Dubosson Christoph R, Conzelmann Claudia, Miserez Raymond, Boerlin Patrick, Frey Joachim, Zimmermann Werner, Häni Hansjürg, Kuhnert Peter
Institute of Veterinary Bacteriology, University of Bern, Laenggass-Str. 122, CH-3001, Switzerland.
Vet Microbiol. 2004 Aug 19;102(1-2):55-65. doi: 10.1016/j.vetmic.2004.05.007.
In order to improve the diagnosis of enzootic pneumonia (EP) in pigs two real-time polymerase chain reaction (rtPCR) assays for the detection of Mycoplasma hyopneumoniae in bronchial swabs from lung necropsies were established and validated in parallel. As a gold standard, the current "mosaic diagnosis" was taken, including epidemiological tracing, clinical signs, macro- and histopathological lesions of the lungs and immunofluorescence. One rtPCR is targeting a repeated DNA element of the M. hyopneumoniae genome (REP assay), the other a putative ABC transporter gene (ABC assay). Both assays were shown to be specific for M. hyopneumoniae and did not cross react with other bacteria and mollicutes from pig. With material from pigs of defined EP-negative farms the two assays showed to be 100% specific. When testing lungs from pig farms with EP, the REP assay detected 50% and the ABC assay 90% of the farms as positive. Both tests together detected all positive farms. Within a positive herd the two assays tested similarly with on average over 90% of the lung samples analysed from a single farm showing positive scores. A series of samples with suspicion of EP and samples from pigs with diseases other than respiratory taken from current routine diagnostic was assayed. None of the assays showed false positive results. The sensitivities in this sample group were 50% for the REP and 70% for the ABC assays and for both assays together 85%. The two assays run in parallel are therefore a valuable tool for the improvement of the current diagnosis of EP.
为了提高猪地方流行性肺炎(EP)的诊断水平,建立了两种用于检测肺尸检支气管拭子中猪肺炎支原体的实时聚合酶链反应(rtPCR)检测方法,并同时进行了验证。作为金标准,采用了当前的“综合诊断”方法,包括流行病学追踪、临床症状、肺的大体和组织病理学病变以及免疫荧光检查。一种rtPCR检测方法针对猪肺炎支原体基因组的重复DNA元件(REP检测法),另一种针对假定的ABC转运蛋白基因(ABC检测法)。两种检测方法均显示对猪肺炎支原体具有特异性,且不与猪的其他细菌和柔膜菌发生交叉反应。使用来自明确为EP阴性猪场的猪的材料,两种检测方法的特异性均为100%。在检测有EP的猪场的肺时,REP检测法检测出50%的猪场为阳性,ABC检测法检测出90%的猪场为阳性。两种检测方法一起检测出了所有阳性猪场。在一个阳性猪群中,两种检测方法的检测结果相似,来自单个猪场的平均超过90%的分析肺样本显示为阳性。对一系列疑似EP的样本以及从当前常规诊断中采集的患有呼吸道以外疾病的猪的样本进行了检测。两种检测方法均未出现假阳性结果。在该样本组中,REP检测法的灵敏度为50%,ABC检测法的灵敏度为70%,两种检测方法一起的灵敏度为85%。因此,并行运行的这两种检测方法是改进当前EP诊断的有价值工具。