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HOME > ÇÐȸ°£Ç๰ >
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Optimization of the method of DNA preparation and PCR-mediated amplification of M. leprae 18 kDa gene for the diagnosis of leprosy |
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Min Joo Kim, Gue Tae Chae, Se Kon Kim, Jong Han Cheon#, Young Hoon Ko#, Nan Hee Kim##, Sung Hwa Kim### |
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Chronic Disease Laboratory, Catholic University Medical College, Institute for Leprosy Research, KLCA#, The Leprosy Mission, Jesus Hospital##, and Catholic Skin Clinic### |
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1996 |
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29 |
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We developed the most efficient methods for DNA preparation and PCR analysis of Mycobacterium leprae-infected tissues. From bacterial suspension of the granuloma in M. leprae-infected nude mouse footpad, DNA was prepared with various methods : freezing-thawing, sonication, enzymatic digestion with proteinase K and detergent(Tween 20, SDS, Triton X-100), P/C/I extraction. Physical methods such as freezing-thawing and sonication produced the most intense 360-bp band in agarose gel analysis following PCR amplification. To improve the sensitivity of PCR analysis, we applied hot-start PCR and tried to find out the best condition of PCR, changing the temperature for denaturation and annealing and the number of amplification cycles. The 360-bp fragment of 18-kDa protein gene, the target sequence of PCR amplification, was known specific for M. leprae. The optimal conditions of PCR reveals that denaturation at 90¡É annealing at 60¡É, and 40 cycles of amplifications was most effective in out lab. The optimized method of DNA preparation and PCR analysis was very sensitive with the lower detection limit to 101 M. leprae in routine skin biopsies taken from leprosy patients, 28 biopsies throughout the clinical spectrum were tested. Of 13 lepromatous leprosy patients which had AFB microscopically, 92.3% were PCR-positive. One of indeterminate leprosy patients demonstrated PCR-positive although AFB could not be detected microscopically. |
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