通过流式细胞术检测抗恰加斯利什曼原虫(利什曼原虫)IgG滴度以区分感染犬和接种疫苗犬的临床价值。
Clinical value of anti-Leishmania (Leishmania) chagasi IgG titers detected by flow cytometry to distinguish infected from vaccinated dogs.
作者信息
de Andrade Renata Aline, Reis Alexandre Barbosa, Gontijo Célia Maria Ferreira, Braga Lidiane Bento, Rocha Roberta Dias Rodrigues, Araújo Márcio Sobreira Silva, Vianna Leonardo Rocha, Martins-Filho Olindo Assis
机构信息
Laboratório de Doença de Chagas, CPqRR-FIOCRUZ/MG, Avenida Augusto de Lima 1715, Barro Preto, Belo Horizonte, Minas Gerais 30190-002, Brazil.
出版信息
Vet Immunol Immunopathol. 2007 Mar 15;116(1-2):85-97. doi: 10.1016/j.vetimm.2007.01.002. Epub 2007 Jan 13.
Leishmune vaccination covers a broader number of endemic areas of canine visceral leishmaniasis (CVL) and therefore the development of new serological devices able to discriminate CVL from Leishmune vaccinees becomes an urgent need considering the post-vaccine seroconversion detected throughout conventional methodologies. Herein, we have described the establishment of a flow cytometry based methodology to detect anti-fixed L. (L.) chagasi promastigotes antibodies (FC-AFPA-IgG, FC-AFPA-IgG1 and FC-AFPA-IgG2) in sera samples from Leishmania (Leishmania) chagasi infected dogs and Leishmune vaccinees. The results of FC-AFPA were reported along the sera titration curve (1:128-1:524,288), as percentage-of-positive-fluorescent-parasite (PPFP). The use of PPFP=20% as a cut-off edge to segregate negative and positive results at sera dilution 1:2048 revealed outstanding performance indexes that elect FC-AFPA-IgG and IgG2 (both detected by polyclonal FITC-labeled second step reagent) applicable to the serological diagnosis of CVL, with 100% of specificity for both IgG and IgG2 and 97 and 93% of sensitivity, respectively. Moreover, FC-AFPA-IgG, applied at sera dilution 1:2048, also appeared as a useful tool to discriminate L. chagasi infected dogs from Leishmune vaccinees, with 76% of specificity. Outstanding likelihood indexes further support the performance of FC-AFPA-IgG for exclusion diagnosis of CVL in Leishmune vaccinees. Analysis of FC-AFPA-IgG at sera dilution 1:8192 revealed the most outstanding indexes, demonstrating that besides the ability of PPFP <or=20% to exclude the diagnosis of CVL, a PPFP values higher 80%, mostly observed for infected dogs (INF) have a minimal change to come from a non-infected animal (NI) or Leishmune vaccinees (VAC). Together, our findings showed the potential of both anti-L. chagasi FC-AFPA-IgG and IgG2 to distinguish the serological reactivity of L. chagasi infected dogs from Leishmune vaccinees, which will further contribute for the differential diagnosis in the context of CVL immunoprophylaxis.
利什曼疫苗覆盖了更多犬内脏利什曼病(CVL)的流行地区,因此,鉴于通过传统方法检测到疫苗接种后的血清转化情况,开发能够区分CVL和接种利什曼疫苗者的新型血清学检测方法变得迫在眉睫。在此,我们描述了一种基于流式细胞术的方法的建立,用于检测来自感染恰加斯利什曼原虫(Leishmania (Leishmania) chagasi)的犬和接种利什曼疫苗者的血清样本中抗固定的恰加斯利什曼原虫前鞭毛体抗体(FC-AFPA-IgG、FC-AFPA-IgG1和FC-AFPA-IgG2)。FC-AFPA的结果沿着血清滴定曲线(1:128 - 1:524,288)报告,以阳性荧光寄生虫百分比(PPFP)表示。使用PPFP = 20%作为在血清稀释度1:2048时区分阴性和阳性结果的临界值,显示出优异的性能指标,选定FC-AFPA-IgG和IgG2(均通过多克隆FITC标记的第二步试剂检测)适用于CVL的血清学诊断,IgG和IgG2的特异性均为100%,敏感性分别为97%和93%。此外,在血清稀释度1:2048时应用的FC-AFPA-IgG,也表现为区分感染恰加斯利什曼原虫的犬和接种利什曼疫苗者的有用工具,特异性为76%。出色的似然指数进一步支持FC-AFPA-IgG在接种利什曼疫苗者中排除CVL诊断的性能。在血清稀释度1:8192时对FC-AFPA-IgG的分析显示出最优异的指标,表明除了PPFP≤20%能够排除CVL诊断外,PPFP值高于80%(大多在感染犬(INF)中观察到)极不可能来自未感染动物(NI)或接种利什曼疫苗者(VAC)。总之,我们的研究结果表明抗恰加斯利什曼原虫FC-AFPA-IgG和IgG2都有潜力区分感染恰加斯利什曼原虫的犬和接种利什曼疫苗者的血清学反应性,这将进一步有助于在CVL免疫预防背景下的鉴别诊断。