Greenwald Rena, Esfandiari Javan, Lesellier Sandrine, Houghton Raymond, Pollock John, Aagaard Claus, Andersen Peter, Hewinson R Glyn, Chambers Mark, Lyashchenko Konstantin
Chembio Diagnostic Systems, Inc., Medford, NY, USA.
Diagn Microbiol Infect Dis. 2003 Jul;46(3):197-203. doi: 10.1016/s0732-8893(03)00046-4.
Despite attempts to control bovine tuberculosis, the incidence of disease in Great Britain continues to rise. In GB, the European badger (Meles meles) is a reservoir of infection with Mycobacterium bovis. In an effort to improve the serodetection of badger tuberculosis, we examined sera from M. bovis culture-positive and culture-negative badgers for their ability to recognize M. bovis antigens, using a multi-antigen print immunoassay (MAPIA). Depending on the antigens used in the MAPIA, the assay had a sensitivity of 49-59% and a specificity of 84-88% Results from the MAPIA were used to select antigens for the development of a lateral-flow immunoassay. This so-called 'Rapid Test' used 5microl of serum and gave unambiguous results within 10 min. When applied to 178 badger sera, the Rapid Test had a sensitivity of 53% and a specificity of 95%. This represented an improvement over the performance of the existing ELISA Test, which had a sensitivity of 47% and a specificity of 89% on the same sera. This is the first report of a diagnostic test for badger tuberculosis that can be performed alongside the captive animal.
尽管人们试图控制牛结核病,但英国的该病发病率仍在持续上升。在英国,欧洲獾(Meles meles)是牛分枝杆菌感染的储存宿主。为了改进獾结核病的血清学检测方法,我们使用多抗原印迹免疫分析(MAPIA),检测了牛分枝杆菌培养阳性和培养阴性獾的血清识别牛分枝杆菌抗原的能力。根据MAPIA中使用的抗原不同,该检测方法的灵敏度为49%-59%,特异性为84%-88%。MAPIA的检测结果被用于选择抗原,以开发一种侧向流动免疫分析方法。这种所谓的“快速检测法”使用5微升血清,在10分钟内即可得出明确结果。当应用于178份獾血清时,快速检测法的灵敏度为53%,特异性为95%。这比现有酶联免疫吸附测定(ELISA)检测法的性能有所提高,后者对相同血清的灵敏度为47%,特异性为89%。这是第一份关于可在圈养动物旁进行的獾结核病诊断检测的报告。