【摘要】 目的构建RT-PCR一步法实时荧光定量PCR检测WT1基因mRNA表达的方法,准确定量检测白血病患者微小残留病,指导临床判断预后和早期预测复发。方法从K562细胞提取的RNA用特异性引物扩增WT1基因,pMD18-T载体克隆法构建荧光定量PCR标准模板,建立RT-PCR一步法实时荧光定量PCR检测WT1基因方法,并对该方法的灵敏度、重复性和稳定性进行检测。结果构建的RT-PCR一步法实时荧光定量PCR方法的灵敏度达10-4水平;以拷贝数为1.0×106~1.0×102cps/ml的标准品,分别进行RT-PCR一步法实时荧光定量PCR扩增后,标准品的Ct值与该标准品模板起始浓度的对数存在线性关系,r值达0.998;管间和批间的变异系数均小于8%。结论所建立RT-PCR一步法实时荧光定量PCR检测WT1基因方法的灵敏度、重复性和特异性好;RT和PCR反应过程一步完成,更简便快捷,减少加样和污染机会,更适合临床检测。更多还原

【Abstract】 Objective To establish a one-step real-time quantitative RT-PCR assay for detecting the expression of WT1 mRNA, which allows detection of the minimal residue disease and prognostic prediction in leukemic patients. Methods WT1 gene fragment was amplified from the RNAs extracted from K562 cells using one-step RT-PCR. The quantitative standard were constructed by pMD 18-T vector cloning, and a Taqman-MGB fluorescent probe and a pair of primers were used to establish the one-step real-time fluorescence quantitative RT-PCR assay for WT1 gene detection. The sensitivity, repeatability and stability of this assay were evaluated and verified. Results The sensitivity of this assay reached the 10-4 level. The standard template of 1.0×106-1.0×102 copies/ml were amplified by the one-step real-time fluorescence quantitative RT-PCR assay , and the Ct value was strongly correlated (r=0.998) to the logarithm of the initial template concentration. The repetition Ct value and both the inter-tube and inter-batch coefficients of variation (CV%) were less than 8%. Conclusions The one-step real-time fluorescence quantitative RT-PCR assay has good sensitivity, repeatability and specificity, and the one-step completion of the reverse transcription and PCR processes may reduce the operational complexities and the possibility of contamination.更多还原