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1.
目的 探讨内江地区慢性乙型肝炎患者的基因型及拉米夫定联合阿德福韦酯抗病毒的治疗效果。方法 将201例慢性乙型肝炎患者进行HBV基因型的测定,其中120例HBeAg(+)慢性乙型肝炎患者随机分为三组:A组、B组和C组,每组40例。A组给予拉米夫定(LAM)治疗;B组给予恩替卡韦(ETV)治疗;C组给予LAM联合阿德福韦酯(ADV)治疗,比较治疗情况。结果 201例慢性乙型肝炎患者中B型119例(59.2%),C型68例(33.8%),B/C混合型10例(5.0%),未知型4例(2.0%),各分型之间的性别、年龄差异无统计学意义(P>0.05)。C型感染者HBeAg阳性率为86.8%,显著高于B型的51.3%(P<0.05)。HBeAg(+)的3组患者治疗12、24和48周时,B组和C组患者的ALT复常率、HBV DNA阴转率及48周时的HBeAg血清转换率均显著高于A组(P<0.05);C组患者与B组比较差异无统计学意义(P>0.05)。治疗期间均未见不良反应发生。C组患者(包括B型19例、C型21例)中B型的HBV DNA阴转率及HBeAg血清转换率显著高于C型(P<0.05)。结论 地处西南方的内江地区慢性乙型肝炎患者主要以B型为主,C型次之,B型和C型共占93.0%,其他型别仅占较少部分。ETV方案或LAM联合ADV方案治疗HBeAg(+)慢性乙肝疗效优于LAM治疗。初始LAM联合ADV治疗基因B型HBeAg(+)慢性乙型肝炎疗效优于C型。  相似文献   

2.
目的探究拉米夫定治疗反弹后联合阿德福韦酯治疗前后乙型肝炎全基因组序列变化。方法分别提取服用拉米夫定治疗24周反弹后和阿德福韦酯辅助治疗24周后的患者2份血清病毒核酸,用聚合酶链反应扩增核酸后进行全基因组测序分析。结果测序结果显示,共计有29个氨基酸发生了突变,其中,S区突变点有5个(17.2%),C区突变点有12个(41.3%),P区突变点有6个(20.6%),X区突变点有6个(20.6%),其中P区与拉米夫定的相关位点173和204位点发生了突变翻转,但服用阿德福韦后出现了与之相关的突变位点(181、214、236和237位点)。结论核苷酸药物的使用和HBV基因耐药突变密切相关,定期检测HBV基因突变对于合理使用核苷酸药物具有重要意义。  相似文献   

3.
目的:探讨阿德福韦酯片治疗老年失代偿期乙肝肝硬化的疗效.方法:收集2008年1月~2010年12月我院收治的老年失代偿期乙肝肝硬化患者106例,46例给予常规治疗(对照组),其余60例加用阿德福韦酯片(观察组).比较两组肝功能、Child-Pugh评分、HBV-DNA阴转率及不良反应.结果:观察组总有效率为96.67%(58/60),对照组为78.26%(36/46),差异有统计学意义(P<0.05);两组治疗后ALT、ALB和TBiL水平及Child-Pugh评分均较治疗前显著改善(P<0.05),观察组改善显著优于对照组(P<0.05);观察组HBV-DNA阴转率为56.67%(34/60),明显高于对照组的19.56%(9/46),差异有统计学意义(P<0.05);观察组未发现与服用阿德福韦酯片相关的不良反应,无死亡病例.结论:阿德福韦酯片治疗老年失代偿期乙肝肝硬化能显著提高疗效,改善肝功能,且安全性高,值得临床推广应用.  相似文献   

4.
2例PCR扩增失败的分析与探讨   总被引:3,自引:0,他引:3  
根据GenBank报道的序列设计引物,PCR扩增克隆玉米乙醇脱氢酶1(Adh)核基质结合区序列及大鼠脑啡肽基因。扩增的序列电泳分析条带与预期的片段大小基本一致,但测序分析均为非目的片段,为非特异PCR产物,一例为非靶序列间的重复序列配对造成,一例为一侧引物单独引起,重新设计引物,采用巢式PCR获得了目的基因片段。  相似文献   

5.
应用于染色体步移的PCR扩增技术的研究进展   总被引:15,自引:0,他引:15  
刘博  苏乔  汤敏谦  袁晓东  安利佳 《遗传》2006,28(5):587-595
各种建立在PCR基础上染色体步移的方法能够根据已知的基因序列得到侧翼的基因序列。染色体步移技术主要应用于克隆启动子、步查获得新物种中基因的非保守区域、鉴定T-DNA或转座子的插入位点、染色体测序工作中的空隙填补,从而获得完整的基因组序列等方面。其方法主要有3种:反向PCR的方法,连接法介导的PCR的方法以及特异引物PCR的方法。文章就各种方法进行举例说明并加以分析比较。  相似文献   

6.
慢性乙型肝炎患者血清HBV基因分型   总被引:3,自引:0,他引:3  
为了解长春市慢性乙型肝炎患者血清中的乙型肝炎病毒(HBV)基因型情况及其与临床特点的相关性,应用型特异性引物进行巢式PCR方法对长春市69例慢性乙型肝炎患者血清HBV进行基因分型检测。在69例血清标本中,B型10例(占14.5%);C型41例(占59.4%);B C混合型8例(占11.6%);未分型的患者共10例(占14.5%)。C基因型患者的HBV-DNA定量、HBeAg阳性率明显高于B基因型患者(HBV-DNA:P<0.01;HBeAg:χ2=3.98,P<0.05),C基因型患者肝功检查指标谷丙转氨酶(ALT)和总胆红素(TB IL)均较B基因型患者高(P<0.01)。长春地区存在HBV B基因型、C基因型、B C混合基因型及未分型,C基因型为优势基因,引起的肝脏活动性炎症较B基因型明显。  相似文献   

7.
    
Clostridium scindens and C. hiranonis have high bile acid 7alpha-dehydroxylating activity. Direct PCR and nested PCR with the specific primers for C. scindens and C. hiranonis were developed and tested for the detection of them in human fecal samples. Nested PCR detected C. scindens in all samples, but direct PCR detected it in 27 of 34 samples. Regarding C. hiranonis, nested PCR detected it in only 18 of 34 samples although nested PCR has a high level of sensitivity. Nested PCR was a specific and sensitive method for the detection of C. scindens and C. hiranonis in fecal samples.  相似文献   

8.
Presymptomatic and accurate diagnosis of Mycosphaerella graminicola leaf blotch is desirable for the disease prediction and the timely application of fungicides. To develop a sensitive PCR assay, four specific primer pairs were designed. They were more specific than three known specific primer pairs. Three of them could detect as little as 0.5 pg M. graminicola DNA in a conventional PCR. A real-time PCR assay was applied for monitoring the disease progression in both inoculated and naturally infected wheat plants using the primer pair ST-rRNA F/R. In inoculated plants, M. graminicola DNA could be detected immediately after inoculation and a steady increase was detected before visible symptoms appeared at 8 days. The rapid growth period took place between 6 and 16 days postinoculation. In the field, the disease progression in the top three leaf layers was followed during the epidemic period. The results were significantly correlated to the disease indices (R=0.8986) and also to the number of pycnidia per leaf (R=0.9227). These suggest that the real-time PCR assay is a reliable approach for the presymptomatic and accurate detection of M. graminicola development in the field.  相似文献   

9.
One of the most important factors affecting the quality of PCR is the choice of primers. In general, the longer the PCR product the more difficult it is to select efficient primers and set appropriate designing primers, and in general, the more DNA sequence information is available, the better the ch0ance of finding an optimal primer pair. Efficient primers can be designed by avoiding the following flaws: primer-dimer formation, self-complementarity, too lowT m of the primers, and/or their incorrect internal stability profile. Tips on subcloning PCR products, calculating duplex stability (predicting dimer formation strength), and designing degenerate primers are given.  相似文献   

10.
聚合酶链式反应(PCR)虽已广泛用于分子生物学研究中,然而PCR实验中的非特异性产物问题将直接影响PCR的效率,在多重PCR实验中更是如此。为了最大限度地降低非特异性产物的出现率,同时避免用户频繁使用Blast比对检查非特异性,我们开发了基于NCBI-Blast的引物评估和模板DNA特异性结合能力评估的核查系统PSC(Primer Specificity Checking,http://biocompute.bmi.ac.cn/PSC),并基于虚拟PCR实验确定了用于引物质量核查计算的多种参数,能够在线提供多个物种的引物特异性核查结果。该系统可以有效地对引物序列可能产生的所有非特异性扩增进行预测,有助于实验前引物优化或者对非特异扩增结果进行解释,最终达到提高PCR效率的目的。  相似文献   

11.
采用单特异引物PCR克隆法,得到大鼠诱导型一氧化氮合酶(iNOS)基因转录调控区DNA片段.核酸序列分析证实,大鼠iNOS基因的5′-侧翼区含有IFN-γ和TNF-α应答元件及NF-κB结合位点的保守序列.这些保守序列的位置及排列显著区别于人和小鼠的iNOS基因.电泳迁移率改变分析(EMSA)表明,VSMC受IL-1和IFN-γ刺激后,细胞核内产生某种可与iNOS基因5′-侧翼区特异结合的核蛋白因子.  相似文献   

12.
对云南省参加健康体检人员中一份乙肝表面抗原阳性标本S区基因序列测定,以了解其分子生物学特点。利用巢式PCR扩增HBV S基因片段,并对扩增产物进行序列测定,将基因序列提交到GenBank上进行BLAST搜索,同时运用Mega软件进行同源性分析,并构建基因树,并将其核苷酸和氨基酸与已报道的A~I基因型参考株的同源性进行比较。核苷酸和氨基酸比较结果证明,此标本病毒基因型为HBV I基因型。本文所发现的I基因型标本为国内首次报道。  相似文献   

13.
Abstract:  Bemisia tabaci (Gennadius) is an important pest of agriculture and horticulture crops that includes many morphologically indistinguishable biotypes. Molecular markers can provide a scientific method to rapidly identify biotypes. In this study, we attempted to develop specific primer sets for rapidly and stably identifying various biotypes of B. tabaci . We developed sequence characterized amplified region (SCAR) markers for each of six B. tabaci (Gennadius) biotypes (A, B, Q, Nauru, An and S). Two primer sets (BaAF/BaAR and BaQF/BaQR) were designed from random amplified polymorphic DNA-specific fragments for the A and Q biotypes. Four forward primers, BaBF, BaNaF, BaANF and BaSF, with a common reverse primer, L2-N-3014, for the other four biotypes of B, Nauru, An and S, respectively, were used based on their individual mitochondrial cytochrome oxidase I sequences. Six of these SCARs were useful in distinguishing each biotype from the others. Application of these SCARs will be helpful in rapidly identifying biotypes for quarantine pest control to prevent the invasion of the various biotypes.  相似文献   

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