Method and kit for detecting Helicobacter pylori drug resistance gene mutations

A Helicobacter pylori and kit technology, applied in biochemical equipment and methods, microbial measurement/testing, DNA/RNA fragments, etc., can solve problems such as time-consuming, complex and expensive equipment and processes, and limited detection throughput

Active Publication Date: 2020-11-27
北京健为医学检验实验室有限公司 +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Chinese patents CN109797203A "Helicobacter pylori detection system and detection kit and application" and CN111334592A "a nucleic acid composition for detecting Helicobacter pylori drug resistance gene and its kit and application" respectively disclose the Fluorescent quantitative PCR amplification system for identification, typing and antibiotic resistance. However, due to the technical limitations of the current fluorescent quantitative PCR method, one detection reaction can only realize the simultaneous detection of several sites at most, and the detection throughput is limited. When It will be limited when more gene mutation points need to be detected
On the other hand, the conventional fluorescent quantitative PCR method may not be able to meet the needs of rapid detection of large samples
Chinese patent CN105368825A "Helicobacter pylori antibiotic resistance analysis kit and drug resistance detection method" and CN105506160A "Helicobacter pylori quantitative and virulence multiple gene detection system and its kit and application" both disclose a method based on multiplex PCR - Capillary electrophoresis analysis of antibiotic resistance of Helicobacter pylori commonly used in the same reaction system, but capillary electrophoresis can only be typed according to fragment size, and has high uniformity and specificity for multiplex PCR amplification Require
However, due to the complex and expensive equipment and processes of chip detection and high-throughput sequencing (next-generation and third-generation sequencing), the detection cost is high and time-consuming, so it is mainly used for the correlation research between genotype and phenotype drug resistance. On the one hand, it is rarely used in the clinical molecular detection of Helicobacter pylori

Method used

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  • Method and kit for detecting Helicobacter pylori drug resistance gene mutations
  • Method and kit for detecting Helicobacter pylori drug resistance gene mutations
  • Method and kit for detecting Helicobacter pylori drug resistance gene mutations

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0131] In the method for highly sensitive detection / or identification of drug resistance sites of Helicobacter pylori provided in this example, the samples to be tested include: some positive plasmids, positive samples with known drug resistance by sequencing, and negative sample controls. Including the following steps:

[0132] (1) For 43 common Helicobacter pylori drug resistance sites, design 43 specific site primers, select specific conserved sequences, design PCR primers, use a pair of PCR primers, with 10 at the 5' end of the primers The base (ACGTTGGATG) sequence, so that the total length reaches 29 bases or more, distinguishes the primer from the probe from the molecular weight. Design a single-base extension probe in the conserved sequence region in the amplification region, the length of the probe is 15-27 bases, and at the 3' end of the probe, it is allowed to extend a base determined by design as the genotype Specific sequence markers, with a total length of no mo...

Embodiment 2

[0153] Example 2 Specificity Determination

[0154] Using Escherichia coli, Staphylococcus aureus, Campylobacter jejuni, Candida albicans, Enterococcus faecium, Streptococcus pneumoniae, Salmonella paratyphi A and human genomic DNA nucleic acid as templates, multiplex PCR-time-of-flight mass spectrometry detection kit of the present invention As a result, no false positive results occurred, indicating that the kit of the present invention has good specificity.

Embodiment 3

[0155] Example 3 Clinical Sample Detection

[0156] Using the method for highly sensitive detection / or identification of Helicobacter pylori drug-resistant loci established in the present invention, the nucleic acid samples of 100 cases of Helicobacter pylori positive patients were detected, and the commercially available single-plex fluorescent quantitative PCR detection kit was used for verification.

[0157] The results show:

[0158] Among the 100 positive samples, both the single-plex fluorescent quantitative PCR and the multiplex PCR-time-of-flight mass spectrometry detection method of the present invention detected 100 positive samples, and the positive detection rate was 100%. Among them, 7 cases of tetracycline resistance, 3 cases of clarithromycin resistance, 2 cases of quinolone resistance, 18 cases of amoxicillin resistance, 15 cases of metronidazole resistance were identified, and the remaining samples were infected by sensitive strains.

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Abstract

The invention provides a method and kit for detecting Helicobacter pylori drug resistance gene mutations. Specifically, the method detects drug resistance gene site mutations of five commonly used Helicobacter pylori antibiotics (including clarithromycin, metronidazole, quinolones, amoxicillin and tetracycline) based on multiplex PCR-Time-of-flight mass spectrometry, and matching primer and probecombinations and the kit are provided.

Description

technical field [0001] The invention belongs to the field of biological technology, in particular, the invention relates to a kit for detecting the mutation of the drug-resistant gene of Helicobacter pylori. Background technique [0002] Helicobacter pylori ( H. pylori ) is a microaerophilic Gram-negative bacterium that colonizes gastric epithelial cells. It infects about 50% to 70% of the world's population. In some developing countries, the infection rate is even as high as 80%. It is one of the most common pathogens in the world. Can cause gastrointestinal disorders, including peptic ulcer disease, gastric marginal zone / mucosa-associated lymphoid tissue (MALT) lymphoma, and gastric cancer. Helicobacter pylori has been classified as a class I carcinogen by the World Health Organization and the International Agency for Research on Cancer (IARC). According to statistics, more than 6% of cancers worldwide and about 90% of noncardia gastric cancer cases are attributed to Hel...

Claims

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Application Information

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IPC IPC(8): C12Q1/689C12Q1/6858C12Q1/04C12N15/11
CPCC12Q1/6858C12Q1/689C12Q2600/16C12Q2531/113C12Q2537/143C12Q2565/627C12Q2533/101C12Q2521/525
Inventor 王冬郭金海刘淑君王春香
Owner 北京健为医学检验实验室有限公司
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