目的应用实时荧光定量PCR技术研究艾滋病患者及正常人肠道拟杆菌属的变化.揭示艾滋病对肠道微生态的影响及其在发病中的作用。方法:收集艾滋病患者(艾滋病组)及正常人(正常对照组)各30例的粪便。根据细菌的靶基因序列设计特异性引物,提取粪便细菌DNA.应用实时荧光定量PCR测定拟杆菌属中6种细菌的数量。结果:正常对照组与艾滋病组粪便中脆弱拟杆菌为[3.23±1.59;4.05±1.65(单位:logN/0.5 g湿便,下同)],单形拟杆菌为(5.69±0.95;6.70±2.18),多形拟杆菌为(5.01±1.61;6.41±2.34),卵形拟杆菌为(5.78±1.03;7.07 ±1.75),吉氏拟杆菌为(4.21±1.21;5.53 ±2.46),普通拟杆菌为(2.92±1.30;4.48±1.32).艾滋病组较正常对照组数量均明显增多,差异有统计学意义(p〈0.05)。结论:艾滋病患者肠道拟杆菌较正常对照组增多,提示了艾滋病患者肠道微生态紊乱,为下一步研究及临床诊断治疗提供了理论依据。
Objective To investigate the bacteroides of patients with AIDS and the healthy control by real-time quantitative PCR in order to reveal the role and significance of gut microflora in the AIDS-associated molecularpathogenesis. Methods The feces of the preoperative AIDS patients (n = 30) and the healthy control (n = 30)were collected. According to the sequences of target genes, specific PCR primers were designed. Bacterial genomeDNA extracted from fecal samples was quantified by real-time quantitative PCR to analyze the bacterial amounts.Results In the patients with AIDS, the level of B.fragilis (3.23 ± 1.59; 4.05 ± 1.65), B.uniforrnis (5.69 ± 0.95;6.70 ± 2.18), B.thetaiotaomicron (5.01± 1.61; 6.41 ± 2.34), B.ovatus (5.78 ± 1.03; 7.07± 1.75), B.distasonis(4.21± 1.21 ; 5.53 ±2.46) and B.vulgatus (2.92 ± 1.30; 4.48 ± 1.32) were significantly higher than those of healthycontrols (P 〈 0.05). Conclusion The amount of fecal bacteroides of AIDS patients are significantly higher thanthose of the healthy control. These data indicate that the gut microflora of AIDS patients was disordered.