Anan'eva L P, Nasonova V A, Barskova V G, Stir A S
Med Parazitol (Mosk). 2002 Apr-Jun(2):5-8.
The reaction of the sera from 86 patients with Lyme borreliosis was evaluated in the immunoblotting using three genotypes of pathogenic Borrelia strains. The Russian isolates of Borrelia afzelii (strain IP3) and B. garinii 20047T (strain IP90) were compared with the USA typical strain B31--B. burgdorferi sensu stricto. The results were assessed by the criteria recommended for the USA and developed for B. burgdorferi sensu stricto. Certain differences were shown in the reactions of serum IgG with major proteins of three Borrelia genotypes. The sera interacted with p37 of an I-90 isolate and with p39 of both Russian isolates significantly more frequently. The rate of positive results of a serum test using the strain B31 was 18.6% (16 patients); 13 patients were additionally identified when the Russian isolates were applied. It is expedient to use the genotypes circulating in Russia as an antigenic material for immunoblotting. Criteria for positive serum test results may be individual for each genotype of Borreliae.
使用三种基因型的致病性疏螺旋体菌株,通过免疫印迹法评估了86例莱姆病患者血清的反应。将俄罗斯的阿氏疏螺旋体分离株(IP3菌株)和20047T型伽氏疏螺旋体(IP90菌株)与美国典型菌株B31——狭义伯氏疏螺旋体进行了比较。结果根据美国推荐并针对狭义伯氏疏螺旋体制定的标准进行评估。血清IgG与三种疏螺旋体基因型主要蛋白的反应显示出一定差异。血清与I - 90分离株的p37以及两种俄罗斯分离株的p39相互作用的频率明显更高。使用B31菌株进行血清检测的阳性结果率为18.6%(16例患者);使用俄罗斯分离株时,另外鉴定出13例患者。将俄罗斯流行的基因型用作免疫印迹的抗原材料是适宜的。血清检测阳性结果的标准可能因每种疏螺旋体基因型而异。