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Construction of reporter phage T6::Nluc and evaluation of its diagnostic performance: A novel method for rapid detection of Escherichia coli urinary tract infections
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Zhiyun HAO1, 2, Qiang ZHAO2, Minwei LI2, Mianyang LI1, 2, Chi WANG1, 2, Chengbin WANG1, 2
Journal of Army Medical University | 2026, 48(2) : 147 - 157
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Journal of Army Medical University | 2026, 48(2): 147-157
• Basic Medicine •
Construction of reporter phage T6::Nluc and evaluation of its diagnostic performance: A novel method for rapid detection of Escherichia coli urinary tract infections
Full
Zhiyun HAO1, 2, Qiang ZHAO2, Minwei LI2, Mianyang LI1, 2, Chi WANG1, 2, Chengbin WANG1, 2
Affiliations
  • 1Chinese PLA Medical School, Beijing
  • 2Department of Clinical Laboratory Medicine, First Medical Center, Chinese PLA General Hospital, Beijing, China
Published: 2026-01-30 doi: 10.16016/j.2097-0927.202510022
Outline
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Objective

To construct an Escherichia coli (E. coli)-specific reporter phage, T6::Nluc, and evaluate its performance in the rapid diagnosis of E. coli-induced urinary tract infections.

Methods

T6::Nluc was constructed by the CRISPR/Cas9 system combined with homologous recombination technology. Then biological characteristics of T6 and T6::Nluc were systematically compared in terms of optimal multiplicity of infection (MOI), one-step growth curves, and lysis efficiency. Time-luminescence curves were plotted to determine the limit of detection (LOD) and the impact of urine matrix. Luminescence quantification was performed to detect the specificity of the phage after being co-cultured with non-E.coli pathogens. In addition, 104 strains of E. coli isolated from clinical urine samples were collected to analyze the detection coverage of T6::Nluc. Finally, 437 clinical urine samples were obtained for clinical validation.

Results

The successful construction of reporter phage T6::Nluc was validated by Sanger sequencing. Its one-step growth curve and optimal MOI differed from those of T6, and the lysis efficiency remained comparable. T6::Nluc exhibited outstanding diagnostic performance, enabling the detection of ≥10⁴ CFU/mL E. coli within 40 min, with complete resistance to interference from urine matrix and excellent pathogen-specific recognition. Additionally, T6::Nluc successfully detected 51 out of 104 clinical E. coli isolates (49.04%). And the results of the detection in clinical urine samples indicated that the phage had a sensitivity of 48.84% and a specificity of 100.00 in the detection.

Conclusion

Reporter phage T6::Nluc is successfully constructed, and can sensitively and specifically detect E. coli causing urinary tract infections, significantly reducing detection time and enhancing efficiency and accuracy.

reporter phage  /  Escherichia coli  /  urinary tract infections  /  CRISPR/Cas9  /  pathogen detection
郝治云, 赵强, 李民伟, 李绵洋, 王驰, 王成彬. 报告噬菌体T6::Nluc的构建与诊断性能评估:一种快速检测大肠杆菌尿路感染的新方法. 陆军军医大学学报, 2026 , 48 (2) : 147 -157 . DOI: 10.16016/j.2097-0927.202510022
Zhiyun HAO, Qiang ZHAO, Minwei LI, Mianyang LI, Chi WANG, Chengbin WANG. Construction of reporter phage T6::Nluc and evaluation of its diagnostic performance: A novel method for rapid detection of Escherichia coli urinary tract infections[J]. Journal of Army Medical University, 2026 , 48 (2) : 147 -157 . DOI: 10.16016/j.2097-0927.202510022
Year 2026 volume 48 Issue 2
67
29
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Article Info
doi: 10.16016/j.2097-0927.202510022
  • Receive Date:2025-10-13
  • Online Date:2026-10-23
  • Published:2026-01-30
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History
  • Received:2025-10-13
  • Revised:2025-12-10
Affiliations
    1Chinese PLA Medical School, Beijing
    2Department of Clinical Laboratory Medicine, First Medical Center, Chinese PLA General Hospital, Beijing, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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