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基于双通道平台技术(DPP® CVL 快速检测)的新型色谱免疫分析在犬内脏利什曼病血清学诊断中的评价。

Evaluation of a novel chromatographic immunoassay based on Dual-Path Platform technology (DPP® CVL rapid test) for the serodiagnosis of canine visceral leishmaniasis.

机构信息

Laboratório de Pesquisa em Leishmaniose, Instituto Oswaldo Cruz/Fiocruz, Av. Brasil 4365, Rio de Janeiro, RJ 21040-360, Brazil.

出版信息

Trans R Soc Trop Med Hyg. 2012 Jan;106(1):54-9. doi: 10.1016/j.trstmh.2011.10.001.

Abstract

Canine visceral leishmaniasis (CVL) is the major source of human visceral leishmaniasis (VL) and is transmitted from dogs to sand flies to humans. To control the spread of this disease, early and accurate detection of infected dogs is critical but challenging. Here we demonstrate the potential of the Dual-Path Platform (DPP(®)) CVL rapid test for detecting K26/K39-reactive antibodies in sera from clinically symptomatic (n=60) and asymptomatic (n=60) Leishmania infantum-infected dogs. For the specificity evaluation, assays were performed using known negative diagnostic serum samples (n=59) and cross-reaction control sera (n=11) from animals born in a VL-free area of Brazil. The diagnostic kit displayed high specificity (96%) but low sensitivity (47%) in identifying parasite-positive dogs without signs of CVL. However, the test sensitivity was significantly higher (98%) in diseased cases, indicating that this convenient test may be useful to identify the most infectious dogs. Efforts should be pursued to obtain a more sensitive DPP-multiplexed test parameter (i.e. based on simultaneous yet separate antibody detection of carefully selected multiple antigens of diagnostic utility) for effective serodiagnosis of early-infected dogs, as this will likely allow more efficient canine removal regimens than those used in practice by public health services.

摘要

犬内脏利什曼病(CVL)是人类内脏利什曼病(VL)的主要来源,通过狗传播给沙蝇再传播给人类。为了控制这种疾病的传播,早期准确地检测感染的狗是至关重要的,但也具有挑战性。在这里,我们展示了 Dual-Path Platform(DPP(®))CVL 快速检测试剂盒用于检测临床症状明显(n=60)和无症状(n=60)利什曼原虫感染犬血清中 K26/K39 反应性抗体的潜力。为了进行特异性评估,使用来自巴西无 VL 地区的已知阴性诊断血清样本(n=59)和交叉反应对照血清(n=11)进行了检测。该诊断试剂盒在识别无 CVL 症状的寄生虫阳性犬时表现出高特异性(96%)但低敏感性(47%)。然而,在患病病例中,该测试的敏感性显著提高(98%),表明这种方便的测试可能有助于识别最具传染性的犬。应努力获得更敏感的 DPP 多重检测参数(即基于精心选择的多个具有诊断效用的抗原的同时但独立的抗体检测),以便对早期感染的犬进行有效的血清学诊断,这可能比公共卫生服务机构目前使用的更有效犬只清除方案。

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