCC ACCAATGAC;
The forward primer sequence of the C580Y specific primer are as follows: AGGTGACACTATAGAATAATACCCCTAGATCATCAG CTATGTGT;
The reverse primer sequences of the C580Y specific primer are as follows: GTACGACTCACTATAGGGAATTATATAAGAATCTGA CAATGTGGCAGCT。
3. a kind of method for detecting four resistance mutation sites of plasmodium falciparum k13 gene according to claim 1, special Sign is that the universal primer includes upstream primer and downstream primer, the primer sequence of upstream primer are as follows: AGGTGACACTATAGAATA, the primer sequence of downstream primer are as follows: GTACGACTCACTATAGGGA.
4. a kind of detection four resistance mutation sites of plasmodium falciparum k13 gene according to claim 1-3 Method, which is characterized in that the specific amplified clip size of the Y493H is 200bp;The specific amplified segment of the R539T is big Small is 113bp;The specific amplified clip size of the I543T is 232bp;The specific amplified clip size of the C580Y is 374bp。
5. a kind of method for detecting four resistance mutation sites of plasmodium falciparum k13 gene according to claim 4, special Sign is, is the length that amplified fragments are calculated according to detection segment and standard molecule segment transit time in step 4).
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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105940115A (en) * 2013-11-15 2016-09-14 巴斯德研究所 A molecular marker of plasmodium falciparum artemisinin resistance

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105940115A (en) * 2013-11-15 2016-09-14 巴斯德研究所 A molecular marker of plasmodium falciparum artemisinin resistance

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
胡凌: ""GeXP 多重基因表达分析系统研究进展"", 《ANIMAL HUSBANDRY & VETERINARY MEDICINE》 *

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Application publication date: 20190524