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TRC TRCRapid M. TB - jscm.org

TRC TRCR apid M. TB " # $%& ( * + - .19 8/29 .20 1/17 3 4$ transcription reverse transcription concerted reaction: TRC & RNA 7 )9* < 9 RNA * * RNA 1 ? @ 9/ A1 BCD -9E <F * 9H JK4 16 SrRNA & N OPQ @NTRC TU N X ZRNA* 9H TRC TRCR apid M. TB C [ 84 \ ] -9^ [ PCR : N b ^ TRC NPCR 7<= TRC N : 7<= 9H 7 > g ? @A B h N9ij B h Xklmij Cn QmTRC p kl [ Nrs g @A u Q v 9H m wx G N9 | } I K g } X D BC wx9 g TRC A1 9H Nrs g Key words:TRC PCR : m [E[ m H P Q > N + STH UB ] W9H 1), 2) ] Z : H polymerasechain reaction PCR * m^Ug Q - < Z N [ (QuantiFERON-TB 2 G)Z \ g[ 9 ]g )H B PCR [ _ * N [ } ] WZ ` 7 b m g[ PCR * m 9 wx I D Z I m g[ N 9H PCR transcri]]]]]]

pcr n- -a- ˘(nalc) ˇ ˆ ˙84 ˝˛ 67 ˚˛˜ 8 ˚˛!"#$ % 3 ˚˛&’3 ˚˛ 2 ˚˛( )*1 ˚˝ +nalc ˇ ˆ˙,- .˘/01234 (pbs) ˝1,000 ml˛pcr ˙ 5 100 ml˛

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Transcription of TRC TRCRapid M. TB - jscm.org

1 TRC TRCR apid M. TB " # $%& ( * + - .19 8/29 .20 1/17 3 4$ transcription reverse transcription concerted reaction: TRC & RNA 7 )9* < 9 RNA * * RNA 1 ? @ 9/ A1 BCD -9E <F * 9H JK4 16 SrRNA & N OPQ @NTRC TU N X ZRNA* 9H TRC TRCR apid M. TB C [ 84 \ ] -9^ [ PCR : N b ^ TRC NPCR 7<= TRC N : 7<= 9H 7 > g ? @A B h N9ij B h Xklmij Cn QmTRC p kl [ Nrs g @A u Q v 9H m wx G N9 | } I K g } X D BC wx9 g TRC A1 9H Nrs g Key words:TRC PCR : m [E[ m H P Q > N + STH UB ] W9H 1), 2) ] Z.]]

2 H polymerasechain reaction PCR * m^Ug Q - < Z N [ (QuantiFERON-TB 2 G)Z \ g[ 9 ]g )H B PCR [ _ * N [ } ] WZ ` 7 b m g[ PCR * m 9 wx I D Z I m g[ N 9H PCR transcription-mediated amplification (TMA) nucleic acid se-quence base amplification (NASBA) Z Z * mH m Ishiguro PCR N ZX7 ) 9 ] wx9 c m ]g * 9H transcrip-tion reverse transcription concerted reaction TRC 3) d& N T N9OP )m* interca-lation-activating fluorescence (INAF)Q @ TU TRC N9 * < Z Q m NZ 4) Taka-kura e r \N ]g [ 5) TRC k (kmN [ Z NZ [ TRCR apid M.]]]]

3 TB JK4 TRC - n - g Z - p \ ] -9^ [ PCR : N b ^ 9 q /r ( 105 8471) $t < 3 19 18 $%& ( * + - TEL: 03 3433 1111E-mail: t v * 2008 v * Vol. 18 No. 1 PCR N- -A- ( nalc ) 84 67 8 !"#$% 3 &'3 2 )*1 nalc ,- /0 23 (PBS) 1,000ml PCR 5 100ml TRC 5 200ml 6 78 9 ; !"#$% &' > ? nalc PBS $%>2 3AB )* 9 ; EF > nalc PBS $% PBS 1,000ml ,- 5 I > ? ; PCR ?TRC L M N MGIT L L >B PQ R ST> TRC TRCR apid >5 TRC U TRCR apid-160 Q PCR COBAS AMPLICORM. tuber-culosis>COBAS AMPLICOR Z ^ >5 ;Q BACTEC MGIT ;B TRC f "RNA>g h i$ L RNA l i$ i$ ?

4 Mn9 o& 1 p q ; gh r BsIL l o& t Z p "RNA v>l l I RNA 2 ? Z ?z*{|} ~ RNA Ii$ ,L o& " / r i LINAF Z p L >TRC U ;470 nm > f 520nm?610 nm 2/ Q L TRC 16S rRNA>i$ L q Z INAF Z p / 520 nm ? />i$ L q E pZ INAF Z p / 610 nm I 16S rRNA I / f 610 nm i 16S rRNA L 520 nm?610 nm ? i L 1. nalc Q 84 PCR ?TRC ? ? 74 ? 8 6 g PCR L s TRC 2 PCR 9 TRC PCR ?TRC g 6 ? TRC ? ? 73 ? 8 6 g TRC 3 2 1 I TRC PCR ?

5 ? 10 ? 73 6 g ? 1 L s PCR 1 I PCR ?TRC ? I > 8 ? 2 ? g > L? TRC PCR TRC PCR 6 PCR ? g Q AL ? 2. TRC ?PCR ; 2 I PCR TRC ; L? I ; > L TRC f >B ; / L f> 2/ R A 770 ; I ; 1,007 ?1,277 ? ; 1 TRC PCR MIGIT S D G Vol. 18 No. 1 2008. 1616 1 3 !2 " # PCR # TRC # & ' 1 PCR TRC " , # & 3 # 2 " # & / "0 & "2 45 " TRC 6 # 7 8" 9 ; < "45 ; nalc > ?

6 & A 8 ;"C5 2 # 746 672 E , # > ;"CG 7 A 8" ; H , 45 " IJ 8 K & N O P S T / VW X Z "[ H\ ] CDC / 21) Z Z H " a ) b+ &H cd e - " g hi PCR "j, k l 45 H PCR &H, DNA 1 30 2 n/ 4 5 op06 7 0 q " s u# 3 ,#4 v " H TRC RNA 1 30 2 n/ 30 40 0 op02 3 PCR H[ H q Z " g 3 Vibrioparahaemolyticus6) yCEAz{|#} c: 7) CEAz{ # } Q<8) u = Z H TRC / A u n/ H Q / A # H Z H 9) Takakura A # TRC rifampin # MGIT cd 100 isoniazid 100 3 " < 3 u#, A # Z H 10) , Ve \ #" 5 H TRC I H PCR y sg - g , & " PCR 2 3 " Sq JK # 2 v L 1 K N # # JK O H P # # O NVe " H " e, H 3 JK # "1,000 ) R { Vol.]}

7 18 No. 1 / TRC / 1717 770 1,000 ! Q$ & '( ) *1,000 +, - /0 3*TRC4 6 7 :;(* ?@ABC PCRF H J 7 M*N J TRCF RST U W J T7 4 YZH J [ T\T J Z `a*Nb cd 3 7 4 J T * 3 Re f g T f J ! Q$ & h 4 ij J [ Yl T J *mn +, pqF rs( ( v wx Yyz m {|T\ } a ~ \ ! Q$ & '( ) j J * - T 4 7 3 d? * U '( * T\ U T U Q$ qF PCRF v ( U \J * 1) Tenover, F. C., J. T. Crawford, R. E. Huebner, etal. 1993. The resurgence of tuberculosis: isyour laboratory ready?))))]]

8 J. Clin. Microbiol. 31:767 ) Jensen, P. A., L. A. Lambert, M. F. Guidelines for preventing the transmis-sion ofMycobacterium tuberculosisin health-care settings, 2005. MMWR Recomm. Rep. 54:1 ) Ishiguro, T., J. Saitoh, R. Horie, et al. activating fluorescence DNAprobe and its application to homogeneousquantification of a target sequence by isother-mal sequence amplification in a closed Biochem. 314: 77 ) Ishiguro, T., J. Saitoh, H. Yawata, et al. detection of specific sequence ofnucleic acids by oxazole yellow-linked oligonu-cleotides. Homogeneous quantitative monitor-ing ofin vitrotranscription. Nucleic Acids : 4992 ) Takakura, S.

9 , S. Tsuchiya, Y. Isawa, et al. detection ofMycobacteriumu tuberculosisin respiratory samples by transcription-reversetranscription concerted reaction with an auto-mated system. L. Clin. Microbiol. 43: 5435 ) Nakaguchi, Y., T. Ishizuka, T. Hayashi, et Rapid and specific detection of tdh, trh1,and trh2 mRNA ofVibrio parahaemolyticusbytranscription-reverse transcription concertedreaction with an automated system. Clin. Mi-crobiol. 42: 4284 ) Ishii, T., Y. Fujiwara, S. Ohnaka, et al. genetic diagnosis with the transcrip-tion reverse transcription concerted reactionsystem for cancer micrometastasis. Ann. 11: 778 ) Kaito, K., H. Otsubo, S.

10 Takahara, et al. antigen (CEA)-producingmultiple myeloma detected by transcription reverse transcription concerted reaction sys-tem. Int. J. Hematol. 85: 128 1319) Y 2002 e 46: 3 ) Takakura, S., S. Tsuchiya, N. Fujihara, et Isothermal RNA sequence amplificationmethod for rapid antituberculosis drug suscep-tibility testing ofMycobacterium Microbiol. 43: 2489 2491. p } Vol. 18 No. 1 2008. 1818 Transcription Reverse Transcription Concerted Reaction in DetectingMycobacterium tuberculosis(TRCR apid M. TB)Taku Tamura, Kenji Tominaga, Kazumi Sakamoto, Harumi Tsurukawa,Saori Maeda, Mariko Wakabayashi, Mitsutaka Sasaki,Tomoko Ishikawa, Ikurou Abe, Ken KaitoCentral Clinical Laboratory, Jikei University Hospital,3 19 18 Nishishinbashi, Minato-ku, Tokyo 105 847, JapanTranscription reverse transcription concerted reaction system (TRC system) is a new method for theamplification and the detection of the target RNA, and it is recently introduced to the rapid detectionsystem forMycobacterium tuberculosisas TRCR apid M.


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