Je Sungmo, Yeo Un-Chang, Song Taeksun, Kim Ki-Cheol, Park Sung-Yun, Kim Man-Jung Isabel, Cho Sang-Nae
Department of Microbiology and Institute for Immunology and Immunological Diseases, Brain Korea 21 Plus Project for the Medical Sciences, Yonsei University College of Medicine, Seoul 120-752, Korea.
J Vet Sci. 2014;15(2):259-65. doi: 10.4142/jvs.2014.15.2.259. Epub 2013 Dec 27.
The interferon-gamma (IFN-γ) assay is employed as a complementary diagnostic test for bovine tuberculosis (BTB) in many countries. To simplify this assay, we established a 96-well plate format using the ESAT-6 and CFP-10 antigens and then employed it to determine the extent of Mycobacterium (M.) bovis infection in dairy herds with a history of BTB outbreaks in a country where only selective culling is practiced. The sensitivity and specificity of this IFN-γ assay were 85.9% and 100%, respectively, based on comparison with the conventional single intradermal tuberculin test (SIDT). The IFN-γ assay was also positive in 30.4% and 36.8% of SIDT-negative animals from herds with recent and remote BTB outbreaks, respectively. Of 14 SIDT-negative, IFN-γ positive cattle, five (35.7%) were culture positive and an additional six were positive based on a polymerase chain reaction-based test for M. bovis. Therefore, the IFN-γ assay has the potential to serve as a specific and sensitive test for M. bovis infection in dairy cattle. Further, the results indicated that a substantial portion of SIDT-negative animals in herds with previous BTB outbreaks were actually infected with M. bovis. Accordingly, the present selective-culling strategy may require modifications to include this more sensitive assay.
在许多国家,干扰素-γ(IFN-γ)检测被用作牛结核病(BTB)的补充诊断试验。为简化该检测方法,我们使用ESAT-6和CFP-10抗原建立了一种96孔板形式的检测方法,然后用其来确定在一个仅实行选择性扑杀的国家中,有BTB疫情爆发史的奶牛群中牛分枝杆菌(M. bovis)的感染程度。与传统的单次皮内结核菌素试验(SIDT)相比,该IFN-γ检测的敏感性和特异性分别为85.9%和100%。对于近期和既往有BTB疫情爆发的牛群中SIDT阴性的动物,IFN-γ检测的阳性率分别为30.4%和36.8%。在14头SIDT阴性但IFN-γ检测阳性的牛中,5头(35.7%)培养呈阳性,另外6头基于牛分枝杆菌的聚合酶链反应检测呈阳性。因此,IFN-γ检测有潜力作为奶牛牛分枝杆菌感染的一种特异性和敏感性检测方法。此外,结果表明,既往有BTB疫情爆发的牛群中,相当一部分SIDT阴性动物实际上感染了牛分枝杆菌。因此,目前的选择性扑杀策略可能需要修改,以纳入这种更敏感的检测方法。