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[急性弓形虫病:用于检测抗弓形虫IgM抗体的薄层免疫测定技术的评估]

[Acute toxoplasmosis: evaluation of a thin-layer immunoassay technic for detection of IgM antibodies, anti-Toxoplasma gondii].

作者信息

Requejo H I, Matsumoto T K, Kawarabayashi M, Nakamura P M, Ebner Filho W, Nunes J de J

机构信息

Imunologia do Instituto Adolfo Lutz, São Paulo, Brasil.

出版信息

Rev Inst Med Trop Sao Paulo. 1990 Jan-Feb;32(1):51-7.

PMID:2259832
Abstract

A solid phase method, thin-layer immunoassay (IgM-TIA) was standardized and evaluated for the immunodiagnosis of acute toxoplasmosis, through the detection of IgM antibodies to Toxoplasma gondii. A total of 300 serum samples from serologically defined acute toxoplasmosis and, from non-related infections, was investigated by IgM-TIA. Statistical analysis were carried out in comparison with conventional tests, the immunofluorescence test for the detection of IgM antibodies (IgM-IFI) and hemagglutination test which uses 2-mercaptoethanol serum treatment (2ME-HA). Also the correlation coefficients were calculated for various Toxoplasma gondii antigen concentrations, as well as, the influence of the antigenic concentration on the relative indices of sensitivity and specificity were verified. The intra and inter test reproducibilities were demonstrated statistically, as well as, the reutilization of T. gondii antigen was proven to be possible for at least 10 times. The data indicated that antigenic concentrations, from 70 to 100 Cmg/ml, were able to provide maximum sensitivity and specificity. IgM-TIA displayed similar diagnostic efficiency to those two conventional tests here utilized, and may be employed to make diagnosis of acute toxoplasmosis, mainly if laboratory animals are available.

摘要

一种固相方法,即薄层免疫测定法(IgM-TIA),通过检测抗刚地弓形虫IgM抗体,针对急性弓形虫病的免疫诊断进行了标准化和评估。总共300份来自血清学确诊的急性弓形虫病患者以及非相关感染患者的血清样本,采用IgM-TIA进行了研究。与传统检测方法,即检测IgM抗体的免疫荧光试验(IgM-IFI)和使用2-巯基乙醇血清处理的血凝试验(2ME-HA)进行了比较,并进行了统计分析。还计算了不同刚地弓形虫抗原浓度的相关系数,验证了抗原浓度对灵敏度和特异性相对指数的影响。从统计学上证明了试验内和试验间的可重复性,并且证明刚地弓形虫抗原至少可重复使用10次。数据表明,70至100 Cmg/ml的抗原浓度能够提供最大的灵敏度和特异性。IgM-TIA显示出与这里使用的两种传统检测方法相似的诊断效率,并且可用于急性弓形虫病的诊断,主要是在有实验动物可用的情况下。

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