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Development and Clinical Application of a Single-tube Nested PCR Method to Amplify the DNA Polymerase Ⅰ Gene of Treponema Pallidum 被引量:2
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作者 曾铁兵 吴移谋 +1 位作者 黄澍杰 吴志周 《Chinese Journal of Sexually Transmitted Infections》 2004年第2期101-104,i004,共5页
Objective: To develop a sensitive, specific and simple method for detection of extremely low numbers of T. pallidum in clinical specimens, as a significant addition to the serologic tests for syphilis diagnosis. Metho... Objective: To develop a sensitive, specific and simple method for detection of extremely low numbers of T. pallidum in clinical specimens, as a significant addition to the serologic tests for syphilis diagnosis. Methods: Double-tube nested PCR(DN-PCR) and single-tube nested PCR(SN-PCR) assays were performed to amplify specific fragments of the DNA poly-merase I gene(polA) of T. pallidum. Sensitivity and specificity of the two PCR assays were tested. Eighty-six whole blood specimens from persons with suspected syphilis were detected by the two nested PCR methods. The TPPA test was used as a comparison for detecting syphilis in sera from corresponding patients. Results: Only specific amplicons could be obtained during amplification of the T. pallidum polA gene and the detection limit was approximately 1 organism when analyzed on gel by the two PCR methods. Of 86 clinical specimens, 62 were positive by TPPA. Of these, 54 and 51 were positive by the DN-PCR and SN-PCR, respectively, which does not represent a statistically significant difference between the two PCR tests. Of 24 TPPA-negative specimens, 5 were positive by both DN-PCR assay and SN-PCR assay. Conclusion: The SN- polA PCR method is extremely sensitive, specific and easy to perform for detecting low numbers of T. pallidum in clinical blood specimens as a complementary to serology for syphilis diagnosis. 展开更多
关键词 nested polymerase chain reaction(PCR) DNA polymerase gene(polA) treponema pallidum whole blood
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Construction and Expression of Tp0453 Recombinant Protein of Treponema pallidum and Development of Indirect ELISA for Diagnosinq Syphilis 被引量:1
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作者 刘双全 吴移谋 +1 位作者 赵飞骏 曾铁兵 《Chinese Journal of Sexually Transmitted Infections》 2005年第1期30-34,共5页
Objectives: To clone and express Tp0453 outer membrane protein of Treponema pallidum, and to evaluate its significance in the serodiagnosis of syphilis. Methods: The immuno-dominant epitope of Tp0453 gene was amplif... Objectives: To clone and express Tp0453 outer membrane protein of Treponema pallidum, and to evaluate its significance in the serodiagnosis of syphilis. Methods: The immuno-dominant epitope of Tp0453 gene was amplified from the complete genome of T.pallidum by polymerase chain reactions (PCR), subcloned into the expression vector Pqe32 to generate recombinant plasmid Pqe32/Tp0453, and was then expressed in E. coli M15. The fusion protein was purified with Ni-NTA affinity purification. Indirect ELISA was developed to detect human serum IgG antibody to T. pallidum. Results: The recombinant Tp0453 protein was successfully expressed and purified. The recombinant protein had a molecular weight of approximately 32KDa.Indirect ELISA to the recombinant protein was developed.Sixty control sera were tested by ELISA and yielded a sensitivity of 100% (30/30) and a specificity of 100% (30/30). While testing for T. pallidum in human sera, the sensitivity and specificity of ELISA were 96.8% and 100%, respectively, when compared with TPPA test results. The concordance of results between the ELISA test and the TPPA test was 98.2%. Conclusion: The recombinant Tp0453 outer membrane protein elicited a strong immunoreaction to anti-T.pallidum IgG antibody and has great potential use in ELISA for the serodiagnosis of syphilis. 展开更多
关键词 treponema pallidum recombinant protein SERODIAGNOSIS enzyme link immunosorbent assay
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Treponema pallidum and Haemophilus ducreyi DNA detection by A Multi-Nested Polymerase Chain Reaction
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作者 郑和平 黄进梅 +2 位作者 吴兴中 SylviaBruisten 胡玉山 《Chinese Journal of Sexually Transmitted Infections》 2004年第2期89-91,i003,共4页
Objectives: To develop a multi-nested polymerase chain reaction in an assay to detect early Treponema pallidum and Haemophilius ducreyi DNA in the swabs of genital ulcers. Methods: Four pairs of outer and inner primer... Objectives: To develop a multi-nested polymerase chain reaction in an assay to detect early Treponema pallidum and Haemophilius ducreyi DNA in the swabs of genital ulcers. Methods: Four pairs of outer and inner primers, specific to the basic membrane protein gene of Treponema pallidum and to the 16s rRNA gene of H ducreyi were synthesized. The multi-nested PCR was developed and applied to detect Treponema pallidum and Haemophilus dicreyi in clinical swabs. Result: The two samples of standard strains of Haemophilus ducreyi and one Treponema pallidum were amplified and showed 309-bp rRNA gene of Haemophilus ducreyi and 506-bp DNA of Treponema palidum, respectively. Out of 51 samples of genital ulcer detected, 29 showed Treponema pallidum positive product and no Haemophilus ducreyi DNA was found. Conclusion: The multi-nested PCR for Treponema pallidum and Haemophilus ducreyi could be useful for early detection and distinguishing diagnosis between syphilis and chancroid. 展开更多
关键词 Multi-nested PCR treponema pallidum Haemophilus ducreyi
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CLINICAL EVALUATION OF FOUR RECOMBINANT TREPONEMA PALLIDUM ANTIGEN-BASED RAPID TESTS IN THE DIAGNOSIS OF SYPHILIS 被引量:2
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作者 Lin-na Wang Lei Yang He-yi Zheng 《Chinese Medical Sciences Journal》 CAS CSCD 2007年第4期250-253,共4页
Objective To assess the sensitivity, specificity, and feasibility of 4 recombinant Treponema pallidum antigenbased rapid tests in the diagnosis of syphilis. Methods A total of 970 outpatients were selected from the S... Objective To assess the sensitivity, specificity, and feasibility of 4 recombinant Treponema pallidum antigenbased rapid tests in the diagnosis of syphilis. Methods A total of 970 outpatients were selected from the Sexually Transmitted Diseases Centre of Peking Union Medical College Hospital. Venous blood was collected and serum was extracted. T. paUidum antibodies in whole blood, anticoagulant whole blood, and serum were detected using 4 recombinant T. pallidum antigen-based rapid tests. T. pallidum haemagglutination test (TPHA) was considered as the gold standard for the detection of T. pallidum specific antibodies in serum. The sensitivities and specificities of four methods were analyzed. Results The sensitivities and specificities of Abbott Determine Syphilis TP test, SD-BIOLINE Syphilis 3.0 test, VISITECT-SYPHILIS test, and Syphicheck-WB test for serum specimens were 100% and 98. 9%, 95.7% and 98.0%, 94.6% and 98.2%, 68.1% and 98.9% ; for whole blood were 74. 1% and 99. 5%, 87.9% and 99.4% , 73.2% and 99.7%, 64. 7% and 99.7%. The observed sensitivities of the 4 rapid diagnosis tests were not significantly different with TPHA ( P 〉 0.05 ). Conclusions The 4 rapid tests show good performance and characteristics in the diagnosis of syphilis. Furthermore, they are more sensitive for serum specimens than whole blood. 展开更多
关键词 SYPHILIS DIAGNOSIS treponema pallidum ANTIGEN RECOMBINANT
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口腔螺旋体新种Treponema putidum的多位点序列分析
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作者 莫思溯 鲍炜 李鸣宇 《微生物学免疫学进展》 2017年第2期17-23,共7页
目的应用多位点序列分析方法鉴定一种与齿垢密螺旋体(Treponema denticola,T.denticola)近似的新种口腔螺旋体细菌Treponema putidum(T.putidum)。方法选用16S r RNA,rec A和pyr H基因构建5种T.putidum菌株和7种T.denticola菌株以及其... 目的应用多位点序列分析方法鉴定一种与齿垢密螺旋体(Treponema denticola,T.denticola)近似的新种口腔螺旋体细菌Treponema putidum(T.putidum)。方法选用16S r RNA,rec A和pyr H基因构建5种T.putidum菌株和7种T.denticola菌株以及其他相关临床分离株之间的最大似然进化树和贝叶斯进化树。通过分析两种进化树的拓扑结构,鉴定它们之间的亲缘关系。结果从最大似然进化树和贝叶斯进化树可见,T.putidum和T.denticola菌种几乎为同一系统来源,但是它们又能被彻底分开。结论 T.putidum是一种与口腔致病菌T.denticola相似而又不同的新型菌种。 展开更多
关键词 口腔螺旋体 treponema putidum 多位点序列分析
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Construction of the Eukaryotic Expression Vector for Outer Membrane Protein Tp92 from Treponema pallidum and Its Preliminary Study on the Immune Responses in New Zealand Rabbits 被引量:7
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作者 赵飞骏 吴移谋 +1 位作者 刘双全 余敏君 《Journal of Microbiology and Immunology》 2004年第3期191-196,共6页
To construct the recombinant plasmid of eukaryotic expression containing Tp92 gene from Treponema pallidum and study its immunogenicity in New Zealand white rabbits. Tp92 gene was amplified from the genomic DNA of T. ... To construct the recombinant plasmid of eukaryotic expression containing Tp92 gene from Treponema pallidum and study its immunogenicity in New Zealand white rabbits. Tp92 gene was amplified from the genomic DNA of T. pallidum by polymerase chain reaction (PCR) and subcloned into appropriate site of pcDNA3.1(+) vector. After identification by sequencing and restrictive enzyme digestion, the recombinant plasmid was transfected into HeLa cells using liposome, and the expressed protein was identified by immunocytochemistry and Western blotting. After verifying that the Tp92 antigen gene fragment could be expressed in HeLa cells, 100?μg of recombinant plasmids [pcDNA3.1(+)-Tp92], 100 μg of control plasmids [pcDNA3.1(+)] or 0.5 ml PBS buffer were administered in 3 groups of New Zealand white rabbits (6 rabbits/group), and the booster immunizations were employed at 2-week interval for 3 times. ELISA assay was used for the quantitative detection of the specific antibody in the sera of rabbits, and the proliferation response of spleen cells was detected by MTT assay. It was found that the target gene Tp92 segment about 2103 bp was obtained, and the DNA sequence of Tp92 gene constructed in pcDNA3.1 (+) vector was consistent with the published nucleotide sequence. The homologies of the nucleotide and putative amino acid sequences of Tp92 gene between T.pallidum subsp. pallidum Nichols and various pathogenic treponeme strains were 95.5%-100%. The analysis of immunocytochemistry and Western blotting showed that Tp92 gene segment constructed in pcDNA3.1(+) vector could express a fusion protein with a calculated molecular mass of 77 kDa in HeLa cells and the expressed protein could react with positive blood serum from syphilis patient. The specific antibody IgG titers were observed and the highest titer was 1∶1024 in rabbits after 3 times with pcDNA3.1(+)-Tp92. The proliferation response of spleen cells were significantly higher than that of rabbits injected with pcDNA3.1(+) ( P <0.05). The successful expression of the eukaryotic expression plasmid of Tp92 gene from T. pallidum was obtained in eukaryotic system and strong responses of humoral and cellular immunity was evoked by DNA vaccine of pcDNA3.1(+)-Tp92 in rabbits thus establishing a solid basis for the future studies in the biological activities and for the development of the syphilis DNA vaccine. 展开更多
关键词 treponema pallidum DNA vaccine Tp92 gene Immune response
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Expression and purification of the recombinant outermembrane protein Tp0453 of Treponema pallidum and its characterization of immuno-competence 被引量:3
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作者 SHUANGQUANLIU YIMOUWU FEIJUNZHAO TIEBINGZENG WEIGUOYIN 《Journal of Microbiology and Immunology》 2005年第1期47-52,共6页
To clone and express the recombinant outer membrane protein Tp0453 of Treponema pallidum and to analyze the immuno-reactivity and immunogenicity of the expressed protein, the immuno-dominant epitope of the Tp0453 was ... To clone and express the recombinant outer membrane protein Tp0453 of Treponema pallidum and to analyze the immuno-reactivity and immunogenicity of the expressed protein, the immuno-dominant epitope of the Tp0453 was amplified from the complete genome of T.pallidum by PCR, subcloned into expression vector pQE32 to generate the recombinant plasmid pQE32/Tp0453, then expressed in E.coli M15 and analyzed by SDS/PAGE and Western blotting. The fusion protein expressed was purified with Ni-NTA affinity chromatography. Its immuno-reactivity was assayed by indirect ELISA, and the immunogenicity was determined by immunization with this fusion protein in New Zealand rabbits. In the present study, a fusion protein of molecular weight about 32 kDa was obtained. As demonstrated by Western blotting, the recombinant protein could react specifically with positive IgG sera of patients with syphilis, and the antibodies against T.pallidum in human sera were successfully detected by indirect ELISA. Both the sensitivity and specificity of ELISA based on the Tp0453 fusion protein as were 100% (30/30) when detected with control sera. In comparison with the results of IgG ELISA with those of TPPA. It was found that the sensitivity of ELISA was 96.8% and the specificity was 100%. The difference of ELISA and TPPA was not significant, and the concordance of results between ELISA and TPPA was 98.2%. In addition, specific humoral responses could be elicited by immunization with the recombinant fusion protein in New Zealand rabbits with a specific antibody titer of 1∶1280 after 3 successive doses of immunization. These results demonstrate that the expressed recombinant fusion protein shows excellent immuno-competence and provide foundation to develop a quick diagnostic kid applied to detect the presence of T.pallidum infections. 展开更多
关键词 treponema pallidum Recombinant protein TP0453 Immuno-competence
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Eukaryotic expression of outer membrane protein Gpd from Treponema pallidum and preliminary studies on its immune response in rabbits 被引量:2
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作者 FEI JUN ZHAO YI Mou WU +3 位作者 XIAO HONG ZHANG SnUANG QUAN LIU MIN JUN YU LI SHENG ZHAN 《Journal of Microbiology and Immunology》 2005年第2期94-100,共7页
The Gpd gene was amplified from the genomic DNA of Treponema the appropriate site of pcDNA3.1 ( + ) vector. The expression of pcDNA3. I was tested with Western blotting and technology of immunoeytochemisty. New mun... The Gpd gene was amplified from the genomic DNA of Treponema the appropriate site of pcDNA3.1 ( + ) vector. The expression of pcDNA3. I was tested with Western blotting and technology of immunoeytochemisty. New munized with the eukaryotic expression recombinant pcDNA3, 1 ( + )-Gpd pallidum and cloned into ( + )-Gpd in Hel,a cells Zealand rabbits were imA fusion protein of C, pd with 4.1 kDa has been effectively expressed in HeLa cells, which were detected bv Western blotting and the immunocytochemistry techniques. The New Zealand rabbits were able to elicit the specific antibody after immunization with the nucleic acid vaccine. The antibody titer could reach as high as 1 : 1024 after 2 weeks of the third injection; and the splenocytes proliferated evidently due to the Gpd protein stimulation. Both the antibody titer and the splenocytes proliferation were higher substantially than those of controls ( P 〈 0.01 ). All above data will contribute to an experimental basis of further study of the biological function of Gpd protein as well as DNA vaccine for syphilis. 展开更多
关键词 treponema pallidum DNA vaccine Cpd gene Immune response
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Detection of Treponema pallidum,Herpes Simplex Virus,and Haemophilus ducreyi from Genital Ulcers by Multiples Polymerase Chain Reaction
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作者 周华 傅笑冰 +4 位作者 熊礼宽 杨帆 洪福昌 曾序春 董时富 《Chinese Journal of Sexually Transmitted Infections》 2001年第1期34-39,共6页
Objective: To evaluate the clinical application of multiplex PCR inthe detection of Treponema pallidum, Herpes simplex virus (HSV), andHaemophilus ducreyi. Method: Three standard strains were used to set up a multiple... Objective: To evaluate the clinical application of multiplex PCR inthe detection of Treponema pallidum, Herpes simplex virus (HSV), andHaemophilus ducreyi. Method: Three standard strains were used to set up a multiplexPCR (MPCR) for detecting syphilis, herpes genitalis, and chancroidsimultaneously. Samples from 122 patients with genital ulcer disease(GUD) were subjected to MPCR and the results were compared withthose of dark-field microscopy and TP serology, HSV antigen ELISA,and H. ducreyi culture. Results: In the 122 patients with GUD, MPCR identified 34 casesof T. pallidum infection, 40 cases of HSV infection, and 2 cases of mixedinfection of T. pollidum and herpes. No positive results of H. ducreyiwere found. The sensitivity of MPCR to T. pallidum and herpes was100% and 93.3%, respectively. The sensitivities of dark-field mi-croscopy and TP serology, HSV antigen ELISA, and H. ducreyi cul-ture was 35.3%, 50% and 100%, respectively. Conclusion: MPCR showed a relatively higher sensitivity for T.pallidum as compared with the routine techniques. Although its sensi-tivity for HSV was not as good as that of antigen ELISA, it also yieldeda high detection rate. MPCR can detect more than one pathogen. It issimple, quick, sensitive, and suitable for clinical use or epidemiologicalinvestigation. 展开更多
关键词 Multiplex PCR treponema pallidum Herpes Simplex Virus Haemophilus ducreyi
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The Construction of the Eukaryotic Expression Vector of Glycerophosphodiester Phosphodiesterase Gene from Treponema pallidum and its Expression in Hela Cells
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作者 赵飞骏 吴移谋 +2 位作者 刘双全 张晓红 余敏君 《Chinese Journal of Sexually Transmitted Infections》 2005年第1期24-29,共6页
Objective: To construct the recombinant plasmid containing Glycerophosphodiester phosphodiesterase (Gpd) gene from Treponema pallidum and transfect it into Hela cells to express the encoded outer membrane protein. Met... Objective: To construct the recombinant plasmid containing Glycerophosphodiester phosphodiesterase (Gpd) gene from Treponema pallidum and transfect it into Hela cells to express the encoded outer membrane protein. Methods: The Gpd gene was amplified from the genomic DNA of T.pallidum by polymerase chain reaction (PCR) and inserted into cloning vector pUCm-T. The inserted Gpd gene was subcloned into the appropriate site of pcDNA3.1(+) vector. After identification by sequencing and restrictive enzymes digestion, the recombinant plasmid was transfected into Hela cells using liposomes. The expressed protein was identified by immunocytochemistry and Western blot. Results: The target Gpd gene segment was approximately 1059bp. The DNA sequence of the Gpd gene contained in the pcDNA3.1(+) vector was consistent with the published nucleotide sequence. The homology of the nucleotide and putative amino acid sequences of the Gpd gene between T. pallidum subsp. pallidum Nichols and various pathogenic treponemal strains ranged from 98% to 100%. Immunocytochemistry and Western blot analysis showed that the constructed Gpd-pcDNA3.1(+) vector expressed a fusion protein with a calculated molecular mass of 41KDa in Hela cells and that the expressed protein reacted with the sera from syphilis patients. Conclusion: The successful construction and expression of the eukaryotic expression plasmid of the Gpd gene from T.pallidum provide a promising tool to further study the biological activity of T.pallidum and develop a DNA vaccine for syphilis. 展开更多
关键词 treponema pallidum DNA vaccine Gpdgene Eukaryotic Expression
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Cloning and Expression of the Tpp17 Gene of Treponema pallidum And Clinical Application
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作者 熊礼宽 周华 +4 位作者 王慧 姜维娜 洪福昌 曾序春 罗斌 《Chinese Journal of Sexually Transmitted Infections》 2001年第1期23-29,共7页
Objective: To obtain recombinant Treponema pallidumsubsp pallidum (TP 17KD) lipoprotein in large quantities byamplification and to further purify antigens for laboratorydiagnosis of syphilis and development of a syphi... Objective: To obtain recombinant Treponema pallidumsubsp pallidum (TP 17KD) lipoprotein in large quantities byamplification and to further purify antigens for laboratorydiagnosis of syphilis and development of a syphilis vaccine. Method: The Tpp17 lipoprotein gene was amplified fromthe TP(strain Nichols), and then it was recombinated into aplasmid pMAL-2c and cloned within E coli l2-TB1. The hostbacteria containing recombinant plasmids were induced withIPTG. The Tpp 17KD lipoprotein gene was amplified by us-ing PCR and positive clones were screened with double diges-tion and PCR. Recombinant plasmids were transformed intoE. coli and the E coli carrying recombinant plasmids wereinduced. The expression of TP 17KD was detected by sodiumdedecyl sulfate-polyacrylamide gel electrophoresis(SDS-PAGE) and immunoblot. Results:Gel staining with Coomassie blue G-250 showedthat the induced E coli carrying recombinant plasmid couldproduce 60KD fusion protein at high levels. Gel scanningshowed that 17KD protein expression in E coli accounted for10% of total cellular protein. The recombinant protein antigenreacted with the sera of syphilis patients. Conclusion: Our study lays a cornerstone for developingnew techniques of laboratory diagnosis for syphilis and newvaccines. Preliminary clinical application showed that thefusion protein could be used for the diagnosis of syphilis. 展开更多
关键词 treponema pallidum subspecies pallidum Gene expression Recombinant plasmid Western blot
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Chemical Synthesis of a Key Precursor Relevant to the Tetrasaccharide Repeating Unit from Treponema medium ATCC 700293
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作者 Wenbin Sun Guangzong Tian +4 位作者 Meiru Ding Chunjun Qin Xiaopeng Zou Jing Hu Jian Yin 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2024年第14期1615-1622,共8页
Treponema is a Gram-negative anaerobic bacterium,among which the pathogenic Treponema can cause various diseases,such as venereal syphilis(Treponema pallidum),yaws(Treponema carateum),and oral diseases(Treponema denti... Treponema is a Gram-negative anaerobic bacterium,among which the pathogenic Treponema can cause various diseases,such as venereal syphilis(Treponema pallidum),yaws(Treponema carateum),and oral diseases(Treponema denticola and Treponema medium).Although different from conventional lipopolysaccharides,the extracellular glycoconjugate of Treponema may still be a potential antigen and provide a candidate for vaccine development.Hence,we completed the first chemical synthesis of Treponema medium ATCC 700293 tetrasaccharide precursor containing L-ornithine(L-Orn)and D-aspartic acid(D-Asp)derivatives.The efficiency of non-reducing end disaccharide formation has been improved by optimizing the assembly of the protecting groups in the donors and acceptors.Our[3+1]glycosylation strategy attempted to reduce the length of the acceptor to increase the nucleophilicity of the hydroxyl group,thereby improving the efficiency of synthesizing the target tetrasaccharide.The L-Orn derivative was introduced at the final stage due to its influence on the glycosylation stereospecificity and efficiency.Therefore,the successful introduction of two amino acid derivatives and the synthesis of a tetrasaccharide precursor with complex functional-group modifications have provided valuable insights for synthesizing other complex bacterial glycans. 展开更多
关键词 Glycosylation Total synthesis treponema medium ATCC 700293 Tetrasaccharide precursor Protecting group OLIGOSACCHARIDES Regioselectivity Neighboring-group effects
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梅毒实验室诊断的研究现状与展望
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作者 童曼莉 朱晓桢 +1 位作者 林丽蓉 杨天赐 《厦门大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第5期906-916,共11页
[背景]近年来,梅毒发病数呈逐年上升趋势,引起广泛关注,已成为全球性公共卫生问题.鉴于梅毒病程的隐匿性、复杂性和多样性,迫切需要高灵敏度的诊断方法和有效的疗效监测指标,以实现梅毒的早诊断和早治疗.[进展]本文对梅毒实验室检测方... [背景]近年来,梅毒发病数呈逐年上升趋势,引起广泛关注,已成为全球性公共卫生问题.鉴于梅毒病程的隐匿性、复杂性和多样性,迫切需要高灵敏度的诊断方法和有效的疗效监测指标,以实现梅毒的早诊断和早治疗.[进展]本文对梅毒实验室检测方法及诊断程序的研究现状进行综述.病原学检查可以直接确诊感染,但易受取材部位及取材方法等因素影响,灵敏度较低.血清学检测是梅毒诊断的主要检测方法,但由于抗体至少在感染2周后才产生,难以筛查窗口期的患者.由于血清学诊断程序的行业标准尚未统一,各实验室对3种血清学诊断程序的选择也不尽相同.聚合酶链式反应(polymerase chain reaction,PCR)对于一期或二期梅毒患者皮损组织具有较高灵敏度和特异度,但对于较易获得的血液样本,其梅毒螺旋体(Treponema pallidum)DNA检出率低,国内至今尚无获得医疗器械注册证的梅毒PCR检测试剂,无法应用于临床检测.[展望]首先,研发梅毒螺旋体抗体和非特异性抗体联合检测试剂,避免单一试验假阴性造成的漏诊;其次,开展血液、脑脊液、尿液等标本的梅毒螺旋体抗原谱研究,缩短检测的窗口期;最后,引入质量管理体系,制定梅毒分子诊断的统一标准. 展开更多
关键词 梅毒 梅毒螺旋体 病原学检查 血清学检测 分子生物学检测
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活动性梅毒患者梅毒血清特异性抗体水平与体内免疫球蛋白水平的相关性研究
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作者 王瑶 丁洁 +4 位作者 杨倩 施银娟 梁玉婷 何杨 张胜 《中国免疫学杂志》 CAS CSCD 北大核心 2024年第8期1584-1589,共6页
目的:探究活动性梅毒患者梅毒血清特异性抗体水平(TPAb)与体内免疫球蛋白A/E/M/G(IgA/E/M/G)及IgG亚型的相关性,为临床梅毒的综合诊疗与预后评估提供依据。方法:选取2023年就诊于苏州大学附属第一医院的活动性梅毒患者,根据梅毒甲苯胺... 目的:探究活动性梅毒患者梅毒血清特异性抗体水平(TPAb)与体内免疫球蛋白A/E/M/G(IgA/E/M/G)及IgG亚型的相关性,为临床梅毒的综合诊疗与预后评估提供依据。方法:选取2023年就诊于苏州大学附属第一医院的活动性梅毒患者,根据梅毒甲苯胺红不加热血清试验(TRUST)分为1∶4+与1∶16+两组,另选取健康对照组,均进行化学发光微粒子免疫检测(CMIA)测定TPAb,免疫比浊法测定IgA/E/M/G及IgG1/2/3/4含量。结果:本次共纳入活动性梅毒患者206例(男性125例,女性81例),年龄(46.05±19.58)岁。相对健康对照组,可见活动性梅毒组IgG2降低,TPAb、IgA/E/M/G和IgG1/3/4水平均升高,其中TPAb、IgE、IgG1/2/3水平差异具有统计学意义(P<0.05)。相比于健康对照组,TRUST 1∶4+组TPAb、IgE、IgG2差异具有统计学意义,TPAb与IgE、IgG2/4存在相关性;而TRUST 1∶16+组TPAb、IgA/E/M/G、IgG1/2/3水平差异均具有统计学意义,TPAb与IgE、IgG4存在相关性(P<0.05)。另外,TRUST阳性组之间的TPAb、IgG和IgG1/3水平差异具有统计学意义(P<0.05)。结论:不同TRUST滴度的活动性梅毒患者TPAb与Ig水平存在较大差异,TPAb联合Ig可用于监测梅毒活动性强弱,IgA/M/G及IgG1/3可能成为候选生物标志物。 展开更多
关键词 活动性梅毒 梅毒血清特异性抗体(TPAb) 免疫球蛋白 IGG亚型 相关性分析
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抗-TP阳性献血者中抗病毒治疗药物使用情况分析
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作者 许晓绚 朱蕊 +6 位作者 张爱佳 刘宜仲 戚陈英 李彤 陈婷婷 曾劲峰 王立林 《国际检验医学杂志》 CAS 2024年第14期1692-1698,共7页
目的了解深圳市梅毒螺旋体(TP)抗体(抗-TP)阳性献血者中抗逆转录病毒治疗(ART)药物使用情况,评估人类免疫缺陷病毒(HIV)诊疗新趋势带来的血液安全风险。方法采用分层随机抽样方法选取2019年3月至2023年1月深圳地区血液筛查合格的重复献... 目的了解深圳市梅毒螺旋体(TP)抗体(抗-TP)阳性献血者中抗逆转录病毒治疗(ART)药物使用情况,评估人类免疫缺陷病毒(HIV)诊疗新趋势带来的血液安全风险。方法采用分层随机抽样方法选取2019年3月至2023年1月深圳地区血液筛查合格的重复献血者60例(阴性对照组),规律服用已知ART药物人群3例(阳性对照组),抗-TP阳性/抗-HIV阴性献血者353例(实验1组),抗-TP阳性/抗-HIV阳性献血者25例(实验2组),应用高效液相色谱-串联质谱(HPLC-MS/MS)方法检测各组血浆样本中8种ART药物浓度,分析ART药物使用情况。结果阳性对照组血浆采用1∶6稀释混样后ART药物仍可检出,实验1组和实验2组1∶6人份混合血浆阳性样本经拆分确证,实验2组检出1例ART药物阳性样本,该样本抗-HIV、蛋白免疫印迹、HIV RNA阳性,抗TP阳性献血者ART药物检出率为0.26%,实验1组ART药物检出率为0.00%,实验2组ART药物检出率为4.00%。结论深圳地区抗-TP阳性献血者中发现使用ART药物情况,合并HIV感染及高危性行为人群更可能使用ART药物。 展开更多
关键词 无偿献血者 抗逆转录病毒治疗药物 梅毒螺旋体 检出率 血液安全
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2019—2023年江西省血液中心无偿献血者人类免疫缺陷病毒及梅毒螺旋体感染现状及特征分析
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作者 余薇 樊璐 +1 位作者 刘强 李琳波 《护理研究》 北大核心 2024年第22期4124-4128,共5页
目的:调查2019—2023年江西省血液中心无偿献血者人类免疫缺陷病毒(HIV)及梅毒螺旋体(TP)感染现状,并分析其特征。方法:选取2019年1月—2023年12月江西省血液中心的408605名无偿献血者血液标本进行调查,对标本进行HIV、TP项目常规检测,... 目的:调查2019—2023年江西省血液中心无偿献血者人类免疫缺陷病毒(HIV)及梅毒螺旋体(TP)感染现状,并分析其特征。方法:选取2019年1月—2023年12月江西省血液中心的408605名无偿献血者血液标本进行调查,对标本进行HIV、TP项目常规检测,HIV反应性标本送HIV确证实验室进行确证。结果:2019—2023年无偿献血者HIV初筛阳性率为0.062%,TP初筛阳性率为0.227%,总阳性率为0.289%。各年度初筛总阳性率比较,差异有统计学意义(P<0.05)。免疫印迹法确证检测结果显示,34名无偿献血者为HIV阳性,HIV阳性率为0.008%。2019—2023年的无偿献血者中,女性HIV及TP初筛阳性率(0.324%)高于男性(0.268%),45~<56岁的无偿献血者HIV及TP初筛阳性率(0.542%)较高,研究生HIV及TP初筛阳性率(0.160%)较低,初筛阳性率随学历降低而呈现升高的趋势,农民HIV及TP初筛阳性率(0.629%)较高,初次献血者HIV及TP初筛阳性率(0.417%)较高。2019—2023年34名HIV确证阳性的献血者中,女性占比(5.882%)低于男性(94.118%),18~<25岁者占比(50.000%)最高,学生占比(41.176%)最高。结论:不同特征的无偿献血者HIV及TP检测结果存在差异,可通过加强健康教育和“献血后回告”宣教、强化献血前征询与筛查、构建区域性的献血者监测系统和艾滋病疫情管理共享系统等方式推进我国血液安全。 展开更多
关键词 无偿献血 人类免疫缺陷病毒(HIV) 梅毒螺旋体(TP) 血液安全
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齿垢密螺旋体与慢性牙周炎关系的研究进展
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作者 符静 王彬娉 《口腔颌面修复学杂志》 2024年第3期223-227,共5页
齿垢密螺旋体(Treponema denticola,Td)是一种革兰氏阴性厌氧菌,属解糖密螺旋体。慢性牙周炎(chronic periodontitis,CP)是一种由细菌侵犯牙周组织而引起的慢性炎症,细菌是CP发生发展的始动因子,堆积在牙面及龈沟内的细菌及其产物会诱... 齿垢密螺旋体(Treponema denticola,Td)是一种革兰氏阴性厌氧菌,属解糖密螺旋体。慢性牙周炎(chronic periodontitis,CP)是一种由细菌侵犯牙周组织而引起的慢性炎症,细菌是CP发生发展的始动因子,堆积在牙面及龈沟内的细菌及其产物会诱发炎症反应,为细菌的繁殖提供有利条件,使细菌进一步向龈下扩展,从而破坏牙周组织。Td被认作中等证据的牙周致病菌,其在正常牙周组织中检出率较低,但在CP患者中检测率高,且与牙周袋深度和探诊出血程度密切相关,在CP的发生发展中扮演着重要角色。由于Td在形态学特征上与其他牙周致病菌有明显区别,故本文就Td的生物学特征、在CP中的致病情况、检测情况及治疗情况的研究做一综述。 展开更多
关键词 齿垢密螺旋体 慢性牙周炎 生物学特征 致病菌
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Infectious Disease Update in Obstetrics: A Modern Approach to the Patient with a Positive Screening Test for Syphyilis in Pregnancy
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作者 Papa Essilfie 《Open Journal of Obstetrics and Gynecology》 2024年第1期102-109,共8页
Screening for maternal syphilis has been an essential component of routine antenatal screening tests in most countries for many years. This is not only because of the virulence of the spirochete which causes the infec... Screening for maternal syphilis has been an essential component of routine antenatal screening tests in most countries for many years. This is not only because of the virulence of the spirochete which causes the infection but also because of its vertical transmission rate and the potential severe adverse complications/morbidity that can result from its transmission to the fetus. Although the incidence of maternal syphilis and its fetal sequalae in low-income countries has been considerable for several years, the disease has been almost non-existent in high income countries with wide antenatal screening coverage and effective treatment programmes for Syphilis. The recent alarming increase in the incidence of maternal syphilis in high income countries has spawned a renewed public health interest in the infection, with several countries updating and strengthening public health guidance in an attempt to stem this dramatic trend. This is a short clinical update for the practising obstetrician on how to manage the antenatal patient with a positive syphilis screening test. 展开更多
关键词 treponema Pallidum CHANCRE Condyloma Lata Gummas VDRL Test RPR Test Revere-Sequence Testing Jarisch-Herxheimer Reaction
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2018-2022年北京市密云区医院孕产妇人类免疫缺陷病毒、梅毒螺旋体、乙型肝炎病毒检测结果分析
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作者 王宁 赵宗玲 孟凡超 《中国社区医师》 2024年第11期138-140,共3页
目的:分析2018-2022年北京市密云区医院孕产妇人类免疫缺陷病毒(HIV)、梅毒螺旋体、乙型肝炎病毒(HBV)检测结果。方法:选取2018年1月-2022年12月于密云区医院进行孕产期保健及分娩的孕产妇19 327例作为研究对象,收集并分析孕产妇一般资... 目的:分析2018-2022年北京市密云区医院孕产妇人类免疫缺陷病毒(HIV)、梅毒螺旋体、乙型肝炎病毒(HBV)检测结果。方法:选取2018年1月-2022年12月于密云区医院进行孕产期保健及分娩的孕产妇19 327例作为研究对象,收集并分析孕产妇一般资料及HIV、梅毒螺旋体和HBV初筛结果。结果:19 327例孕产妇中,HIV阳性0例,梅毒螺旋体阳性101例(0.52%),HBV阳性175例(0.91%)。2018-2022年梅毒螺旋体和HBV阳性呈小幅度波动,其中以2021年明显降低。孕产妇梅毒螺旋体、HBV阳性率及构成比均以20~29岁最高,40~45岁最低。结论:2018-2022年北京市密云区医院孕产妇HIV、梅毒螺旋体、HBV阳性率较低,以20~29岁最多,临床应针对此情况采取应对措施,消除艾滋病、梅毒、乙型肝炎的母婴传播。 展开更多
关键词 孕产妇 人类免疫缺陷病毒 梅毒螺旋体 乙型肝炎病毒 血清学检测
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探讨TRUST与TP-ELISA对梅毒患者的诊断价值
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作者 任勇 杨云敏 《系统医学》 2024年第15期98-100,共3页
目的 探讨甲苯胺红不加热血清试验(toludine red unheated serum test, TRUST)、梅毒螺旋体-酶联免疫吸附试验(treponema pallidum-enzyme linked immunosorbent assay, TP-ELISA)检测方法在梅毒诊断中的诊断价值。方法 非随机选取2022... 目的 探讨甲苯胺红不加热血清试验(toludine red unheated serum test, TRUST)、梅毒螺旋体-酶联免疫吸附试验(treponema pallidum-enzyme linked immunosorbent assay, TP-ELISA)检测方法在梅毒诊断中的诊断价值。方法 非随机选取2022年1月—2023年10月兴义市人民医院收治的86例疑似梅毒患者为研究对象,所有患者均完成TRUST与TP-ELISA检测,并将梅毒螺旋体明胶颗粒凝集试验(treponema palli-dum particle agglutination, TPPA)检测作为金标准,分析TRUST与TP-ELISA的诊断价值。结果 86例疑诊梅毒患者中,61例患者确诊为梅毒,患病率为70.93%(61/86)。TRUST检查的阳性率为59.30%(51/86),阴性率为40.70%(35/86);TP-ELISA检查的阳性率为67.44%(58/86),阳性率为32.56%(28/86)。TP-ELISA的敏感度为93.44%(57/61),高于TRUST检查的80.33%(49/61),差异有统计学意义(χ^(2)=4.604,P=0.032);且TP-ELISA准确度为94.19%(81/86),高于TRUST的83.72%(72/86),差异有统计学意义(χ^(2)=4.793,P=0.029)。结论 在梅毒诊断中,TP-ELISA的敏感度、准确度高于TRUST,但筛查过程仍存在假阴性风险,临床应综合考虑患者的危险因素筛查结果与其他临床指标。 展开更多
关键词 梅毒 梅毒螺旋体-酶联免疫吸附试验检测 甲苯胺红不加热血清检测 诊断效能
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