Real time RT-PCR

实时 RT - PCR
  • 文章类型: Journal Article
    目标:多形性腺瘤(PA),粘液表皮样癌(MEC),腺样囊性癌(ACC)是最常见的唾液腺肿瘤。它们的发病机制最近与复杂的分子级联反应有关,包括TGFβ信号通路。这项研究的目的是评估与TGFβ信号通路相关的基因(TGFB1,ITGB6,SMAD2,SMAD4,FBN1,LTBP1和c-MYC)的表达,以定位TGFβ级联中可能的下游改变。
    方法:十三PA,17MEC,13ACC,通过实时RT-PCR分析了10例非肿瘤性唾液腺样品。
    结果:PA病例显示TGFB1、LTPB1、c-MYC升高,和FBN1表达式,而与非肿瘤组织相比,SMAD2表达降低。MEC患者显示TGFB1,ITGB6,FBN1和c-MYC的表达增加,SMAD2和SMAD4的表达降低。ACC病例除TGFB1外,所研究基因的表达均升高。目前的结果表明,SMAD2和SMAD4的表达降低并不妨碍c-MYC的转录调控。尤其是PA和MEC。在这些肿瘤中,ITGB6,TGFB1,LTBP1和FBN1的表达增加似乎与TGFβ信号通路的调节有关。此外,我们观察到ACC中SMAD4的表达更高,MEC中ITGB6的表达升高和SMAD2的表达降低。
    结论:我们的研究表明TGFβ级联成员在唾液腺肿瘤如SMAD2/SMAD4和c-MYC中的差异表达,以及ITGB6、TGFB1、LTBP1和FBN1的参与,有助于理解肿瘤进展的机制。
    OBJECTIVE: Pleomorphic adenoma (PA), mucoepidermoid carcinoma (MEC), and adenoid cystic carcinoma (ACC) are the most prevalent salivary gland tumors. Their pathogenesis has been recently associated with complex molecular cascades, including the TGFβ signaling pathway. The aim of this study was to evaluate the expression of genes associated with the TGFβ signaling pathway (TGFB1, ITGB6, SMAD2, SMAD4, FBN1, LTBP1, and c-MYC) to map possible downstream alterations in the TGFβ cascade.
    METHODS: Thirteen PA, 17 MEC, 13 ACC, and 10 non-neoplastic salivary gland samples were analyzed by real-time RT-PCR.
    RESULTS: Cases of PA presented increased TGFB1, LTPB1, c-MYC, and FBN1 expressions, whereas SMAD2 expression was decreased when compared to non-neoplastic tissue. MEC patients displayed increased expressions of TGFB1, ITGB6, FBN1, and c-MYC and decreased expressions of SMAD2 and SMAD4. ACC cases exhibited elevated expressions of the investigated genes except TGFB1. The present results suggest that decreased expression of SMAD2 and SMAD4 does not impede the transcriptional regulation of c-MYC, especially in PA and MEC. Increased expressions of ITGB6, TGFB1, LTBP1, and FBN1 appear to be related to the regulation of the TGFβ signaling pathway in these tumors. Additionally, we observed a higher expression of SMAD4 in ACC and a raised expression of ITGB6 and lowered expression of SMAD2 in MEC.
    CONCLUSIONS: Our study demonstrated the differential expression of TGFβ cascade members in salivary gland tumors such as SMAD2/SMAD4 and c-MYC as well as the participation of ITGB6, TGFB1, LTBP1, and FBN1, contributing to the understanding of the mechanisms involved in tumor progression.
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  • 文章类型: Journal Article
    世界动物卫生组织已将蓝舌病(BT)列为应报告疾病。BT是由蓝舌病毒(BTV)引起的家养和野生反刍动物的虫媒病毒传染病。自1964年首次在马哈拉施特拉邦成立以来,印度南部各州一直是BT的关注点。最近,据报道,印度北部各州的小反刍动物BTV呈阳性。本研究报道了BTV血清型的双重感染,2016年哈里亚纳邦Sirsa区绵羊种群中的BTV-12和-16。在用Seg-2特异性实时聚合酶链反应(PCR)检测和血清分型后,对BTV的Seg-2和Seg-6进行PCR扩增和测序。在系统发育分析中,检测到它们分别聚集在对BTV-12和BTV-16具有特异性的核型G和核型B中。这是哈里亚纳邦BTV-16的第一份报告。结果表明来自单次爆发的动物中两种不同血清型的共感染。
    World Organization for Animal Health has listed bluetongue (BT) under notifiable diseases. The BT is an arboviral infectious disease of domestic and wild ruminants caused by the bluetongue virus (BTV). Southern states of India had remained the point of attention for BT since first presence in 1964 in Maharashtra. Recently, northern states of India have also been reported positive for BTV in small ruminants. The present study reported the dual infection of BTV serotypes, BTV-12 and -16 in sheep population from Sirsa district of Haryana in the year 2016. After detection and serotyping with Seg-2 specific real time polymerase chain reaction (PCR), the Seg-2 and Seg-6 of BTV were PCR amplified and sequenced. On phylogenetic analysis it was detected to be clustered in nucleotype G and nucleotype B specific for BTV-12 and BTV-16, respectively. This was the first report of BTV-16 from Haryana. The results signified the co-infection of two different serotypes in an animal from a single outbreak.
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  • 文章类型: Randomized Controlled Trial
    Introduction.我们的合生元(副干酪乳杆菌Shirota,短双歧杆菌菌株Yakult,和低聚半乳糖:LBG)有助于减轻接受新辅助化疗(NAC)的食道癌患者的严重不良事件,如发热性中性粒细胞减少(FN)和腹泻。不幸的是,LBG治疗并不能使所有患者受益。假设/差距声明。在化疗期间与不良事件有关的肠道微生物群物种的鉴定可以帮助预测不良事件的发生。影响LBG功效的肠道微生物群的鉴定也可以帮助建立诊断方法来鉴定在开始治疗之前对LBG有反应的患者。瞄准.确定NAC过程中与不良事件有关的肠道微生物群,并影响LBG治疗的疗效。方法论。这项研究是一项亲本随机对照试验的辅助研究,该试验招募了81名食道癌患者,并给予预防性抗生素或LBG联合肠内营养(LBGEN)。该研究包括81名患者中的73名,这些患者在NAC之前和之后都收集了粪便样本。使用16SrRNA基因扩增子测序分析肠道微生物群,并基于NAC相关不良事件的程度进行比较。此外,本研究还分析了确定的细菌计数和不良事件与LBG+EN缓解效果之间的关联.结果。无FN或仅轻度腹泻的患者的厌氧菌和假双歧杆菌的丰度明显高于FN或严重腹泻的患者(P<0.05)。此外,接受LBG+EN的患者的亚组分析表明,NAC之前的粪便A.hadrus计数与发生FN的风险显着相关(OR,0.11;95%CI,0.01-0.60,P=0.019)。NAC后粪便A.hadrus计数与肠道乙酸(P=0.0007)和丁酸(P=0.00005)的浓度呈正相关。结论。厌氧菌和假性芽孢杆菌可能参与改善不良事件,因此可用于事先识别NAC期间受益于LBGEN的患者。这些结果还表明LBG+EN可用于制定预防NAC期间不良事件的措施。
    Introduction. Our synbiotics (Lacticaseibacillus paracasei strain Shirota, Bifidobacterium breve strain Yakult, and galacto-oligosaccharides: LBG) helps mitigate serious adverse events such as febrile neutropenia (FN) and diarrhoea in oesophageal cancer patients receiving neoadjuvant chemotherapy (NAC). Unfortunately, LBG therapy does not benefit all patients.Hypothesis/Gap Statement. Identification of the gut microbiota species involved in adverse events during chemotherapy could help predict the onset of adverse events. Identification of the gut microbiota that influence the efficacy of LBG could also help establish a diagnostic method to identify patients who will respond to LBG before the initiation of therapy.Aim. To identify the gut microbiota involved in adverse events during NAC and that affect the efficacy of LBG therapy.Methodology. This study was ancillary to a parent randomized controlled trial in which 81 oesophageal cancer patients were recruited and administered either prophylactic antibiotics or LBG combined with enteral nutrition (LBG+EN). The study included 73 of 81 patients from whom faecal samples were collected both before and after NAC. The gut microbiota was analysed using 16S rRNA gene amplicon sequencing and compared based on the degree of NAC-associated adverse events. Furthermore, the association between the counts of identified bacteria and adverse events and the mitigation effect of LBG+EN was also analysed.Results. The abundance of Anaerostipes hadrus and Bifidobacterium pseudocatenulatum in patients with no FN or only mild diarrhoea was significantly higher (P<0.05) compared to those with FN or severe diarrhoea. Moreover, subgroup analyses of patients receiving LBG+EN showed that the faecal A. hadrus count before NAC was significantly associated with a risk of developing FN (OR, 0.11; 95 % CI, 0.01-0.60, P=0.019). The faecal A. hadrus count after NAC was positively correlated with intestinal concentrations of acetic acid (P=0.0007) and butyric acid (P=0.00005).Conclusion. Anaerostipes hadrus and B. pseudocatenulatum may be involved in the ameliorating adverse events and can thus be used to identify beforehand patients that would benefit from LBG+EN during NAC. These results also suggest that LBG+EN would be useful in the development of measures to prevent adverse events during NAC.
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  • 文章类型: Journal Article
    COVID-19病例的激增凸显了诊断测试在医疗和公共卫生决策中发挥的关键作用,以控制和减轻SARS-CoV-2大流行。本研究报告了在阿根廷中部地区对SARS-CoV-2进行分子检测的不同测试的评估和实施。我们评估了3种实时RT-PCR试剂盒(GeneFinderCOVID-19PlusRealAmpKit,DisCoVerySARS-CoV-2RT-PCR检测试剂盒和WGeneSARS-CoV-2RT检测),2种核酸提取方法[MagaBioplus病毒DNA/RNA纯化试剂盒II(BioFlux),35分钟vs.9-min],预分析试剂(FlashPrep®)和2等温扩增测试(NeokitPlus和ELACHEMSTRIP®)。根据所评估的3种实时RT-PCR试剂盒的最佳性能的顺序为:DisCoVery>GeneFinderTM>WGene。2种RNA提取方法显示出相似的良好结果:选择MagaBio加病毒RNA纯化试剂盒II(BioFlux)9分钟,因为其性能更快。FlashPrep®试剂显示出进行直接RNA检测的优异结果。等温扩增试验显示出可接受的灵敏度和特异性值(>80%),除了Ct>30的样品。我们的数据显示了SARS-CoV-2诊断的最佳实时RT-PCR试剂盒和替代分子方法。这些替代测定法被证明在不利情况下使用是可以接受的,权力下放,和不同的流行病学情景,用于快速准确地检测SARS-CoV-2。
    The rocketing number of COVID-19 cases highlighted the critical role that diagnostic tests play in medical and public health decision-making to contain and mitigate the SARS-CoV-2 pandemic. This study reports the evaluation and implementation of different tests for the molecular detection of SARS-CoV-2 in the central region of Argentina. We evaluated 3 real time RT-PCR kits (GeneFinder COVID-19 Plus RealAmp Kit, DisCoVery SARS-CoV-2 RT-PCR Detection Kit and WGene SARS-CoV-2 RT Detection), 2 nucleic acid extraction methods [MagaBio plus Virus DNA/RNA Purification Kit II (BioFlux), 35-min vs. 9-min], a pre-analytical reagent (FlashPrep®) and 2 isothermal amplification tests (Neokit Plus and ELA CHEMSTRIP®). The order according to the best performance of the 3 real-time RT-PCR kits evaluated was: DisCoVery>GeneFinderTM>WGene. The 2 RNA extraction methods showed similar good results: MagaBio plus Virus RNA Purification Kit II (BioFlux) 9-min was selected due to its faster performance. FlashPrep® reagent showed excellent results to perform direct RNA detection. Isothermal amplification assays showed acceptable sensitivity and specificity values (>80%), except in samples with Ct>30. Our data show optimal real time RT-PCR kits and alternative molecular methods for SARS-CoV-2 diagnostic. These alternative assays proved to be acceptable for their use in adverse contexts, decentralization, and different epidemiological scenarios, for rapid and accurate SARS-CoV-2 detection.
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  • 文章类型: Journal Article
    未经批准:牛冠状病毒(BCoV)是牛肠道和呼吸道疾病的病原体。尽管它对动物健康很重要,在波兰没有关于其患病率的数据.该研究的目的是确定病毒的血清阳性率,在选定的养牛场中确定BCoV暴露的危险因素,并研究循环菌株的遗传变异性。
    未经证实:从51个牛群的296个个体收集血清和鼻拭子样品。血清样品用ELISA检测是否存在BCoV-,牛疱疹病毒-1(BoHV-1)-和牛病毒性腹泻病毒(BVDV)-特异性抗体。通过实时PCR测定法测试了这些病毒在鼻拭子中的存在。使用BCoVS基因的片段进行系统发育分析。
    未经证实:在215只(72.6%)动物中发现了BCoV特异性抗体。在6月龄以下的小牛中,BCoV的血清阳性更常见(P>0.05)。具有呼吸体征的动物同时感染了BoHV-1和BVDV,并随着牛群的大小而增加。在最终模型中,年龄和群体规模被确定为BCoV血清阳性的危险因素。在31只(10.5%)动物中发现了BCoV的遗传物质。在中型牛群中,BCoV检测的可能性最高。波兰BCoV表现出很高的遗传同源性(98.3-100%),并且与欧洲菌株密切相关。
    未经证实:BCoV感染比BoHV-1和BVDV感染更常见。牛冠状病毒的暴露和脱落表现出年龄和群体密度依赖性。
    UNASSIGNED: Bovine coronavirus (BCoV) is a causative agent of enteric and respiratory diseases in cattle. Despite its importance for animal health, no data is available on its prevalence in Poland. The aim of the study was to determine the virus\' seroprevalence, identify risk factors of BCoV exposure in selected cattle farms and investigate the genetic variability of circulating strains.
    UNASSIGNED: Serum and nasal swab samples were collected from 296 individuals from 51 cattle herds. Serum samples were tested with ELISA for the presence of BCoV-, bovine herpesvirus-1 (BoHV-1)- and bovine viral diarrhoea virus (BVDV)-specific antibodies. The presence of those viruses in nasal swabs was tested by real-time PCR assays. Phylogenetic analysis was performed using fragments of the BCoV S gene.
    UNASSIGNED: Antibodies specific to BCoV were found in 215 (72.6%) animals. Seropositivity for BCoV was more frequent (P>0.05) in calves under 6 months of age, animals with respiratory signs coinfected with BoHV-1 and BVDV and increased with herd size. In the final model, age and herd size were established as risk factors for BCoV-seropositivity. Genetic material of BCoV was found in 31 (10.5%) animals. The probability of BCoV detection was the highest in medium-sized herds. Polish BCoVs showed high genetic homology (98.3-100%) and close relatedness to European strains.
    UNASSIGNED: Infections with BCoV were more common than infections with BoHV-1 and BVDV. Bovine coronavirus exposure and shedding show age- and herd density-dependence.
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  • 文章类型: Journal Article
    在诊断冠状病毒病-2019(COVID-19)的多种方法中,逆转录聚合酶链反应(RT-PCR)仍然是参考金标准,提供快速准确的结果。本研究评估并比较了三种市售COVID-19RT-PCR试剂盒-Aridia®COVID-19实时PCR测试(CTKBiotech,Inc.,波威,CA,美国),新型冠状病毒(2019-nCoV)核酸检测试剂盒(SansureBiotechInc.,长沙,中国)和AllplexTM2019-nCoV测定(SeegeneInc.,首尔,大韩民国)用于检测严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)。共有326名临床可疑患者被纳入研究,其中,209个被诊断为阳性,117个被诊断为阴性,当用参考方法测试时,美国CDC2019-新型冠状病毒(2019-nCoV)实时RT-PCR诊断小组。Aridia®套件显示与参考测试完全一致,灵敏度为100%(95%CI:98.25%至100.0%),特异性为100%(96.90%至100.00%)。AllplexTM试剂盒还显示出100%的特异性(95%CI:96.90%至100.00%),但灵敏度较低(98.09%,95%CI:95.17%至99.48%)。在三个工具包中,新型冠状病毒(2019-nCoV)核酸检测试剂盒表现最差,敏感性为98.6%(95%CI:95.9%至99.7%),特异性为95.73、95%(CI:90.31%至98.60%)。虽然所有这些试剂盒符合常规分子诊断的要求,但具有高性能,Aridia®COVID-19实时PCR测试表明,这三种试剂盒的性能最好。
    Amongst the multiple ways to diagnose coronavirus disease-2019 (COVID-19), reverse transcription polymerase chain reaction (RT-PCR) remains the reference gold standard, providing fast and accurate results. This study evaluated and compared the performance of three commercially available COVID-19 RT-PCR kits-Aridia® COVID-19 Real-Time PCR Test (CTK Biotech, Inc., Poway, CA, USA), Novel Coronavirus (2019-nCoV) Nucleic Acid Detection Kit (Sansure Biotech Inc., Changsha, China) and AllplexTM 2019-nCoV assay (Seegene Inc., Seoul, Republic of Korea) for the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A total of 326 clinically suspected patients were enrolled for the study, and among them, 209 were diagnosed as positive and 117 as negative when tested with the reference method, US CDC 2019-Novel Coronavirus (2019-nCoV) Real Time RT-PCR Diagnostic Panel. The Aridia® kit showed total agreement with the reference test, with a sensitivity of 100% (95% CI: 98.25% to 100.0%) and a specificity of 100% (96.90% to 100.00%). The AllplexTM kit also showed 100% specificity (95% CI: 96.90% to 100.00%), but a lower sensitivity (98.09%, 95% CI: 95.17% to 99.48%). Among the three kits, the Novel Coronavirus (2019-nCoV) Nucleic Acid Detection Kit showed the worst performance, with a sensitivity of 98.6% (95% CI: 95.9% to 99.7%) and a specificity of 95.73, 95% (CI: 90.31% to 98.60%). While all these kits conform to the requirement for routine molecular diagnosis with high performances, the Aridia® COVID-19 Real-Time PCR Test showed the best performance among the three kits.
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  • 文章类型: Journal Article
    SARS-CoV-2可以在粪便中脱落,并可以进入污水系统。为了实施有效的控制措施,确定新的传播渠道,必须确定粪便和污水中是否存在传染性病毒颗粒。在这项研究中,我们试图利用分子技术,细胞培养和动物模型,以了解SARS-CoV-2在COVID-19患者粪便中的传染性。我们的发现排除了感染性病毒颗粒的存在,这表明粪便-口腔传播可能不是主要的传播方式。然而,需要采取更大规模的举措,特别是考虑到新的病毒株的出现。
    SARS-CoV-2 can be shed in feces and can enter sewage systems. In order to implement effective control measures and identify new channels of transmission, it is essential to identify the presence of infectious virus particles in feces and sewage. In this study, we attempt to utilize Molecular techniques, cell cultures and animal models to find out the infectivity of SARS-CoV-2 in the feces of COVID-19 patients. Our findings exclude the presence of infectious virus particles, suggesting that fecal-oral transmission may not be the main mode of transmission. Larger-scale initiatives are nevertheless required, particularly considering the emergence of new viral strains.
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  • 文章类型: Journal Article
    SARS-CoV-2关注(VOC)和关注(VOI)变体相对于原始病毒存在突变,更容易传播。我们实施了使用实时RT-PCR筛选SARS-CoV-2VOC/VOIs的快速策略,并对我们地区的变体进行了监测和监视。连续实时RT-PCR,用于检测VOC/VOIs中尖峰蛋白中存在的相关突变/缺失(TaqMan™SARS-CoV-2突变面板,应用生物系统)实施。使用不同的算法分析了2021年来自阿根廷中部受感染个体的6,640个SARS-CoV-2RNA样本(Cts<30),这些算法逐渐适应了局部变异循环的变化情况。制定的策略允许及早发现和识别全年传播的VOC/VOIs,与WGS100%一致。样本分析显示,分别于2021年2月和3月引入了VOCsAlpha和Gamma。伽马呈指数增长,检测高峰在7月份(72%),负责阿根廷第二波COVID19。自从VOC三角洲进入该地区以来,它逐渐增加,与VOILambda一起,替换VOCGamma,直到11月成为主要变体(84.9%)。到12月,这些变体在2周内被新兴的VOCOmicron取代,产生第三波。我们报告了一种用于VOC/VOI检测的有用工具,能够在资源有限的环境中快速且经济高效地监控当前公认的变体,它允许追踪最近Omicron在我们地区的扩张,并有助于实施控制疾病传播的公共卫生措施。
    SARS-CoV-2 variants of concern (VOC) and interest (VOI) present mutations in reference to the original virus, being more transmissible. We implemented a rapid strategy for the screening of SARS-CoV-2 VOC/VOIs using real time RT-PCR and performed monitoring and surveillance of the variants in our region. Consecutive real-time RT-PCRs for detection of the relevant mutations/deletions present in the Spike protein in VOC/VOIs (TaqMan™ SARS-CoV-2 Mutation Panel, Applied Biosystems) were implemented. A total of 6,640 SARS-CoV-2 RNA samples (Cts < 30) from infected individuals in Central Argentina during 2021 were analyzed using different algorithms that were gradually adapted to the changing scenarios of local variant circulation. The strategy developed allowed the early detection and the identification of VOC/VOIs that circulated through the year, with a 100% of concordance with the WGS. The analyses of the samples showed introductions of VOCs Alpha and Gamma in February and March 2021, respectively. Gamma showed an exponential increase, with a peak of detection in July (72%), being responsible of the second wave of COVID19 in Argentina. Since VOC Delta entered into the region, it increased gradually, together with VOI Lambda, replacing VOC Gamma, until being the main variant (84.9%) on November. By December, these variants were replaced by the emergent VOC Omicron in a term of 2 weeks, producing the third wave. We report a useful tool for VOC/VOI detection, capable to quickly and cost-effectively monitor currently recognized variants in resource-limited settings, which allowed to track the recent expansion of Omicron in our region, and contributed to the implementation of public health measures to control the disease spread.
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  • 文章类型: Journal Article
    背景:实时定量PCR是一种广泛用于各种生物体中基因表达分析的方法。其准确性主要取决于参考基因的正确选择。任何涉及实时PCR的实验计划都需要评估待检查样品的特征和参考基因的相对稳定性。对软体动物的大多数研究依赖于脊椎动物中常用的参考基因。
    结果:在这项研究中,我们专注于生理状态下双壳软体动物的转录组,以鉴定几种成年组织中合适的参考基因。通过全基因组生物信息学分析选择在来自多个组织的51个RNA-seq数据集中具有高度稳定表达的候选基因。这种方法导致了三个基因(Rpl14,Rpl32和Rpl34)的鉴定,其适用性与文献中通常报道的7个其他参考基因一起进行了评估(Act,Cyp-A,EF1α,Gapdh,18S,28S和Rps4)。使用geNorm进行的稳定性分析,NormFinder和Bestkeeper确定了适合作为特定组织中基因表达分析参考的特定单个或一对基因,并揭示了Act/Cyp-A对最适合分析不同组织中的基因表达。
    结论:galloprovincialis是一种越来越多地用于生态毒理学和分子研究的模型系统。我们的全转录组方法代表了旨在鉴定该物种中表达研究的合适参考基因的首次全面研究。
    BACKGROUND: Real-time quantitative PCR is a widely used method for gene expression analyses in various organisms. Its accuracy mainly relies on the correct selection of reference genes. Any experimental plan involving real-time PCR needs to evaluate the characteristics of the samples to be examined and the relative stability of reference genes. Most studies in mollusks rely on reference genes commonly used in vertebrates.
    RESULTS: In this study, we focused on the transcriptome of the bivalve mollusk Mytilus galloprovincialis in physiological state to identify suitable reference genes in several adult tissues. Candidate genes with highly stable expression across 51 RNA-seq datasets from multiple tissues were selected through genome-wide bioinformatics analysis. This approach led to the identification of three genes (Rpl14, Rpl32 and Rpl34), whose suitability was evaluated together with 7 other reference genes commonly reported in literature (Act, Cyp-A, Ef1α, Gapdh, 18S, 28S and Rps4). The stability analyses performed with geNorm, NormFinder and Bestkeeper identified specific either single or pairs of genes suitable as references for gene expression analyses in specific tissues and revealed the Act/Cyp-A pair as the most appropriate to analyze gene expression across different tissues.
    CONCLUSIONS: Mytilus galloprovincialis is a model system increasingly used in ecotoxicology and molecular studies. Our transcriptome-wide approach represents the first comprehensive investigation aimed at the identification of suitable reference genes for expression studies in this species.
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  • 文章类型: Journal Article
    严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的主要传播途径是通过呼吸道途径和人与人之间的密切接触。虽然关于其他传输模式的信息相对较少,一些已发表的支持粪便-口腔传播方式可能性的文献一直在积累。SARS-COV-2感染病例的诊断基于实时逆转录PCR(RT-PCR)。SARS-COV-2的粪便排泄经常被报道,然而,粪便病毒载量与疾病严重程度的关系尚不清楚。我们的研究重点是2019年冠状病毒病患者(COVID-19)粪便样本中SARS-CoV-2脱落的调查。共纳入280例RT-PCR阳性患者,其中15.4%有胃肠道(GI)症状。结果表明,粪便标本中有62%的患者对SARS-CoV-2RNA呈阳性。这种阳性与胃肠道症状的存在和疾病的严重程度无关。进行来自患者粪便样品的SARS-CoV-2的下一代测序[NGS]以分析突变变化。这项研究的发现不仅强调了粪便中SARS-CoV-2的潜在存在,而且其持续的突变变化及其在粪便-口腔传播中的可能作用。
    The main route of the transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are through respiratory pathways and close contact of human-to-human. While information about other modes of transmission is comparatively less, some published literature supporting the likelihood of a fecal-oral mode of transmission has been accumulating. The diagnosis of SARS-COV-2 infected cases is based on the real-time reverse transcription-PCR (RT-PCR). The fecal excretion of SARS-COV-2 has been reported frequently, however, the role of fecal viral load with the severity of disease is not yet clear. Our study focused on the investigation of SARS-CoV-2 shedding in the fecal samples of patients with coronavirus disease 2019 (COVID-19). A total of 280 RT-PCR-positive patients were enrolled, among them 15.4% had gastrointestinal (GI) symptoms. It was shown that 62% of the patients were positive for SARS-CoV-2 RNA in fecal specimens. This positivity was not related to the presence of GI symptoms and the severity of disease. The next generation sequencing [NGS] of SARS-CoV-2 from fecal samples of patients was performed to analyze mutational variations. Findings from this study not only emphasized the potential presence of SARS-CoV-2 in feces, but also its continuing mutational changes and its possible role in fecal-oral transmission.
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