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RNA signatures allow rapid identification of pathogens and antibiotic susceptibilities

  作者 Barczak, AK; Gomez, JE; Kaufmann, BB; Hinson, ER; Cosimi, L; Borowsky, ML; Onderdonk, AB; Stanley, SA; Kaur, D; Bryant, KF; Knipe, DM; Sloutsky, A; Hung, DT  
  选自 期刊  Proceedings of the National Academy of Sciences of the United States of America;  卷期  2012年109-16;  页码  6217-6222  
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[摘要]With rising rates of drug-resistant infections, there is a need for diagnostic methods that rapidly can detect the presence of pathogens and reveal their susceptibility to antibiotics. Here we propose an approach to diagnosing the presence and drug-susceptibility of infectious diseases based on direct detection of RNA from clinical samples. We demonstrate that species-specific RNA signatures can be used to identify a broad spectrum of infectious agents, including bacteria, viruses, yeast, and parasites. Moreover, we show that the behavior of a small set of bacterial transcripts after a brief antibiotic pulse can rapidly differentiate drug-susceptible and -resistant organisms and that these measurements can be made directly from clinical materials. Thus, transcriptional signatures could form the basis of a uniform diagnostic platform applicable across a broad range of infectious agents.

 
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