定量和检测Mycobacterium结核病菌,HIV-1的同定位,以及脊髓结核病组织的相互扩张
Robyn Waters1, Adrian R Martineau2, Maritz Laubscher3
1Orthopaedic Research Unit (ORU), Division of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa; Wellcome Discovery Platforms in Infection, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
滴滴数字PCR (ddPCR) 在诊断脊髓结核病 (STB) 时显示出高灵敏度. 这种方法证实,在接受抗逆转录病毒治疗的HIV-1感染者脊髓组织中,Mycobacterium tuberculosis (Mtb) 和HIV-1DNA水平同时增加.
科学领域:
- 传染性疾病 传染性疾病
- 分子诊断学 分子诊断学
- 病毒学 病毒学
背景情况:
- 脊柱结核病 (STB) 的诊断是具有挑战性的,因为Mycobacterium结核病 (Mtb) 的 paucibacillary性质.
- 在脊髓组织中与HIV-1的同时感染可能会促进HIV-1 (PLWH) 感染者接受抗逆转录病毒治疗 (ART) 的相互复制和储库扩张,但证据有限.
研究的目的:
- 评估滴滴数字PCR (ddPCR) 检测和量化脊髓活检组织中的Mtb DNA.
- 为了验证ddPCR对培养和Xpert MTB/RIF Ultra的敏感性.
- 为了确定Mtb和HIV-1DNA丰度是否在脊柱共感染部位增加.
主要方法:
- 从93个脊髓活检细分中提取DNA,这些细分来自南非的成年人,这些成年人可能患有STB.
- 使用ddPCR对Mtb复合体 (MTBC),HIV-1和人类基因进行量化.
- 分析包括了52%的参与者,这些参与者是接受ART的PLWH.
主要成果:
- ddPCR检测到100%的培养证实STB病例和83%的Xpert超级证实STB病例中的MTBCDNA.
- 在PLWH活检中,mtb DNA (rpoB副本/10^6人体细胞) 的含量较高,与HIV-1 DNA水平相关.
- 艾滋病毒-1 DNA 在与共检测的MTBC DNA 的段落中较高,并且与病毒载量相关.
结论:
- ddPCR显示了STB诊断的高灵敏度.
- 证实了MTb与ART中PLWH在脊髓组织中的HIV-1丰度之间的相互关系.
- 对共感染组织的免疫微环境进行进一步的研究是有必要的,以了解储库持久性.
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