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评估一种用于检测圈养大象结核分枝杆菌感染的多抗原酶联免疫吸附试验。

Evaluation of a multiple-antigen enzyme-linked immunosorbent assay for detection of Mycobacterium tuberculosis infection in captive elephants.

作者信息

Larsen R S, Salman M D, Mikota S K, Isaza R, Montali R J, Triantis J

机构信息

Center of Veterinary Epidemiology and Animal Disease Surveillance Systems, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.

出版信息

J Zoo Wildl Med. 2000 Sep;31(3):291-302. doi: 10.1638/1042-7260(2000)031[0291:EOAMAE]2.0.CO;2.

Abstract

Mycobacterium tuberculosis has become an important agent of disease in the captive elephant population of the United States, although current detection methods appear to be inadequate for effective disease management. This investigation sought to validate a multiple-antigen enzyme-linked immunosorbent assay (ELISA) for screening of M. tuberculosis infection in captive elephants and to document the elephant's serologic response over time using a cross-sectional observational study design. Serum samples were collected from 51 Asian elephants (Elephas maximus) and 26 African elephants (Loxodonta africana) from 16 zoos and circuses throughout the United States. Infection status of each animal was determined by mycobacterial culture of trunk washes. Reactivity of each serum sample against six antigens was determined, and the linear combination of antigens that accurately predicted the infection status of the greatest number of animals was determined by discriminant analysis. The resulting classification functions were used to calculate the percentage of animals that were correctly classified (i.e., specificity and sensitivity). Of the 77 elephants sampled, 47 fit the criteria for inclusion in discriminant analysis. Of these, seven Asian elephants were considered infected; 25 Asian elephants and 15 African elephants were considered noninfected. The remaining elephants had been exposed to one or more infected animals. The specificity and sensitivity of the multiple-antigen ELISA were both 100% (91.9-100% and 54.4-100%, respectively) with 95% confidence intervals. Mycobacterium bovis culture filtrate showed the highest individual antigen specificity (95%; 83.0-100%) and sensitivity (100%; 54.4-100%). Serum samples from 34 elephants were analyzed over time by the response to the culture filtrate antigen; four of these elephants were culture positive and had been used to calculate the discriminant function. Limitations such as sample size, compromised ability to ascertain each animal's true infection status, and absence of known-infected African elephants suggest that much additional research needs to be conducted regarding the use of this ELISA. However, the results indicate that this multiple-antigen ELISA would be a valuable screening test for detecting M. tuberculosis infection in elephant herds.

摘要

结核分枝杆菌已成为美国圈养象群中一种重要的致病因子,尽管目前的检测方法似乎不足以进行有效的疾病管理。本研究旨在验证一种多抗原酶联免疫吸附测定(ELISA)用于筛查圈养象的结核分枝杆菌感染,并采用横断面观察性研究设计记录大象随时间的血清学反应。从美国各地16家动物园和马戏团的51头亚洲象(印度象)和26头非洲象(非洲象)采集血清样本。通过象鼻冲洗液的分枝杆菌培养确定每只动物的感染状况。测定每个血清样本对六种抗原的反应性,并通过判别分析确定能准确预测最多动物感染状况的抗原线性组合。所得分类函数用于计算正确分类动物的百分比(即特异性和敏感性)。在77头采样大象中,47头符合纳入判别分析的标准。其中,7头亚洲象被认为感染;25头亚洲象和15头非洲象被认为未感染。其余大象曾接触过一头或多头感染动物。多抗原ELISA的特异性和敏感性均为100%(95%置信区间分别为91.9 - 100%和54.4 - 100%)。牛分枝杆菌培养滤液显示出最高的单个抗原特异性(95%;83.0 - 100%)和敏感性(100%;54.4 - 100%)。对34头大象的血清样本随时间进行培养滤液抗原反应分析;其中4头大象培养呈阳性,并已用于计算判别函数。诸如样本量、确定每只动物真实感染状况的能力受限以及缺乏已知感染的非洲象等局限性表明,关于该ELISA的应用还需要进行大量额外研究。然而,结果表明这种多抗原ELISA将是检测象群中结核分枝杆菌感染的一种有价值的筛查试验。

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