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Hepatic abscess-causing Klebsiella pneumoniae specific gene sequence lak and its application

A technology for Klebsiella pneumoniae and Klebsiella pneumoniae liver, which is applied in the field of medical disease diagnosis and treatment drug selection, can solve the problems of easy missed diagnosis, delayed diagnosis of Klebsiella pneumoniae liver abscess, and low culture positive rate, etc. Highly specific effect

Active Publication Date: 2018-10-19
LISHUI CENT HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, the bacteria in the abscess cavity are mostly dead bacteria due to the use of antibiotics in the early stage of the patient and the phagocytosis and lysis of a large number of white blood cells, and the positive rate of culture is low
Klebsiella pneumoniae can be isolated and cultured from blood, combined with imaging results of liver abscess space, can also make a speculative diagnosis of Klebsiella pneumoniae liver abscess, but if it is an early liver abscess, the abscess cavity is hidden, and imaging The academic performance is not obvious, if you do not pay attention, it is easy to miss the diagnosis
In addition, blood culture takes a long time, and it takes 24-48 hours from the positive blood culture alarm to the final identification of the strain, which delays the diagnosis of Klebsiella pneumoniae liver abscess

Method used

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  • Hepatic abscess-causing Klebsiella pneumoniae specific gene sequence lak and its application
  • Hepatic abscess-causing Klebsiella pneumoniae specific gene sequence lak and its application
  • Hepatic abscess-causing Klebsiella pneumoniae specific gene sequence lak and its application

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Experimental program
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Effect test

Embodiment 1

[0034] The screening process of specific gene sequences combines the next-generation sequencing technology (Next-Generation Sequencing, NGS), comparative genomics (Comparative Genomics) and bioinformatics (Bioinformatics) methods, and uses scientific statistical methods to analyze sequences in multiple The specificity of the distribution in the Klebsiella pneumoniae genome was tested, and PCR validation was performed in the isolated Klebsiella pneumoniae and non-hepatoabscess Klebsiella pneumoniae to determine the sequence in Klebsiella pneumoniae. Specificity in Lebsiella. The specific implementation process is as follows:

[0035] Pathogen isolation and identification:

[0036] 1. Enrollment of patients with suspected Klebsiella pneumoniae liver abscess. Patients with clinically suspected Klebsiella pneumoniae liver abscess were screened according to the following criteria:

[0037] (1) Clinical manifestations of the patient: fever, chills and abdominal pain;

[0038] (2...

Embodiment 2

[0061]Gene-specific verification:

[0062] The specific steps for the verification of three hepatic abscess-causing Klebsiella pneumoniae-specific genes in clinically isolated strains are:

[0063] 1. Select clinically isolated hepatic abscess and non-hepatic abscess Klebsiella pneumoniae bacterial strains for detection of sdm (shown in SEQ ID NO.1), lak (shown in SEQ ID NO.3) and asnC (shown in SEQ ID NO.3) .2) specificity in hepatoabscess-causing Klebsiella pneumoniae. 17 strains of Klebsiella pneumoniae isolated from the abscess of patients with liver abscess were selected as the detection group (hepatic abscess group), and 17 strains of Klebsiella pneumoniae isolated from non-Klebsiella pneumoniae patients with liver abscess were selected as negative controls group (non-hepatic abscess-induced group). At the same time, other common pathogenic bacteria (other pathogenic bacteria groups) isolated clinically were also selected to further verify the specificity of these fact...

Embodiment 3

[0086] Application of sdm, lak and asnC sequences or primers designed based on their sequences in the preparation of Klebsiella pneumoniae liver abscess diagnostic kit:

[0087] The design idea of ​​this experiment is as follows: the clinically obtained blood culture samples are divided into a blood culture positive group and a healthy person negative group, where the blood culture positive group refers to all samples with bacteria cultured in the blood, not limited to the blood cultured with pneumonia. Lebsiella, including cultures of other pathogenic bacteria. Use PCR to detect the presence of specific factors (i.e. sdm, lak and asnC) in positive blood culture samples and negative blood culture samples, and finally analyze the corresponding analysis of the PCR results and the patient's final clinical diagnosis, so as to judge whether the method provided by the present invention is suitable for Detection rate of Klebsiella pneumoniae liver abscess.

[0088] 1. Collection of ...

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Abstract

The invention provides a liver abscess inducing Klebsiella pneumonia specific gene sequence lak and an application thereof. The sequence of the liver abscess inducing Klebsiella pneumonia specific gene sequence lak is represented by SEQ ID NO.3. The gene specifically exists in liver abscess inducing Klebsiella pneumonia, and can be used as a Klebsiella pneumonia induced liver abscess diagnosis marker. The invention also provides primers TATCCGCTCAGACAACGACAT and CCGATAATCAGTGCCAGAAAG of the lak sequence. The primers can specifically amplify the lak sequence. The sequence and the primers thereof, provided by the invention, have very high specificity, can be used to diagnose Klebsiella pneumonia induced liver abscess, and have commercial exploitation values.

Description

technical field [0001] The invention relates to the field of medical disease diagnosis and drug selection for treatment, in particular to the gene-specific sequence of Klebsiella pneumoniae causing liver abscess and lak and its application. Background technique [0002] Klebsiella pneumoniae (K.pneumoniae subsp.pneumonia), belonging to the Enterobacteriaceae family, is negative for Gram staining, has a thick capsule, most of which have pili, no spores and flagella, and parasitizes human skin and nasopharynx It can cause severe pneumonia, urinary tract infection and bloodstream infection, etc. It is a common clinical opportunistic pathogen (Li B, Zhao Y, LiuC, Chen Z, Zhou D. Molecular pathogenesis of Klebsiella pneumoniae . Future Microbiol, 2014; 9(9): 1071-81). [0003] Liver Abscess (LA) is a secondary infectious disease that occurs in the liver, which can be caused by bacteria, fungi, parasites, etc. The center of the infected lesion liquefies necrosis, tissue dissolves...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): C12Q1/689C12Q1/10C12N15/11C12R1/22
CPCC12Q1/689
Inventor 邵初晓黄金伟尤伟波叶美萍任建敏涂建飞朱涛辉虞作春张彦亮
Owner LISHUI CENT HOSPITAL
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