CN106916905B - Invisible hepatitis B detection kit and its detection method - Google Patents
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Abstract
本发明提供一种隐匿性乙肝病毒检测试剂盒及其检测方法,该试剂盒中引物组包括上游引物CA、下游引物CB、上游引物CC、下游引物CD;所述上游引物CA的序列如SEQ ID NO:1 所示;所述下游引物CB的序列如SEQ ID NO:2 所示;所述上游引物CC的序列如SEQ ID NO:3 所示;所述下游引物CD的序列如SEQ ID NO:4 所示。本发明通过分析现有的隐匿性乙肝病毒感染诊断的巢式PCR引物,重新设计Core/pre‑core区的引物,提高了检测效率,从而为今后在我国人群中检测隐匿性乙肝病毒感染奠定基础。
The present invention provides a kind of occult hepatitis B virus detection kit and detection method thereof, and primer group comprises upstream primer CA, downstream primer CB, upstream primer CC, downstream primer CD in this reagent kit; The sequence of described upstream primer CA is as SEQ ID NO: shown in 1; the sequence of the downstream primer CB is shown in SEQ ID NO: 2; the sequence of the upstream primer CC is shown in SEQ ID NO: 3; the sequence of the downstream primer CD is shown in SEQ ID NO: 4 shown. The present invention redesigns the primers in the Core/pre-core region by analyzing the existing nested PCR primers for diagnosing occult hepatitis B virus infection, thereby improving the detection efficiency, thereby laying the foundation for future detection of occult hepatitis B virus infection in Chinese populations .
Description
技术领域technical field
本发明涉及生物技术领域,特别是涉及一种隐匿性乙肝病毒检测试剂盒及其检测方法。The invention relates to the field of biotechnology, in particular to a detection kit and a detection method for occult hepatitis B virus.
背景技术Background technique
乙型肝炎病毒(hepatitis B virus,HBV)感染已成为严重的全球性公共卫生问题,全球曾感染乙肝病毒的人群总数高达20亿,且每年约有100万人死于乙肝所致的肝硬化、原发性肝癌及肝衰竭等疾病,其流行存在明显的地域差异。自1992年,我国将乙肝疫苗纳入儿童计划免疫,新生儿乙肝免疫预防工作取得了显著成绩。根据2006年全国人群乙型病毒性肝炎血清流行病学调查显示,人群HBsAg携带率为7.18%,较1992年的9.75%下降了26.35%,其中1~4岁人群乙肝表面抗原携带率最低,为0.96%。Hepatitis B virus (HBV) infection has become a serious global public health problem. The total number of people who have been infected with hepatitis B virus in the world is as high as 2 billion, and about 1 million people die each year from liver cirrhosis caused by hepatitis B. There are obvious regional differences in the prevalence of diseases such as primary liver cancer and liver failure. Since 1992, my country has included hepatitis B vaccine in the children's immunization program, and remarkable achievements have been made in neonatal hepatitis B immunization prevention. According to the 2006 national serum epidemiological survey of viral hepatitis B in the population, the HBsAg carrier rate of the population was 7.18%, which was 26.35% lower than that of 9.75% in 1992. 0.96%.
隐匿性乙肝病毒感染(Occult Hepatitis B Virus Infection,OBI)是指肝内持续存在乙肝病毒DNA,且血清中的HBV DNA处于低水平(<200IU/ml)或阴性,同时不能检出HBsAg。在乙肝的高流行地区人群易患隐匿性乙肝病毒感染,隐匿性乙肝病毒感染也可发生在乙肝疫苗接种后的儿童中。Occult hepatitis B virus infection (Occult Hepatitis B Virus Infection, OBI) refers to the persistent presence of hepatitis B virus DNA in the liver, and the level of HBV DNA in serum is low (<200IU/ml) or negative, and HBsAg cannot be detected at the same time. People in areas with high hepatitis B prevalence are prone to occult HBV infection, and occult HBV infection can also occur in children after hepatitis B vaccination.
上世纪70年代以来,隐匿性乙肝病毒感染受到越来越多的重视。Shahmoradi S等人曾报道用巢式PCR方法检测伊朗地区接种乙肝疫苗的儿童中隐匿性乙肝病毒感染,共检测出21名隐匿性乙肝病毒感染儿童。前期实验通过对文献报道的巢式PCR方法进行验证,发现Core/pre-core区段扩增结果不理想,因此,现有的隐匿性乙肝病毒检测方法并不适用于中国人群,灵敏度差,亟待改进。Since the 1970s, occult hepatitis B virus infection has received more and more attention. Shahmoradi S et al. reported that nested PCR was used to detect occult hepatitis B virus infection among children vaccinated against hepatitis B in Iran, and a total of 21 children with occult hepatitis B virus infection were detected. In the previous experiments, the nested PCR method reported in the literature was verified, and it was found that the amplification results of the Core/pre-core segment were not satisfactory. Improve.
发明内容Contents of the invention
鉴于以上所述现有技术的缺点,本发明的目的在于提供一种隐匿性乙肝病毒检测试剂盒及其检测方法,用于解决现有技术中对隐匿性乙肝病毒的检测方法对中国人群的诊断结果不理想、灵敏度差等问题。In view of the shortcomings of the prior art described above, the purpose of the present invention is to provide a detection kit for concealed hepatitis B virus and its detection method, which is used to solve the problem of the detection method of concealed hepatitis B virus in the prior art for the diagnosis of Chinese population. Unsatisfactory results, poor sensitivity and other issues.
为实现上述目的及其他相关目的,本发明第一方面提供用于隐匿性乙肝病毒检测的引物组,包括上游引物CA、下游引物CB、上游引物CC、下游引物CD;In order to achieve the above purpose and other related purposes, the first aspect of the present invention provides a primer set for occult hepatitis B virus detection, including upstream primer CA, downstream primer CB, upstream primer CC, and downstream primer CD;
所述上游引物CA的序列如SEQ ID NO:1所示;The sequence of the upstream primer CA is shown in SEQ ID NO: 1;
所述下游引物CB的序列如SEQ ID NO:2所示;The sequence of the downstream primer CB is shown in SEQ ID NO: 2;
所述上游引物CC的序列如SEQ ID NO:3所示;The sequence of the upstream primer CC is shown in SEQ ID NO: 3;
所述下游引物CD的序列如SEQ ID NO:4所示。The sequence of the downstream primer CD is shown in SEQ ID NO:4.
本发明第二方面提供一种含有上述引物组的用于检测隐匿性乙肝病毒的试剂盒。The second aspect of the present invention provides a kit for detecting occult hepatitis B virus containing the above primer set.
进一步地,所述上游引物CA、下游引物CB为第一轮特异性引物,所述上游引物CC、下游引物CD为第二轮特异性引物。Further, the upstream primer CA and the downstream primer CB are the first-round specific primers, and the upstream primer CC and the downstream primer CD are the second-round specific primers.
进一步地,所述试剂盒还包括PCR预混液、HBV DNA、水中的一种或多种组合。Further, the kit also includes one or more combinations of PCR master mix, HBV DNA, and water.
优选地,所述PCR预混液含有Taq DNA聚合酶、dNTPs、标准Taq酶反应缓冲液、酶稳定剂中的一种或多种组合。Preferably, the PCR master mix contains one or more combinations of Taq DNA polymerase, dNTPs, standard Taq enzyme reaction buffer, and enzyme stabilizer.
更优选地,所述PCR预混液为2×Taq PCR Master Mix。More preferably, the PCR master mix is 2×Taq PCR Master Mix.
本发明第三方面提供上述引物组或试剂盒在检测隐匿性乙肝病毒中的应用。The third aspect of the present invention provides the application of the above primer set or kit in detecting occult hepatitis B virus.
进一步地,至少包括如下步骤:Further, at least include the following steps:
1)提取待测样品中的HBV DNA;1) extract the HBV DNA in the sample to be tested;
2)巢式PCR反应:采用所述上游引物CA、下游引物CB对步骤1)获得的HBV DNA进行第一轮PCR扩增,再以第一轮PCR的扩增产物为模板,采用所述上游引物CC、下游引物CD进行第二轮PCR扩增;2) Nested PCR reaction: using the upstream primer CA and the downstream primer CB to carry out the first round of PCR amplification of the HBV DNA obtained in step 1), and then using the amplification product of the first round of PCR as a template, using the upstream Primer CC, downstream primer CD for the second round of PCR amplification;
3)根据PCR扩增产物的凝胶电泳结果判断是否出现目的条带。3) According to the gel electrophoresis results of the PCR amplification products, it is judged whether the target band appears.
进一步地,步骤1)中所述待测样品选自血清、血浆、全血、纯病毒培养物和携带此类病毒的媒介生物。Further, the sample to be tested in step 1) is selected from serum, plasma, whole blood, pure virus culture and vector organisms carrying such viruses.
进一步地,步骤2)中,第一轮PCR扩增反应条件如下:预变性:温度为94℃,时间是3min;变性:温度为94℃,时间是30s;退火:温度为55℃,时间30s;延伸:温度是72℃,时间是1min;经过34个变性退火延伸的循环后,再延伸,温度72℃,时间5min。Further, in step 2), the first round of PCR amplification reaction conditions are as follows: pre-denaturation: temperature is 94°C, time is 3min; denaturation: temperature is 94°C, time is 30s; annealing: temperature is 55°C, time is 30s ;Extension: the temperature is 72°C, and the time is 1min; after 34 cycles of denaturing annealing and extension, the temperature is 72°C, and the time is 5min.
进一步地,步骤2)中,第二轮PCR扩增反应条件如下:预变性:温度为94℃,时间是3min;变性:温度为94℃,时间是30s;退火:温度为55℃,时间30s;延伸:温度是72℃,时间是1min;经过34个变性退火延伸的循环后,再延伸,温度72℃,时间5min。Further, in step 2), the conditions of the second round of PCR amplification reaction are as follows: pre-denaturation: temperature is 94°C, time is 3min; denaturation: temperature is 94°C, time is 30s; annealing: temperature is 55°C, time is 30s ;Extension: the temperature is 72°C, and the time is 1min; after 34 cycles of denaturing annealing and extension, the temperature is 72°C, and the time is 5min.
如上所述,本发明的一种隐匿性乙肝病毒检测试剂盒及其检测方法,具有以下有益效果:本发明通过分析现有的隐匿性乙肝病毒感染诊断的巢式PCR引物,重新设计Core/pre-core区的引物,提高了检测效率,从而为今后在我国人群中检测隐匿性乙肝病毒感染奠定基础。As mentioned above, a occult hepatitis B virus detection kit and its detection method of the present invention have the following beneficial effects: the present invention redesigns the Core/pre The primers in the -core region improve the detection efficiency, thereby laying the foundation for the detection of occult hepatitis B virus infection in the Chinese population in the future.
附图说明Description of drawings
图1显示为本发明实施例Core/pre-core区引物C1、C3、C4检测HBsAg阴性儿童标本的凝胶电泳图。Figure 1 shows the gel electrophoresis images of HBsAg-negative children's specimens detected by primers C1, C3, and C4 in the Core/pre-core region of the embodiment of the present invention.
图2a显示为本发明实施例P4的C1、C3、C4引物检测的凝胶电泳图。Fig. 2a shows the gel electrophoresis image detected by the primers C1, C3 and C4 of Example P4 of the present invention.
图2b显示为本发明实施例P4的C1、C3、C4引物检测的核苷酸序列比对图。Fig. 2b shows the alignment of nucleotide sequences detected by primers C1, C3, and C4 in Example P4 of the present invention.
图3显示为本发明实施例新设计Core/pre-core区上游引物CA、下游引物CB、上游引物CC、下游引物CD检测HBV阳性标本的凝胶电泳图。Figure 3 shows the gel electrophoresis images of HBV-positive samples detected by the newly designed Core/pre-core region upstream primer CA, downstream primer CB, upstream primer CC, and downstream primer CD according to the embodiment of the present invention.
图4显示为本发明实施例Core/pre-core区上游引物CA、下游引物CB、上游引物CC、下游引物CD检测HBsAg阴性儿童标本的凝胶电泳图。Figure 4 shows the gel electrophoresis images of HBsAg-negative children's samples detected by the upstream primer CA, downstream primer CB, upstream primer CC, and downstream primer CD of the Core/pre-core region of the embodiment of the present invention.
图5a和图5b显示为本发明实施例中5例儿童的HBV Core/pre-core区核苷酸序列比对图。Figure 5a and Figure 5b show the comparison of the nucleotide sequences of the HBV Core/pre-core region of 5 children in the embodiment of the present invention.
具体实施方式Detailed ways
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。Embodiments of the present invention are described below through specific examples, and those skilled in the art can easily understand other advantages and effects of the present invention from the content disclosed in this specification. The present invention can also be implemented or applied through other different specific implementation modes, and various modifications or changes can be made to the details in this specification based on different viewpoints and applications without departing from the spirit of the present invention.
图2b、图5a和图5b所示的比对结果中,短横线“-”表示空白,小圆点“.”表示与HBVC基因相同的碱基。In the comparison results shown in Figure 2b, Figure 5a and Figure 5b, a dash "-" indicates a blank, and a dot "." indicates the same base as the HBVC gene.
主要的实验试剂:血清病毒DNA提取试剂盒,购自Qiagen公司;2×Taq PCR MasterMix(货号KT201-02、规格5ml、含有染料),100bp marker,购自天根生化科技(北京)有限公司;琼脂糖,购自HraGene公司;GoodViewTM核酸染料,购自北京赛百盛生物工程公司。Main experimental reagents: serum virus DNA extraction kit, purchased from Qiagen; 2×Taq PCR MasterMix (product number KT201-02, specification 5ml, containing dye), 100bp marker, purchased from Tiangen Biochemical Technology (Beijing) Co., Ltd.; Agarose was purchased from HraGene Company; GoodViewTM nucleic acid dye was purchased from Beijing Saibaisheng Bioengineering Company.
实验标本:重庆医科大学附属儿童医院住院的HBsAg阴性的儿童的血清标本100份,其纳入条件有:(1)患儿血清标本HBsAg阴性;(2)其母亲或/和父亲HBsAg阳性;(3)完成3次乙肝疫苗接种;(4)无输血史;(5)无其他肝炎病毒如HAV、HCV感染;(6)无HIV感染;(7)年龄在8月以上。收集HBV阳性的儿童的血清标本1例。Experimental samples: 100 serum samples of HBsAg-negative children hospitalized in the Children's Hospital Affiliated to Chongqing Medical University. ) completed 3 hepatitis B vaccinations; (4) no history of blood transfusion; (5) no other hepatitis virus such as HAV, HCV infection; (6) no HIV infection; (7) aged over 8 months. Serum samples were collected from 1 HBV positive child.
血清提取HBV DNA实验:使用血清病毒DNA提取试剂盒,按试剂盒操作说明,提取血清标本中的HBV DNA。Serum extraction of HBV DNA experiment: use the serum virus DNA extraction kit, according to the kit operating instructions, extract the HBV DNA in the serum samples.
巢式PCR实验:25μL的巢式PCR扩增反应体系如下:2×Taq PCR Master Mix 12.5μL,正向引物1μL,反向引物1μL,DNA模板(HBV DNA)5μL,ddH2O 5.5μL。Nested PCR experiment: 25 μL nested PCR amplification reaction system is as follows: 12.5 μL 2×Taq PCR Master Mix, 1 μL forward primer, 1 μL reverse primer, 5 μL DNA template (HBV DNA), 5.5 μL ddH 2 O.
巢式PCR反应参数如下:预变性:温度为94℃,时间是3min;变性:温度为94℃,时间是30s,退火:不同的反应引物温度不同,时间是30s,延伸:温度是72℃,时间是1min,经过34个变性退火延伸的循环后;再延伸,温度是72℃,时间是5min。Nested PCR reaction parameters are as follows: pre-denaturation: temperature is 94°C, time is 3min; denaturation: temperature is 94°C, time is 30s, annealing: temperature is different for different reaction primers, time is 30s, extension: temperature is 72°C, The time is 1 min, after 34 cycles of denaturation annealing and extension; the temperature of extension is 72° C., and the time is 5 min.
不同引物的退火温度不同,P区和S区的退火温度均为62℃,X区的退火温度为55℃,C区和PS区的退火温度为第一轮55℃,第二轮62℃;引物序列见下表1。The annealing temperature of different primers is different, the annealing temperature of P region and S region is 62°C, the annealing temperature of X region is 55°C, the annealing temperature of C region and PS region is 55°C in the first round, and 62°C in the second round; The primer sequences are shown in Table 1 below.
表1Table 1
新设计的Core/pre-core区引物:选择HBV DNA的Core/pre-core区基因的保守区域来设计引物,由生工生物工程(上海)股份有限公司合成。Newly designed Core/pre-core region primers: Select the conserved region of the Core/pre-core region gene of HBV DNA to design primers, which are synthesized by Sangon Bioengineering (Shanghai) Co., Ltd.
上游引物CA位于Core/pre-core区上游的1797-1815碱基区域,序列为:5’–GTCTGTTCACCAGCACCAT-3’(SEQ ID NO:1);The upstream primer CA is located in the 1797-1815 base region upstream of the Core/pre-core region, and the sequence is: 5'-GTCTGTTCACCAGCACCAT-3' (SEQ ID NO: 1);
下游引物CB位于Core/pre-core区的2377-2395碱基区域,序列为:5’–TCTGCGAGGCGAGGGAGTT-3’(SEQ ID NO:2);The downstream primer CB is located in the 2377-2395 base region of the Core/pre-core region, and the sequence is: 5'-TCTGCGAGGCGAGGGAGTT-3' (SEQ ID NO: 2);
上游引物CC位于Core/pre-core区的1877-1896碱基区域,序列为:5’–CTGTGCCTTGGGTGGCTTTG-3’(SEQ ID NO:3);The upstream primer CC is located in the 1877-1896 base region of the Core/pre-core region, and the sequence is: 5'-CTGTGCCTTGGGTGGCTTTG-3' (SEQ ID NO: 3);
下游引物CD位于Core/pre-core区的2345-2362碱基区域,序列为:5’–CCTGCCTCGTCGTCTAAC-3’(SEQ ID NO:4)。The downstream primer CD is located in the 2345-2362 base region of the Core/pre-core region, and the sequence is: 5'-CCTGCCTCGTCGTCTAAC-3' (SEQ ID NO: 4).
第一轮PCR扩增反应试剂的配置为:The configuration of the first round of PCR amplification reaction reagents is:
第一轮PCR扩增反应参数如下:预变性:温度为94℃,时间是3min;变性:温度为94℃,时间是30s,退火:第一轮退火温度55℃,时间是30s,延伸:温度是72℃,时间是1min,经过34个变性退火延伸的循环后;再延伸,温度是72℃,时间是5min。The parameters of the first round of PCR amplification reaction are as follows: pre-denaturation: temperature is 94°C, time is 3min; denaturation: temperature is 94°C, time is 30s, annealing: first round of annealing temperature is 55°C, time is 30s, extension: temperature It is 72°C, the time is 1min, after 34 cycles of denaturation annealing and extension; and then extended, the temperature is 72°C, and the time is 5min.
以第一轮PCR产物为模板,进行第二轮PCR反应。Using the first-round PCR product as a template, the second-round PCR reaction was carried out.
第二轮PCR扩增反应试剂的配置为:The configuration of the second round of PCR amplification reaction reagents is:
第二轮PCR扩增反应参数如下:预变性:温度为94℃,时间是3min;变性:温度为94℃,时间是30s,退火:第二轮退火温度55℃,时间是30s,延伸:温度是72℃,时间是1min,经过34个变性退火延伸的循环后;再延伸,温度是72℃,时间是5min。The parameters of the second round of PCR amplification reaction are as follows: pre-denaturation: temperature is 94°C, time is 3min; denaturation: temperature is 94°C, time is 30s, annealing: second round of annealing temperature is 55°C, time is 30s, extension: temperature It is 72°C, the time is 1min, after 34 cycles of denaturation annealing and extension; and then extended, the temperature is 72°C, and the time is 5min.
两轮巢式PCR产物分别进行琼脂糖凝胶电泳实验,制胶时加入GoodViewTM核酸染料,琼脂糖浓度为1%,电压160V,电泳时间20min,在凝胶成像系统中观察实验结果。预期实验结果:第一轮产物在600bp出现条带,第二轮产物在500bp出现条带。Two rounds of nested PCR products were subjected to agarose gel electrophoresis experiments respectively. GoodViewTM nucleic acid dye was added to the gel preparation, the agarose concentration was 1%, the voltage was 160V, and the electrophoresis time was 20 minutes. The experimental results were observed in the gel imaging system. Expected experimental results: the first-round product has a band at 600bp, and the second-round product has a band at 500bp.
实验结果如下:The experimental results are as follows:
1.原有引物的巢式PCR结果:用表1的引物检测HBV阳性儿童血清中的HBV DNA,电泳结果为:各区均能扩增出目的条带。1. Nested PCR results of the original primers: Use the primers in Table 1 to detect HBV DNA in the serum of HBV-positive children. The electrophoresis results are: the target bands can be amplified in all regions.
2.原有引物检测HBsAg阴性儿童血清中的HBV DNA结果:用表1中的引物检测HBsAg阴性儿童血清中的HBV DNA,电泳结果:Core/pre-core区扩增效果不好,出现除目的条带以外的多条带(见图1,注:1:ddH2O对照;2-11:10个HBsAg阴性标本;12:阴性对照;13:HBsAg阳性儿童标本;14:100bp marker)。100例儿童标本的Core/pre-core区中仅有P4出现较弱的目的条带(见图2a,注:1:P4;2:阴性对照;3:HBV阳性标本;4:100bp marker),测序的基因序列比对结果显示,P4基因序列见图2b,与HBV C基因型的基因序列比对发现其为HBV基因序列。即100份HBsAg阴性的标本中共有1个标本扩增出HBV C基因。2. The results of detecting HBV DNA in the serum of HBsAg-negative children with the original primers: use the primers in Table 1 to detect HBV DNA in the serum of HBsAg-negative children. Multiple bands other than bands (see Figure 1, Note: 1: ddH 2 O control; 2-11: 10 HBsAg-negative samples; 12: negative control; 13: HBsAg-positive children’s samples; 14: 100bp marker). In the Core/pre-core area of 100 children’s specimens, only P4 had a weak target band (see Figure 2a, Note: 1: P4; 2: Negative control; 3: HBV positive specimen; 4: 100bp marker), The comparison results of the sequenced gene sequences showed that the P4 gene sequence is shown in Figure 2b, and compared with the gene sequence of the HBV C genotype, it was found that it was the HBV gene sequence. That is, one of the 100 HBsAg-negative specimens amplified the HBV C gene.
SEQ ID NO:5所示为用于比对的HBV C基因序列;SEQ ID NO: 5 shows the HBV C gene sequence used for comparison;
SEQ ID NO:6所示为用于比对的P4基因序列,该序列由原有引物经过巢式PCR扩增后测序得到。SEQ ID NO: 6 shows the sequence of the P4 gene used for comparison, and the sequence is obtained by sequencing the original primers after nested PCR amplification.
4.新设计Core/pre-core区引物的巢式PCR结果:上游引物CA、下游引物CB为第一轮引物,上游引物CC、下游引物CD为第二轮引物,两轮巢式PCR实验,在凝胶成像系统中观察HBV阳性标本的电泳结果:第一轮PCR产物在600bp出现条带,第二轮PCR产物在500bp出现条带,即该引物成功扩增目的条带。电泳图见图3,注:1:ddH2O对照;2:阴性对照;3:HBV阳性标本;4:100bp marker。4. Nested PCR results of newly designed Core/pre-core region primers: upstream primer CA and downstream primer CB are the first round of primers, upstream primer CC and downstream primer CD are the second round of primers, two rounds of nested PCR experiments, Observe the electrophoresis results of the HBV-positive samples in the gel imaging system: the first round of PCR products has a band at 600 bp, and the second round of PCR products has a band at 500 bp, which means that the primers have successfully amplified the target band. The electropherogram is shown in Figure 3. Note: 1: ddH 2 O control; 2: negative control; 3: HBV positive sample; 4: 100bp marker.
5.新设计Core/pre-core区引物检测HBsAg阴性儿童血清中的HBV DNA结果:用新设计Core/pre-core区引物检测HBsAg阴性儿童血清中的HBV DNA,对比引物C1、C3、C4的结果发现,其电泳结果为:仅出现目的条带(见图4,注:1:ddH2O对照;2-11:10个HBsAg阴性标本;12:阴性对照;13:HBsAg阳性儿童标本;14:100bp marker),100例儿童标本中有5例标本出现目的条带,测序的基因序列比对结果显示见图5a和图5b,与HBV C基因型的基因序列比对发现其均为HBV基因序列,即100份HBsAg阴性的标本中共有5个标本扩增出HBV C基因。5. Newly designed Core/pre-core region primers for detection of HBV DNA in the serum of HBsAg-negative children: use the newly designed Core/pre-core region primers to detect HBV DNA in the serum of HBsAg-negative children, and compare the results of primers C1, C3, and C4 It was found that the electrophoresis results were: only the target band appeared (see Figure 4, Note: 1: ddH 2 O control; 2-11: 10 HBsAg negative samples; 12: negative control; 13: HBsAg positive children's samples; 14 : 100bp marker), 5 of the 100 children’s specimens had the target bands, the sequence comparison results of the sequenced genes are shown in Figure 5a and Figure 5b, and compared with the gene sequence of the HBV C genotype, it was found that they were all HBV genes The HBV C gene was amplified in 5 specimens out of 100 HBsAg-negative specimens.
5个标本的测序结果如下:The sequencing results of the five samples are as follows:
SEQ ID NO:7所示为用于比对的P4基因序列,该序列由本实施例设计的引物经过巢式PCR扩增后测序得到;SEQ ID NO: 7 shows the P4 gene sequence used for comparison, which is obtained by sequencing the primers designed in this example after nested PCR amplification;
SEQ ID NO:8所示为用于比对的P17基因序列,该序列由本实施例设计的引物经过巢式PCR扩增后测序得到;SEQ ID NO: 8 shows the P17 gene sequence used for comparison, which is obtained by sequencing the primers designed in this example after nested PCR amplification;
SEQ ID NO:9所示为用于比对的P23基因序列,该序列由本实施例设计的引物经过巢式PCR扩增后测序得到;SEQ ID NO: 9 shows the P23 gene sequence used for comparison, which is obtained by sequencing the primers designed in this example after nested PCR amplification;
SEQ ID NO:10所示为用于比对的P29基因序列,该序列由本实施例设计的引物经过巢式PCR扩增后测序得到;SEQ ID NO: 10 shows the P29 gene sequence used for comparison, which is obtained by sequencing the primers designed in this example after nested PCR amplification;
SEQ ID NO:11所示为用于比对的P72基因序列,该序列由本实施例设计的引物经过巢式PCR扩增后测序得到。SEQ ID NO: 11 shows the sequence of the P72 gene used for comparison, which is obtained by nested PCR amplification of the primers designed in this example and sequenced.
对实验结果的分析如下:The analysis of the experimental results is as follows:
隐匿性乙肝病毒感染已被证实与肝硬化、原发性肝癌等疾病的发生发展密切相关,还可能增加输血、透析、肝移植等患者感染HBV的风险,其具有较大的潜在危害性。隐匿性乙肝病毒感染根据乙肝核心抗体(Hepatits B core Antibody,HBcAb)及乙肝表面抗体(Hepatits B surface Antibody,HBsAb)是否为阳性又可划分为血清学阳性OBI和血清学阴性OBI,血清学阳性OBI是乙肝核心抗体阳性,伴或不伴乙肝表面抗体阳性;血清学阴性是两者皆阴性。Occult hepatitis B virus infection has been proven to be closely related to the occurrence and development of liver cirrhosis, primary liver cancer and other diseases, and may also increase the risk of HBV infection in patients with blood transfusion, dialysis, liver transplantation, etc., which has great potential harm. Occult HBV infection can be divided into serologically positive OBI and serologically negative OBI according to whether the hepatitis B core antibody (Hepatits B core Antibody, HBcAb) and hepatitis B surface antibody (Hepatits B surface Antibody, HBsAb) are positive, and serologically positive OBI is hepatitis B core antibody positive, with or without hepatitis B surface antibody positive; seronegative is negative for both.
目前检测HBV DNA是检测隐匿性乙肝病毒感染的金标准。隐匿性乙肝病毒感染的检测利用针对HBV不同基因高度保守区域的特异性引物进行灵敏度高的巢式PCR或者实时定量PCR。巢式PCR检测中一般检测HBV基因组至少3个保守区域,例如S区、X区、C区。因巢式PCR的灵敏度较高,为了降低实验过程中出现的假阳性现象,每次实验必须同时设置阴性对照及空白对照,在阴性对照及空白对照的结果均阴性时,样本的阳性结果才能采纳。Currently, detection of HBV DNA is the gold standard for detection of occult HBV infection. The detection of occult hepatitis B virus infection uses specific primers for highly conserved regions of different HBV genes to perform nested PCR or real-time quantitative PCR with high sensitivity. Nested PCR detection generally detects at least 3 conserved regions of the HBV genome, such as S region, X region, and C region. Due to the high sensitivity of nested PCR, in order to reduce false positives during the experiment, a negative control and a blank control must be set up for each experiment. When the results of the negative control and the blank control are negative, the positive results of the sample can be adopted. .
因此,本实施例收集了100份HBsAg阴性儿童血清标本,通过提取标本的HBV DNA并进行巢式PCR实验,根据电泳结果及测序结果,发现:引物C1、C3、C4扩增HBV C基因时,只有P4出现目的条带,且该目的条带较弱,测序得到其基因序列,通过与HBV C基因型的基因序列比对发现,两段基因序列的相似性较高,即P4的基因序列是HBV基因序列。Therefore, the present embodiment collected 100 HBsAg-negative children's serum specimens. By extracting the HBV DNA of the specimens and performing a nested PCR experiment, according to the results of electrophoresis and sequencing results, it was found that when primers C1, C3, and C4 amplify the HBV C gene, Only the target band appeared in P4, and the target band was weak, and its gene sequence was obtained by sequencing, and compared with the gene sequence of HBV C genotype, it was found that the similarity of the two gene sequences was high, that is, the gene sequence of P4 was HBV gene sequence.
在巢式PCR实验过程中引物设计起着重要作用。PCR引物设计不合理,易导致实验结果出现偏差:电泳结果表现为可扩增出目的条带之外的多个条带,目的条带较弱或不出现目的条带等。本实施例通过对Core/pre-core区的引物C1、C3、C4进行验证,发现其电泳结果出现目的条带之外的多条带。分析其引物,发现该引物存在以下问题:(1)引物C1的3’端出现3个以上的连续碱基GGG,可能导致错误引发几率增加;(2)引物C4的3’端末位碱基为A,其在错配位置导致扩增效率明显高于其他碱基;(3)引物C3的GC含量高于60%,且上下游引物的GC含量相差过大,不利于PCR反应的进行。针对以上问题,同时根据我国的HBV基因型分布情况,本实施例重新设计Core/pre-core区的引物,并通过验证发现该引物可用来扩增HBV DNA。Primer design plays an important role in nested PCR experiments. Improper design of PCR primers can easily lead to deviations in experimental results: electrophoresis results show that multiple bands other than the target band can be amplified, and the target band is weak or does not appear. In this example, through the verification of the primers C1, C3, and C4 in the Core/pre-core region, it was found that multiple bands other than the target band appeared in the electrophoresis results. The primers were analyzed and found to have the following problems: (1) more than 3 consecutive bases GGG appear at the 3' end of primer C1, which may lead to an increase in the probability of false priming; (2) the base at the 3' end of primer C4 is A, its amplification efficiency at the mismatched position is significantly higher than that of other bases; (3) The GC content of primer C3 is higher than 60%, and the difference between the GC content of the upstream and downstream primers is too large, which is not conducive to the PCR reaction. In view of the above problems, and according to the distribution of HBV genotypes in my country, this embodiment redesigned the primers for the Core/pre-core region, and found through verification that the primers can be used to amplify HBV DNA.
本实施例通过用新设计上游引物CA、CB、CC、CD检测100份HBsAg阴性儿童血清标本,发现5例标本成功扩增出目的条带。测序分别得到5例标本的基因序列,通过与HBV C基因型的基因序列比对,发现这些基因序列与HBV的相似性较高,可见点突变,这5例标本的基因序列均为HBV基因序列。即在引物C1、C3、C4成功扩增出目的基因的P4标本中,新设计的CA、CB、CC、CD引物也成功扩增出目的基因;同时,在引物C1、C3、C4未扩增出目的基因的4例标本中,新设计的CA、CB、CC、CD引物成功扩增出目的基因。新设计的CA、CB、CC、CD引物大大提高了检测效率。In this example, by using the newly designed upstream primers CA, CB, CC, and CD to detect 100 serum samples of HBsAg-negative children, it was found that the target bands were successfully amplified in 5 samples. The gene sequences of 5 specimens were obtained by sequencing, and compared with the gene sequences of HBV C genotype, it was found that these gene sequences were highly similar to HBV, and point mutations could be seen. The gene sequences of these 5 specimens were all HBV gene sequences . That is, in the P4 specimen in which the target gene was successfully amplified by primers C1, C3, and C4, the newly designed primers CA, CB, CC, and CD also successfully amplified the target gene; Among the 4 specimens with the target gene, the newly designed CA, CB, CC, CD primers successfully amplified the target gene. The newly designed CA, CB, CC, CD primers greatly improved the detection efficiency.
综上所述,本发明根据我国HBV的基因型,通过对HBV基因的保守序列进行分析,从而设计出适用于中国人群中隐匿性乙肝病毒感染诊断的引物。In summary, according to the genotype of HBV in my country, the present invention designs primers suitable for diagnosing occult HBV infection in the Chinese population by analyzing the conserved sequence of the HBV gene.
HBV B基因型和C基因型的Core/pre-core区序列完全一致,因此,本发明的引物主要适用于HBV B基因型和C基因型乙肝病毒感染的诊断。The sequences of the Core/pre-core regions of HBV B genotype and C genotype are completely consistent, therefore, the primers of the present invention are mainly suitable for the diagnosis of HBV B genotype and C genotype hepatitis B virus infection.
上述实施例仅例示性说明本发明的原理及其功效,而非用于限制本发明。任何熟悉此技术的人士皆可在不违背本发明的精神及范畴下,对上述实施例进行修饰或改变。因此,举凡所属技术领域中具有通常知识者在未脱离本发明所揭示的精神与技术思想下所完成的一切等效修饰或改变,仍应由本发明的权利要求所涵盖。The above-mentioned embodiments only illustrate the principles and effects of the present invention, but are not intended to limit the present invention. Anyone skilled in the art can modify or change the above-mentioned embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or changes made by those skilled in the art without departing from the spirit and technical ideas disclosed in the present invention should still be covered by the claims of the present invention.
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4.Raimondo G,Allain J P,Brunetto M R,et al.Statements from theTaormina expert meeting on occult hepatitis B virus infection[J].J Hepatol,2008;49(4):652-657.4. Raimondo G, Allain J P, Brunetto M R, et al. Statements from the Taormina expert meeting on occult hepatitis B virus infection [J]. J Hepatol, 2008; 49(4):652-657.
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6.Shahmoradi S,Yahyapour Y,Mahmoodi M,et al.High prevalence of occulthepatitis B virusinfection in children born to HBsAg positive mothers despiteprophylaxis with hepatitis Bvaccination and HBIG[J].J Hepatol,2012;57:515–521.6. Shahmoradi S, Yahyapour Y, Mahmoodi M, et al. High prevalence of occulthepatitis B virus infection in children born to HBsAg positive mothers despite prophylaxis with hepatitis Bvaccination and HBIG [J]. J Hepatol, 2012; 57:515–521.
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8.Hollinger F B,Habibollahi P,Daneshmand A,et al.Occult hepatitis Binfection in chronic hemodialysis patients:current concepts and strategy[J].Hepatitis Monthly.2010,19(2):175.8.Hollinger F B, Habibollahi P, Daneshmand A, et al.Occult hepatitis Binfection in chronic hemodialysis patients: current concepts and strategy[J].Hepatitis Monthly.2010,19(2):175.
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SEQUENCE LISTING SEQUENCE LISTING
<110> 重庆医科大学附属儿童医院<110> Children's Hospital Affiliated to Chongqing Medical University
<120> 隐匿性乙肝病毒检测试剂盒及其检测方法<120> Occult hepatitis B virus detection kit and its detection method
<130> PCQYK<130> PCQYK
<160> 11<160> 11
<170> PatentIn version 3.5<170> PatentIn version 3.5
<210> 1<210> 1
<211> 19<211> 19
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> 上游引物CA<223> upstream primer CA
<400> 1<400> 1
gtctgttcac cagcaccat 19gtctgttcac cagcaccat 19
<210> 2<210> 2
<211> 19<211> 19
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> 下游引物CB<223> downstream primer CB
<400> 2<400> 2
tctgcgaggc gagggagtt 19tctgcgaggc gagggagtt 19
<210> 3<210> 3
<211> 20<211> 20
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> 上游引物CC<223> Upstream Primer CC
<400> 3<400> 3
ctgtgccttg ggtggctttg 20ctgtgccttgggtggctttg 20
<210> 4<210> 4
<211> 18<211> 18
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> 下游引物CD<223> downstream primer CD
<400> 4<400> 4
cctgcctcgt cgtctaac 18cctgcctcgt cgtctaac 18
<210> 5<210> 5
<211> 639<211> 639
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> HBV C<223> HBV C
<400> 5<400> 5
atgcaacttt ttcacctctg cctaatcatc tcatgttcat gtcctactgt tcaagcctcc 60atgcaacttt ttcacctctg cctaatcatc tcatgttcat gtcctactgt tcaagcctcc 60
aagctgtgcc ttgggtggct ttggggcatg gacattgacc cgtataaaga atttggagca 120aagctgtgcc ttgggtggct ttggggcatg gacattgacc cgtataaaga atttggagca 120
tctgtggagt tactctcttt tttgccttct gacttctttc cttctattcg agatctcctc 180tctgtggagt tactctcttt tttgccttct gacttctttc cttctattcg agatctcctc 180
gacaccgcct ctgctctgta tcgggaggcc ttagagtctc cggaacattg ttcacctcac 240gacaccgcct ctgctctgta tcgggaggcc ttagagtctc cggaacattg ttcacctcac 240
catacagcac tcaggcaagc tattctgtgt tggggtgagt taatgaatct ggccacctgg 300catacagcac tcaggcaagc tattctgtgt tggggtgagt taatgaatct ggccacctgg 300
gtgggaagta atttggaaga cccagcatcc agggaattag tagtcagcta tgtcaatgtt 360gtgggaagta atttggaaga cccagcatcc agggaattag tagtcagcta tgtcaatgtt 360
aatatgggcc taaaaatcag acaactattg tggtttcaca tttcctgtct tacttttgga 420aatatgggcc taaaaatcag acaactattg tggtttcaca tttcctgtct tacttttgga 420
agagaaactg ttcttgagta tttggtgtct tttggagtgt ggattcgcac tcctcccgct 480agagaaactg ttcttgagta tttggtgtct tttggagtgt ggattcgcac tcctcccgct 480
tacagaccac caaatgcccc tatcttatca acacttccgg aaactactgt tgttagacga 540tacagaccac caaatgcccc tatcttatca aacacttccgg aaactactgt tgttagacga 540
cgaggcaggt cccctagaag aagaactccc tcgcctcgca gacgaaggtc tcaatcgccg 600cgaggcaggt cccctagaag aagaactccc tcgcctcgca gacgaaggtc tcaatcgccg 600
cgtcgcagaa gatctcaatc tcgggaatct caatgttag 639cgtcgcagaa gatctcaatc tcgggaatct caatgttag 639
<210> 6<210> 6
<211> 460<211> 460
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P4C<223> P4C
<400> 6<400> 6
ctcataatgt gccttgggtg gctttggggc atggacattg acccgtataa agaatttgga 60ctcataatgt gccttgggtg gctttggggc atggacattg accccgtataa agaatttgga 60
gcttctgtgg agttactctc ttttttgcct tctgacttct ttccttctat tcgagatctc 120gcttctgtgg agttactctc ttttttgcct tctgacttct ttccttctat tcgagatctc 120
ctcgacaccg cctctgctct gtatcgggag gccttagagt ctccggaaca ttgttcacct 180ctcgacaccg cctctgctct gtatcgggag gccttagagt ctccggaaca ttgttcacct 180
caccatacgg cactcaggca agctatcctg tgttggggtg agttgatgaa tctagccacc 240caccatacgg cactcaggca agctatcctg tgttggggtg agttgatgaa tctagccacc 240
tgggtgggaa gtaatttgga agatccagca tccagggaat tagtagtcag ctatgtcaac 300tgggtgggaa gtaatttgga agatccagca tccagggaat tagtagtcag ctatgtcaac 300
gttaatatgg gcctaaaaat cagacaacta ttgtggtttc acatttcctg tcttactttt 360gttaatatgg gcctaaaaat cagacaacta ttgtggtttc aatttcctg tcttactttt 360
gggagagaaa ctgttcttga atatttggtg tcttttggag tgtggattcg cactcctcct 420gggagagaaa ctgttcttga atatttggtg tcttttggag tgtggattcg cactcctcct 420
gcatatagac caccaaatgc ccctatctta tcaacacttc 460gcatatagac caccaaatgc ccctatctta tcaacacttc 460
<210> 7<210> 7
<211> 432<211> 432
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P4CD<223> P4CD
<400> 7<400> 7
agataggggc atttggtggt ctatatgcag gaggagtgcg aatccacact ccaaaagaca 60agataggggc atttggtggt ctatatgcag gaggagtgcg aatccaacact ccaaaagaca 60
ccaaatattc aagaacagtt tctctcccaa aagtaagaca ggaaatgtga aaccacaata 120ccaaatattc aagaacagtt tctctcccaa aagtaagaca ggaaatgtga aaccacaata 120
gttgtctgat ttttaggccc atattaacgt tgacatagct gactactaat tccctggatg 180gttgtctgat ttttaggccc atattaacgt tgacatagct gactactaat tccctggatg 180
ctggatcttc caaattactt cccacccagg tggctagatt catcaactca ccccaacaca 240ctggatcttc caaattactt cccacccagg tggctagatt catcaactca ccccaacaca 240
ggatagcttg cctgagtgcc gtatggtgag gtgaacaatg ttccggagac tctaaggcct 300ggatagcttg cctgagtgcc gtatggtgag gtgaacaatg ttccggagac tctaaggcct 300
cccgatacag agcagaggcg gtgtcgagga gatctcgaat agaaggaaag aagtcagaag 360cccgatacag agcagaggcg gtgtcgagga gatctcgaat agaaggaaag aagtcagaag 360
gcaaaaaaga gagtaactcc acagaagctc caaattcttt atacgggtca atgtccatgc 420gcaaaaaaga gagtaactcc acagaagctc caaattcttt atacgggtca atgtccatgc 420
cccaaagcca ca 432cccaaagcca ca 432
<210> 8<210> 8
<211> 437<211> 437
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P17CD<223> P17CD
<400> 8<400> 8
gataagatag gggcatttgg tggtctgtaa gcaggaggag tgcgaatcca cactccaaaa 60gataagatag gggcattgg tggtctgtaa gcaggagggag tgcgaatcca cactccaaaa 60
gataccaaat actcaaggac agtttctctt ccaaaagtaa gacaggaaat gtgaaaccac 120gataccaaat actcaaggac agtttctctt ccaaaagtaa gacaggaaat gtgaaaccac 120
agtagttgtc tgatttttag gcccatgtta acattgacat agctgactac taattccctg 180agtagttgtc tgatttttag gcccatgtta acattgacat agctgactac taattccctg 180
gatgctgggt cttccaaatt acttcccacc caggtggcca gattcatcaa ctcaccccaa 240gatgctgggt cttccaaatt acttcccacc caggtggcca gattcatcaa ctcaccccaa 240
cacagaatag cttgcctgag tgcagtatgg tgaggtgagc aatgttccgg agactctaag 300cacagaatag cttgcctgag tgcagtatgg tgaggtgagc aatgttccgg agactctaag 300
gcctcccgat atagagcaga ggcggtgtcg aggagatctc gaatagaagg aaagaagtca 360gcctcccgat atagagcaga ggcggtgtcg aggagatctc gaatagaagg aaagaagtca 360
gacggcaaaa aagagagtaa ctccacagaa gctccaaatt ctttatacgg gtcaatgtcc 420gacggcaaaa aagagagtaa ctccacagaa gctccaaatt ctttatacgg gtcaatgtcc 420
atgccccaaa gccacaa 437atgccccaaa gccacaa 437
<210> 9<210> 9
<211> 434<211> 434
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P23CD<223> P23CD
<400> 9<400> 9
tgatagatag gggcatttgg tggtctgtaa gcaggaggag tgcgaatcca cactccaaaa 60tgatagatag gggcatttgg tggtctgtaa gcaggagggag tgcgaatcca cactccaaaa 60
gataccaaat actcaaggac agtttctctt ccaaaagtaa gacaggaaat gtgaaaccac 120gataccaaat actcaaggac agtttctctt ccaaaagtaa gacaggaaat gtgaaaccac 120
agtagttgtc tgatttttag gcccatgtta acattgacat agctgactac taattccctg 180agtagttgtc tgatttttag gcccatgtta acattgacat agctgactac taattccctg 180
gatgctgggt cttccaaatt acttcccacc caggtggcca gattcatcaa ctcaccccaa 240gatgctgggt cttccaaatt acttcccacc caggtggcca gattcatcaa ctcaccccaa 240
cacagaatag cttgcctgag tgcagtatgg tgaggtgagc aatgttccgg agactctaag 300cacagaatag cttgcctgag tgcagtatgg tgaggtgagc aatgttccgg agactctaag 300
gcctcccgat atagagcaga ggcggtgtcg aggagatctc gaatagaagg aaagaagtca 360gcctcccgat atagagcaga ggcggtgtcg aggagatctc gaatagaagg aaagaagtca 360
gacggcaaaa aagagagtaa ctccacagaa gctccaaatt ctttatacgg gtcaatgtcc 420gacggcaaaa aagagagtaa ctccacagaa gctccaaatt ctttatacgg gtcaatgtcc 420
atgccccaaa gccc 434atgccccaaa gccc 434
<210> 10<210> 10
<211> 430<211> 430
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P29CD<223> P29CD
<400> 10<400> 10
agataggggc atttggtggt ctgtaagcag gaggagtgcg aatccacacc ccaaaagata 60agataggggc atttggtggt ctgtaagcag gaggagtgcg aatccacacc ccaaaagata 60
ccaaatactc aagggcagtt tctcttccaa aagtaagaca ggaaatgtga aaccacagta 120ccaaatactc aagggcagtt tctcttccaa aagtaagaca ggaaatgtga aaccacagta 120
gttgtctgat ttttaggccc atgttaacat tgacatagct gactactaat tccctggatg 180gttgtctgat ttttaggccc atgttaacat tgacatagct gactactaat tccctggatg 180
ctgggtcttc caaattactt cccacccagg tggccagatt catcaactca ccccaacaca 240ctgggtcttc caaattactt cccacccagg tggccagatt catcaactca ccccaacaca 240
gaatagcttg cctgagtgca gtatggtgag gtgagcaatg ttccggagac tctaaggcct 300gaatagcttg cctgagtgca gtatggtgag gtgagcaatg ttccggagac tctaaggcct 300
cccgatatag agcagaggcg gtgtcgagga gatctcgaat agaaggaaag aagtcagacg 360cccgatatag agcagaggcg gtgtcgagga gatctcgaat agaaggaaag aagtcagacg 360
gcaaaaaaga gagtaactcc acagaagctc caaattcttt atacgggtca atgtccatgc 420gcaaaaaaga gagtaactcc acagaagctc caaattcttt atacgggtca atgtccatgc 420
cccaaagccc 430cccaaagccc 430
<210> 11<210> 11
<211> 426<211> 426
<212> DNA<212>DNA
<213> Artificial<213> Artificial
<220><220>
<223> P72CD<223> P72CD
<400> 11<400> 11
ggggcatttg gtggtctgta agcaggagga gtgcgaatcc acactccaaa agataccaaa 60ggggcatttg gtggtctgta agcaggagga gtgcgaatcc acactccaaa agataccaaa 60
tactcaagga cagtttctct tccaaaagta agacaggaaa tgtgaaacca cagtagttgt 120tactcaagga cagtttctct tccaaaagta agacaggaaa tgtgaaacca cagttttgt 120
ctgattttta ggcccatgtt aacattgaca tagctgacta ctaattccct ggatgctggg 180ctgattttta ggcccatgtt aacattgaca tagctgacta ctaattccct ggatgctggg 180
tcttccaaat tacttcccac ccaggtggcc agattcatca actcacccca acacagaata 240tcttccaaat tacttcccac ccaggtggcc agattcatca actcacccca aacacagaata 240
gcttgcctga gtgcagtatg gtgaggtgag caatgttccg gagactctaa ggcctcccga 300gcttgcctga gtgcagtatg gtgaggtgag caatgttccg gagactctaa ggcctcccga 300
tatagagcag aggcggtgtc gaggagatct cgaatagaag gaaagaagtc agacggcaaa 360tatagagcag aggcggtgtc gaggagatct cgaatagaag gaaagaagtc agacggcaaa 360
aaagagagta actccacaga agctccaaat tctttatacg ggtcaatgtc catgccccaa 420aaagagagta actccacaga agctccaaat tctttatacg ggtcaatgtc catgccccaa 420
agcccc 426agcccc 426
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| CN109852732A (en) * | 2019-04-02 | 2019-06-07 | 重庆医科大学附属儿童医院 | The invisible hepatitis B detection kit of quantitative fluorescent PCR |
| CN113549707A (en) * | 2020-04-24 | 2021-10-26 | 利多(香港)有限公司 | Methods, oligonucleotides and kits for HBV genotype detection |
| CN117431338A (en) * | 2023-10-25 | 2024-01-23 | 深圳市血液中心(深圳市输血医学研究所) | Kit and method for detecting hepatitis B virus based on nested PCR and fluorescent PCR |
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| CN101619365A (en) * | 2009-03-06 | 2010-01-06 | 中国人民解放军第二军医大学 | Kit for detecting hepatitis B virus variation |
| CN103582648A (en) * | 2011-04-21 | 2014-02-12 | Isis制药公司 | Modulation of hepatitis b virus (HBV) expression |
| CN104694665A (en) * | 2013-12-10 | 2015-06-10 | 中国人民解放军第二军医大学 | Kit for detecting pre-S region variation of advanced liver disease related hepatitis B virus |
| CN105296671A (en) * | 2015-12-01 | 2016-02-03 | 广西壮族自治区疾病预防控制中心 | High-sensitivity nest type PCR primer and method for detecting hepatitis B virus BCP |
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| CN101619365A (en) * | 2009-03-06 | 2010-01-06 | 中国人民解放军第二军医大学 | Kit for detecting hepatitis B virus variation |
| CN103582648A (en) * | 2011-04-21 | 2014-02-12 | Isis制药公司 | Modulation of hepatitis b virus (HBV) expression |
| CN104694665A (en) * | 2013-12-10 | 2015-06-10 | 中国人民解放军第二军医大学 | Kit for detecting pre-S region variation of advanced liver disease related hepatitis B virus |
| CN105296671A (en) * | 2015-12-01 | 2016-02-03 | 广西壮族自治区疾病预防控制中心 | High-sensitivity nest type PCR primer and method for detecting hepatitis B virus BCP |
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