Miyazaki T, Kohno S, Mitsutake K, Yamada H, Yasuoka A, Maesaki S, Kaku M, Koga H, Hara K
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
Tohoku J Exp Med. 1992 Sep;168(1):1-9. doi: 10.1620/tjem.168.1.
Factor G, the coagulation enzyme from limulus amebocytes, is activated by (1-->3)-beta-D-glucan but not by endotoxin. The endotoxin-specific limulus test, which is devoid of factor G, reacts only with endotoxin. However, the conventional limulus test which includes factors G and C, reacts with not only endotoxin but also with (1-->3)-beta-D-glucan. In this study, the culture supernatant of Candida albicans in RPMI medium activated the conventional limulus test, but not the endotoxin-specific limulus test. All five rabbits inoculated intravenously with Candida albicans (1.0 x 10(7) CFU/rabbit) showed increased levels of reactivity with the conventional limulus test, whereas no elevation in the levels of the endotoxin-specific limulus test was observed in the sera of any infected rabbits. Only one serum sample from rabbit No. 5 on day 8 showed a positive Cand-tectest. The difference in the titers of the two limulus tests was suggestive of a diagnosis of Candida infection.
鲎阿米巴样细胞的凝血酶——因子G,可被(1→3)-β-D-葡聚糖激活,但不能被内毒素激活。不含因子G的内毒素特异性鲎试剂检测仅与内毒素发生反应。然而,包含因子G和C的传统鲎试剂检测不仅能与内毒素反应,还能与(1→3)-β-D-葡聚糖反应。在本研究中,白色念珠菌在RPMI培养基中的培养上清液可激活传统鲎试剂检测,但不能激活内毒素特异性鲎试剂检测。所有5只静脉注射白色念珠菌(1.0×10⁷CFU/只)的兔子,其传统鲎试剂检测的反应性水平均升高,而在任何感染兔子的血清中,内毒素特异性鲎试剂检测的水平均未升高。仅第5号兔子在第8天的一份血清样本显示念珠菌检测呈阳性。两种鲎试剂检测效价的差异提示念珠菌感染的诊断。