华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

慢性牙周炎患者龈下菌斑中不同基因型牙龈卟啉单胞菌的检测

吴燕岷,陈莉丽,严杰   

  1. 310006 浙江大学医学院附属二院口腔科(吴燕岷, 陈莉丽),浙江大学医学院病原生物学研究室(严 杰)
  • 收稿日期:2002-08-25 修回日期:2002-08-25 出版日期:2002-08-20 发布日期:2002-08-20

Detection of Different Genotypes of Porphyromonas gingivalisin Subgingival Plaque from Patients with Chronic Periodontitis

Wu Yanmin, Chen Lili, Yan Jie   

  1. Wu Yanmin, Chen Lili The Second Affiliated Hospital of the Medical College ofZhejiangUniversity Yan Jie Department o fPathogen Biology of Zhejiang University Medical College
  • Received:2002-08-25 Revised:2002-08-25 Online:2002-08-20 Published:2002-08-20

摘要:

摘要 目的:建立临床标本中牙龈卟啉单胞菌(P.g)的PCR检测方法,探讨慢性牙周炎患者不同牙位的龈下菌斑中P.g基因型的差异。方法:采用培养法分离鉴定慢性牙周炎患者不同牙位龈下菌斑中P.g,同时采用PCR检测 P.g16SrDNA、prtC和fimA基因。部分扩增产物测定了核苷酸序列。结果:在66例患者的127个龈下菌斑标本中, P.g16SrDNA、prtC和fimA多重引物扩增的阳性率为9814%;PCR阳性率显著高于培养法P.g的检出率(P< 0101)。3010%的患者(18/60)同时感染了不同基因型的P.g菌株。P.g16SrDNA、prtC和fimA扩增片段的核苷酸序列同源性在98162%~100%之间。结论:本文所建立的P.g的PCR检测方法具有较高的敏感性和特异性,适用于P.g的快速临床诊断。同一患者可被不同感染来源的多株P.g同时感染。

关键词: 聚合酶链式反应, 牙龈卟啉单胞菌, 慢性牙周炎

Abstract:

Objective:The purpose of this studywas to detect differentgenotypes ofPorphyromonas gingivalis (P.gingivalis)in subgin- gival plaque samples from patients with chronic periodontitis.Methods:The conventional culture method was used to isolate P. gingivalisfrom 127 subgingival plaque samples of 66 patients with chronic periodontitis. Coamplification of polymerase chain reaction was performed to detect 16SrDNA gene, the collagenase gene (prtC) and fibril gene (fimA) ofP. gingivalisfrom these clinical samples. Parts of the PCR products were TA cloned and then sequenced.Results:The positive rates ofP. gingivalis 16SrDNA, prtC and fimA gene coamplification by PCR in subgingival plaque sampleswere 9814%. PCRwere much more sensi- tive compared with the traditional method for detection ofP. gingivalis (P<0101). Each of the 18 (3010%) patientswas iso- lated two different genotypes ofP. gingivalisatdifferenttooth sites. Compared our sequence resultswith the published nucleotides sequences in Genbank, the homology of PCR products ofP. gingivalis16SrDNA, prtC and fimA gene were from 98162% to 100%.Conclusion:The PCRassay developed in this studywere sensitive and specific. Itis suitable for clinical rapid identification ofP. gingivalisinfection. Some of the patients had different genotypes ofP. gingivalisinfection at different tooth sites which suggests thatone individual may be infectedwith 2 ormore strains ofP. gingivaliswith differentgenotypes that are originated from various contagious sources.

Key words: polymerasechainreaction, Porphyromonasgingivalis, chronicperiodontitis