Pontón José, del Palacio Amalia
Laboratorio de Micología Médica, Departamento de Inmunología, Microbiología y Parasitología, Facultad de Medicina y Odontología, Universidad del País Vasco, Bilbao, Spain.
Rev Iberoam Micol. 2007 Sep 30;24(3):181-6. doi: 10.1016/s1130-1406(07)70041-4.
In the last years, the main advances in the serological diagnosis of mycoses caused by yeasts have occurred in the area of antibody and (1-3)-beta-D-glucan detection. Commercialization of the Candida albicans IFA IgG test and detection of antibodies against recombinant antigens Hwp1 and enolase are the most important contributions to the first area. Detection of (1-3)-beta-D-glucan confirms its usefulness as a good marker for the diagnosis of invasive candidiasis. The most recent studies suggest that combination of two tests to detect antígen, antibodies, (1-3)-beta-D-glucan and DNA will be needed to optimize the diagnosis of systemic yeast infections.
近年来,酵母引起的真菌病血清学诊断的主要进展发生在抗体和(1-3)-β-D-葡聚糖检测领域。白色念珠菌间接免疫荧光法IgG检测的商业化以及针对重组抗原Hwp1和烯醇化酶的抗体检测是该领域最重要的贡献。(1-3)-β-D-葡聚糖的检测证实了其作为侵袭性念珠菌病诊断良好标志物的有用性。最新研究表明,需要联合两种检测方法来检测抗原、抗体、(1-3)-β-D-葡聚糖和DNA,以优化系统性酵母菌感染的诊断。