Schaller O, Fatzer R, Stack M, Clark J, Cooley W, Biffiger K, Egli S, Doherr M, Vandevelde M, Heim D, Oesch B, Moser M
Prionics AG, Winterthurerstr. 190, CH-8057 Zürich, Switzerland.
Acta Neuropathol. 1999 Nov;98(5):437-43. doi: 10.1007/s004010051106.
In this report we document the results of several independent studies testing the sensitivity, specificity and reliability of the Prionics Western blotting (PWB) procedure to detect bovine and ovine disease-specific, protease-resistant prion protein (PrP(Sc)). Validation of the technique was obtained by blind analysis of samples from cattle affected with bovine spongiform encephalopathy (BSE), clinically normal animals or cattle with neurological diseases unrelated to BSE. Overall, very high sensitivity, specificity and reliability was observed. It became clear that sampling of the correct brain region and the method used for protein extraction are important factors for correct diagnosis. Furthermore, we tested the usefulness of the PWB technique as an instrument for surveillance purposes. We analyzed animals from a culling scheme as well as older animals from abattoirs to determine the number of subclinical BSE cases detectable by histopathological examination, immunohistochemistry for PrP(Sc) and PWB. In both studies, BSE-affected animals with no overt clinical symptoms were detected. These results demonstrate the usefulness of the PWB procedure in surveillance systems serving as a rapid diagnostic tool to identify animals subclinically infected with BSE.
在本报告中,我们记录了多项独立研究的结果,这些研究测试了朊病毒蛋白印迹法(Prionics Western blotting,PWB)检测牛和羊疾病特异性、蛋白酶抗性朊病毒蛋白(PrP(Sc))的敏感性、特异性和可靠性。通过对感染牛海绵状脑病(BSE)的牛、临床正常动物或患有与BSE无关的神经疾病的牛的样本进行盲法分析,获得了该技术的验证。总体而言,观察到了非常高的敏感性、特异性和可靠性。很明显,正确的脑区采样和蛋白质提取方法是正确诊断的重要因素。此外,我们测试了PWB技术作为监测工具的实用性。我们分析了来自扑杀计划的动物以及来自屠宰场的老龄动物,以确定通过组织病理学检查、PrP(Sc)免疫组织化学和PWB可检测到的亚临床BSE病例数量。在两项研究中,均检测到了无明显临床症状的BSE感染动物。这些结果证明了PWB程序在监测系统中作为一种快速诊断工具来识别亚临床感染BSE动物的实用性。