Development of a droplet digital PCR method for the detection of Ureaplasma urealyticum

IF 1.7 Q3 MEDICAL LABORATORY TECHNOLOGY Practical Laboratory Medicine Pub Date : 2025-01-01 DOI:10.1016/j.plabm.2024.e00443
Yong-Zhuo Zhou , Yun-Hu Zhao , Yan-Lan Chen , Hua Luo , Yu-lin Zhou , Bing Gu , Wei-Zhen Fang , Chao-Hui Duan , Xu-Guang Guo
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Abstract

Background

Human infection with Ureaplasma urealyticum(UU) is mainly manifested as non-gonococcal urethritis, where it can lead to cervicitis, premature rupture of membranes and abortion in women, as well as infertility in males, which becomes a major problem in clinical diagnosis and treatment. At present, real-time fluorescence quantitative PCR and culture are the two main methods for detecting UU. The real-time fluorescence quantitative PCR method is cumbersome and cannot accomplish absolute quantification on nucleic acids, while the cultivation method has limitations such as low sensitivity and being time-consuming. The aim of this study is to establish a more rapid and accurate droplet digital PCR(ddPCR) method for the detection of UU.

Methods

Primers were designed for the ParC gene of UU. Nucleic acids from a standard strain of UU were extracted. Specificity, sensitivity, and repeatability detection was performed using ddPCR, and the detection performance of ddPCR was evaluated.

Results

The detection process could be completed in 92 min. It has a high sensitivity of up to 3.8 pg/μL. With a high specificity, no positive microdrop were detected in eight negative control pathogens in this experiment. In addition, ddPCR detection of UU has good repeatability, and the calculated CV is 2.1 %.

Conclusion

Our data indicated that ddPCR detection technology has the characteristics of absolute quantification, high stability, high specificity and high sensitivity of UU. It can promote the accurate detection of UU, providing a more scientific basis for clinical diagnosis and treatment.
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解脲支原体液滴数字PCR检测方法的建立。
背景:人类感染解脲支原体(UU)主要表现为非淋球菌性尿道炎,可导致女性宫颈炎、胎膜早破、流产,男性不育,成为临床诊断和治疗的一大难题。目前,实时荧光定量PCR和培养是检测UU的两种主要方法。实时荧光定量PCR方法操作繁琐,无法完成对核酸的绝对定量,而培养法则存在灵敏度低、耗时等局限性。本研究旨在建立一种快速、准确的液滴数字PCR(ddPCR)检测UU的方法。方法:设计UU ParC基因引物。提取UU标准菌株的核酸。采用ddPCR进行特异性、敏感性和重复性检测,并对其检测性能进行评价。结果:该方法可在92 min内完成检测,灵敏度可达3.8 pg/μL。8种阴性对照病原菌均未检出微滴阳性,特异性高。此外,ddPCR检测UU具有良好的重复性,计算CV为2.1%。结论:本实验数据表明,ddPCR检测技术对UU具有绝对定量、高稳定性、高特异性和高灵敏度的特点。可促进UU的准确检测,为临床诊断和治疗提供更科学的依据。
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来源期刊
Practical Laboratory Medicine
Practical Laboratory Medicine Health Professions-Radiological and Ultrasound Technology
CiteScore
3.50
自引率
0.00%
发文量
40
审稿时长
7 weeks
期刊介绍: Practical Laboratory Medicine is a high-quality, peer-reviewed, international open-access journal publishing original research, new methods and critical evaluations, case reports and short papers in the fields of clinical chemistry and laboratory medicine. The objective of the journal is to provide practical information of immediate relevance to workers in clinical laboratories. The primary scope of the journal covers clinical chemistry, hematology, molecular biology and genetics relevant to laboratory medicine, microbiology, immunology, therapeutic drug monitoring and toxicology, laboratory management and informatics. We welcome papers which describe critical evaluations of biomarkers and their role in the diagnosis and treatment of clinically significant disease, validation of commercial and in-house IVD methods, method comparisons, interference reports, the development of new reagents and reference materials, reference range studies and regulatory compliance reports. Manuscripts describing the development of new methods applicable to laboratory medicine (including point-of-care testing) are particularly encouraged, even if preliminary or small scale.
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