1.Screening of housekeeping genes in Gelsemium elegans and expression patterns of genes involved in its alkaloid biosynthesis.
Yao ZHANG ; Detian MU ; Yu ZHOU ; Ying LU ; Yisong LIU ; Mengting ZUO ; Zhuang DONG ; Zhaoying LIU ; Qi TANG
Chinese Journal of Biotechnology 2023;39(1):286-303
		                        		
		                        			
		                        			Gelsemium elegans is a traditional Chinese herb of medicinal importance, with indole terpene alkaloids as its main active components. To study the expression of the most suitable housekeeping reference genes in G. elegans, the root bark, stem segments, leaves and inflorescences of four different parts of G. elegans were used as materials in this study. The expression stability of 10 candidate housekeeping reference genes (18S, GAPDH, Actin, TUA, TUB, SAND, EF-1α, UBC, UBQ, and cdc25) was assessed through real-time fluorescence quantitative PCR, GeNorm, NormFinder, BestKeeper, ΔCT, and RefFinder. The results showed that EF-1α was stably expressed in all four parts of G. elegans and was the most suitable housekeeping gene. Based on the coexpression pattern of genome, full-length transcriptome and metabolome, the key candidate targets of 18 related genes (AS, AnPRT, PRAI, IGPS, TSA, TSB, TDC, GES, G8H, 8-HGO, IS, 7-DLS, 7-DLGT, 7-DLH, LAMT, SLS, STR, and SGD) involved in the Gelsemium alkaloid biosynthesis were obtained. The expression of 18 related enzyme genes were analyzed by qRT-PCR using the housekeeping gene EF-1α as a reference. The results showed that these genes' expression and gelsenicine content trends were correlated and were likely to be involved in the biosynthesis of the Gelsemium alkaloid, gelsenicine.
		                        		
		                        		
		                        		
		                        			Genes, Essential
		                        			;
		                        		
		                        			Gelsemium/genetics*
		                        			;
		                        		
		                        			Peptide Elongation Factor 1/genetics*
		                        			;
		                        		
		                        			Transcriptome
		                        			;
		                        		
		                        			Gene Expression Profiling/methods*
		                        			;
		                        		
		                        			Alkaloids
		                        			;
		                        		
		                        			Real-Time Polymerase Chain Reaction/methods*
		                        			;
		                        		
		                        			Reference Standards
		                        			
		                        		
		                        	
2.Selection and validation of reference genes for quantitative real-time PCR analysis in Paeonia veitchii.
Meng-Ting LUO ; Jun-Zhang QUBIE ; Ming-Kang FENG ; A-Xiang QUBIE ; Bin HE ; Yue-Bu HAILAI ; Wen-Bing LI ; Zheng-Ming YANG ; Ying LI ; Xin-Jia YAN ; Yuan LIU ; Shao-Shan ZHANG
China Journal of Chinese Materia Medica 2023;48(21):5759-5766
		                        		
		                        			
		                        			Paeonia veitchii and P. lactiflora are both original plants of the famous Chinese medicinal drug Paeoniae Radix Rubra in the Chinese Pharmacopoeia. They have important medicinal value and great potential in the flower market. The selection of stable and reliable reference genes is a necessary prerequisite for molecular research on P. veitchii. In this study, two reference genes, Actin and GAPDH, were selected as candidate genes from the transcriptome data of P. veitchii. The expression levels of the two candidate genes in different tissues(phloem, xylem, stem, leaf, petiole, and ovary) and different growth stages(bud stage, flowering stage, and dormant stage) of P. veitchii were detected using real-time fluorescence quantitative technology(qRT-PCR). Then, the stability of the expression of the two reference genes was comprehensively analyzed using geNorm, NormFinder, BestKeeper, ΔCT, and RefFinder. The results showed that the expression patterns of Actin and GAPDH were stable in different tissues and growth stages of P. veitchii. Furthermore, the expression levels of eight genes(Pv-TPS01, Pv-TPS02, Pv-CYP01, Pv-CYP02, Pv-CYP03, Pv-BAHD01, Pv-UGT01, and Pv-UGT02) in different tissues were further detected based on the transcriptome data of P. veitchii. The results showed that when Actin and GAPDH were used as reference genes, the expression trends of the eight genes in different tissues of P. veitchii were consistent, validating the reliability of Actin and GAPDH as reference genes for P. veitchii. In conclusion, this study finds that Actin and GAPDH can be used as reference genes for studying gene expression levels in different tissues and growth stages of P. veitchii.
		                        		
		                        		
		                        		
		                        			Real-Time Polymerase Chain Reaction/methods*
		                        			;
		                        		
		                        			Paeonia/genetics*
		                        			;
		                        		
		                        			Actins/genetics*
		                        			;
		                        		
		                        			Reproducibility of Results
		                        			;
		                        		
		                        			Transcriptome
		                        			;
		                        		
		                        			Glyceraldehyde-3-Phosphate Dehydrogenases/genetics*
		                        			;
		                        		
		                        			Reference Standards
		                        			;
		                        		
		                        			Gene Expression Profiling/methods*
		                        			
		                        		
		                        	
3.Single-copy Loss of Rho Guanine Nucleotide Exchange Factor 10 ( arhgef10) Causes Locomotor Abnormalities in Zebrafish Larvae.
Yi ZHANG ; Ming Xing AN ; Chen GONG ; Yang Yang LI ; Yu Tong WANG ; Meng LIN ; Rong LI ; Chan TIAN
Biomedical and Environmental Sciences 2022;35(1):35-44
		                        		
		                        			OBJECTIVE:
		                        			To determine if ARHGEF10 has a haploinsufficient effect and provide evidence to evaluate the severity, if any, during prenatal consultation.
		                        		
		                        			METHODS:
		                        			Zebrafish was used as a model for generating mutant. The pattern of arhgef10 expression in the early stages of zebrafish development was observed using whole-mount in situ hybridization (WISH). CRISPR/Cas9 was applied to generate a zebrafish model with a single-copy or homozygous arhgef10 deletion. Activity and light/dark tests were performed in arhgef10 -/-, arhgef10 +/-, and wild-type zebrafish larvae. ARHGEF10 was knocked down using small interferon RNA (siRNA) in the SH-SY5Y cell line, and cell proliferation and apoptosis were determined using the CCK-8 assay and Annexin V/PI staining, respectively.
		                        		
		                        			RESULTS:
		                        			WISH showed that during zebrafish embryonic development arhgef10 was expressed in the midbrain and hindbrain at 36-72 h post-fertilization (hpf) and in the hemopoietic system at 36-48 hpf. The zebrafish larvae with single-copy and homozygous arhgef10 deletions had lower exercise capacity and poorer responses to environmental changes compared to wild-type zebrafish larvae. Moreover, arhgef10 -/- zebrafish had more severe symptoms than arhgef10 +/- zebrafish. Knockdown of ARHGEF10 in human neuroblastoma cells led to decreased cell proliferation and increased cell apoptosis.
		                        		
		                        			CONCLUSION
		                        			Based on our findings, ARHGEF10 appeared to have a haploinsufficiency effect.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Annexin A5
		                        			;
		                        		
		                        			Apoptosis
		                        			;
		                        		
		                        			Blotting, Western
		                        			;
		                        		
		                        			CRISPR-Associated Protein 9
		                        			;
		                        		
		                        			CRISPR-Cas Systems
		                        			;
		                        		
		                        			Cell Line
		                        			;
		                        		
		                        			Cell Proliferation
		                        			;
		                        		
		                        			Cells, Cultured
		                        			;
		                        		
		                        			Flow Cytometry
		                        			;
		                        		
		                        			Genotype
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			In Situ Hybridization
		                        			;
		                        		
		                        			Larva/physiology*
		                        			;
		                        		
		                        			Phenotype
		                        			;
		                        		
		                        			RNA/isolation & purification*
		                        			;
		                        		
		                        			Real-Time Polymerase Chain Reaction/standards*
		                        			;
		                        		
		                        			Rho Guanine Nucleotide Exchange Factors/metabolism*
		                        			;
		                        		
		                        			Sincalide/analysis*
		                        			;
		                        		
		                        			Spectrophotometry/methods*
		                        			;
		                        		
		                        			Zebrafish/physiology*
		                        			
		                        		
		                        	
4.Establishment and evaluation of multiplex PCR for detection of main pathogenic bacteria of endometritis in Tibetan sheep.
Jinhui HAN ; Meng WANG ; Yangyang PAN ; Xuequan HU ; Xingyun ZHANG ; Yan CUI ; Gengquan XU ; Libin WANG ; Sijiu YU
Chinese Journal of Biotechnology 2020;36(5):908-919
		                        		
		                        			
		                        			A multiplex PCR method was developed to detect the main pathogens of Qinghai Tibetan sheep endometritis. First, the genomes of five standard bacterial strains were extracted and specific primers were selected; the multiplex PCR method was established by using the genome of the standard strain as a template. The samples were collected by sterile cotton swab from Tibetan sheep uterus, and then placed in LB medium and numbered. After 48 h, the genomes of cultured bacteria were extracted and detected by single PCR method, then the positive samples were recorded. The positive samples detected by single PCR were selected for multiplex PCR detection and recorded again. The coincidence rate between these two methods was calculated to measure the accuracy of multiplex PCR. In order to identify the species of the pathogen, 30 positive samples verified by single and multiplex PCR were randomly selected for bacterial isolation and identification. In the 600 samples, the infected ratio of Streptococcus agalactiae (GBS) was 47.33%, Escherichia coli 34.83%, Staphylococcus aureus 6.5%, Salmonella and Trueperella pyogenes were negatively detected. Among the positive samples detected by multiplex PCR, the positive ratio of GBS was 45.50%, E. coli 33.50%, S. aureus 6.5%. Comparison of two detection results, Multiplex PCR detection coincidence rate is more than 95%. The isolated pathogens were identified as E. coli, GBS and S. aureus, which was consistent with the results of two methods. The multiplex PCR method was successfully established and the main pathogens of endometritis in Qinghai Tibetan sheep were GBS, E. coli and S. aureus.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Bacteria
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			isolation & purification
		                        			;
		                        		
		                        			Bacteriological Techniques
		                        			;
		                        		
		                        			methods
		                        			;
		                        		
		                        			Endometritis
		                        			;
		                        		
		                        			microbiology
		                        			;
		                        		
		                        			veterinary
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Multiplex Polymerase Chain Reaction
		                        			;
		                        		
		                        			standards
		                        			;
		                        		
		                        			Polymerase Chain Reaction
		                        			;
		                        		
		                        			veterinary
		                        			;
		                        		
		                        			Sensitivity and Specificity
		                        			;
		                        		
		                        			Sheep
		                        			;
		                        		
		                        			Sheep Diseases
		                        			;
		                        		
		                        			microbiology
		                        			;
		                        		
		                        			Tibet
		                        			
		                        		
		                        	
5.Optimization of a fluorescent qPCR detection for RNA of SARS-CoV-2.
Xuelong LI ; Junhua LIU ; Qianyang LIU ; Lin YU ; Shanshan WU ; Xiushan YIN
Chinese Journal of Biotechnology 2020;36(4):732-739
		                        		
		                        			
		                        			We optimized a fluorescent quantitative polymerase chain reaction (qPCR) assay system for rapid and real time detection of SARS-CoV-2 RNA. The results show that the lowest dilution of RNA samples used for the detection of SARS-CoV-2 RNA could reach 1/10 000 (the initial value is set as 10 ng/μL). Moreover, the cycle threshold (Ct) for samples of clinically diagnosed COVID-19 was lower than 35 or 40. The sensitivity of this method was satisfactory. The results were consistent with those of the COVID-19 detection kit on the market under the same conditions, but the number of cycles required was shortened by about 2. Therefore, the optimized assay developed in this study can be used in screening and early clinical diagnosis. Our work provides a tool to facilitate rapid clinical diagnosis of COVID-19.
		                        		
		                        		
		                        		
		                        			Betacoronavirus
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			isolation & purification
		                        			;
		                        		
		                        			Coronavirus Infections
		                        			;
		                        		
		                        			diagnosis
		                        			;
		                        		
		                        			virology
		                        			;
		                        		
		                        			Early Diagnosis
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Pandemics
		                        			;
		                        		
		                        			Pneumonia, Viral
		                        			;
		                        		
		                        			diagnosis
		                        			;
		                        		
		                        			virology
		                        			;
		                        		
		                        			Polymerase Chain Reaction
		                        			;
		                        		
		                        			methods
		                        			;
		                        		
		                        			standards
		                        			;
		                        		
		                        			RNA, Viral
		                        			;
		                        		
		                        			analysis
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Sensitivity and Specificity
		                        			;
		                        		
		                        			Time Factors
		                        			
		                        		
		                        	
6.Development and Evaluation of a Duplex Real-Time PCR Assay With a Novel Internal Standard for Precise Quantification of Plasma DNA.
Dan CHEN ; Shiyang PAN ; Erfu XIE ; Li GAO ; Huaguo XU ; Wenying XIA ; Ting XU ; Peijun HUANG
Annals of Laboratory Medicine 2017;37(1):18-27
		                        		
		                        			
		                        			BACKGROUND: Circulating levels of cell-free DNA increase in many pathologic conditions. However, notable discrepancies in the quantitative analysis of cell-free DNA from a large number of laboratories have become a considerable pitfall, hampering its clinical application. METHODS: We designed a novel recombinant DNA fragment that could be applied as an internal standard in a newly developed and validated duplex real-time PCR assay for the quantitative analysis of total cell-free plasma DNA, which was tested in 5,442 healthy adults and 200 trauma patients. RESULTS: Compared with two traditional methods, this novel assay showed a lower detection limit of 0.1 ng/mL, lower intra- and inter-assay CVs, and higher accuracy in the recovery test. The median plasma DNA concentration of healthy males (20.3 ng/mL, n=3,092) was significantly higher than that of healthy females (16.1 ng/mL, n=2,350) (Mann-Whitney two-sample rank sum test, P<0.0001). The reference intervals of plasma DNA concentration were 0-45.8 ng/mL and 0-52.5 ng/mL for healthy females and males, respectively. The plasma DNA concentrations of the majority of trauma patients (96%) were higher than the upper normal cutoff values and were closely related to the corresponding injury severity scores (R²=0.916, P<0.0001). CONCLUSIONS: This duplex real-time PCR assay with a new internal standard could eliminate variation and allow for more sensitive, repeatable, accurate, and stable quantitative measurements of plasma DNA, showing promising application in clinical diagnosis.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			DNA/*blood/standards
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Healthy Volunteers
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Real-Time Polymerase Chain Reaction/*methods/standards
		                        			;
		                        		
		                        			Reference Values
		                        			;
		                        		
		                        			Wounds and Injuries/blood
		                        			
		                        		
		                        	
7.Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea.
Mi Kyung LEE ; Sinyoung KIM ; Mi Na KIM ; Oh Joo KWEON ; Yong Kwan LIM ; Chang Seok KI ; Jae Seok KIM ; Moon Woo SEONG ; Heungsup SUNG ; Dongeun YONG ; Hyukmin LEE ; Jong Rak CHOI ; Jeong Ho KIM
Annals of Laboratory Medicine 2016;36(2):154-161
		                        		
		                        			
		                        			BACKGROUND: It is crucial to understand the current status of clinical laboratory practices for the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in the Republic of Korea to be well prepared for future emerging infectious diseases. METHODS: We conducted a survey of 49 clinical laboratories in medical institutions and referral medical laboratories. A short questionnaire to survey clinical laboratory practices relating to MERS-CoV diagnostic testing was sent by email to the directors and clinical pathologists in charge of the clinical laboratories performing MERS-CoV testing. The survey focused on testing volume, reporting of results, resources, and laboratory safety. RESULTS: A total of 40 clinical laboratories responded to the survey. A total of 27,009 MERS-CoV real-time reverse transcription PCR (rRT-PCR) tests were performed. Most of the specimens were sputum (73.5%). The median turnaround time (TAT) was 5.29 hr (first and third quartile, 4.11 and 7.48 hr) in 26 medical institutions. The median TAT of more than a half of the laboratories (57.7%) was less than 6 hr. Many laboratories were able to perform tests throughout the whole week. Laboratory biosafety preparedness included class II biosafety cabinets (100%); separated pre-PCR, PCR, and post-PCR rooms (88.6%); negative pressure pretreatment rooms (48.6%); and negative pressure sputum collection rooms (20.0%). CONCLUSIONS: Clinical laboratories were able to quickly expand their diagnostic capacity in response to the 2015 MERS-CoV outbreak. Our results show that clinical laboratories play an important role in the maintenance and enhancement of laboratory response in preparation for future emerging infections.
		                        		
		                        		
		                        		
		                        			Clinical Laboratory Services/*standards
		                        			;
		                        		
		                        			Clinical Laboratory Techniques/instrumentation/methods
		                        			;
		                        		
		                        			Coronavirus Infections/*diagnosis/epidemiology/virology
		                        			;
		                        		
		                        			Disease Outbreaks
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Middle East Respiratory Syndrome Coronavirus/genetics/isolation & purification
		                        			;
		                        		
		                        			RNA, Viral/analysis
		                        			;
		                        		
		                        			Real-Time Polymerase Chain Reaction
		                        			;
		                        		
		                        			Republic of Korea/epidemiology
		                        			;
		                        		
		                        			Sputum/virology
		                        			;
		                        		
		                        			Surveys and Questionnaires
		                        			
		                        		
		                        	
8.Comparative Evaluation of Several Gene Targets for Designing a Multiplex-PCR for an Early Diagnosis of Extrapulmonary Tuberculosis.
Ankush RAJ ; Netrapal SINGH ; Krishna B GUPTA ; Dhruva CHAUDHARY ; Aparna YADAV ; Anil CHAUDHARY ; Kshitij AGARWAL ; Mandira VARMA-BASIL ; Rajendra PRASAD ; Gopal K KHULLER ; Promod K MEHTA
Yonsei Medical Journal 2016;57(1):88-96
		                        		
		                        			
		                        			PURPOSE: Diagnosis of extrapulmonary tuberculosis (EPTB) poses serious challenges. A careful selection of appropriate gene targets is essential for designing a multiplex-polymerase chain reaction (M-PCR) assay. MATERIALS AND METHODS: We compared several gene targets of Mycobacterium tuberculosis, including IS6110, devR, and genes encoding MPB-64 (mpb64), 38kDa (pstS1), 65kDa (hsp65), 30kDa (fbpB), ESAT-6 (esat6), and CFP-10 (cfp10) proteins, using PCR assays on 105 EPTB specimens. From these data, we chose the two best gene targets to design an M-PCR. RESULTS: Among all gene targets tested, mpb64 showed the highest sensitivity (84% in confirmed cases and 77.5% in clinically suspected cases), followed by IS6110, hsp65, 38kDa, 30kDa, esat6, cfp10, and devR. We used mpb64+IS6110 for designing an M-PCR assay. Our M-PCR assay demonstrated a high sensitivity of 96% in confirmed EPTB cases and 88.75% in clinically suspected EPTB cases with a high specificity of 100%, taking clinical diagnosis as the gold standard. CONCLUSION: These M-PCR results along with the clinical findings may facilitate an early diagnosis of EPTB patients and clinical management of disease.
		                        		
		                        		
		                        		
		                        			Bacteriological Techniques/methods
		                        			;
		                        		
		                        			DNA Transposable Elements/genetics
		                        			;
		                        		
		                        			DNA, Bacterial/analysis/genetics
		                        			;
		                        		
		                        			Early Diagnosis
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Gene Amplification
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Multiplex Polymerase Chain Reaction/*methods
		                        			;
		                        		
		                        			Mycobacterium tuberculosis/genetics/*isolation & purification
		                        			;
		                        		
		                        			Polymerase Chain Reaction/*methods/standards
		                        			;
		                        		
		                        			Sensitivity and Specificity
		                        			;
		                        		
		                        			Tuberculosis/*diagnosis
		                        			
		                        		
		                        	
9.Selection of reference genes of Siraitia grosvenorii by real-time PCR.
Dong-ping TU ; Chang-ming MO ; Xiao-jun MA ; Huan ZHAO ; Qi TANG ; Jie HUANG ; Li-mei PAN ; Rong-chang WEI
China Journal of Chinese Materia Medica 2015;40(2):204-209
		                        		
		                        			
		                        			Siraitia grosvenorii is a traditional Chinese medicine also as edible food. This study selected six candidate reference genes by real-time quantitative PCR, the expression stability of the candidate reference genes in the different samples was analyzed by using the software and methods of geNorm, NormFinder, BestKeeper, Delta CT method and RefFinder, reference genes for S. grosvenorii were selected for the first time. The results showed that 18SrRNA expressed most stable in all samples, was the best reference gene in the genetic analysis. The study has a guiding role for the analysis of gene expression using qRT-PCR methods, providing a suitable reference genes to ensure the results in the study on differential expressed gene in synthesis and biological pathways, also other genes of S. grosvenorii.
		                        		
		                        		
		                        		
		                        			Cucurbitaceae
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			RNA, Ribosomal, 18S
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Real-Time Polymerase Chain Reaction
		                        			;
		                        		
		                        			methods
		                        			;
		                        		
		                        			Reference Standards
		                        			
		                        		
		                        	
10.Evaluation of the iNtRON VRE vanA/vanB Real-Time PCR Assay for Detection of Vancomycin-Resistant Enterococci.
Hee Jae HUH ; Mi Ae JANG ; Ja Young SEO ; Ji Youn KIM ; Chang Seok KI ; Jong Won KIM ; Nam Yong LEE
Annals of Laboratory Medicine 2015;35(1):76-81
		                        		
		                        			
		                        			BACKGROUND: Recently, the iNtRON VRE vanA/vanB real-time PCR (iNtRON; iNtRON Biotechnology, Korea) assay, a multiplex real-time PCR method, was introduced. In this prospective study, we compared the iNtRON assay with the Seeplex VRE ACE detection kit (Seeplex; Seegene, Korea), a conventional multiplex PCR assay. METHODS: A chromogenic agar-based culture, in which pre-selected vancomycin-resistant enterococci (VRE) was grown and subsequently plated on blood agar with vancomycin disks, was regarded as the reference method. A total of 304 consecutive rectal swab specimens were tested for VRE by culture and by iNtRON and Seeplex PCR assays. For the PCR assays, specimens were enriched for 16-24 hr before PCR. RESULTS: VRE were isolated from 44 (14.5%) specimens by chromogenic agar-based culture. The clinical sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the iNtRON assay were 100% (95% confidence interval: 89.8%-100%), 99.2% (96.9%-99.9%), 95.6% (83.6%-99.2%), and 100% (98.2%-100%), respectively, while those of the Seeplex assay were 97.7% (86.2%-99.9%), 99.6% (97.5%-99.9%), 97.7% (86.2%-99.9%), and 99.6% (97.5%-99.9%), respectively. The iNtRON assay had a detection limit of 3,159 copies/microL and 13,702 copies/microL for the vanA and vanB genes, respectively. No cross-reactivity was observed in 11 non-VRE bacterial culture isolates. CONCLUSIONS: The overall performance of the iNtRON assay was comparable to that of a chromogenic agar-based culture method for prompt identification of VRE-colonized patients in hospitals. This assay could be an alternative or supportive method for the effective control of nosocomial VRE infection.
		                        		
		                        		
		                        		
		                        			Bacterial Proteins/*genetics
		                        			;
		                        		
		                        			Bacterial Typing Techniques/*methods/standards
		                        			;
		                        		
		                        			Carbon-Oxygen Ligases/*genetics
		                        			;
		                        		
		                        			DNA, Bacterial/*metabolism
		                        			;
		                        		
		                        			Gram-Positive Bacterial Infections/microbiology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Reagent Kits, Diagnostic
		                        			;
		                        		
		                        			*Real-Time Polymerase Chain Reaction
		                        			;
		                        		
		                        			Vancomycin Resistance/genetics
		                        			;
		                        		
		                        			Vancomycin-Resistant Enterococci/*genetics/isolation & purification
		                        			
		                        		
		                        	
            
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