中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (2): 329-332.doi: 10.3969/j.issn.1673-8225.2010.02.033

• 组织构建综述 tissue construction review • 上一篇    下一篇

实时荧光定量PCR技术的理论研究及其医学应用 

刘小荣1,张  笠1,王勇平2    

  1. 1甘肃省第二人民医院检验科,甘肃省兰州市 730000;2甘肃省肿瘤医院骨科,甘肃省兰州市 730050
  • 出版日期:2010-01-08 发布日期:2010-01-08
  • 作者简介:刘小荣★,女,1975年生,甘肃省兰州市人,汉族,2008年兰州大学基础医学院病原生物学专业毕业,硕士,检验医师,主要从事分子生物学、免疫学方面的研究。 liuxr610@163.com

Theory study and medical application of real-time quantitative polymerase chain reaction

Liu Xiao-rong1, Zhang Li1, Wang Yong-ping2   

  1. 1 Laboratory Department, Second People's Hospital of Gansu Province, Lanzhou   730000, Gansu Province, China; 2 Department of Orthopedics, Gansu Tumor Hospital, Lanzhou   730050, Gansu Province, China
  • Online:2010-01-08 Published:2010-01-08
  • About author:Liu Xiao-rong★, Master, Physician, Laboratory Department, Second People's Hospital of Gansu Province, Lanzhou 730000, Gansu Province, China liuxr610@163.com

摘要:

背景:实时荧光定量PCR是指在PCR反应体系中加入荧光基团,利用荧光信号累积实时监测整个PCR进程,最后通过标准曲线对未知模板进行定量分析的方法。
目的:对实时荧光定量PCR的理论进行研究并探讨其在医学方面的应用和进展。
方法:以real-time fluorescence quota PCR,theorem,application为检索词,检索PubMed 数据库(2000-01/2008-12)。以实时荧光定量PCR,原理,应用为检索词,检索万方数据库(2000-01/2008-12),清华同方中文系列数据库(2000-01/2008-12)。文献检索语种限制为英文和中文。以细胞因子和肿瘤耐药基因的表达为评价指标。纳入实时荧光定量PCR技术的方法学研究和实时荧光定量PCR技术的医学应用研究。排除重复性研究和Meta分析。
结果与结论:实时荧光定量PCR技术不仅实现了PCR从定性到定量的飞跃,而且与常规PCR相比,它具有特异性更强、灵敏度高、重复性好、定量准确、自动化程度高、全封闭反应等优点,成为分子生物学研究中的重要工具。实时荧光定量PCR的应用范围非常广泛,包括mRNA表达的研究、DNA拷贝数的检测、单核苷酸多态性的测定等,已广泛应用于医学临床,它能对结核分枝杆菌、乙型、丙型肝炎、爱滋病病毒、淋球菌、沙眼衣原体等病原体进行准确的定量检测。其定量范围极宽,无需做梯度稀释,特异性更强,克服了假阳性。由于传统的PCR技术不能准确定量,使其在实际应用方面受到很大限制。因此,对PCR产物进行准确定量,尤其是病毒性病原的动态监控,成为迫切需要。

关键词: 实时荧光定量PCR, 原理, 应用, 进展, 综述文献

Abstract:

BACKGROUND: Real-time fluorescence quantitative polymerase chain reaction (PCR) refers to join the fluorescence groups into PCR reacting system, and to real-time monitor entire PCR process using the fluorescence signal accumulation, finally to make the quantitative analysis of the unknown template through the standard curve.
OBJECTIVE: To study the theory of real-time fluorescence quantitative PCR and to explore its applications and progress in medicine.
METHODS: With “real-time fluorescence quota PCR, theorem, application” in English for the search term, PubMed database was retrieved from January 2000 to December 2008. With “real-time fluorescence quantitative PCR, principle, application” in Chinese for the search term, Wanfang Database from January 2000 to December 2008, Tsinghua Tongfang Chinese database from January 2000 to December 2008 were was retrieved. Literatures were limited to English and Chinese languages. Cell factor and tumor resistance genes served as the evaluation index. The methodology of research on the real-time fluorescence quantitative PCR technology and medical applied research on real-time fluorescence quantitative PCR technology were included. While repetitive research and Meta analysis were excluded.
RESULTS AND CONCLUSION: Because real-time fluorescence quantitative PCR technology has not only realized PCR develops from qualitative to quantitative levels, but also has strong specificity, high sensitivity, good duplication, accurate quantization, high automaticity, and entire blocking response compared with conventional PCR, thus it becomes the important tool in the molecular biology research. Real-time fluorescence quantitative PCR technique has been widely applied, such as mRNA expression, detections of DNA copy number and determination of mononucleotide polymorphism, as well as in the clinical medicine including accurate quantitative examination of mycobacterium tuberculosis, Type B and Type C hepatitis, AIDS virus, gonococcus, and chlamydia trachomatis. Its quantitative scope extremely extends, no need of gradient dilution, the specificity is stronger, overcomes the false positivity. Due to the traditional PCR technology cannot give the accurate quantization, it is greatly limited in the practical application. Therefore, the accurate quantization of the PCR product, particularly the dynamic monitoring of viral etiology, becomes the urgent need.

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