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评估三种血清学检测方法用于实验感染犬钩端螺旋体特异性抗体的早期检测

Evaluation of 3 Serological Tests for Early Detection Of Leptospira-specific Antibodies in Experimentally Infected Dogs.

作者信息

Lizer J, Velineni S, Weber A, Krecic M, Meeus P

机构信息

Veterinary Medicine Research and Development, Zoetis, Kalamazoo, MI.

Diagnostics, Zoetis, Parsippany, NJ.

出版信息

J Vet Intern Med. 2018 Jan;32(1):201-207. doi: 10.1111/jvim.14865. Epub 2017 Nov 13.

Abstract

BACKGROUND

Leptospirosis in dogs is a disease of global importance. Early detection and appropriate therapeutic intervention are necessary to resolve infection and prevent zoonotic transmission. However, its diagnosis is hindered by nonspecific clinical signs and lack of rapid diagnostic tests of early infection. Recently, 2 rapid point-of-care tests (WITNESS Lepto [WITNESS Lepto, Zoetis LLC, Kalamazoo, MI, USA] and SNAP Lepto [SNAP Lepto, IDEXX Laboratories, Westbrook, ME, USA]) for detection of Leptospira-specific antibodies in canine sera were developed.

HYPOTHESIS

Immunoglobulin M-based WITNESS Lepto containing multiple detection antigens can detect Leptospira-specific antibodies to common leptospiral serovars earlier in the course of infection as compared to microscopic agglutination test (MAT) and SNAP Lepto.

ANIMALS

Four groups of 8 6- to 8-month-old male Beagle dogs were used.

METHODS

Thirty-two healthy seronegative dogs were inoculated experimentally with serovars Canicola, Grippotyphosa, Icterohaemorrhagiae, and Pomona (8 dogs/serovar). Acute-phase sera were collected at regular intervals and monitored for Leptospira-specific antibodies by WITNESS Lepto, MAT, and SNAP Lepto.

RESULTS

Seroconversion was detected in all dogs by day 10 by WITNESS Lepto and in 30 of 32 dogs by day 14 by MAT. The SNAP Lepto test detected seroconversion in 3 dogs during the 2 weeks postchallenge.

CONCLUSIONS

Immunoglobulin M-based WITNESS Lepto detected immune responses specific to multiple leptospiral serovars early in the course of infection and identified seroconversion in all animals earlier than did the gold standard MAT. The SNAP Lepto test displayed considerably lower and inconsistent performance during the study period. At the point-of-care, WITNESS Lepto should be the test of choice for rapid and reliable screening of acutely ill dogs suspected to have leptospirosis.

摘要

背景

犬钩端螺旋体病是一种具有全球重要性的疾病。早期检测和适当的治疗干预对于解决感染和防止人畜共患病传播是必要的。然而,其诊断受到非特异性临床症状以及缺乏早期感染快速诊断测试的阻碍。最近,开发了2种用于检测犬血清中钩端螺旋体特异性抗体的即时检测快速测试(WITNESS Lepto [WITNESS Lepto,美国佐治亚州卡拉马祖市的Zoetis LLC公司]和SNAP Lepto [SNAP Lepto,美国缅因州韦斯特布鲁克市的IDEXX Laboratories公司])。

假设

与显微镜凝集试验(MAT)和SNAP Lepto相比,基于免疫球蛋白M的含有多种检测抗原的WITNESS Lepto能够在感染过程中更早地检测到针对常见钩端螺旋体血清型的钩端螺旋体特异性抗体。

动物

使用了4组,每组8只6至8月龄的雄性比格犬。

方法

32只健康的血清阴性犬通过实验接种犬型、波摩那型、出血性黄疸型和秋季热型血清型(每种血清型8只犬)。定期采集急性期血清,并通过WITNESS Lepto、MAT和SNAP Lepto监测钩端螺旋体特异性抗体。

结果

WITNESS Lepto在第10天检测到所有犬血清阳转,MAT在第14天检测到32只犬中的30只血清阳转。SNAP Lepto测试在攻毒后2周内检测到3只犬血清阳转。

结论

基于免疫球蛋白M的WITNESS Lepto在感染过程早期检测到针对多种钩端螺旋体血清型的免疫反应,并比金标准MAT更早地在所有动物中鉴定出血清阳转。在研究期间,SNAP Lepto测试表现出明显较低且不一致的性能。在即时检测时,WITNESS Lepto应该是对疑似患有钩端螺旋体病的急性病犬进行快速可靠筛查的首选测试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/514a/5787205/2ff290d49c1c/JVIM-32-201-g001.jpg

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