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Introduction: Sexually transmitted infections (STIs) are among the most common infectious diseases worldwide, often leading to coinfections. Timely detection of genital tract pathogens in at-risk populations is crucial for preventing STIs. We evaluated the NAP-Fluo Cycler System, an innovative microfluidic nucleic acid detection platform, for its ability to simultaneously identify Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Ureaplasma urealyticum (UU), Mycoplasma genitalium (MG), and Mycoplasma hominis (MH) in urethral or cervical secretions. Materials and methods: The limits of detection (LODs), repeatability, specificity, and interference resistance of the system were evaluated using standard strains, a panel of 24 pathogens, and seven interferents. We used the system to analyze 302 clinical samples and compared the results with those of five approved commercial reference kits. Results: The system achieved LODs of 500 IFU/mL, 500 CFU/mL, and 500 CCU/mL for CT, NG, and UU/MG/MH, respectively, demonstrating high stability (coefficient of variation <1.1 %), specificity, and resistance to interference. Among 302 clinical samples, 237 tested positive with single, dual, and triple infection rates of 35.6 %, 16.2 %, and 3.0 %, respectively. The reference kits detected 138 positive samples. The concordance rates with commercial reference kits were 100 % for UU, NG, and MH; 94.85 % for CT; and 80.00 % for MG. Conclusions: This system offers a streamlined, rapid, and multiplex detection method that reduces testing time and complexity. Although it performs well with pure strains, it has limitations when using clinical samples of CT and MG, suggesting the need for further refinement before its widespread use in the clinic.
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Until now all amphioxus living in Xiamen waters have been regarded as Branchiostoma belcheri without any suspicion. However, a study based on Cyt b gene sequence comparisons of Branchiostoma belcheri (Oucuo in Xiamen waters) and Branchiostoma belcheri tsingtauense (Japanese waters) showed unexpected high divergence suggesting that the taxonomic status of Xiamen amphioxus should be reevaluated. In order to clarify this issue, we collected the animals from two sampling sites (Oucuo and Huangcuo in Xiamen waters), and compared their morphologies (meristic and non-meristic) as well as the complete sequences of their 12S rRNA genes. The samples could be distinguished by six of the non-meristic traits and five of the meristic traits. Moreover, the genetic distance based on 12S rRNA gene between Oucuo and Huangcuo amphioxus is 21.13%, but that between Huangcuo and Japanese amphioxus is only 0.56%. Our results suggest that original subspecies B. belcheri tsingtauense should be elevated to species level, becoming B. tsingtauense. Therefore, two species of genus Branchiostoma are living in Xiamen waters. One is the original species B. belcheri (Oucuo) and the other is B. tsingtauense (Huangcuo).