Laín Ana, Elguezabal Natalia, Amutio Elena, Fernández de Larrinoa Iñigo, Moragues María Dolores, Pontón José
Departamento de Inmunología, Microbiología y Parasitología, Facultad de Medicina y Odontología, Universidad del País Vasco, Apartado 699, 48080 Bilbao, Vizcaya, Spain.
Clin Dev Immunol. 2008;2008:721950. doi: 10.1155/2008/721950.
Invasive candidiasis is a frequent and often fatal complication in immunocompromised and critically ill patients. Unfortunately, the diagnosis of invasive candidiasis remains difficult due to the lack of specific clinical symptoms and a definitive diagnostic method. The detection of antibodies against different Candida antigens may help in the diagnosis. However, the methods traditionally used for the detection of antibodies have been based on crude antigenic fungal extracts, which usually show low-reproducibility and cross-reactivity problems. The development of molecular biology techniques has allowed the production of recombinant antigens which may help to solve these problems. In this review we will discuss the usefulness of recombinant antigens in the diagnosis of invasive candidiasis.
侵袭性念珠菌病是免疫功能低下和危重症患者常见且往往致命的并发症。不幸的是,由于缺乏特异性临床症状和明确的诊断方法,侵袭性念珠菌病的诊断仍然困难。检测针对不同念珠菌抗原的抗体可能有助于诊断。然而,传统上用于检测抗体的方法基于粗制的真菌抗原提取物,这些提取物通常显示出低重现性和交叉反应性问题。分子生物学技术的发展使得重组抗原的生产成为可能,这可能有助于解决这些问题。在本综述中,我们将讨论重组抗原在侵袭性念珠菌病诊断中的实用性。