1.Molecular diagnostic technology and personalized medicine: a golden opportunity for clinical laboratory
Chinese Journal of Laboratory Medicine 2013;(2):100-104
Nowadays,molecular diagnostic techniques are developing rapidly.Thus it is important for the managers of clinical laboratory to seize the opportunity and use professional advantage to reach the peak in the field of molecular diagnostics.The targets include understanding the progress of current molecular diagnostic techniques,grasping the needs of clinical requirement for individualized medicine,creating a system of molecular diagnostics platform,fostering the technicians and setting up standardized testing process and quality control system.Molecular diagnostics projects should be carried out to meet the requirements of clinicians for the target molecules and molecular diagnostic technology platform should be established as soon as possible.
2.Influence of rough extraction of QiZhu decoction on VEGF& KDR/flk-1 protein expression in MGC-803 cell
Luzhou XU ; Zhaowei SHAN ; Wanzhou ZHAO
International Journal of Traditional Chinese Medicine 2011;33(3):214-216
Objective To evaluate the influence Qizhu decoction on VEGF and its receptor KDR/flk-1 protein expression in MGC803 cell. Methods Four groups of MGC-803 Cells were established, and intervened with blank control, DMSO control, high dose Qizhu decoction, and low dose Qizhu decoction respectively. VEGF and KDR/flk-1 protein were detected by flow cytometry and western bloting. Results The value of VEGF expression was 120.0±10.8, 116.8±14.7, 95.0±12.5, and 108.4±13.5 respectively in each group. The difference between high dosage Qizhu decoction group and the bland control group was significant. Value of KDR/flk-1 were 10.4±3.5, 9.0±3.4, 6.8±2.3, and 6.8±3.5 in each group respectively. There was no significant difference among these 4 groups. The grayseale values of VEGF expression was 14.45±4.61, 12.32±3.27, 2.58±0.84, and 3.45±1.12 in each group respectively. There was significant difference between the QiZhu groups and the blank control group. Meanwhile grayseale values of KDR/flk-1 expression were 3.87±1.05, 3.55±1.32, 3.62±1.01, and 3.73±0.88 in each group respectively, showing no significant difference among 4 groups. Conclusion Rough extraction of QiZhu decoction down-regulated the protein expression of VEGF, but had no effects on the expression of KDR/flk-1.
3.Frequency of the Occurrence of Genes ErmA,ErmB,ErmC and MsrA Among Staphylococcus Aureus Strains
Qing WU ; Wanzhou XU ; Yan LI
Journal of Modern Laboratory Medicine 2014;(6):69-71
Objective To understand the resistant characteristics of staphylococcusaureus and the relationship between eryth-romycin,clindamycin resistance phenotypes and its resistance mechanism.Methods 7 6 Saphylococcus aureus isolated from clinical specimens was identified and antimicrobial susceptibility tested by BD all-automatic microbiology analysis system.U-sing the D-test method to analyzed Erythromycin induced by clindamycin resistance.Genes (ermA,ermB,ermC and msrA) were detected by PCR methods.Results In 76 staphylococcus aureus straims gene ermA,ermB and ermC was found in 29 strains.The msrA gene was present in the 2 strains.The coincidence rate of ermA,ermB,ermC and msrA gene detection with erythromycin was 82.9%.The coincidence rate of ermA,ermB,ermC and msrA gene detection with chindamycin was 89.5%.Conclusion Clindamycin and erythromycin resistance of Staphylococcusaureus is related to the encoding of gene er-mA,ermB,ermC and msrA.
4.Large-scale epidemiologic study on serum hepatitis C virus in patients at a tertiary first-class hospital in Hubei Province
Qing WU ; Wanzhou XU ; Yan LI
Chinese Journal of Infection Control 2016;15(2):106-107,126
Objective To study infection status of hepatitis C virus(HCV)in patients at a tertiary first-class hos-pital in Hubei Province.Methods Detection results of HCV-IgG in hospitalized patients with non-digestive system diseases and patients in infectious diseases department between May 2012 and April 2014 were collected,HCV in-fection rates in patients of different genders and age groups were analyzed statistically.Results A total of 104 487 patients were conducted HCV detection,1 619 (1 .55%)were positive for HCV;HCV infection rates in male and female patients were 1 .56% and 1 .54% respectively,HCV infection rate was not significantly different between different genders,and different age groups(both P >0.05 ).Conclusion Positive rate of HCV in this study is lower than average national level,prevention and control of healthcare-associated infection caused by HCV should be intensified.
5. Proposal for detection of 2019-nCoV nucleic acid in clinical laboratories
Yongqing TONG ; Ming WANG ; Wanzhou XU ; Bin QIAO ; Hongyun ZHENG ; Siqing MEI ; Xiaoyun HE ; Pingan ZHANG ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(0):E003-E003
In December, the outbreak of a novel coronavirus (2019-nCoV) in Wuhan, China, has attracted extensive global attention. On January 20, 2020,the Chinese health authorities upgraded the coronavirus to a Class B infectious disease in
6.The diagnostic value of joint detection of serum IgM and IgG antibodies to 2019-nCoV in 2019-nCoV infection
Wanzhou XU ; Juan LI ; Xiaoyun HE ; Caiqing ZHANG ; Siqing MEI ; Congrong LI ; Yan LI ; Shaohua CHENG ; Ping'an ZHANG
Chinese Journal of Laboratory Medicine 2020;43(3):230-233
Objective:To investigate the diagnostic value of immunoglobulin M (IgM) and immunoglobulin G(IgG) antibodies to 2019 Novel Coronavirus (2019-nCoV) in 2019-nCoV infection.Methods:This is a retrospective study. Serum samples were collected from 284 patients including outpatients and inpatients in the Renmin Hospital of Wuhan University from January 20 to February 17 in 2020. Among them 205 cases were 2019-nCoV infected patients, including 186 cases confirmed with nucleic acid test and 19 cases diagnosed by clinical symptoms and CT characteristics according to "the New Coronavirus Pneumonia Control Protocol (5th edition)" . A total of 79 subjects with other diseases but negative to 2019-nCoV infection were recruited as control group. Serum IgM and IgG antibodies to 2019-nCoV were measured with fully automated immunoassay technology for all subjects. Statistical significance between 2019-nCoV antibodies test and 2019-nCoV nucleic acid test was determined using the χ 2 tests. Results:The sensitivity of serum IgM and IgG antibodies to 2019-nCoV were 70.24%(144/205) and 96.10%(197/205) respectively and the specificity were 96.20%(76/79) and 92.41%(73/79) respectively. The positive and negative predictive values of 2019-nCoV antibodies were 95.63%(197/206) and 91.03% (71/78) respectively, and the positive and negative predictive values of 2019-nCoV nucleic acid test were 100%(186/186) and 80.61%(79/98) respectively. The total coincidence rate of diagnosing 2019-nCoV infection between antibody tests and nucleic acid test for 2019-nCoV were 88.03%(250/284).Conclusion:Joint detection of serum IgM and IgG antibodies to 2019-nCoV is an effective screening and diagnostic indicators for 2019-nCoV infection, and an effective complement to the false negative results to nucleic acid test.
7.Proposal for standardization of 2019-nCoV nucleic acid detection in clinical laboratories
Yongqing TONG ; Ming WANG ; Wanzhou XU ; Bin QIAO ; Hongyun ZHENG ; Siqing MEI ; Xiaoyun HE ; Ping'an ZHANG ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(3):209-212
In December, the outbreak of a novel coronavirus (2019-nCoV) in Wuhan, China, has attracted extensive global attention. On January 20, 2020, the Chinese health authorities upgraded the coronavirus to a Class B infectious disease in the Law of the People′s Republic of China on the Prevention and Treatment of Infectious Diseases, and considered it as Class A infectious diseases in disease control and prevention. On January 18, 2020, the 2019-nCoV nucleic acid detection test was listed as the diagnostic criteria in the "guidelines for diagnosis and treatment of pneumonia due to 2019-nCoV (Trial Version 2)" . Therefore, standardizing the operation process of the 2019-nCoV nucleic acid detection in clinical laboratories has become a top priority. It is of paramount importance to establish standard protocols for detection of the 2019-nCoV nucleic acids in clinical laboratories to improve the reliability of the results and ensure the biosafety of laboratory personnel.
8.Clinical laboratory diagnostic pathway of acute respiratory pathogen infection
Yongqing TONG ; Zhijun ZHAO ; Wanzhou XU ; Hongyun ZHENG ; Jian GU ; Yan LI
Chinese Journal of Laboratory Medicine 2020;43(7):687-690
Acute respiratory tract infections ranks first in China for various infectious diseases.Lower respiratory tract infections and related diseases caused a heavy burden on China′s medical care and society. In particular, COVID has caused great losses. This article discusses the standardization of clinical pathological diagnosis of respiratory pathogen infection, in order to improve the correct diagnosis of the disease and facilitate the timely treatment of the disease.
9. The diagnostic value of joint detection of serum IgMand IgG antibodies to 2019-nCoV in 2019-nCoV infection
Wanzhou XU ; Juan LI ; Xiaoyun HE ; Caiqing ZHANG ; Siqing MEI ; Congrong LI ; Yan LI ; Shaohua CHENG ; Pingan ZHANG
Chinese Journal of Laboratory Medicine 2020;43(0):E012-E012
Objective:
To investigate the diagnostic value of immunoglobulin M (IgM) and immunoglobulin G(IgG) antibodies to 2019 Novel Coronavirus (2019-nCoV) in 2019-nCoV infection.
Method:
This is a retrospective study. Serum samples were collected from 284 patients including outpatients and inpatients in the Renmin Hospital of Wuhan University from January 20, 2020 to February 17, 2020. Among them 205 cases were 2019-nCoV infected patients, including 186 cases confirmed with nucleic acid test and 19 cases diagnosed by clinical symptoms and CT characteristics according to "the New Coronavirus Pneumonia Control Protocol (5th edition)" . A total of 79 subjects with other diseases but negative to 2019-nCoV infection were recruited as control group. Serum IgM and IgG antibodies to 2019-nCoV were measured with fully automated immunoassay technology for all subjects. Statistical significance between 2019-nCoV antibodies test and 2019-nCoV nucleic acid test was determined using the χ2 tests.
Result:
The sensitivity of serum IgM and IgG antibodies to 2019-nCoV were 70.24%(144/205) and 96.10%(197/205) respectively and the specificity were 96.20%(76/79) and 92.41%(73/79) respectively. The positive and negative predictive values of 2019-nCoV antibodies were 95.63%(197/206) and 91.03% (71/78) respectively, and the positive and negative predictive values of 2019-nCoV nucleic acid test were 100%(186/186) and 80.61%(79/98) respectively. The total coincidence rate of diagnosing 2019-nCoV infection between antibody tests and nucleic acid test for 2019-nCoV were 88.03%(250/284).
Conclusion
Joint detection of serum IgM and IgG antibodies to 2019-nCoV is an effective screening and diagnostic indicators for 2019-nCoV infection, and an effective complement to the false negative results to nucleic acid test.
10.Simultaneous Determination of 7 Phenolic Acids in Lycopus lucidus var. hirtus Rhizome by HPLC-PDA
Xiao-lan HUANG ; Xu-feng HE ; Qin YANG ; Dong-qin GUO ; Qian WANG ; Nong ZHOU
Chinese Journal of Experimental Traditional Medical Formulae 2020;26(15):156-162
Objective:A high performance liquid chromatography-photo-diode array(HPLC-PDA) method for the simultaneous determination of the 7 phenolic acids including danshensu,protocatechuic acid,protocatechuic aldehyde,chlorogenic acid,caffeic acid,ferulic acid and rosemary acid in