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[通过免疫层析法使用抗MPB 64单克隆抗体并在血培养样本上进行添加“H2O2”试验改进结核分枝杆菌复合群的鉴定]

[Improvement for identification of Mycobacterium tuberculosis complex by immunochromatographic assay anti-MPB 64 monoclonal antibodies with "H2O2" addition trial on blood culture samples].

作者信息

Abe Keiko, Hara Masamichi

机构信息

Department of Clinical Laboratory, National Sanatorium Minami Yokohama Hospital, Yokohama 233-8503.

出版信息

Rinsho Byori. 2002 Nov;50(11):1067-71.

Abstract

An improvement trial for identification of the Mycobacterium tuberculosis complex by immunochromatographic assay using anti-MPB 64 monoclonal antibodies (MPB 64-ICA) is documented. The new MPB 64-ICA is very useful for simple and rapid identification of the Mycobacterium tuberculosis complex with specificity, but it is a little difficult to prove the Mycobacterium tuberculosis complex on the blood culture samples taken from the immunosuppressive or the AIDS patients, because the reactive bands are red or reddish-purple in both the control and positive zones of immunochromatographic assay, which are often indistinguishable from the background mixed with hemoglobin caused from the blood samples. We tried to remove the hemoglobin interference in the samples and was able to make clear the background with addition of hydrogen peroxide (H2O2). The results are followings; the optimum time and density of H2O2 are from 5 to 15 minutes and 35%, respectively. Accordingly, the improvement trial for identification of the Mycobacterium tuberculosis complex by immunochromatographic assay using MPB64-ICA with H2O2 is useful to identify the positive reactive band from the interference by hemoglobin.

摘要

本文记录了一项使用抗MPB 64单克隆抗体免疫层析法(MPB 64-ICA)鉴定结核分枝杆菌复合群的改进试验。新型MPB 64-ICA对于简单快速且特异性地鉴定结核分枝杆菌复合群非常有用,但对于从免疫抑制患者或艾滋病患者采集的血培养样本,证明其中存在结核分枝杆菌复合群有点困难,因为在免疫层析试验的对照区和阳性区,反应带均为红色或红紫色,这常常与血样中血红蛋白造成的背景难以区分。我们试图去除样本中的血红蛋白干扰,并通过添加过氧化氢(H2O2)使背景清晰。结果如下:H2O2的最佳时间和浓度分别为5至15分钟和35%。因此,使用MPB64-ICA并添加H2O2通过免疫层析法鉴定结核分枝杆菌复合群的改进试验,有助于从血红蛋白干扰中识别出阳性反应带。

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