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[免疫患者中针对恶性疟原虫抗原的特异性抗体:IV - 对锡内-萨卢姆地区中流行传播区抗恶性疟原虫抗体反应的横断面分析]

[Specific antibodies to Plasmodium falciparum antigens in immune patients: IV--Cross-sectional analysis of anti-P. falciparum Ab responses in a mesoendemic zone of transmission in Sine-Saloum region].

作者信息

Sidibé S, Diouf B, Tall A, Spiegel A, Trape J F, Garraud O, Dièye A, Perraut P

机构信息

Département d'lmmunologie, lnstitut Pasteur de Dakar, Sénégal.

出版信息

Dakar Med. 2000;45(2):117-21.

Abstract

We report here a comparative study of specific antibody responses to blood stages of P. falciparum in 100 individuals aged from 3 to 76 years, living in the village of Ndiop (an area where parasite transmission is approximately 20 infective bites per year). We have used 2 antigen preparations: crude merozoites and infected erythrocyte ghosts (GRp). High specific antibody responses were found in the villagers' sera, with IgG levels being significantly higher than those directed to the whole P. falciparum schizont Ag preparation; the reverse was found for IgM responses. An imbalanced IgG subclass Ab response was evidenced towards cytophilic IgG1+/gG3+ responses rather than to IgG2+/lgG4+. Mean levels of antibodies increased significantly with age and a strong relationship was evidenced in individual levels of Ab responses towards all the Ag studied. Investigation of the morbidity, recorded as the number of confirmed clinical accesses, underlined a significant inverse relationship only with the levels of IgG to GRp. Taken together, these results proved usefullness of crude P. falciparum Ags for immuno-epidemiological related studies and underlined GRp as a particular target of Ab responses.

摘要

我们在此报告一项针对100名年龄在3至76岁之间、居住在恩迪奥普村(该地区每年的寄生虫传播约为20次感染性叮咬)的个体,对恶性疟原虫血液阶段特异性抗体反应的比较研究。我们使用了2种抗原制剂:粗制裂殖子和感染红细胞空壳(GRp)。在村民血清中发现了高特异性抗体反应,其中IgG水平显著高于针对整个恶性疟原虫裂殖体抗原制剂的水平;而IgM反应则相反。亲细胞性IgG1+/gG3+反应而非IgG2+/lgG4+反应呈现出不平衡的IgG亚类抗体反应。抗体平均水平随年龄显著增加,并且在针对所有研究抗原的个体抗体反应水平之间存在密切关系。将发病率记录为确诊临床就诊次数进行调查发现,仅与针对GRp的IgG水平存在显著负相关。综上所述,这些结果证明了粗制恶性疟原虫抗原在免疫流行病学相关研究中的有用性,并强调GRp是抗体反应的一个特殊靶点。

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