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利用酶联免疫吸附测定法(ELISA)检测脑脊液样本,评估猪带绦虫和肥胖带绦虫囊尾蚴抗原用于神经囊尾蚴病免疫诊断的效果。

Evaluation of Taenia solium and Taenia crassiceps cysticercal antigens for immunodiagnosis of neurocysticercosis using ELISA on cerebrospinal fluid samples.

作者信息

Suzuki Lisandra Akemi, Arruda Gisele Cristina, Quagliato Elizabeth Maria Aparecida Barasnevicius, Rossi Qláudio Lúcio

机构信息

Departamento de Patologia Clínica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP.

出版信息

Rev Soc Bras Med Trop. 2007 Mar-Apr;40(2):152-5. doi: 10.1590/s0037-86822007000200002.

Abstract

The efficacy of whole parasite and vesicular fluid antigen extracts from Taenia solium and Taenia crassiceps cysticerci for immunodiagnosis of neurocysticercosis was evaluated using ELISA on cerebrospinal fluid samples. Anticysticercal IgG antibodies were assayed in cerebrospinal fluid samples from 23 patients with neurocysticercosis and 35 patients with other neurological disorders. The ELISA reaction for the whole Taenia solium cysticercal extract showed 91.3% sensitivity and 94.3% specificity, whereas the sensitivity and specificity of the ELISA for the whole Taenia crassiceps cysticercal extract were 87% and 94.3%, respectively. The ELISA reactions for vesicular fluid from Taenia solium or Taenia crassiceps showed 91.3% sensitivity and 97.1% specificity. Considering the results obtained from the four antigen preparations, vesicular fluid from Taenia solium and Taenia crassiceps cysticerci may be useful as a source of antigens for immunological reactions that are used for detecting specific antibodies in cerebrospinal fluid samples from patients with neurocysticercosis.

摘要

使用酶联免疫吸附测定法(ELISA)对脑脊液样本进行检测,评估来自猪带绦虫和肥胖带绦虫囊尾蚴的全虫及囊泡液抗原提取物对神经囊尾蚴病的免疫诊断效果。对23例神经囊尾蚴病患者和35例患有其他神经系统疾病患者的脑脊液样本检测抗囊尾蚴IgG抗体。猪带绦虫囊尾蚴全虫提取物的ELISA反应显示敏感性为91.3%,特异性为94.3%,而肥胖带绦虫囊尾蚴全虫提取物的ELISA敏感性和特异性分别为87%和94.3%。猪带绦虫或肥胖带绦虫囊泡液的ELISA反应显示敏感性为91.3%,特异性为97.1%。考虑到从这四种抗原制剂获得的结果,猪带绦虫和肥胖带绦虫囊尾蚴的囊泡液可能作为抗原来源,用于免疫反应,以检测神经囊尾蚴病患者脑脊液样本中的特异性抗体。

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