Kaplan E L, Wannamaker L W
J Lab Clin Med. 1975 Jul;86(1):91-9.
The dynamics of the immune response to streptococcal extracellular antigens as measured by the streptozyme agglutination test have been defined in experimental animals andcompared with the dynamics of the immune response as determined by three established neutralization tests for streptococcal antibodies (ASO, anti-DNase B,and anti-NADase). In rabbits immunized with streptococcal extracellular Streptozyme-measured antibodies rose more quickly and peaked earlier than did antibodies to streptolysin O, streptococcal DNase-B, and streptococcal NADase. Additional studiesrevealed that the early peak was primarily due to 2-mercaptoethanol-sensitive (19S) antibody and that the later rise in Streptozyme-measured antibodies was due to 2-mercaptoethanol-resistant (7S) antibody. Preliminary observations using sucrose gradient ultracentrifugation tended to confirm this interpretation. These data provide a possible explanation for the early detection of a streptococcal antibody response by the Streptozyme test which has also been described in humans. The data suggest a theoretical advantage for the Streptozyme agglutination test in patients with streptococcal infections and their sequealae. However, the complexity of the Streptozyme reagent suggests that more extensive studies are needed to assure the consistent reproductivity of results with different lots of the test reagent.
通过链激酶酶凝集试验测定的对链球菌细胞外抗原的免疫反应动力学已在实验动物中确定,并与通过三种既定的链球菌抗体中和试验(抗链球菌溶血素O、抗脱氧核糖核酸酶B和抗烟酰胺腺嘌呤二核苷酸酶)所确定的免疫反应动力学进行了比较。在用链球菌细胞外抗原免疫的兔子中,链激酶酶测定的抗体比抗链球菌溶血素O、链球菌脱氧核糖核酸酶B和链球菌烟酰胺腺嘌呤二核苷酸酶的抗体上升得更快且峰值出现得更早。进一步的研究表明,早期峰值主要归因于对2-巯基乙醇敏感的(19S)抗体,而链激酶酶测定的抗体后期上升则归因于对2-巯基乙醇有抗性的(7S)抗体。使用蔗糖梯度超速离心的初步观察结果倾向于证实这一解释。这些数据为链激酶酶试验能早期检测到链球菌抗体反应提供了一种可能的解释,这在人类中也有描述。这些数据表明链激酶酶凝集试验在患有链球菌感染及其后遗症的患者中具有理论优势。然而,链激酶酶试剂的复杂性表明需要进行更广泛的研究,以确保不同批次的试验试剂结果具有一致的可重复性。