法医学杂志 ›› 2001, Vol. 0 ›› Issue (2): 74-76.

• 论文 • 上一篇    下一篇

心肌炎猝死者心、脾中柯萨奇B_3病毒基因的检测

陈玉川,成建定,马会慧,胡丙杰,姚春斓   

  1. 中山医科大学法医病理学教研室!广东广州510080,中山医科大学法医病理学教研室!广东广州510080,中山医科大学附属第三医院传染病科!广东广州510630,中山医科大学法医病理学教研室!广东广州510080,中山医科大学附属第三医院传染病科!广东广州510630
  • 发布日期:2001-04-25 出版日期:2001-04-28

Detection of Coxsackie virus B_3 gene in myocardium and spleen samples in myocarditis with sudden death

CHEN YU- CHUAN1,CHENG JIAN- DING1,MA HUI- HUI2,ET AL.(1.DEPARTMENT OF FORENSIC PATHOLOGY,SUN YAT- SEN UNIVERSITY OF MEDICAL SCIENCES,GUANGZHOU 510080;2.DEPARTMENT OF INFECTIOUS DISEASES,THIRD AFFILIATED HOSPITAL,SUN YAT- SEN UNIVERSITY OF MEDICAL SC   

  • Online:2001-04-25 Published:2001-04-28

摘要: 目的 检测病毒性心肌炎( viral myocarditis,VMC)猝死者心、脾组织柯萨奇 B_3病毒 (CVB_3)基因,探索 VMC的病原学诊断方法。方法 运用原位逆转录 PCR技术检测实验组( VMC猝死, 8例)及对照组(非心性死亡, 4例)心、脾组织中的 CVB_3基因。结果 实验组中, 3例(第 1, 4, 7例)心肌 CVB_3基因阳性, 4例(第 2, 4, 6, 7例)脾组织 CVB_3基因阳性;对照组心、脾 CVB_3基因均为阴性。结论 心、脾组织中 CVB_3基因联合阳性可能是 VMC的重要特征;联合检测心、脾中 CVB_3基因可提高 VMC的病原学诊断率。

关键词: 心肌炎, 柯萨奇, B_3病毒, 原位逆转录, PCR

Abstract: Objective To detect the Coxsackie virus B_3(CVB_3) gene in myocardium and spleen tissues in viral myocarditis(VMC) with sudden death and to explore the diagnostic method for VMC by means of seeking pathogene.Methods By in situ RT- PCR,the detection of CVB_3 gene in myocardium and spleen sections were performed in sudden death group caused by VMC and non- cardiac death group.Results In VMC group,CVB_3 gene- positive signals were seen in myocardium sections(3 out of total 8 cases, No.1,4,7 cases)and spleen sections(4 out of total 8 cases,No.2,4,6,7 cases).In non- cardiac death group,no positive signals were detected in both myocardium and spleen tissues.Conclusion Positive detection of CVB_3 gene in both myocardium and spleen maybe an important character of VMC and can improve the detecting pathogene in diagnosing VMC. [

Key words: Coxsackievirus B_3, myocarditis, in situ RT- PCR