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使用重组杜氏利什曼原虫A2抗原诊断人和犬的美洲内脏利什曼病

Diagnosis of American visceral leishmaniasis in humans and dogs using the recombinant Leishmania donovani A2 antigen.

作者信息

Carvalho Fernando A A, Charest Hugues, Tavares Carlos Alberto P, Matlashewski Greg, Valente Eneida Paganini, Rabello Ana, Gazzinelli Ricardo T, Fernandes Ana Paula

机构信息

Department of Biochemistry and Immunology, Federal University of Minas Gerais, MG, Belo Horizonte, Brazil.

出版信息

Diagn Microbiol Infect Dis. 2002 Aug;43(4):289-95. doi: 10.1016/s0732-8893(02)00410-8.

Abstract

A2 proteins are expressed in the amastigote stage of Leishmania donovani and are composed predominantely by a conserved repetitive element. Here, we have investigated the presence of anti-A2 antibodies in a panel of American Visceral Leishmaniasis (VL) sera. Anti-A2 antibodies were detected by ELISA, using a recombinant A2 protein containing a tag of six histidine residues (A2-HIS), in 77% of patients sera with symptomatic VL and in 87% of sera from dogs that tested positive in Leishmania immunofluorescent-antibody test (IFAT) or in the parasitological evaluation. Anti-A2 antibodies were also detected in 14 out of 15 symptomatic and in 10 out of 13 asymptomatic dogs. In addition, among the asymptomatic/anti-A2 positive animals, 9 were also positive for the presence of parasites. No significant cross reactivity was observed with sera of animals with other common canine diseases. Our findings suggest that A2 protein is a potential tool for the diagnosis of VL in the New World, and will be particularly useful for diagnosis of dogs.

摘要

A2蛋白在杜氏利什曼原虫的无鞭毛体阶段表达,主要由一个保守的重复元件组成。在此,我们研究了一组美洲内脏利什曼病(VL)血清中抗A2抗体的存在情况。使用含有六个组氨酸残基标签(A2-HIS)的重组A2蛋白,通过ELISA在77%有症状的VL患者血清以及87%在利什曼原虫免疫荧光抗体试验(IFAT)或寄生虫学评估中呈阳性的犬血清中检测到抗A2抗体。在15只出现症状的犬中有14只以及13只无症状的犬中有10只也检测到了抗A2抗体。此外,在无症状/抗A2阳性的动物中,有9只寄生虫检测也呈阳性。未观察到与患有其他常见犬类疾病动物的血清有明显交叉反应。我们的研究结果表明,A2蛋白是诊断新大陆VL的一种潜在工具,对犬类诊断将特别有用。

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