Zhang Jian-ao, Luo Duan-de, Zeng Ling-lan, Li Shu-li
Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2004 Mar;18(1):88-90.
To establish a new and efficient method(IEDA) for detection of hemorrhagic fever with renal syndrome virus (HFRSV) antigen.
An immune enzyme dot assay (IEDA) with mixture of three sorts anti-HFRSV-IgG, which was obtained from rabbit vaccinated with EHFV R22, Chen and Hubei strain was employed to detect HFRSV antigen in serum and urine from epidemic hemorrhagic fever (EHF) patients, and compared with indirect immune fluorescence assay (I-IFA), 76 serum samples and 40 urine samples were detected in this study.
The results showed that the total positive rate of HFRSV antigen detected by IEDA was 73.68% in serum and 65.00% in urine, while that detected by I-IFA was 75.00% and 70.00%, respectively. The positive rate in primary phase (within 5 days) of HFRSV antigen detected by IEDA was 94.34% in serum and 83.33% in urine, while that detected by I-IFA was 64.42% and 55.56%, respectively, there was significant difference in both serum and urine detections. Correlation study showed a high correlation in the result of IEDA and I-IFA.
The results of this study suggested that the IEDA, as compared with I-IFA, was a more specific, sensitive, rapid and simple method with higher positive rate in primary phase. IEDA could be widely used for early diagnosis of HFRS in hospital at grassroots level.
建立一种新的高效检测肾综合征出血热病毒(HFRSV)抗原的方法(免疫酶斑点法,IEDA)。
采用用EHFV R22、陈株和湖北株免疫家兔获得的三种抗HFRSV-IgG混合液的免疫酶斑点法(IEDA)检测流行性出血热(EHF)患者血清和尿液中的HFRSV抗原,并与间接免疫荧光法(I-IFA)进行比较,本研究共检测了76份血清样本和40份尿液样本。
结果显示,IEDA检测血清中HFRSV抗原的总阳性率为73.68%,尿液中为65.00%,而I-IFA检测的阳性率分别为75.00%和70.00%。IEDA检测HFRSV抗原急性期(5天内)血清阳性率为94.34%,尿液为83.33%,而I-IFA检测的分别为64.42%和55.56%,血清和尿液检测均有显著差异。相关性研究表明IEDA和I-IFA结果具有高度相关性。
本研究结果表明,与I-IFA相比,IEDA是一种更特异、敏感、快速且简单的方法,急性期阳性率更高。IEDA可广泛应用于基层医院HFRS的早期诊断。