{"id":11803,"date":"2020-10-28T09:30:35","date_gmt":"2020-10-28T11:30:35","guid":{"rendered":"https:\/\/mindthegraph.com\/blog\/?p=11803"},"modified":"2022-10-18T08:09:32","modified_gmt":"2022-10-18T11:09:32","slug":"rt-pcr-test-for-coronavirus","status":"publish","type":"post","link":"https:\/\/mindthegraph.com\/blog\/sk\/rt-pcr-test-for-coronavirus\/","title":{"rendered":"Test RT-PCR na koronav\u00edrus"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Z mnoh\u00fdch vec\u00ed, ktor\u00e9 ste po\u010duli o COVID-19 v roku 2020, je uprostred toho v\u0161etk\u00e9ho jedna vec, a to test pou\u017e\u00edvan\u00fd na zistenie, \u010di je niekto nakazen\u00fd v\u00edrusom, zn\u00e1my test RT-PCR alebo len PCR.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ur\u010dite ste u\u017e o tomto teste po\u010duli od lek\u00e1ra alebo v spr\u00e1vach. PCR test sa pou\u017e\u00edva na zistenie pr\u00edtomnosti (alebo nepr\u00edtomnosti) v\u00edrusu v tele \u010dloveka.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RT-PCR test nie je jedin\u00fd, ktor\u00fd dok\u00e1\u017ee odhali\u0165 v\u00edrus, ale v porovnan\u00ed s ostatn\u00fdmi met\u00f3dami je najpresnej\u0161\u00ed a najspo\u013eahlivej\u0161\u00ed. \u010eal\u0161\u00edm testom je konven\u010dn\u00fd s\u00e9rologick\u00fd test, ktor\u00fd zis\u0165uje \u0161pecifick\u00e9 hladiny protil\u00e1tok vo vzork\u00e1ch krvi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">P\u00edsmen\u00e1 v RT-PCR znamenaj\u00fa <\/span><b>Reverzn\u00e1 transkripcia polymer\u00e1zovej re\u0165azovej reakcie<\/b><span style=\"font-weight: 400;\">, vedci ho u\u017e desa\u0165ro\u010dia pou\u017e\u00edvaj\u00fa na v\u00fdrobu viacer\u00fdch k\u00f3pi\u00ed genetick\u00e9ho materi\u00e1lu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In\u00fdmi slovami, v tomto pr\u00edpade je viac genetick\u00e9ho materi\u00e1lu SARS-CoV-2, ktor\u00fd sa pou\u017e\u00edva ako odtla\u010dok prsta na potvrdenie pr\u00edtomnosti v\u00edrusu vo vzork\u00e1ch z nosa, u\u0161\u00ed alebo sl\u00edn odobrat\u00fdch pacientom. Ak s\u00fa vo vzorke ukryt\u00e9 nejak\u00e9 v\u00edrusy aj v malom mno\u017estve, dok\u00e1\u017ee ich odhali\u0165 v\u010faka svojmu kop\u00edrovaciemu cyklu. Preto je test RT-PCR tak\u00fd spo\u013eahliv\u00fd.<\/span><\/p>\n<p><b>Test<\/b><span style=\"font-weight: 400;\"> je met\u00f3da, ktor\u00e1 m\u00e1 v podstate dva kroky v r\u00e1mci teplotn\u00e9ho cyklu, pri ktorom sa vykon\u00e1va proces kop\u00edrovania a vkladania \u010dasti genetick\u00e9ho materi\u00e1lu, \u010di u\u017e DNA alebo RNA.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Test si vy\u017eaduje <\/span><b>termocykl\u00e9r<\/b><span style=\"font-weight: 400;\"> ktor\u00fd m\u00e1 presn\u00fd <\/span><b>regul\u00e1cia teploty a \u010dasu<\/b><span style=\"font-weight: 400;\">. V priebehu viacer\u00fdch teplotn\u00fdch cyklov sa genetick\u00fd materi\u00e1l v\u00edrusu zv\u00fd\u0161i. Pr\u00edklad teplotn\u00e9ho cyklu je uveden\u00fd na \u010fal\u0161om obr\u00e1zku.<\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/polymerase-chain-reaction-steps.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11804 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/polymerase-chain-reaction-steps.png\" alt=\"\" width=\"567\" height=\"391\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/polymerase-chain-reaction-steps.png 567w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/polymerase-chain-reaction-steps-300x207.png 300w\" sizes=\"(max-width: 567px) 100vw, 567px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Met\u00f3da si vy\u017eaduje dva hlavn\u00e9 enz\u00fdmy, reverzn\u00fa transkript\u00e1zu (preto je v n\u00e1zve \"RT\") a DNA-polymer\u00e1zu. Ka\u017ed\u00fd z nich m\u00e1 svoju f\u00e1zu p\u00f4sobenia a funkciu. Na obr\u00e1zku vy\u0161\u0161ie je \u017elt\u00e1 f\u00e1za cyklu, ke\u010f p\u00f4sob\u00ed RT, a \u010derven\u00e1 f\u00e1za, ke\u010f DNA-polymer\u00e1za vykon\u00e1va svoju pr\u00e1cu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Prv\u00fd enz\u00fdm vytvor\u00ed komplement\u00e1rne vl\u00e1kno DNA z RNA v\u00edrusu, \u010d\u00edm umo\u017en\u00ed druh\u00e9mu enz\u00fdmu vykona\u0165 kop\u00edrovanie z nov\u00e9ho, pr\u00e1ve vytvoren\u00e9ho vl\u00e1kna DNA, \u010d\u00edm sa zv\u00fd\u0161i mno\u017estvo pr\u00edtomn\u00e9ho genetick\u00e9ho materi\u00e1lu. T\u00e1to amplifik\u00e1cia umo\u017e\u0148uje charakterizova\u0165 a\/alebo manipulova\u0165 s genetick\u00fdm materi\u00e1lom, ke\u010f v men\u0161om mno\u017estve by to nebolo mo\u017en\u00e9.<\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/dna-polyemrase.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11806 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/dna-polyemrase.png\" alt=\"\" width=\"375\" height=\"154\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/dna-polyemrase.png 375w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/dna-polyemrase-300x123.png 300w\" sizes=\"(max-width: 375px) 100vw, 375px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Aby v\u0161etky tieto procesy prebehli, enz\u00fdmy potrebuj\u00fa pomoc malej (alebo ve\u013ekej) molekuly naz\u00fdvanej PRIMER. \u00dalohou primeru je ozna\u010di\u0165 miesto, kde m\u00e1 enz\u00fdm za\u010da\u0165 predl\u017eova\u0165 vl\u00e1kna, bez neho sa proces kop\u00edrovania a vkladania DNA-polymer\u00e1zy neza\u010dne.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Z\u00e1kladn\u00fd n\u00e1ter je mo\u017en\u00e9 zvoli\u0165 v n\u00e1hodnom alebo \u0161pecifickom tvare. V tak\u00fdchto pr\u00edpadoch je ve\u013emi d\u00f4le\u017eit\u00e9 pozna\u0165 genetick\u00fa mapu v\u00edrusu, aby sa mohli pou\u017ei\u0165 \u0161pecifick\u00e9 primery na zv\u00fd\u0161enie \u00fa\u010dinnosti a spo\u013eahlivosti v\u00fdsledkov.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ak ste rovnako ako my zvedav\u00ed a chcete sa dozvedie\u0165 viac inform\u00e1ci\u00ed o RT-PCR, m\u00f4\u017eete si pozrie\u0165 \u010fal\u0161ie podrobnosti\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14667534\/\"><span style=\"font-weight: 400;\"> tento vedeck\u00fd \u010dl\u00e1nok <\/span><span style=\"font-weight: 400;\">priamo tu<\/span><\/a><span style=\"font-weight: 400;\">\u00a0 ale v podstate tu n\u00e1jdete v\u0161etko, \u010do je potrebn\u00e9 na vykonanie testu:<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>V\u00edrusov\u00fd genetick\u00fd materi\u00e1l, RNA<\/strong><\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/viral-genetic-material-the-rna.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11808 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/viral-genetic-material-the-rna.png\" alt=\"\" width=\"370\" height=\"157\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/viral-genetic-material-the-rna.png 370w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/viral-genetic-material-the-rna-300x127.png 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/><\/a><\/p>\n<p><span style=\"color: #000000;\"><b>Enz\u00fdmy reverznej transkript\u00e1zy a DNA-polymer\u00e1zy<\/b><\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/reverse-transcriptase-and-dna-polymerase-enzymes.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11809 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/reverse-transcriptase-and-dna-polymerase-enzymes.png\" alt=\"\" width=\"280\" height=\"143\" \/><\/a><\/p>\n<p><span style=\"color: #000000;\"><b>PRIMERS<\/b><\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/primers.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11810 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/primers.png\" alt=\"\" width=\"177\" height=\"94\" \/><\/a><\/p>\n<p><span style=\"color: #000000;\"><b>Nukleozidov\u00e9 trifosf\u00e1ty<\/b><\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/nucleoside-triphosphates.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-11811\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/nucleoside-triphosphates.png\" alt=\"\" width=\"188\" height=\"70\" \/><\/a><\/p>\n<p><span style=\"color: #000000;\"><b>A fluorescen\u010dn\u00e9 report\u00e9rov\u00e9 farbiv\u00e1:\u00a0<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Na zistenie v\u00fdsledkov vzorky, ktor\u00e1 m\u00f4\u017ee alebo nemus\u00ed by\u0165 kontaminovan\u00e1 v\u00edrusom COVID-19, sa v kombin\u00e1cii s testom RT-PCR pou\u017e\u00edva test fluorescen\u010dn\u00fdch report\u00e9rov\u00fdch farb\u00edv. Test je zalo\u017een\u00fd na pr\u00edtomnosti alebo nepr\u00edtomnosti fluorescen\u010dn\u00e9ho sign\u00e1lu vzorky. V pr\u00edpade nepr\u00edtomnosti sign\u00e1lu sa test m\u00f4\u017ee pova\u017eova\u0165 za negat\u00edvny alebo falo\u0161ne negat\u00edvny. V pr\u00edpade pr\u00edtomnosti intenz\u00edvneho sign\u00e1lu sa m\u00f4\u017ee uzavrie\u0165 nielen ako pozit\u00edvny na pr\u00edtomnos\u0165 v\u00edrusu, ale aj ako pokro\u010dil\u00e9 \u0161t\u00e1dium ochorenia.<\/span><\/p>\n<p><span style=\"color: #000000;\"><b>Zmie\u0161ajte v\u0161etky pr\u00edsady a vlo\u017ete ich do termocyklu.\u00a0<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Prv\u00fd krok testu je zn\u00e1zornen\u00fd na nasleduj\u00facej infografike. Enz\u00fdm RT vytvor\u00ed prv\u00fa k\u00f3piu genetick\u00e9ho materi\u00e1lu v\u00edrusu pr\u00edtomn\u00e9ho vo vzorke. Nasleduje druh\u00fd krok met\u00f3dy RT-PCR. Primer ozna\u010d\u00ed po\u010diato\u010dn\u00fa poz\u00edciu a DNA-polymer\u00e1za prostredn\u00edctvom enzymatickej reakcie za\u010dne predl\u017eova\u0165 vl\u00e1kna DNA.<\/span><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11812 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\" alt=\"Test RT-PCR na koronav\u00edrus\" width=\"512\" height=\"150\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png 512w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine-300x88.png 300w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/01-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11813 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/01-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\" alt=\"\" width=\"472\" height=\"384\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/01-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png 472w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/01-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine-300x244.png 300w\" sizes=\"(max-width: 472px) 100vw, 472px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/02-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-11814 size-full\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/02-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png\" alt=\"\" width=\"466\" height=\"364\" srcset=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/02-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine.png 466w, https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2020\/10\/02-mix-all-the-ingredients-and-put-it-in-the-thermocycle-machine-300x234.png 300w\" sizes=\"(max-width: 466px) 100vw, 466px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Nakoniec, tento obr\u00e1zok je elektr\u00f3nov\u00fdm mikrografom v\u00edrusu SARS-CoV-2 a je na \u0148om dokonale vidie\u0165 \u0161trukt\u00faru v\u00edrusu. Nie je to n\u00e1dhera?\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Test je zlo\u017eit\u00fd a nie je tak\u00fd jednoduch\u00fd, ako sa zd\u00e1, ale stav\u00edm sa, \u017ee s infografikou bolo ove\u013ea jednoduch\u0161ie pochopi\u0165 celkov\u00fd obraz toho, ako to funguje, \u017ee?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u00f4\u017eete to urobi\u0165 s \u013eubovo\u013en\u00fdmi vedeck\u00fdmi inform\u00e1ciami pomocou\u00a0<\/span><a href=\"https:\/\/mindthegraph.com\/\"> <span style=\"font-weight: 400;\">Mind the Graph<\/span><\/a><span style=\"font-weight: 400;\">. T\u00e1to platforma je tu preto, aby v\u00e1m poskytla auton\u00f3miu pri lep\u0161ej komunik\u00e1cii vedeck\u00fdch inform\u00e1ci\u00ed. Zistite viac o tom, ako pou\u017e\u00edva\u0165 platformu, a ak potrebujete pomoc, kontaktujte n\u00e1s<\/span><b>!<\/b><\/p>\n<p><b>Odkaz<\/b><\/p>\n<p><span style=\"font-weight: 400;\">AI, T. et al. Korel\u00e1cia CT hrudn\u00edka a RT-PCR testovania na koronav\u00edrusov\u00fa chorobu 2019 (COVID-19) v \u010c\u00edne: A Report of 1014 Cases (Spr\u00e1va o 1014 pr\u00edpadoch). Radiology, ro\u010d. 296, \u010d. 2, s. E32-E40, 26. feb. 2020.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">GIBELLINI, D. a kol. Kvantitat\u00edvna detekcia v\u00edrusu \u013eudskej imunodeficiencie typu 1 (HIV-1) pomocou techniky SYBR green RT-PCR v re\u00e1lnom \u010dase u HIV-1 s\u00e9ropozit\u00edvnych pacientov. Journal of Virological Methods, ro\u010d. 115, \u010d. 2, s. 183-189, 1. febr. 2004.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">JAMES, D. Jednoduch\u00fd a spo\u013eahliv\u00fd protokol na detekciu v\u00edrusu ryhovania stoniek jablon\u00ed pomocou RT-PCR a multiplexnej PCR anal\u00fdzy. Journal of Virological Methods, ro\u010d. 83, \u010d. 1, s. 1-9, 1 dez. 1999.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">LI, Y. et al. Ot\u00e1zky stability RT-PCR testovania SARS-CoV-2 u hospitalizovan\u00fdch pacientov s klinickou diagn\u00f3zou COVID-19. Journal of Medical Virology, ro\u010d. 92, \u010d. 7, s. 903-908, 2020.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">LIAO, C.-S. et al. Miniat\u00farny syst\u00e9m RT-PCR na diagnostiku v\u00edrusov na b\u00e1ze RNA. Nucleic Acids Research, ro\u010d. 33, \u010d. 18, s. e156-e156, 1. vyd. 2005.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">MOHAN, A. et al. Prevalencia v\u00edrusovej infekcie zistenej pomocou PCR a RT-PCR u pacientov s ak\u00fatnou exacerb\u00e1ciou CHOCHP: systematick\u00fd preh\u013ead. Respirology, ro\u010d. 15, \u010d. 3, s. 536-542, 2010.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">NOLAN, T.; HANDS, R. E.; BUSTIN, S. A. Kvantifik\u00e1cia mRNA pomocou RT-PCR v re\u00e1lnom \u010dase. Nature Protocols, ro\u010d. 1, \u010d. 3, s. 1559-1582, pred. 2006.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nov\u00fd koronav\u00edrus SARS-CoV-2 | Tento prenosov\u00fd elektr\u00f3nov\u00fd mi... | Flickr. Dispon\u00edvel em: . Acesso em: 23 jul. 2020. <\/span><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":11847,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[959,28],"tags":[388,799,554,798,250],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The RT-PCR Test for Coronavirus - Mind the Graph Blog<\/title>\n<meta name=\"description\" content=\"Read this blog to know everything related to the popular COVID-19 test, RT-PCR or only PCR. 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