WO2022228187A1 - Kit for detecting ureaplasma urealyticum, chlamydia trachomatis and neisseria gonorrhoeae and method therefor - Google Patents

Kit for detecting ureaplasma urealyticum, chlamydia trachomatis and neisseria gonorrhoeae and method therefor Download PDF

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WO2022228187A1
WO2022228187A1 PCT/CN2022/087467 CN2022087467W WO2022228187A1 WO 2022228187 A1 WO2022228187 A1 WO 2022228187A1 CN 2022087467 W CN2022087467 W CN 2022087467W WO 2022228187 A1 WO2022228187 A1 WO 2022228187A1
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detecting
primer
probe
chlamydia trachomatis
ureaplasma urealyticum
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刘靳波
张章
张丽梅
李宝林
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西南医科大学附属医院
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    • C12R2001/00Microorganisms ; Processes using microorganisms
    • C12R2001/01Bacteria or Actinomycetales ; using bacteria or Actinomycetales
    • C12R2001/35Mycoplasma

Definitions

  • the invention belongs to the field of molecular biology detection, and in particular relates to a kit and method for detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae.
  • pathogenic bacteria cause a variety of clinical syndromes, such as urethritis, cervicitis, prostatitis, and vaginitis, which can lead to serious complications and long-term sequelae, including pelvic inflammatory disease, infertility, chronic pelvic pain, ectopic pregnancy, adult Neurological and cardiovascular disease, premature birth, neonatal death, severe disability or blindness in infants.
  • the laboratory detection methods of Chlamydia trachomatis, Ureaplasma urealyticum and Neisseria gonorrhoeae mainly include isolation and culture methods, immunological methods, and molecular biological methods based on nucleic acid detection.
  • the specificity and sensitivity of the culture method are high, but it has the disadvantages of long clinical detection time (at least 24h to 48h, or even longer), cumbersome process, the need to use special culture medium, and being easily affected by miscellaneous bacteria. Suitable for large-scale detection. Immunological methods are simple and quick, but have poor specificity and low sensitivity.
  • PCR polymerase chain reaction
  • kits based on real-time fluorescent quantitative PCR technology for the detection of Chlamydia trachomatis, Ureaplasma urealyticum or Neisseria gonorrhoeae DNA have been put on the market, but there are generally problems of poor specificity and low sensitivity, and most of them are directed against Chlamydia trachomatis, Ureaplasma urealyticum or Neisseria gonorrhoeae.
  • a single detection kit for Mycoplasma or Neisseria gonorrhoeae has a particularly poor detection effect on the mixture of multiple pathogenic microorganisms, and the processing process is cumbersome.
  • the Chinese invention patent application "CN202010329650.6 Primer set, product and application for triple detection of Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum” discloses a triple detection primer set, which can be used for gonococcus, Chlamydia trachomatis and Ureaplasma urealyticum three Simultaneous detection of pathogens.
  • the primers provided in this patent application have insufficient specificity for Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum, for example, the Chlamydia trachomatis primers can amplify the Chlamydia pneumoniae genome, resulting in insufficient detection accuracy.
  • the present invention provides a kit and method for the detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, the purpose is to: improve the primers for the detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae to improve their specificity , thereby increasing the detection accuracy.
  • a detection kit comprising at least one of a primer pair for detecting Ureaplasma urealyticum, a primer pair for detecting Chlamydia trachomatis, and a primer pair for detecting Neisseria gonorrhoeae; the primer pair includes a forward primer and a reverse primer. to primer;
  • the primer pair for detecting Ureaplasma urealyticum is a nucleotide sequence as described in SEQ ID NO.1 and SEQ ID NO.4 or a nucleotide sequence having 95% homology with the aforementioned sequence;
  • the primer pair for detecting Chlamydia trachomatis is a nucleotide sequence as described in SEQ ID NO.2 and SEQ ID NO.5 or a nucleotide sequence having 95% homology with the aforementioned sequence;
  • the primer pair for detecting Neisseria gonorrhoeae is the nucleotide sequence described in SEQ ID NO.3 and SEQ ID NO.6 or the nucleotide sequence having 95% homology with the aforementioned sequence.
  • the molar ratio of the amount of the forward primer and the reverse primer for detecting Ureaplasma urealyticum is 1-3:1-3;
  • the consumption molar ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1-3:1-3;
  • the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1-3:1-3;
  • the consumption molar ratio of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1-3:1-3:1 -3.
  • the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum and the reverse primer is 1:1;
  • the consumption mol ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1:1;
  • the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1:1;
  • the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1:1:1.
  • the kit further comprises a probe set comprising at least one of a probe for detecting Ureaplasma urealyticum, a probe for detecting Chlamydia trachomatis, and a probe for detecting Neisseria gonorrhoeae;
  • the probe for detecting Ureaplasma urealyticum has the nucleotide sequence as described in SEQ ID NO.7, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
  • the probe for detecting Chlamydia trachomatis has the nucleotide sequence as described in SEQ ID NO. 8, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
  • the probe for detecting Neisseria gonorrhoeae has a nucleotide sequence as described in SEQ ID NO. 9, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence.
  • the probes in the probe set independently contain different fluorescent reporter groups and fluorescent quenching groups.
  • the fluorescent quenching group is selected from BHQ1, BHQ2, BHQ3 or Dabcyl; the fluorescent reporter group is selected from FAM, HEX, ROX, CY5, VIC, TET or TAMRA.
  • the molar ratio of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is 1-3:1-3:1-4;
  • the consumption molar ratio of the forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1-3:1-3:1-4;
  • the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1-3:1-3:1-4;
  • the molar ratio of the probe for detecting Ureaplasma urealyticum, the probe for detecting Chlamydia trachomatis, and the probe for detecting Neisseria gonorrhoeae is 1-3:1-3:1-4.
  • the molar ratio of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is 1:1:1;
  • the consumption molar ratio of described forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1:1:1;
  • the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1:1:1;
  • the molar ratio of the probes for detecting Ureaplasma urealyticum, the probes for detecting Chlamydia trachomatis, and the probes for detecting Neisseria gonorrhoeae is 1:1:1.
  • the present invention provides a PCR detection method for Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, comprising the following steps: using the above-mentioned kit to perform PCR amplification on a sample to be detected, and then detecting.
  • the specific method of the detection can be selected from fluorescent probe detection or electrophoresis detection, preferably fluorescent probe detection.
  • the PCR reaction system of the PCR amplification includes the following components:
  • the forward primer for detecting Chlamydia trachomatis is 2 ⁇ 10-12-6 ⁇ 10-12 mol, preferably 6 ⁇ 10-12 mol ;
  • the reverse primer for detecting Chlamydia trachomatis is 2 ⁇ 10-12-6 ⁇ 10-12 mol, preferably 6 ⁇ 10-12 mol ;
  • the reverse primer for detecting Neisseria gonorrhoeae is 2 ⁇ 10 -12 -6 ⁇ 10 -12 mol, preferably 6 ⁇ 10 -12 mol.
  • the detection method is a fluorescence detection method
  • the solution of the primer pair also includes the following components:
  • the probe for detecting gonococcus is 2 ⁇ 10 -12 -6 ⁇ 10 -12 mol, preferably 6 ⁇ 10 -12 mol.
  • the PCR amplification procedure is: pre-denaturation at 94°C for 3 min; denaturation at 94°C for 5s, annealing at 56°C for 15s, and extension at 72°C for 30s.
  • the "PCR reaction mix” used in the present invention refers to the PCR reaction solution in the prior art, which contains dNTP, polymerase required for the reaction, etc., and has been commercialized.
  • 2xTaqMan Fast qPCR Master Mix contains 25mM MgCl2 , 25mM dNTPs, 100mM dUTP, Taq enzyme and UDG enzyme.
  • the "DNF Buffer” used is a buffer solution, which has been commercialized.
  • the composition of DNF Buffer is 25 mM MgCl 2 , 25 mM dNTPs, 100 mM dUTP, Taq enzyme and UDG enzyme.
  • the kit provided by the invention can achieve the purpose of simultaneously detecting three venereal disease pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae. And compared with the prior art, the redesigned amplification primers and probes of the present invention have better specificity, sensitivity and precision. Under preferred conditions, the kit and the detection method of the present invention are negative for other pathogens, and the detection limit for three venereal pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae is as low as 500 copies/ml, and the intra-batch precision is as low as 500 copies/ml. The coefficient of variation (CV,%) of Ct value is less than or equal to 5%, and the repeatability is good. This shows that the kit and the detection method provided by the present invention are very suitable for clinical detection.
  • Fig. 1 is the schematic flow chart of detection method
  • Fig. 2 is the multiplex fluorescent PCR detection result of embodiment 1;
  • Fig. 3 is the result of the optimization of annealing temperature in Experimental Example 1;
  • Fig. 4 is the result of optimizing the amount of primers added in Experimental Example 2;
  • Fig. 5 is the specificity comparison result of the primer pair used to detect Ureaplasma urealyticum in the application and in the comparative document;
  • Fig. 8 is the specificity evaluation result of Experimental Example 4.
  • Fig. 9 is the detection limit evaluation result of Experimental Example 5.
  • Figure 10 shows the sensitivity and specificity evaluation results of Experimental Example 6
  • FIG. 11 shows the precision evaluation results of Experimental Example 7.
  • the amplification primers and detection probes included in the kit were synthesized by Sangon Bioengineering (Shanghai) Co., Ltd.;
  • the DNA templates (pathogen DNA) of three venereal disease pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, extracted from patients;
  • DNF buffer purchased from Sangon Shanghai
  • Test sample collection (nucleic acid extraction)
  • Collect genital tract secretion specimens for detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae according to the methods of the prior art eluate the collected specimens with sterile saline, and extract bacterial nucleic acids with reference to the instructions for bacterial genome extraction. Nucleic acid extraction is used for subsequent detection.
  • PCR amplification was carried out.
  • the PCR amplification procedure was as follows: pre-denaturation at 94°C for 3 min; denaturation at 94°C for 5s, annealing at 56°C for 15s, and extension at 72°C for 30s. Fluorescence signals were collected simultaneously under the HEX, ROX and CY5 channels for 50 cycles. According to the fluorescence intensity detected by the three channels, it is judged whether the detected sample is negative or positive for the three STD pathogens.
  • the results of multiplex fluorescence PCR are shown in Figure 2.
  • the detection probe of UU is modified with -FAM fluorescent reporter group, and the amplification curve is green; the detection probe of CT is -ROX fluorescence
  • the reporter group was modified, and the amplification curve was orange; the detection probe of NG was modified with -Cy5 fluorescent reporter group, and the amplification curve was purple.
  • the amplification results showed that there was no mutual interference during the amplification of the nucleic acids of the three pathogenic bacteria. Or inhibition, all have good amplification, indicating that the specificity of the primers and probes of the present invention is very good.
  • Annealing temperature is an important factor affecting the specificity of PCR reaction. If the annealing temperature is too low, it may cause non-specific amplification and reduce the specific amplification efficiency. If the annealing temperature is too high, it will affect the binding of the primer and the template and reduce the PCR amplification efficiency. Since there are more than one pair of primers in multiplex fluorescent PCR, the correct control of the annealing temperature is even more important.
  • the same positive samples were detected according to the method of Example 1, the difference was that the annealing temperature of the multiplex fluorescence PCR was set to 55.0, 56.0, 58.0, 60.9, 64.5, 67.5, 69.2, 70.0 °C in sequence, and the results are shown in Figure 3. Show. The optimum annealing temperature was selected as 56.0°C.
  • This experimental example examines the specificity of the primers disclosed in Example 1 and the Chinese invention patent application "CN202010329650.6 Triple Detection Primer Set, Product and Application of Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum". Compare with the database to understand its amplification product and Tm value.
  • Figure 5 shows the specific comparison results of the primer pairs used in the detection of Ureaplasma urealyticum in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Ureaplasma urealyticum genes. , there are no other non-purpose species.
  • the primers used in the comparison document can not only amplify part of Ureaplasma urealyticum but also can amplify other products, such as Ureaplasma parvum.
  • Figure 6 shows the specific comparison results of the primer pairs used in the detection of Chlamydia trachomatis in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Chlamydia trachomatis genes, not Other non-purpose species exist.
  • the primers used in the comparison document can not only amplify part of Chlamydia trachomatis but also other products, such as Chlamydia pneumoniae.
  • Figure 7 shows the specific comparison results of the primer pairs used in the detection of Neisseria gonorrhoeae in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Neisseria gonorrhoeae genes. Other non-purpose species exist.
  • the primers used in the comparison document can not only amplify part of gonococcus, but also can amplify other products, such as Neisseria meningitidis and Neisseria meningitidis.
  • the method was detected according to the method of Example 1.
  • the results showed that: the detection of the three mixed pathogenic bacteria genomes of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae as templates all showed the target amplification curve, Other non-target pathogens (herpes simplex virus type 2, human papilloma virus type 6, human papilloma virus type 16) were all negative, indicating that the method has good specificity (Figure 8).
  • the diagnostic sensitivity and specificity were evaluated in this experimental case, 30 negative clinical specimens and 30 positive specimens were collected. Among the positive specimens, 23 were single infection specimens, and 7 were mixed infection specimens.
  • the above samples were detected by the method of Example 1 and the PCR kits currently used in clinics. Among them, the PCR kits used for comparison are Ureaplasma urealyticum (UU) nucleic acid determination kit (fluorescent PCR method) (Zhijiang Bio), Chlamydia trachomatis (CT) nucleic acid determination kit (fluorescent PCR method) (Zhijiang Bio) ), Neisseria gonorrhoeae (NG) nucleic acid assay kit (fluorescent PCR method) (Zhijiang Bio).
  • UU Ureaplasma urealyticum
  • CT Chlamydia trachomatis
  • NG Neisseria gonorrhoeae
  • the coefficient of variation CV is less than 5%, it can be seen that the method of the present invention is not only sensitive, fast, but also has strong repeatability, and is suitable for the current clinical detection situation.
  • the present invention provides a method for simultaneous detection of three venereal pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae based on the multiplex fluorescent PCR technology.
  • the method of the invention designs primers and probe sequences, and optimizes detection conditions such as annealing conditions and primer addition amount, thereby improving the specificity, sensitivity and precision of the detection method. It has a good prospect in clinical application.

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Abstract

The present invention belongs to the field of molecular biology detection, and specifically relates to a kit for detecting Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae and and a method therefor. The present invention designs primer and probe sequences, obtains a new primer pair, and provides a kit comprising the primer pair. A method for using said reagents or a kit for PCR detection comprises the following steps: under the action of a primer pair, performing PCR amplification on a sample to be detected, and then performing detection. The present invention also optimizes detection conditions such as an annealing condition and the primer addition amount. The method of the present invention has excellent specificity, sensitivity and precision, and has good application prospects in the clinical detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae.

Description

一种解脲支原体、沙眼衣原体和淋球菌检测的试剂盒及方法A kind of kit and method for detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae 技术领域technical field
本发明属于分子生物学检测领域,具体涉及一种解脲支原体、沙眼衣原体和淋球菌检测的试剂盒及方法。The invention belongs to the field of molecular biology detection, and in particular relates to a kit and method for detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae.
背景技术Background technique
近年来,性传播疾病的发病率逐年升高,根据世界卫生组织的数据,每年全球估计有5亿人患有梅毒、淋病、衣原体感染或滴虫病。性传播疾病对个人、社区和国家的公共健康产生不利影响。在性病感染的非病毒原因中,解脲支原体(UU)、沙眼衣原体(CT)、淋球菌(NG)是引起性传播疾病的常见致病菌。这些致病菌导致多种临床综合征,如尿道炎、宫颈炎、前列腺炎和阴道炎,可能导致严重并发症和长期后遗症,包括盆腔炎、不孕症、慢性骨盆疼痛、异位妊娠、成人神经和心血管疾病、早产、新生儿死亡、婴儿严重残疾或失明。In recent years, the incidence of sexually transmitted diseases has increased year by year, and according to the World Health Organization, an estimated 500 million people worldwide suffer from syphilis, gonorrhea, chlamydia or trichomoniasis each year. Sexually transmitted diseases adversely affect the public health of individuals, communities and nations. Among the non-viral causes of STD infections, Ureaplasma urealyticum (UU), Chlamydia trachomatis (CT), and Neisseria gonorrhoeae (NG) are common pathogens that cause STDs. These pathogenic bacteria cause a variety of clinical syndromes, such as urethritis, cervicitis, prostatitis, and vaginitis, which can lead to serious complications and long-term sequelae, including pelvic inflammatory disease, infertility, chronic pelvic pain, ectopic pregnancy, adult Neurological and cardiovascular disease, premature birth, neonatal death, severe disability or blindness in infants.
目前沙眼衣原体、解脲支原体和淋球菌的实验室检测方法主要有分离培养法、免疫学方法、基于核酸检测的分子生物方法等。培养法的特异性和敏感性高,但其具有临床检测时间过长(至少需要24h~48h,甚至更长时间),过程繁琐,需要使用特殊的培养介质以及易受杂菌影响等缺陷,不适用于大范围检测。免疫学方法简便快捷,但特异性差、灵敏度不高。At present, the laboratory detection methods of Chlamydia trachomatis, Ureaplasma urealyticum and Neisseria gonorrhoeae mainly include isolation and culture methods, immunological methods, and molecular biological methods based on nucleic acid detection. The specificity and sensitivity of the culture method are high, but it has the disadvantages of long clinical detection time (at least 24h to 48h, or even longer), cumbersome process, the need to use special culture medium, and being easily affected by miscellaneous bacteria. Suitable for large-scale detection. Immunological methods are simple and quick, but have poor specificity and low sensitivity.
针对传统分离培养的耗时繁琐的操作,近年来,聚核酶链式反应(PCR)法渐渐显现了其在检测上的优势。荧光PCR技术是基于传统PCR技术并结合光谱技术而发展起来的一种更灵敏、更特异、更精确的核酸检测技术,其检测结果准确,重复性高,能动态反应病原体变化及与临床的关系,且整个过程中避免了传统PCR需后处理的问题,减少了污染。In view of the time-consuming and cumbersome operations of traditional isolation and culture, in recent years, the polymerase chain reaction (PCR) method has gradually shown its advantages in detection. Fluorescent PCR technology is a more sensitive, specific and accurate nucleic acid detection technology developed based on traditional PCR technology combined with spectral technology. , and the whole process avoids the problem of post-processing in traditional PCR and reduces pollution.
目前已有一些基于实时荧光定量PCR技术检测沙眼衣原体、解脲支原体或淋球菌DNA的试剂盒产品已面向市场,但普遍存在特异性差、灵敏度低的问题,并且大部分是针对沙眼衣原体、解脲支原体或淋球菌单一的检测试剂盒,对于多种病原体微生物混合的检测效果尤其差,并且处理过程繁琐。但是,由于性病的混合感染即同时感染两种或两种以上的性病的患者的比例较高,建立同时检测上述病原体的方法能提高临床诊断效率,具有非常重要的意义。At present, some kits based on real-time fluorescent quantitative PCR technology for the detection of Chlamydia trachomatis, Ureaplasma urealyticum or Neisseria gonorrhoeae DNA have been put on the market, but there are generally problems of poor specificity and low sensitivity, and most of them are directed against Chlamydia trachomatis, Ureaplasma urealyticum or Neisseria gonorrhoeae. A single detection kit for Mycoplasma or Neisseria gonorrhoeae has a particularly poor detection effect on the mixture of multiple pathogenic microorganisms, and the processing process is cumbersome. However, since the mixed infection of STDs, that is, the proportion of patients infected with two or more STDs at the same time, is relatively high, establishing a method for simultaneous detection of the above pathogens can improve the efficiency of clinical diagnosis, which is of great significance.
针对多种性病病原菌的混合感染,已有文献报道基于PCR扩增,再进行不同产物长度的电泳来区别各个不同的性病病原菌,但是由于经过PCR扩增后还要进行电泳,这个过程不仅耗时长还增加了因开盖操作带来的实验室污染的风险。Aiming at the mixed infection of a variety of venereal pathogens, it has been reported in the literature that based on PCR amplification, electrophoresis of different product lengths is performed to distinguish different venereal pathogens. However, since electrophoresis is required after PCR amplification, this process is not only time-consuming It also increases the risk of laboratory contamination from capping operations.
中国发明专利申请“CN202010329650.6淋球菌、沙眼衣原体和解脲支原体的三联检引物组、产品及应用”公开了一种三联检测引物组,该引物组能够用于淋球菌、沙眼衣原体和解脲支原体三种病原体的同时检测。然而,该专利申请中提供的引物对淋球菌、沙眼衣原体和解脲支原体的特异性不足,例如,其沙眼衣原体引物可以扩增肺炎衣原体基因组,导致检测结果的准确性不足。The Chinese invention patent application "CN202010329650.6 Primer set, product and application for triple detection of Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum" discloses a triple detection primer set, which can be used for gonococcus, Chlamydia trachomatis and Ureaplasma urealyticum three Simultaneous detection of pathogens. However, the primers provided in this patent application have insufficient specificity for Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum, for example, the Chlamydia trachomatis primers can amplify the Chlamydia pneumoniae genome, resulting in insufficient detection accuracy.
发明内容SUMMARY OF THE INVENTION
针对现有技术的缺陷,本发明提供一种解脲支原体、沙眼衣原体和淋球菌检测的试剂盒及方法,目的在于:对解脲支原体、沙眼衣原体和淋球菌检测的引物进行改进,提高其特异性,从而增加检测的准确性。In view of the defects of the prior art, the present invention provides a kit and method for the detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, the purpose is to: improve the primers for the detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae to improve their specificity , thereby increasing the detection accuracy.
一种检测试剂盒,包括用于检测解脲支原体的引物对、用于检测沙眼衣原体的引物对和用于检测淋球菌的引物对中的至少一种;所述引物对包括正向引物和反向引物;A detection kit, comprising at least one of a primer pair for detecting Ureaplasma urealyticum, a primer pair for detecting Chlamydia trachomatis, and a primer pair for detecting Neisseria gonorrhoeae; the primer pair includes a forward primer and a reverse primer. to primer;
所述用于检测解脲支原体的引物对是如SEQ ID NO.1和SEQ ID NO.4所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列;The primer pair for detecting Ureaplasma urealyticum is a nucleotide sequence as described in SEQ ID NO.1 and SEQ ID NO.4 or a nucleotide sequence having 95% homology with the aforementioned sequence;
所述用于检测沙眼衣原体的引物对是如SEQ ID NO.2和SEQ ID NO.5所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列;The primer pair for detecting Chlamydia trachomatis is a nucleotide sequence as described in SEQ ID NO.2 and SEQ ID NO.5 or a nucleotide sequence having 95% homology with the aforementioned sequence;
所述用于检测淋球菌的引物对是如SEQ ID NO.3和SEQ ID NO.6所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列。The primer pair for detecting Neisseria gonorrhoeae is the nucleotide sequence described in SEQ ID NO.3 and SEQ ID NO.6 or the nucleotide sequence having 95% homology with the aforementioned sequence.
优选的,所述用于检测解脲支原体的正向引物和反向引物的用量摩尔比为1-3:1-3;Preferably, the molar ratio of the amount of the forward primer and the reverse primer for detecting Ureaplasma urealyticum is 1-3:1-3;
和/或,所述用于检测沙眼衣原体的正向引物和反向引物的用量摩尔比为1-3:1-3;And/or, the consumption molar ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1-3:1-3;
和/或,所述用于检测淋球菌的正向引物和反向引物的用量摩尔比为1-3:1-3;And/or, the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1-3:1-3;
和/或,所述用于检测解脲支原体的正向引物、用于检测沙眼衣原体的正向引物、用于检测淋球菌的正向引物的用量摩尔比为1-3:1-3:1-3。And/or, the consumption molar ratio of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1-3:1-3:1 -3.
优选的,所述用于检测解脲支原体的正向引物和反向引物的用量摩尔比 为1:1;Preferably, the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum and the reverse primer is 1:1;
和/或,所述用于检测沙眼衣原体的正向引物和反向引物的用量摩尔比为1:1;And/or, the consumption mol ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1:1;
和/或,所述用于检测淋球菌的正向引物和反向引物的用量摩尔比为1:1;And/or, the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1:1;
和/或,所述用于检测解脲支原体的正向引物、用于检测沙眼衣原体的正向引物、用于检测淋球菌的正向引物的用量摩尔比为1:1:1。And/or, the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1:1:1.
优选的,所述试剂盒还包括探针组,所述探针组包括用于检测解脲支原体的探针、用于检测沙眼衣原体的、用于检测淋球菌的探针中的至少一种;Preferably, the kit further comprises a probe set comprising at least one of a probe for detecting Ureaplasma urealyticum, a probe for detecting Chlamydia trachomatis, and a probe for detecting Neisseria gonorrhoeae;
所述用于检测解脲支原体的探针具有如SEQ ID NO.7所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列;The probe for detecting Ureaplasma urealyticum has the nucleotide sequence as described in SEQ ID NO.7, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
所述用于检测沙眼衣原体的探针具有如SEQ ID NO.8所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列;The probe for detecting Chlamydia trachomatis has the nucleotide sequence as described in SEQ ID NO. 8, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
所述用于检测淋球菌的探针具有如SEQ ID NO.9所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列。The probe for detecting Neisseria gonorrhoeae has a nucleotide sequence as described in SEQ ID NO. 9, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence.
优选的,所述探针组中的探针均独立地含有互不相同的荧光报告基团和荧光猝灭基团。Preferably, the probes in the probe set independently contain different fluorescent reporter groups and fluorescent quenching groups.
优选的,所述荧光猝灭基团选自BHQ1、BHQ2、BHQ3或Dabcyl;所述荧光报告基团选自FAM、HEX、ROX、CY5、VIC、TET或TAMRA。Preferably, the fluorescent quenching group is selected from BHQ1, BHQ2, BHQ3 or Dabcyl; the fluorescent reporter group is selected from FAM, HEX, ROX, CY5, VIC, TET or TAMRA.
优选的,所述用于检测解脲支原体的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;Preferably, the molar ratio of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is 1-3:1-3:1-4;
和/或,所述用于检测沙眼衣原体的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;And/or, the consumption molar ratio of the forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1-3:1-3:1-4;
和/或,所述用于检测淋球菌的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1-3:1-3:1-4;
和/或,所述用于检测解脲支原体的探针、用于检测沙眼衣原体的探针、用于检测淋球菌的探针的用量摩尔比为1-3:1-3:1-4。And/or, the molar ratio of the probe for detecting Ureaplasma urealyticum, the probe for detecting Chlamydia trachomatis, and the probe for detecting Neisseria gonorrhoeae is 1-3:1-3:1-4.
优选的,所述用于检测解脲支原体的正向引物、反向引物和探针的用量摩尔比为1:1:1;Preferably, the molar ratio of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is 1:1:1;
和/或,所述用于检测沙眼衣原体的正向引物、反向引物和探针的用量摩尔比为1:1:1;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1:1:1;
和/或,所述用于检测淋球菌的正向引物、反向引物和探针的用量摩尔比为1:1:1;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1:1:1;
和/或,所述用于检测解脲支原体的探针、用于检测沙眼衣原体的探针、用于检测淋球菌的探针的用量摩尔比为1:1:1。And/or, the molar ratio of the probes for detecting Ureaplasma urealyticum, the probes for detecting Chlamydia trachomatis, and the probes for detecting Neisseria gonorrhoeae is 1:1:1.
本发明提供一种解脲支原体、沙眼衣原体和淋球菌的PCR检测方法,包括如下步骤:利用上述试剂盒对待检测样品进行PCR扩增后,检测。所述检测的具体方法可选择荧光探针检测或电泳检测,优选为荧光探针检测。The present invention provides a PCR detection method for Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, comprising the following steps: using the above-mentioned kit to perform PCR amplification on a sample to be detected, and then detecting. The specific method of the detection can be selected from fluorescent probe detection or electrophoresis detection, preferably fluorescent probe detection.
优选的,所述PCR扩增的PCR反应体系包括如下组分:Preferably, the PCR reaction system of the PCR amplification includes the following components:
PCR反应mix 10-20μL;PCR reaction mix 10-20μL;
DNF Buffer 2-5μL;DNF Buffer 2-5μL;
上述引物对的溶液5.4μL;5.4 μL of the above primer pair solution;
病原菌DNA1-4μL;Pathogen DNA 1-4 μL;
水补足PCR反应体系总体积至30μL;Water to make up the total volume of the PCR reaction system to 30 μL;
其中所述引物对的溶液包括如下组分:Wherein the solution of the primer pair includes the following components:
用于检测解脲支原体的正向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol; 2×10 -12 -6×10 -12 mol of forward primer for detecting Ureaplasma urealyticum, preferably 6×10 -12 mol;
用于检测解脲支原体的反向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol; 2×10 -12 -6×10 -12 mol of reverse primer for detecting Ureaplasma urealyticum, preferably 6×10 -12 mol;
用于检测沙眼衣原体的正向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol; The forward primer for detecting Chlamydia trachomatis is 2× 10-12-6×10-12 mol, preferably 6×10-12 mol ;
用于检测沙眼衣原体的反向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol; The reverse primer for detecting Chlamydia trachomatis is 2× 10-12-6×10-12 mol, preferably 6×10-12 mol ;
用于检测淋球菌的正向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol; 10-12-6×10-12 mol of forward primer for detecting gonococcus, preferably 6×10-12 mol ;
用于检测淋球菌的反向引物2×10 -12-6×10 -12mol,优选为6×10 -12mol。 The reverse primer for detecting Neisseria gonorrhoeae is 2×10 -12 -6×10 -12 mol, preferably 6×10 -12 mol.
优选的,所述检测的方法为荧光检测法;Preferably, the detection method is a fluorescence detection method;
所述引物对的溶液还包括如下组分:The solution of the primer pair also includes the following components:
用于检测解脲支原体的探针2×10 -12-6×10 -12mol,优选为6×10 -12mol; 10-12-6×10-12 mol of probe for detecting Ureaplasma urealyticum, preferably 6×10-12 mol ;
用于检测沙眼衣原体的探针2×10 -12-6×10 -12mol,优选为6×10 -12mol; 10-12-6×10-12 mol of probes for detecting Chlamydia trachomatis, preferably 6×10-12 mol ;
用于检测淋球菌的探针2×10 -12-6×10 -12mol,优选为6×10 -12mol。 The probe for detecting gonococcus is 2×10 -12 -6×10 -12 mol, preferably 6×10 -12 mol.
优选的,所述PCR扩增的程序为:94℃预变性3min;94℃变性5s、56℃退火15s、72℃延伸30s。Preferably, the PCR amplification procedure is: pre-denaturation at 94°C for 3 min; denaturation at 94°C for 5s, annealing at 56°C for 15s, and extension at 72°C for 30s.
本发明中所用“PCR反应mix”是指现有技术中的PCR反应液,包含有dNTP、反应所需的聚合酶等,已经被商品化。例如,2xTaqMan Fast qPCR Master Mix包含25mM MgCl 2、25mM dNTPs、100mM dUTP、Taq酶和UDG酶。所用“DNF Buffer”是缓冲溶液,已经被商品化。例如,在其中一个实施例中DNF Buffer的组成为25mM MgCl 2、25mM dNTPs、100mM dUTP、Taq酶和UDG酶。 The "PCR reaction mix" used in the present invention refers to the PCR reaction solution in the prior art, which contains dNTP, polymerase required for the reaction, etc., and has been commercialized. For example, 2xTaqMan Fast qPCR Master Mix contains 25mM MgCl2 , 25mM dNTPs, 100mM dUTP, Taq enzyme and UDG enzyme. The "DNF Buffer" used is a buffer solution, which has been commercialized. For example, in one embodiment the composition of DNF Buffer is 25 mM MgCl 2 , 25 mM dNTPs, 100 mM dUTP, Taq enzyme and UDG enzyme.
本发明提供的试剂盒能够实现同时检测解脲支原体、沙眼衣原体和淋球 菌三种性病病原体的目的。且相比于现有技术,本发明重新设计的扩增引物和探针具有更好的特异性、灵敏度和精密度。在优选的条件下,本发明的试剂盒及检测方法对其他病原体检测为阴性,对解脲支原体、沙眼衣原体和淋球菌三种性病病原菌的检出限低至500copies/ml,且批内精密度Ct值的变异系数(CV,%)≤5%,重复性好。这说明本发明提供的试剂盒及检测方法非常适用于临床检测。The kit provided by the invention can achieve the purpose of simultaneously detecting three venereal disease pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae. And compared with the prior art, the redesigned amplification primers and probes of the present invention have better specificity, sensitivity and precision. Under preferred conditions, the kit and the detection method of the present invention are negative for other pathogens, and the detection limit for three venereal pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae is as low as 500 copies/ml, and the intra-batch precision is as low as 500 copies/ml. The coefficient of variation (CV,%) of Ct value is less than or equal to 5%, and the repeatability is good. This shows that the kit and the detection method provided by the present invention are very suitable for clinical detection.
显然,根据本发明的上述内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明上述基本技术思想前提下,还可以做出其它多种形式的修改、替换或变更。Obviously, according to the above-mentioned content of the present invention, according to the common technical knowledge and conventional means in the field, without departing from the above-mentioned basic technical idea of the present invention, other various forms of modification, replacement or change can also be made.
以下通过实施例形式的具体实施方式,对本发明的上述内容再作进一步的详细说明。但不应将此理解为本发明上述主题的范围仅限于以下的实例。凡基于本发明上述内容所实现的技术均属于本发明的范围。The above content of the present invention will be further described in detail below through the specific implementation in the form of examples. However, this should not be construed as limiting the scope of the above-mentioned subject matter of the present invention to the following examples. All technologies implemented based on the above content of the present invention belong to the scope of the present invention.
附图说明Description of drawings
图1为检测方法流程示意图;Fig. 1 is the schematic flow chart of detection method;
图2为实施例1的多重荧光PCR检测结果;Fig. 2 is the multiplex fluorescent PCR detection result of embodiment 1;
图3为实验例1对退火温度优化的结果;Fig. 3 is the result of the optimization of annealing temperature in Experimental Example 1;
图4为实验例2对引物添加量优化的结果;Fig. 4 is the result of optimizing the amount of primers added in Experimental Example 2;
图5本申请中及对比文件中检测解脲支原体所用的引物对的特异性比对结果;Fig. 5 is the specificity comparison result of the primer pair used to detect Ureaplasma urealyticum in the application and in the comparative document;
图6本申请中及对比文件中检测沙眼衣原体所用的引物对的特异性比对结果;The specificity comparison result of the primer pair used in the detection of Chlamydia trachomatis in Fig. 6 in this application and in the comparative document;
图7本申请中及对比文件中检测淋球菌所用的引物对的特异性比对结果;The specificity comparison result of the primer pair used for detecting gonococcus in Fig. 7 in the present application and in the comparative document;
图8为实验例4的特异性评估结果;Fig. 8 is the specificity evaluation result of Experimental Example 4;
图9为实验例5的检测限评估结果;Fig. 9 is the detection limit evaluation result of Experimental Example 5;
图10为实验例6的灵敏度和特异性评估结果;Figure 10 shows the sensitivity and specificity evaluation results of Experimental Example 6;
图11为实验例7的精密度评估结果。FIG. 11 shows the precision evaluation results of Experimental Example 7. FIG.
具体实施方式Detailed ways
以下实施例和实验例所用的试剂及材料包括:The reagents and materials used in the following examples and experimental examples include:
试剂盒中包含的扩增引物及检测探针,由生工生物工程(上海)股份有限公司合成;The amplification primers and detection probes included in the kit were synthesized by Sangon Bioengineering (Shanghai) Co., Ltd.;
解脲支原体、沙眼衣原体和淋球菌三种性病病原体的DNA模板(病原菌DNA),提取自患者;The DNA templates (pathogen DNA) of three venereal disease pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, extracted from patients;
2xTaqMan Fast qPCR Master Mix,购自Sangon上海;2xTaqMan Fast qPCR Master Mix, purchased from Sangon Shanghai;
DNF buffer,购自Sangon上海;DNF buffer, purchased from Sangon Shanghai;
水,Sterilized ddH 2O。 Water, Sterilized ddH2O .
实施例1对解脲支原体(UU)、沙眼衣原体(CT)和淋球菌(NG)三种性病病原体的同时检测Example 1 Simultaneous detection of three STD pathogens: Ureaplasma urealyticum (UU), Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG)
本实施例的检测过程如图1所示,具体如下:The detection process of this embodiment is shown in Figure 1, and the details are as follows:
1、扩增引物及检测探针设计1. Design of amplification primers and detection probes
本实施例的引物对和探针如表1所示:The primer pairs and probes of this example are shown in Table 1:
表1引物对和探针序列Table 1 Primer pairs and probe sequences
Figure PCTCN2022087467-appb-000001
Figure PCTCN2022087467-appb-000001
2、检测样品采集(核酸提取)2. Test sample collection (nucleic acid extraction)
按照现有技术的方法收集用于检测解脲支原体、沙眼衣原体和淋球菌的生殖道分泌物标本,收集到的标本等用无菌生理盐水洗脱,参照细菌基因组提取说明书进行提取细菌核酸,经过核酸提取后用于后续检测。Collect genital tract secretion specimens for detection of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae according to the methods of the prior art, eluate the collected specimens with sterile saline, and extract bacterial nucleic acids with reference to the instructions for bacterial genome extraction. Nucleic acid extraction is used for subsequent detection.
3、反应液配制3. Preparation of reaction solution
按照下表配制PCR反应液:Prepare PCR reaction solution according to the following table:
表2 PCR反应液Table 2 PCR reaction solution
成分Element 体积(μL)Volume (μL)
2×TaqMan Fast qPCR Mix2×TaqMan Fast qPCR Mix 1515
正向引物(10μmol/L)Forward primer (10μmol/L) 三种各0.6Three kinds of 0.6 each
反向引物(10μmol/L)Reverse primer (10μmol/L) 三种各0.6Three kinds of 0.6 each
探针(10μmol/L)Probe (10μmol/L) 三种各0.6Three kinds of 0.6 each
DNF Buffer DNF Buffer 33
water 33
病原菌DNA Pathogen DNA 33
按照下表配制阴性对照品反应液:Prepare the negative control substance reaction solution according to the following table:
表3阴性对照品反应液Table 3 negative control substance reaction solution
成分Element 体积(μL)Volume (μL)
2×TaqMan Fast qPCR Mix2×TaqMan Fast qPCR Mix 1515
正向引物(10μmol/L)Forward primer (10μmol/L) 三种各0.6Three kinds of 0.6 each
反向引物(10μmol/L)Reverse primer (10μmol/L) 三种各0.6Three kinds of 0.6 each
探针(10μmol/L)Probe (10μmol/L) 三种各0.6Three kinds of 0.6 each
DNF Buffer DNF Buffer 33
water 66
4、多重荧光PCR检测4. Multiplex fluorescent PCR detection
将检测样品与反应液混合后进行PCR扩增,PCR扩增的程序为:94℃预变性3min;94℃变性5s、56℃退火15s、72℃延伸30s。同时在HEX,ROX和CY5通道下收集荧光信号,进行50个循环。根据三个通道检测到的荧光强度判断检测样本对三种性病病原体为阴性还是阳性。After mixing the detection sample with the reaction solution, PCR amplification was carried out. The PCR amplification procedure was as follows: pre-denaturation at 94°C for 3 min; denaturation at 94°C for 5s, annealing at 56°C for 15s, and extension at 72°C for 30s. Fluorescence signals were collected simultaneously under the HEX, ROX and CY5 channels for 50 cycles. According to the fluorescence intensity detected by the three channels, it is judged whether the detected sample is negative or positive for the three STD pathogens.
对于包含三种性病病原体的阳性检测样本,多重荧光PCR结果如图2所示,UU的检测探针用-FAM荧光报告基团修饰,扩增曲线呈绿色;CT的检测探针用-ROX荧光报告基团修饰,扩增曲线呈橙色;NG的检测探针用-Cy5荧光报告基团修饰,扩增曲线呈紫色,扩增结果表明三种病原菌核酸的扩增过程中并未出现相互的干扰或者抑制,均有良好的扩增,说明本发明引物和探针的特异性非常好。For the positive detection samples containing three STD pathogens, the results of multiplex fluorescence PCR are shown in Figure 2. The detection probe of UU is modified with -FAM fluorescent reporter group, and the amplification curve is green; the detection probe of CT is -ROX fluorescence The reporter group was modified, and the amplification curve was orange; the detection probe of NG was modified with -Cy5 fluorescent reporter group, and the amplification curve was purple. The amplification results showed that there was no mutual interference during the amplification of the nucleic acids of the three pathogenic bacteria. Or inhibition, all have good amplification, indicating that the specificity of the primers and probes of the present invention is very good.
实验例1退火温度优化Experimental Example 1 Annealing Temperature Optimization
退火温度是影响PCR反应特异性的重要因素。退火温度过低,可致非特异性扩增而降低特异性扩增效率,退火温度过高影响引物与模板的结合而降低PCR扩增效率。多重荧光PCR中由于引物不止一对,退火温度的正确把握更是重要。Annealing temperature is an important factor affecting the specificity of PCR reaction. If the annealing temperature is too low, it may cause non-specific amplification and reduce the specific amplification efficiency. If the annealing temperature is too high, it will affect the binding of the primer and the template and reduce the PCR amplification efficiency. Since there are more than one pair of primers in multiplex fluorescent PCR, the correct control of the annealing temperature is even more important.
本实验例按照实施例1的方法对相同阳性样本进行检测,区别在于将多重荧光PCR的退火温度依次设为55.0、56.0、58.0、60.9、64.5、67.5、69.2、 70.0℃,结果如图3所示。选出最佳退火温度为56.0℃。In this experimental example, the same positive samples were detected according to the method of Example 1, the difference was that the annealing temperature of the multiplex fluorescence PCR was set to 55.0, 56.0, 58.0, 60.9, 64.5, 67.5, 69.2, 70.0 °C in sequence, and the results are shown in Figure 3. Show. The optimum annealing temperature was selected as 56.0°C.
实验例2扩增引物添加量优化Experimental Example 2 Optimization of the addition amount of amplification primers
本实验例按照实施例1的方法对相同阳性样本进行检测,以等量添加各个引物对为原则,设置的引物添加量梯度为各0.2、0.4、0.6、0.8、1.0μL(10μmol/L),结果如图4所示。选出的最佳添加量为各个引物各添加0.6μL。In this experimental example, the same positive samples were detected according to the method in Example 1. The principle of adding equal amounts of each primer pair was the principle. The results are shown in Figure 4. The optimal amount to be added was 0.6 μL of each primer.
实验例3引物及探针的特异性考查Experimental Example 3 Specificity test of primers and probes
本实验例对实施例1以及中国发明专利申请“CN202010329650.6淋球菌、沙眼衣原体和解脲支原体的三联检引物组、产品及应用”中公开的引物的特异性进行考查,考查的方法为在NCBI数据库中进行对比,了解其扩增产物和Tm值。This experimental example examines the specificity of the primers disclosed in Example 1 and the Chinese invention patent application "CN202010329650.6 Triple Detection Primer Set, Product and Application of Neisseria gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum". Compare with the database to understand its amplification product and Tm value.
图5给出了实施例1及对比文件中检测解脲支原体所用的引物对的特异性比对结果,从结果可以看出,本申请中所用引物所得到的扩增产物都是解脲支原体基因,不存在其他非目的的物种。而对比文件中所用引物除了能扩增部分解脲支原体还能扩增出其他产物,如Ureaplasma parvum微小脲原体等。Figure 5 shows the specific comparison results of the primer pairs used in the detection of Ureaplasma urealyticum in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Ureaplasma urealyticum genes. , there are no other non-purpose species. The primers used in the comparison document can not only amplify part of Ureaplasma urealyticum but also can amplify other products, such as Ureaplasma parvum.
图6给出了实施例1及对比文件中检测沙眼衣原体所用的引物对的特异性比对结果,从结果可以看出,本申请中所用引物所得到的扩增产物都是沙眼衣原体基因,不存在其他非目的的物种。而对比文件中所用引物除了能扩增部分沙眼衣原体还能扩增其他产物,如Chlamydia pneumoniae肺炎衣原体等。Figure 6 shows the specific comparison results of the primer pairs used in the detection of Chlamydia trachomatis in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Chlamydia trachomatis genes, not Other non-purpose species exist. The primers used in the comparison document can not only amplify part of Chlamydia trachomatis but also other products, such as Chlamydia pneumoniae.
图7给出了实施例1及对比文件中检测淋球菌所用的引物对的特异性比对结果,从结果可以看出,本申请中所用引物所得到的扩增产物都是淋球菌基因,不存在其他非目的的物种。而对比文件中所用引物除了能扩增部分淋球菌还能扩增出其他产物,如Neisseria meningitidis脑膜炎奈瑟菌等。Figure 7 shows the specific comparison results of the primer pairs used in the detection of Neisseria gonorrhoeae in Example 1 and the comparative documents. It can be seen from the results that the amplification products obtained by the primers used in this application are all Neisseria gonorrhoeae genes. Other non-purpose species exist. The primers used in the comparison document can not only amplify part of gonococcus, but also can amplify other products, such as Neisseria meningitidis and Neisseria meningitidis.
以上结果表明本申请所用三种引物对的特异性都高于对比文件。此外,实施例1所用引物Tm值接近60℃,高于对比文件中所用引物的Tm值,这也说明实施例1的引物特异性的高于对比文件。The above results show that the specificity of the three primer pairs used in this application is higher than that of the reference document. In addition, the Tm value of the primers used in Example 1 is close to 60°C, which is higher than the Tm value of the primers used in the comparison document, which also shows that the specificity of the primers in Example 1 is higher than that in the comparison document.
实验例4反应特异性评估Experimental Example 4 Evaluation of Response Specificity
为确定所建立多重荧光PCR方法的特异性,按照实施例1的方法进行检测,结果显示:以解脲支原体、沙眼衣原体和淋球菌三种混合病原菌基因组为模板的检测均出现目的扩增曲线,而其他非目的病原体(单纯疱疹病毒2 型、人乳头瘤病毒6型、人乳头瘤病毒16型)检测结果均为阴性,表明该方法具有良好的特异性(图8)。In order to determine the specificity of the established multiplex fluorescence PCR method, the method was detected according to the method of Example 1. The results showed that: the detection of the three mixed pathogenic bacteria genomes of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae as templates all showed the target amplification curve, Other non-target pathogens (herpes simplex virus type 2, human papilloma virus type 6, human papilloma virus type 16) were all negative, indicating that the method has good specificity (Figure 8).
实验例5检出限的评估Experimental Example 5 Evaluation of detection limit
对解脲支原体、沙眼衣原体和淋球菌三种病原菌的阳性质控品进行稀释,稀释至浓度为50copies/ml,500copies/ml,5000copies/ml,然后按照实施例1的条件进行检测。结果如图9所示,UU、CT、NG三种病原菌的核酸浓度在5×10 2~5×10 4copies/mL区间均可出现目的扩增曲,最低检出限为5×10 2copies/ml,这说明多重荧光PCR方法灵敏度非常高,达到了临床检测标准。 Dilute the positive quality control substances of the three pathogenic bacteria Ureaplasma trachomatis, Chlamydia trachomatis and Neisseria gonorrhoeae to the concentration of 50copies/ml, 500copies/ml and 5000copies/ml, and then perform detection according to the conditions of Example 1. The results are shown in Figure 9. The nucleic acid concentrations of the three pathogenic bacteria UU, CT and NG were in the range of 5×10 2 to 5 ×10 4 copies/mL. /ml, which shows that the multiplex fluorescence PCR method is very sensitive and meets the clinical detection standard.
实验例6诊断灵敏度与特异性评估Experimental Example 6 Evaluation of Diagnostic Sensitivity and Specificity
本实验例对诊断灵敏度和特异性进行评估,收集30份阴性临床标本,30份阳性标本,阳性标本中有23份是单一感染标本,有7份混合感染标本。将上述样本分别用实施例1的方法和临床现用的PCR试剂盒进行检测。其中,用于对比的PCR试剂盒分别为解脲支原体(UU)核酸测定试剂盒(荧光PCR法)(之江生物)、沙眼衣原体(CT)核酸测定试剂盒(荧光PCR法)(之江生物)、淋球菌(NG)核酸测定试剂盒(荧光PCR法)(之江生物)。The diagnostic sensitivity and specificity were evaluated in this experimental case, 30 negative clinical specimens and 30 positive specimens were collected. Among the positive specimens, 23 were single infection specimens, and 7 were mixed infection specimens. The above samples were detected by the method of Example 1 and the PCR kits currently used in clinics. Among them, the PCR kits used for comparison are Ureaplasma urealyticum (UU) nucleic acid determination kit (fluorescent PCR method) (Zhijiang Bio), Chlamydia trachomatis (CT) nucleic acid determination kit (fluorescent PCR method) (Zhijiang Bio) ), Neisseria gonorrhoeae (NG) nucleic acid assay kit (fluorescent PCR method) (Zhijiang Bio).
检测结果表明实施例1的方法与临床现用的PCR试剂盒检测结果接近一致(图10),以临床检测结果为金标准,对诊断灵敏度与特异度进行初步评估,诊断灵敏性Sen=94.87%,诊断特异性Sep=96.67%。The test results show that the method of Example 1 is close to the test results of the PCR kits currently used in clinics (Figure 10). Taking the clinical test results as the gold standard, the diagnostic sensitivity and specificity are preliminarily evaluated, and the diagnostic sensitivity is Sen=94.87% , the diagnostic specificity Sep=96.67%.
实验例7诊断精密度评估Experimental Example 7 Diagnostic Precision Evaluation
本实验例为了证明方法的稳定性,对批内精密度进行了评估,对一组阳性标本重复检测了5次,得到了每次结果的Ct值(图11),通过公式计算得出三种病原菌检测结果的变异系数,CV UU=4.21%,CV CT=3.20%,CV NG=0.76% In this experiment, in order to prove the stability of the method, the intra-assay precision was evaluated. A group of positive samples was repeatedly tested 5 times, and the Ct value of each result was obtained (Fig. 11). Coefficient of variation of pathogen detection results, CV UU = 4.21%, CV CT = 3.20%, CV NG = 0.76%
变异系数CV均小于5%,由此可见,本发明方法不仅灵敏、快速,而且可重复性强,适用于目前的临床检测情况。The coefficient of variation CV is less than 5%, it can be seen that the method of the present invention is not only sensitive, fast, but also has strong repeatability, and is suitable for the current clinical detection situation.
综上所述,本发明提供了一种基于多重荧光PCR技术对解脲支原体、沙眼衣原体和淋球菌三种性病病原体的同时检测的方法。本发明的方法对引物 和探针序列进行了设计,并优化了退火条件和引物添加量等检测条件,进而提高了检测方法的特异性、灵敏度和精密度。在临床应用中具有良好的前景。To sum up, the present invention provides a method for simultaneous detection of three venereal pathogens of Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae based on the multiplex fluorescent PCR technology. The method of the invention designs primers and probe sequences, and optimizes detection conditions such as annealing conditions and primer addition amount, thereby improving the specificity, sensitivity and precision of the detection method. It has a good prospect in clinical application.

Claims (10)

  1. 一种检测试剂盒,其特征在于:包括用于检测解脲支原体的引物对、用于检测沙眼衣原体的引物对和用于检测淋球菌的引物对中的至少一种;所述引物对包括正向引物和反向引物;A detection kit is characterized in that: comprising at least one of a primer pair for detecting Ureaplasma urealyticum, a primer pair for detecting Chlamydia trachomatis, and a primer pair for detecting Neisseria gonorrhoeae; the primer pair includes a positive Forward and reverse primers;
    所述用于检测解脲支原体的引物对是如SEQ ID NO.1和SEQ ID NO.4所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列;The primer pair for detecting Ureaplasma urealyticum is a nucleotide sequence as described in SEQ ID NO.1 and SEQ ID NO.4 or a nucleotide sequence having 95% homology with the aforementioned sequence;
    所述用于检测沙眼衣原体的引物对是如SEQ ID NO.2和SEQ ID NO.5所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列;The primer pair for detecting Chlamydia trachomatis is a nucleotide sequence as described in SEQ ID NO.2 and SEQ ID NO.5 or a nucleotide sequence having 95% homology with the aforementioned sequence;
    所述用于检测淋球菌的引物对是如SEQ ID NO.3和SEQ ID NO.6所述的核苷酸序列或者与前述序列具有95%同源性的核苷酸序列。The primer pair for detecting Neisseria gonorrhoeae is the nucleotide sequence described in SEQ ID NO.3 and SEQ ID NO.6 or the nucleotide sequence having 95% homology with the aforementioned sequence.
  2. 按照权利要求1所述的试剂盒,其特征在于:所述用于检测解脲支原体的正向引物和反向引物的用量摩尔比为1-3:1-3;The test kit according to claim 1, wherein the amount of the forward primer and the reverse primer for detecting Ureaplasma urealyticum is in a molar ratio of 1-3:1-3;
    和/或,所述用于检测沙眼衣原体的正向引物和反向引物的用量摩尔比为1-3:1-3;And/or, the consumption molar ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1-3:1-3;
    和/或,所述用于检测淋球菌的正向引物和反向引物的用量摩尔比为1-3:1-3;And/or, the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1-3:1-3;
    和/或,所述用于检测解脲支原体的正向引物、用于检测沙眼衣原体的正向引物、用于检测淋球菌的正向引物的用量摩尔比为1-3:1-3:1-3。And/or, the consumption molar ratio of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1-3:1-3:1 -3.
  3. 按照权利要求2所述的试剂盒,其特征在于:所述用于检测解脲支原体的正向引物和反向引物的用量摩尔比为1:1;The test kit according to claim 2, wherein: the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum and the reverse primer is 1:1;
    和/或,所述用于检测沙眼衣原体的正向引物和反向引物的用量摩尔比为1:1;And/or, the consumption mol ratio of the described forward primer and reverse primer for detecting Chlamydia trachomatis is 1:1;
    和/或,所述用于检测淋球菌的正向引物和反向引物的用量摩尔比为1:1;And/or, the described consumption mol ratio of the forward primer for detecting gonococcus and the reverse primer is 1:1;
    和/或,所述用于检测解脲支原体的正向引物、用于检测沙眼衣原体的正向引物、用于检测淋球菌的正向引物的用量摩尔比为1:1:1。And/or, the molar ratio of the amount of the forward primer for detecting Ureaplasma urealyticum, the forward primer for detecting Chlamydia trachomatis, and the forward primer for detecting Neisseria gonorrhoeae is 1:1:1.
  4. 按照权利要求1所述的试剂盒,其特征在于:所述试剂盒还包括探针组,所述探针组包括用于检测解脲支原体的探针、用于检测沙眼衣原体的、用于检测淋球菌的探针中的至少一种;The kit according to claim 1, characterized in that: the kit further comprises a probe set, and the probe set comprises a probe for detecting Ureaplasma urealyticum, a probe for detecting Chlamydia trachomatis, a probe for detecting at least one of the probes for Neisseria gonorrhoeae;
    所述用于检测解脲支原体的探针具有如SEQ ID NO.7所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列;The probe for detecting Ureaplasma urealyticum has the nucleotide sequence as described in SEQ ID NO.7, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
    所述用于检测沙眼衣原体的探针具有如SEQ ID NO.8所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列;The probe for detecting Chlamydia trachomatis has the nucleotide sequence as described in SEQ ID NO. 8, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence;
    所述用于检测淋球菌的探针具有如SEQ ID NO.9所述的核苷酸序列,或与前述核苷酸序列具有至少95%同源性的核苷酸序列。The probe for detecting Neisseria gonorrhoeae has a nucleotide sequence as described in SEQ ID NO. 9, or a nucleotide sequence having at least 95% homology with the aforementioned nucleotide sequence.
  5. 按照权利要求4所述的试剂盒,其特征在于:所述探针组中的探针均独立地含有互不相同的荧光报告基团和荧光猝灭基团。The kit according to claim 4, wherein the probes in the probe set independently contain different fluorescent reporter groups and fluorescent quenching groups.
  6. 按照权利要求5所述的试剂盒,其特征在于:所述荧光猝灭基团选自BHQ1、BHQ2、BHQ3或Dabcyl;所述荧光报告基团选自FAM、HEX、ROX、CY5、VIC、TET或TAMRA。The kit according to claim 5, wherein the fluorescent quenching group is selected from BHQ1, BHQ2, BHQ3 or Dabcyl; the fluorescent reporter group is selected from FAM, HEX, ROX, CY5, VIC, TET or TAMRA.
  7. 按照权利要求4-6任一项所述的试剂盒,其特征在于:所述用于检测解脲支原体的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;The kit according to any one of claims 4-6, wherein the amount of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is in a molar ratio of 1-3:1-3 :1-4;
    和/或,所述用于检测沙眼衣原体的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;And/or, the consumption molar ratio of the forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1-3:1-3:1-4;
    和/或,所述用于检测淋球菌的正向引物、反向引物和探针的用量摩尔比为1-3:1-3:1-4;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1-3:1-3:1-4;
    和/或,所述用于检测解脲支原体的探针、用于检测沙眼衣原体的探针、用于检测淋球菌的探针的用量摩尔比为1-3:1-3:1-4。And/or, the molar ratio of the probe for detecting Ureaplasma urealyticum, the probe for detecting Chlamydia trachomatis, and the probe for detecting Neisseria gonorrhoeae is 1-3:1-3:1-4.
  8. 按照权利要求7所述的试剂盒,其特征在于:所述用于检测解脲支原体的正向引物、反向引物和探针的用量摩尔比为1:1:1;The kit according to claim 7, characterized in that: the molar ratio of the amounts of the forward primer, reverse primer and probe for detecting Ureaplasma urealyticum is 1:1:1;
    和/或,所述用于检测沙眼衣原体的正向引物、反向引物和探针的用量摩尔比为1:1:1;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting Chlamydia trachomatis is 1:1:1;
    和/或,所述用于检测淋球菌的正向引物、反向引物和探针的用量摩尔比为1:1:1;And/or, the consumption molar ratio of described forward primer, reverse primer and probe for detecting gonococcus is 1:1:1;
    和/或,所述用于检测解脲支原体的探针、用于检测沙眼衣原体的探针、用于检测淋球菌的探针的用量摩尔比为1:1:1。And/or, the molar ratio of the probes for detecting Ureaplasma urealyticum, the probes for detecting Chlamydia trachomatis, and the probes for detecting Neisseria gonorrhoeae is 1:1:1.
  9. 一种解脲支原体、沙眼衣原体和淋球菌的PCR检测方法,其特征在于,包括如下步骤:利用权利要求1-8任一项所述的试剂盒对待检测样品进行PCR扩增后,检测。A PCR detection method for Ureaplasma urealyticum, Chlamydia trachomatis and Neisseria gonorrhoeae, characterized in that it comprises the steps of: using the kit according to any one of claims 1-8 to perform PCR amplification on a sample to be detected, and then detect.
  10. 按照权利要求9所述的方法,其特征在于:所述PCR扩增的程序为:94℃预变性3min;94℃变性5s、56℃退火15s、72℃延伸30s。The method according to claim 9, wherein the PCR amplification procedure is as follows: pre-denaturation at 94°C for 3 min; denaturation at 94°C for 5s, annealing at 56°C for 15s, and extension at 72°C for 30s.
PCT/CN2022/087467 2021-04-26 2022-04-18 Kit for detecting ureaplasma urealyticum, chlamydia trachomatis and neisseria gonorrhoeae and method therefor WO2022228187A1 (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101117646A (en) * 2007-07-06 2008-02-06 上海申友健海生物技术有限责任公司 Primer, probe and method for detecting human urological genital tract causal agent
CN101613763A (en) * 2009-07-30 2009-12-30 港龙生物科技有限公司 The fluorescence PCR method of diagnosis chlamydia trachomatis, gonococcus and ureaplasma urealyticum infection

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101117646A (en) * 2007-07-06 2008-02-06 上海申友健海生物技术有限责任公司 Primer, probe and method for detecting human urological genital tract causal agent
CN101613763A (en) * 2009-07-30 2009-12-30 港龙生物科技有限公司 The fluorescence PCR method of diagnosis chlamydia trachomatis, gonococcus and ureaplasma urealyticum infection

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