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传染性海绵状脑病病原体的诊断方法。

Diagnostics for TSE agents.

作者信息

Raeber A J, Oesch B

机构信息

Prionics AG, Schlieren, Switzerland.

出版信息

Dev Biol (Basel). 2006;123:313-23; discussion 349-54.

Abstract

Bovine Spongiform Encephalopathy (BSE) is a fatal acquired neuro-degenerative disease in cattle, belonging to the group of transmissible spongiform encephalopathies (TSEs) or prion diseases. Since its first recognition in the U.K. in 1986, BSE has raised great public health concerns because the BSE agent has been shown to cause variant Creutzfeldt Jakob Disease (vCJD) in humans. With the introduction of mandatory active surveillance programmes in the European Union the need to develop rapid tests to diagnose BSE has become a high priority. Up to now, the European Union has approved twelve rapid tests for BSE monitoring in cattle, and approval for two new tests which have been evaluated in 2004 is pending. These rapid screening tests have been used in active surveillance of BSE and have greatly improved the detection of infected cattle before their entry into the human food chain. At present, no diagnostic test exists for the detection of prions in live animals or humans. New diagnostic techniques aimed at increasing the sensitivity and specificity of PrPsc detection in body fluids and at identifying novel surrogate markers are under development.

摘要

牛海绵状脑病(BSE)是一种牛的致命性获得性神经退行性疾病,属于传染性海绵状脑病(TSEs)或朊病毒疾病。自1986年在英国首次被发现以来,BSE引发了极大的公共卫生关注,因为已证明BSE病原体可导致人类的变异型克雅氏病(vCJD)。随着欧盟强制实施主动监测计划,开发快速检测方法以诊断BSE已成为当务之急。到目前为止,欧盟已批准了12种用于牛BSE监测的快速检测方法,对2004年已评估的两种新检测方法的批准正在等待中。这些快速筛查检测方法已用于BSE的主动监测,并极大地改善了在感染牛进入人类食物链之前对其的检测。目前,尚无用于检测活体动物或人类体内朊病毒的诊断检测方法。旨在提高体液中PrPsc检测的灵敏度和特异性以及识别新型替代标志物的新诊断技术正在研发中。

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