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澳门地区人群在登革热流行前对登革热病毒和白纹伊蚊的免疫反应。

Immune reactivity to dengue and Aedes albopictus mosquitoes in the population from Macao, China, before dengue occurrence.

机构信息

Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira, 100, 1349-008 Lisboa, Portugal.

出版信息

In Vivo. 2011 Jul-Aug;25(4):625-31.

PMID:21709006
Abstract

A serological survey was conducted in Macao, China, in 753 individuals, with the objective of looking for antibodies to the mosquito, Aedes albopictus (Skuse 1894) (Diptera: Culicidae), and to dengue, before the occurrence of any autochthonous dengue cases. Blood samples were collected at several public health services, a questionnaire was answered, and enzyme-linked immunosorbant assay (ELISA) and Western blot techniques were performed with extracts of mosquito head and thorax (HT). Anti-Aedes albopictus IgG antibodies were present in titres 1:10(2)-1:10(3) in 9%, and in titres 1:10(4)-1:10(5) in 42% of the sera tested. This reactivity was more frequent (59%) in the population which had resided only in Macao in the 2 years previous to the survey, as opposed to those that had also resided in other areas (50%). From the 230 reactive sera selected for immunoblot, 48 (21%) reacted with a wide range of proteins from above 224 kDa to 21 kDa, with different patterns according to individual sera. Proteins in the intervals 35.3-28.7 kDa and 28.7-21.1 kDa were labelled by the greatest number of sera, 15 and 19 respectively. The presence of anti-Aedes albopictus antibodies presented a statistical relation to skin reaction to mosquito bites, but immunoblot patterns did not. Anti-dengue IgG antibodies were found in 48% of the subjects, with a higher proportion in people who had resided out of Macao, or who were nationals from dengue-endemic neighboring countries. Anti-dengue reactivity was in agreement with anti-mosquito reactivity in half of the population. It would be interesting to see if this proportion has changed since dengue became endemic in Macao in 2001.

摘要

在中国澳门,对 753 人进行了血清学调查,目的是在出现任何本地登革热病例之前寻找针对白纹伊蚊(Skuse 1894)(双翅目:库蚊科)的抗体和登革热抗体。在几个公共卫生服务机构采集血样,回答问卷,并使用蚊头和胸(HT)提取物进行酶联免疫吸附试验(ELISA)和 Western blot 技术。在检测的血清中,9%的血清抗白纹伊蚊 IgG 抗体的效价为 1:10(2)-1:10(3),42%的血清抗白纹伊蚊 IgG 抗体的效价为 1:10(4)-1:10(5)。与仅在调查前 2 年居住在澳门的人群(59%)相比,曾居住在其他地区的人群(50%)的这种反应性更为频繁。从 230 份选择用于免疫印迹的反应性血清中,有 48 份(21%)与来自 224 kDa 以上至 21 kDa 的多种蛋白发生广泛反应,根据个体血清的不同而呈现不同的模式。在 35.3-28.7 kDa 和 28.7-21.1 kDa 之间的间隔内的蛋白被数量最多的血清标记,分别为 15 和 19。抗白纹伊蚊抗体的存在与蚊虫叮咬后的皮肤反应呈统计学关系,但免疫印迹模式则没有。48%的研究对象存在抗登革热 IgG 抗体,在居住在澳门以外地区或来自登革热流行邻国的人群中,这一比例更高。在一半的人群中,抗登革热反应与抗蚊反应一致。自 2001 年澳门登革热流行以来,看看这一比例是否发生了变化会很有趣。

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