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基于粗制和重组利什曼原虫抗原的酶联免疫吸附测定法在犬有症状和无症状婴儿利什曼原虫内脏感染血清学诊断中的比较评估

Comparative evaluation of enzyme-linked immunosorbent assays based on crude and recombinant leishmanial antigens for serodiagnosis of symptomatic and asymptomatic Leishmania infantum visceral infections in dogs.

作者信息

Porrozzi Renato, Santos da Costa Marcos V, Teva Antonio, Falqueto Aloísio, Ferreira Adelson L, dos Santos Claudiney D, Fernandes Ana Paula, Gazzinelli Ricardo T, Campos-Neto Antonio, Grimaldi Gabriel

机构信息

Department of Immunology, Oswaldo Cruz Institute, FIOCRUZ, Pav. Leonidas Deane, 5th Floor, Room 509, Av. Brasil 4365, CEP 21045-090 Rio de Janeiro, RJ, Brazil.

出版信息

Clin Vaccine Immunol. 2007 May;14(5):544-8. doi: 10.1128/CVI.00420-06. Epub 2007 Feb 21.

Abstract

The diagnosis of visceral leishmaniasis remains difficult in rural areas where the disease is endemic, and serologic methods still need assessment, as they are not very sensitive for the detection of asymptomatic infectious dogs. Here we present data on the development of enzyme-linked immunosorbent assay (ELISA)-based methods for the detection of antibodies against recombinant leishmanial antigens (namely, the recombinant K26 [rK26] and rK39 antigens from Leishmania infantum and the rA2 protein from Leishmania donovani) in comparison to ELISAs employing crude soluble antigen (CSA). The assays utilized sera from known negative controls (n=25) and clinically asymptomatic (n=50) and symptomatic (n=50) dogs with confirmed L. infantum infections. Additional studies were also done using sera from animals harboring other infections (n=14) for the evaluation of cross-reactivity. Our study indicated that rK26 and rK39 used in ELISAs provided very high sensitivities for the detection of symptomatic dogs (94% and 100%, respectively), followed by CSA (88%) and rA2 (70%). Conversely, rA2 was more sensitive for asymptomatic dogs (88%) than rK39 and rK26 (both 66%) and CSA (30%). Some cross-reactivity in sera from dogs with other infections (Leishmania braziliensis and Leptospira interrogans) was identified, but the rA2 protein provided the greatest specificity (98%). Data further indicate that all three recombinant proteins must be used in parallel to detect essentially all infected dogs. Efforts should be made to develop a cheap and reliable serologic test based on epitope selection from these diagnostic markers for the sensitive detection of L. infantum-infected dogs.

摘要

在内脏利什曼病流行的农村地区,该病的诊断仍然困难,血清学方法仍需评估,因为它们对检测无症状感染犬的敏感性不高。在此,我们展示了基于酶联免疫吸附测定(ELISA)的方法用于检测针对重组利什曼原虫抗原(即来自婴儿利什曼原虫的重组K26[rK26]和rK39抗原以及来自杜氏利什曼原虫的rA2蛋白)的抗体的数据,并与采用粗可溶性抗原(CSA)的ELISA进行比较。这些测定使用了来自已知阴性对照(n = 25)以及临床无症状(n = 50)和有症状(n = 50)且已确诊婴儿利什曼原虫感染的犬的血清。还使用了来自患有其他感染的动物(n = 14)的血清进行交叉反应性评估的额外研究。我们的研究表明,ELISA中使用的rK26和rK39对有症状犬的检测具有非常高的敏感性(分别为94%和100%),其次是CSA(88%)和rA2(70%)。相反,rA2对无症状犬的敏感性(88%)高于rK39和rK26(均为66%)以及CSA(30%)。在患有其他感染(巴西利什曼原虫和问号钩端螺旋体)的犬的血清中发现了一些交叉反应,但rA2蛋白具有最高的特异性(98%)。数据进一步表明,必须同时使用所有三种重组蛋白才能检测到基本上所有感染的犬。应努力基于从这些诊断标志物中选择的表位开发一种廉价且可靠的血清学检测方法,以灵敏地检测感染婴儿利什曼原虫的犬。

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