Nishizono Akira, Khawplod Pakamatz, Ahmed Kamruddin, Goto Kazuyo, Shiota Seiji, Mifune Kumato, Yasui Takehito, Takayama Katsuyoshi, Kobayashi Yukuharu, Mannen Kazuaki, Tepsumethanon Veera, Mitmoonpitak Chanarong, Inoue Satoshi, Morimoto Kinjiro
Division of Microbiology, Department of Infectious Diseases, Faculty of Medicine, Oita University, Yufu-city, Oita, Japan.
Microbiol Immunol. 2008 Apr;52(4):243-9. doi: 10.1111/j.1348-0421.2008.00031.x.
In rabies endemic countries, funds and infrastructure are often insufficient to employ the approved gold standard for the definitive diagnosis of rabies: the direct fluorescent test. In the present study, two types (type 1 and 2) of an ICT kit were evaluated for detection of rabies. These were developed using monoclonal antibodies which recognize epitope II and III of the nucleoprotein of rabies virus. Both kits specifically detected all rabies virus strains and there was no cross reactivity with Lyssaviruses (Lagos, Mokola and Duvenhage), Rhabdovirus (VSV and Oita 296/1972) and other common canine-pathogenic viruses. In type 1, a single type of monoclonal antibody was used. It was capable of detecting recombinant nucleoprotein and showed sensitivity of 95.5% (42/44) and specificity of 88.9% (32/36) using brain samples from rabid dogs. In contrast, type 2 which was made of two different monoclonal antibodies had a lower sensitivity of 93.2% (41/44) and higher specificity of 100% (36/36). These ICT kits provide a simple and rapid method for rabies detection. They need neither cold chain for transportation nor complicated training for personnel. This diagnostic test is suitable for rabies screening, particularly in areas with a high prevalence of rabies and where the fluorescent antibody test is not available.
在狂犬病流行国家,资金和基础设施往往不足以采用经批准的狂犬病确诊金标准:直接荧光试验。在本研究中,对两种类型(1型和2型)的免疫层析检测试剂盒(ICT试剂盒)进行了狂犬病检测评估。这些试剂盒是利用识别狂犬病病毒核蛋白表位II和III的单克隆抗体开发的。两种试剂盒均能特异性检测所有狂犬病病毒株,且与狂犬病病毒属(拉各斯蝙蝠病毒、莫科拉病毒和杜文海格病毒)、弹状病毒(水疱性口炎病毒和大分296/1972)及其他常见犬致病性病毒无交叉反应。1型试剂盒使用单一类型的单克隆抗体。它能够检测重组核蛋白,使用狂犬病犬的脑样本时,灵敏度为95.5%(42/44),特异性为88.9%(32/36)。相比之下,由两种不同单克隆抗体制成的2型试剂盒灵敏度较低,为93.2%(41/44),特异性较高,为100%(36/36)。这些ICT试剂盒为狂犬病检测提供了一种简单快速的方法。它们既不需要冷链运输,也不需要对人员进行复杂培训。这种诊断测试适用于狂犬病筛查,特别是在狂犬病高发且无法进行荧光抗体检测的地区。