侵入性真菌病的分子诊断:当前和未来的方法
David Pham1, Varsha Sivalingam1, Helen M Tang1
1Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, NSW Health Pathology, Westmead Hospital, Westmead, NSW 2145, Australia.
Journal of fungi (Basel, Switzerland)
|July 26, 2024
概括
侵袭性真菌病 (IFD) 的早期检测对于有效的抗真菌治疗至关重要. 分子诊断,包括核酸放大测试和全基因组测序,是有前途的,但需要标准化以供日常使用.
科学领域:
- 医学真菌学 医学真菌学
- 分子诊断学 分子诊断学
- 传染性疾病 传染性疾病
背景情况:
- 侵袭性真菌病 (IFDs) 是一个重大的,不断增长的全球健康挑战.
- 免疫受损人群的风险增加,需要及时诊断和治疗.
- 抗真菌耐药性的增加强调了需要改进的诊断策略.
研究的目的:
- 审查IFD分子诊断技术的现状和未来潜力.
- 突出这些先进分析标准化的挑战和机遇.
- 讨论分子方法在临床实践中的演变作用.
主要方法:
- 对IFD分子诊断的当前文献的综述.
- 讨论核酸放大试验 (NAAT) 和全基因组测序 (WGS).
- 对真菌病原体的向和广泛PCR测定分析.
主要成果:
- 建立了针对特定真菌的有针对性的测试,例如*Aspergillus*.
- 在开发对*Candida*,*Pneumocystis*,*Cryptococcus*, Mucorales 和特有真菌菌的测试方面取得了进展.
- 整个基因组测序,包括元基因组方法,为疫情调查提供了高分辨率,但需要进一步标准化以进行常规诊断.
结论:
- 分子技术在IFD诊断的传统方法上具有显著的优势.
- 方法和解释的标准化对于广泛采用至关重要.
- 需要继续进行研究和开发,以将先进的分子诊断纳入常规的临床工作流程.
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