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通过定量聚合酶链反应分析早期检测犬布鲁氏菌。

Early detection of Brucella canis via quantitative polymerase chain reaction analysis.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, USA.

出版信息

Zoonoses Public Health. 2014 Feb;61(1):48-54. doi: 10.1111/zph.12041. Epub 2013 Feb 15.

Abstract

Canine brucellosis is a reportable zoonotic disease that can lead to canine reproductive losses and human infection through contact with infected urine or other genitourinary secretions. Although many locations require testing and euthanasia of positive dogs, current diagnosis is limited by the time required for seroconversion, for example, presence of B. canis-specific antibodies. The goal of this study was to determine the diagnostic ability of Brucella canis-specific quantitative polymerase chain reaction (qPCR) assay to detect B. canis in field samples prior to serological positivity for faster diagnosis and prevention of transmission within kennels or in households. Two kennels, one of which was located in the owner's home, were sampled following observation of suggestive clinical signs and positive serology of at least one dog. Specimens obtained were comparatively analysed via serology and qPCR analysis. 107 dogs were analysed for B. canis infection via qPCR: 105 via whole-blood samples, 65 via vaginal swab, six via urine and seven via genitourinary tract tissue taken at necropsy. Forty-five dogs were found to be infected with canine brucellosis via qPCR, of which 22 (48.89%) were seropositive. A statistically significant number (P = 0.0228) of qPCR-positive dogs, 5/25 (20.00%), seroconverted within a 30-day interval after initial serologic testing. As compared to serology, qPCR analysis of DNA from vaginal swabs had a sensitivity of 92.31% and specificity of 51.92%, and qPCR analysis of DNA from whole-blood samples had a sensitivity of 16.67% and specificity of 100%. B. canis outer membrane protein 25 DNA qPCR from non-invasive vaginal swab and urine samples provided early detection of B. canis infection in dogs prior to detection of antibodies. This assay provides a critical tool to decrease zoonotic spread of canine brucellosis, its associated clinical presentation(s), and emotional and economic repercussions.

摘要

犬布鲁氏菌病是一种报告性人畜共患病,可通过接触受感染的尿液或其他生殖泌尿道分泌物导致犬只生殖损失和人类感染。尽管许多地方都要求对阳性犬进行检测和安乐死,但目前的诊断受到血清转化所需时间的限制,例如,B. canis 特异性抗体的存在。本研究的目的是确定犬布鲁氏菌特异性定量聚合酶链反应(qPCR)检测在血清学阳性之前检测犬布鲁氏菌的诊断能力,以更快地诊断并防止犬舍或家庭内传播。在观察到至少一只犬出现提示性临床症状和阳性血清学后,对两个犬舍进行了采样,其中一个犬舍位于犬主人的家中。通过血清学和 qPCR 分析对获得的标本进行了比较分析。通过 qPCR 分析了 107 只犬的犬布鲁氏菌感染情况:105 只通过全血样本,65 只通过阴道拭子,6 只通过尿液,7 只通过尸检获得的生殖泌尿系统组织。通过 qPCR 发现 45 只犬感染了犬布鲁氏菌,其中 22 只(48.89%)血清阳性。在最初的血清学检测后 30 天内,有统计学意义数量(P = 0.0228)的 qPCR 阳性犬(5/25,20.00%)发生了血清转化。与血清学相比,阴道拭子 DNA 的 qPCR 分析具有 92.31%的敏感性和 51.92%的特异性,全血样本 DNA 的 qPCR 分析具有 16.67%的敏感性和 100%的特异性。来自非侵入性阴道拭子和尿液样本的犬布鲁氏菌外膜蛋白 25 DNA qPCR 可在检测到抗体之前,早期检测犬布鲁氏菌感染。该检测方法为减少犬布鲁氏菌病的人畜共患病传播、相关临床表现及其情绪和经济影响提供了重要工具。

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