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免疫细胞化学和免疫组织化学方法作为皮肤利什曼病组织病理学诊断的辅助技术。

Immunocytochemical and immunohistochemical methods as auxiliary techniques for histopathological diagnosis of cutaneous leishmaniasis.

机构信息

Programa de Pós-graduação em Processos Biotecnológicos, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.

出版信息

Acta Histochem. 2012 May;114(3):252-8. doi: 10.1016/j.acthis.2011.06.002. Epub 2011 Jul 13.


DOI:10.1016/j.acthis.2011.06.002
PMID:21742368
Abstract

A significant increase in cutaneous leishmaniasis (CL) and its geographic expansion has motivated the development of techniques to help with diagnosis of the disease. Here we describe immunocytochemical (ICC) and immunohistochemical (IHC) techniques for the diagnosis of CL in the laboratory. Polyclonal antibodies and a modified avidin-biotin complex (Ultra Streptavidin(®)) for Leishmania (V.) braziliensis or Leishmania (L.) amazonensis were developed for the present study. In vitro culture and histological sections from experimentally infected tissues were submitted to ICC/IHC techniques. The polyclonal antibody specificity, stability and immunostaining were evaluated. The polyclonal antibodies purified by chromatography (Sephadex(®)) and obtained from L. (V.) braziliensis and L. (L.) amazonensis insoluble antigens presented 83.3% sensitivity, when the presence of antigens was evaluated, i.e., higher than histopathology or any equivalent method (in vitro culture). The polyclonal antibody presented 100% specificity when used against species frequently found in CL lesions. The ICC/IHC techniques developed in the current study were able to recognize amastigotes and antigens from in vivo and in vitro cultures and from biopsies, offering additional help in the diagnosis of CL. This methodology could be beneficially adopted in public health laboratories.

摘要

皮肤利什曼病(CL)的发病率显著增加及其地理范围的扩大,促使人们开发了有助于诊断该疾病的技术。在这里,我们描述了用于实验室诊断 CL 的免疫细胞化学(ICC)和免疫组织化学(IHC)技术。为本次研究开发了针对利什曼原虫(V.) braziliensis 或利什曼原虫(L.) amazonensis 的多克隆抗体和改良的亲和素-生物素复合物(Ultra Streptavidin®)。对体外培养和来自实验感染组织的组织学切片进行了 ICC/IHC 技术检测。评估了多克隆抗体的特异性、稳定性和免疫染色。通过层析(Sephadex®)纯化的多克隆抗体和从利什曼原虫(V.) braziliensis 和利什曼原虫(L.) amazonensis 不溶性抗原获得的多克隆抗体,当评估抗原存在时,具有 83.3%的敏感性,即高于组织病理学或任何等效方法(体外培养)。当针对 CL 病变中常见的物种使用时,该多克隆抗体具有 100%的特异性。本研究中开发的 ICC/IHC 技术能够识别体内和体外培养物以及活检中的无鞭毛体和抗原,为 CL 的诊断提供了额外的帮助。该方法可以在公共卫生实验室中受益地采用。

相似文献

[1]
Immunocytochemical and immunohistochemical methods as auxiliary techniques for histopathological diagnosis of cutaneous leishmaniasis.

Acta Histochem. 2011-7-13

[2]
Antibody response in patients with cutaneous leishmaniasis infected by Leishmania (Viannia) braziliensis or Leishmania (Viannia) guyanensis in Brazil.

Acta Trop. 2005-1

[3]
Use of ELISA employing Leishmania (Viannia) braziliensis and Leishmania (Leishmania) chagasi antigens for the detection of IgG and IgG1 and IgG2 subclasses in the diagnosis of American tegumentary leishmaniasis in dogs.

Vet Parasitol. 2007-9-30

[4]
[Role of three ELISA tests using promastigote homogenates of Leishmania braziliensis, L. amazonensis and L. guyanensis in the diagnosis of tegumentary leishmaniasis].

Medicina (B Aires). 2011

[5]
Enzyme immunoassay using Leishmania (Viannia) braziliensis antigens for laboratorial diagnosis of American cutaneous leishmaniasis.

Acta Trop. 2008-8

[6]
Isolation, purification, characterization and antigenic evaluation of GPI-anchored membrane proteins from Leishmania (Viannia) braziliensis.

Acta Trop. 2008-2

[7]
Accuracy of an ELISA and indirect immunofluorescence for the laboratory diagnosis of American tegumentary leishmaniasis.

Trans R Soc Trop Med Hyg. 2009-4

[8]
Montenegro's skin reactions and antibodies against different Leishmania species in dogs from a visceral leishmaniosis endemic area.

Vet Parasitol. 2006-6-30

[9]
[Determination of the specificity of seric IgA produced in response to antigens of Leishmania (Leishmania) mexicana in murine leishmaniasis].

Invest Clin. 2011-9

[10]
Comparative studies of Leishmania soluble antigens by crossed-immunoelectrophoresis: demonstration of specific antigens to L. mexicana and L. braziliensis.

Bull World Health Organ. 1986

引用本文的文献

[1]
Anti-mitochondrial Tryparedoxin Peroxidase Monoclonal Antibody-Based Immunohistochemistry for Diagnosis of Cutaneous Leishmaniasis.

Front Microbiol. 2022-2-28

[2]
Immunohistochemical diagnosis of human infectious diseases: a review.

Diagn Pathol. 2022-1-30

[3]
Diagnosing Cutaneous leishmaniasis using Fluorescence Hybridization: the Sri Lankan Perspective.

Pathog Glob Health. 2019-8-20

[4]
Proteins Selected in Leishmania (Viannia) braziliensis by an Immunoproteomic Approach with Potential Serodiagnosis Applications for Tegumentary Leishmaniasis.

Clin Vaccine Immunol. 2015-11

[5]
Complementary exams in the diagnosis of American tegumentary leishmaniasis.

An Bras Dermatol. 2014

[6]
Towards a more precise serological diagnosis of human tegumentary leishmaniasis using Leishmania recombinant proteins.

PLoS One. 2013-6-12

[7]
American tegumentary leishmaniasis: effectiveness of an immunohistochemical protocol for the detection of Leishmania in skin.

PLoS One. 2013-5-21

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