应用免疫荧光法、血凝抑制试验和中和试验检测人血清中针对猪源 09 年 H1N1 流感病毒的抗体:人体中保护性抗体的流行率如何?
Determination of serum antibodies against swine-origin influenza A virus H1N1/09 by immunofluorescence, haemagglutination inhibition, and by neutralization tests: how is the prevalence rate of protecting antibodies in humans?
机构信息
Institute of Medical Virology, University Hospital, Frankfurt/M., Germany.
出版信息
Med Microbiol Immunol. 2010 May;199(2):117-21. doi: 10.1007/s00430-010-0143-4. Epub 2010 Feb 17.
In April 2009, a new variant of influenza A virus, subtype H1N1v emerged in Mexico and spread all over the world producing the H1N1 pandemic in mankind after 1918-1920 and 1978/1979. Obviously there was no herd immunity against this new virus variant. Mainly young people, but less elderly were affected and presented severe and even lethal courses of disease. Since virus-specific antibodies are commonly regarded as markers of partial or complete immunoprotection, we performed antibody determinations in serum samples obtained from people before and after the pandemic has arrived in our region (Frankfurt/M., Germany). The assays were done by indirect immunofluorescence, by neutralization test, and by a haemagglutination inhibition test (HI), which was established in a practical modification for general and easy use. Among 145 individuals, of whom serum specimens had been drawn before the onset of pandemic, 19 revealed humoral immunity, i.e. titres of H1N1v neutralizing antibodies (at least 1:64). Eleven were older than 60 years, one belonged to the age group 40-59 years, three to the age group 20-39 years, and two to the age group 15-19 years. After the onset of pandemic in Frankfurt, serum specimens drawn from n = 225 randomly selected patients of our local university hospital were investigated for antibodies against H1N1v by HI, which is generally recommended for routine check of immunity. Twenty-eight individuals revealed the protecting antibody titre of at least 1:40. The age distribution had moved to mean age groups. The results fit to the incidence of influenza A/H1N1(09) disease, as confirmed by RT-PCR in patients admitted to our hospital, peaking in the younger age groups up to 30 years (second affected group: 30-40 years). While commonly used solid-phase antibody tests (like immunofluorescence) are not suitable to diagnose passed H1N1(09) infection and acquired immunity, this can be easily done by HI. Expecting the next waves of influenza A/H1N1v infections, HI testing may avoid vaccinations under special risk of severe or hidden adverse reactions.
2009 年 4 月,一种新型甲型 H1N1v 流感病毒在墨西哥出现并蔓延至世界各地,引发了自 1918-1920 年和 1978/1979 年以来的人类 H1N1 大流行。显然,人们对这种新的病毒变体没有群体免疫力。主要是年轻人,但也有较少的老年人受到影响,并出现严重甚至致命的疾病过程。由于病毒特异性抗体通常被认为是部分或完全免疫保护的标志物,因此我们在流感大流行到达我们地区(德国法兰克福/美因河畔)前后,对从人群中获得的血清样本进行了抗体测定。这些检测是通过间接免疫荧光、中和试验和血凝抑制试验(HI)进行的,该试验在实用改进后可用于常规和简便使用。在 145 名个体中,有 19 人在大流行前就已经产生了体液免疫,即 H1N1v 中和抗体的滴度(至少为 1:64)。11 人年龄大于 60 岁,1 人年龄在 40-59 岁之间,3 人年龄在 20-39 岁之间,2 人年龄在 15-19 岁之间。在法兰克福大流行开始后,我们从当地大学医院的 n=225 名随机选择的患者中抽取血清样本,通过 HI 检测针对 H1N1v 的抗体,这通常是用于常规免疫检查的推荐方法。有 28 人显示出至少 1:40 的保护抗体滴度。年龄分布已经转移到平均年龄组。这些结果与我们医院收治的经 RT-PCR 确诊的甲型流感 A/H1N1(09)疾病的发病率相符,发病高峰在年轻年龄组,直到 30 岁(第二发病组:30-40 岁)。虽然常用的固相抗体检测方法(如免疫荧光)不适合诊断已过去的 H1N1(09)感染和获得的免疫力,但 HI 可以轻松做到这一点。预计甲型流感 A/H1N1v 的下一波感染浪潮可能会避免在出现严重或隐匿性不良反应的特殊风险下进行疫苗接种。