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结核分枝杆菌 GLcB、MPT51 和 HSPX 对卫生保健工作者体液免疫应答的影响

Health care workers humoral immune response against GLcB, MPT51 and HSPX from Mycobacterium tuberculosis.

机构信息

Federal University of Goiás, Goiânia, GO, Brazil.

出版信息

Braz J Infect Dis. 2009 Dec;13(6):417-21. doi: 10.1590/s1413-86702009000600006.

Abstract

Tuberculosis (TB) is one of the oldest human infectious diseases and one third of the world's population is latently infected. Brazil is an endemic area for TB. One of the most important challenges in TB control is the identification of latently infected individuals. Health Care Workers (HCW) are at high risk of being infected with Mycobacterium tuberculosis and even to become TB latently infected. The aim of this study was to increase knowledge about humoral immune response in TB latently infected individuals. HCW were classified according to their tuberculin skin test (TST), as positive or negative. The antibody response to GLcB, MPT51 and HSPX from Mycobacterium tuberculosis was evaluated. TST negative HCW constituted the majority of those who showed a humoral immune response. Antibody levels varied according to antigen characteristics, TST and BCG status. We suggest that possibly the presence of those antibodies could have a function in the protective immune response against Mycobacterium tuberculosis.

摘要

肺结核(TB)是人类最古老的传染病之一,全球有三分之一的人口潜伏感染。巴西是结核病的流行地区。TB 控制的最重要挑战之一是识别潜伏感染个体。医护人员(HCW)感染结核分枝杆菌的风险很高,甚至可能潜伏感染 TB。本研究旨在增加对潜伏感染个体体液免疫反应的了解。根据结核菌素皮肤试验(TST)结果,将 HCW 分为阳性或阴性。评估了针对结核分枝杆菌 GLcB、MPT51 和 HSPX 的抗体反应。TST 阴性的 HCW 构成了表现出体液免疫反应的大多数。抗体水平根据抗原特性、TST 和 BCG 状况而有所不同。我们建议,这些抗体的存在可能在针对结核分枝杆菌的保护性免疫反应中发挥作用。

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