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[一种用于莱姆病血清学验证的简单检测方法]

[A simple test for the serological verification of borreliosis].

作者信息

Kriuchechnikov V N

出版信息

Med Parazitol (Mosk). 1998 Oct-Dec(4):35-7.

PMID:10050552
Abstract

An indirect immunoreaction is proposed to demonstrate anti-Borrelia antibodies in the serum of patients with Lyme disease (LD). The binding of specific IgG antibodies to dried smears of Borrelia antigen (strain Ip21) without fixation is visualized by subsequent incubation with peroxidase-conjugated antibodies to human IgG, followed by incubation with H2O2 and 3,3-diaminobenzidine tetrahydrochloride as a chromogenic substrate. This test is easy-to-perform and readable by a simple routine light microscope. It requires no special devices (a fluorescence microscope, a photometer, etc.) and may read data within days without any changes. The preliminary data on 59 sera from patients with various clinical symptoms of LD, as well as on leptospirosis, toxoplasmosis, and syphilis positive patients' sera showed a good fit of the immunoperoxidase slide test (IPT) with the indirect immunofluorescence test. In view of this fact, the IPT is promising as a simple screening assay for large-scale serological surveys for BL.

摘要

有人提出采用间接免疫反应来检测莱姆病(LD)患者血清中的抗伯氏疏螺旋体抗体。将特异性IgG抗体与未经固定的伯氏疏螺旋体抗原(Ip21菌株)干涂片进行结合,随后与辣根过氧化物酶标记的抗人IgG抗体孵育,再与H2O2和3,3 - 二氨基联苯胺四盐酸盐作为显色底物孵育,以此来观察结合情况。该检测易于操作,用普通常规光学显微镜即可读取结果。它不需要特殊设备(荧光显微镜、光度计等),并且数天内读取数据时无需任何变化。对59份来自有各种LD临床症状患者的血清,以及钩端螺旋体病、弓形虫病和梅毒阳性患者血清的初步数据显示,免疫过氧化物酶玻片试验(IPT)与间接免疫荧光试验结果吻合良好。鉴于此,IPT有望作为一种简单的筛查方法用于大规模的伯氏疏螺旋体血清学调查。

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