用干 SLA 刺激全血斑测量无症状利什曼原虫和利什曼杜诺凡原虫感染的细胞因子和趋化因子。

Cytokines and chemokines measured in dried SLA-stimulated whole blood spots for asymptomatic Leishmania infantum and Leishmania donovani infection.

机构信息

WHO Collaborating Centre for Leishmaniasis, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, Spain.

Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.

出版信息

Sci Rep. 2017 Dec 8;7(1):17266. doi: 10.1038/s41598-017-17315-z.

Abstract

Whole blood stimulation with soluble Leishmania antigen (SLA), followed by plasma cytokine and chemokine determination, provides means of detecting subjects with asymptomatic Leishmania infection. This work examines the potential of Protein Saver 903 cards for the storage and transport of SLA-stimulated dried plasma spot samples. Blood was collected from asymptomatic and negative control subjects living in a Leishmania infantum- (Spain) and Leishmania donovani-endemic area (Bangladesh). After SLA-stimulation, three types of sample were prepared: frozen liquid plasma (-20 °C), and plasma dropped onto Protein Saver cards kept at -20 °C (DPS-FZ), and at ambient temperature (DPS-AT). The concentrations of IFN-γ, IL-2, CXCL10, CXCL9, CCL2 and CXCL8 in the thawed liquid plasma (TLP), DPS-FZ and DPS-AT samples were then determined. Strong correlations were seen between the TLP and DPS-FZ/AT samples for all the studied cytokines/chemokines in both the L. infantum and L. donovani areas. Protein Saver 903 cards would therefore appear to allow for the transport of SLA-stimulated plasma samples by courier at ambient temperature. The CXCL10 and CXCL9 detectable in these plasma spots provided robust markers for identifying asymptomatic subjects from both endemic areas. This easy procedure opens up new possibilities for field studies in resource-limited settings, which could help in Leishmania control.

摘要

用可溶性利什曼抗原(SLA)对全血进行刺激,然后测定血浆细胞因子和趋化因子,为检测无症状利什曼感染的受试者提供了手段。这项工作研究了 Protein Saver 903 卡用于储存和运输 SLA 刺激的干燥血浆斑样品的潜力。从生活在利什曼原虫(西班牙)和利什曼原虫(孟加拉国)流行地区的无症状和阴性对照受试者中采集血液。在 SLA 刺激后,制备了三种类型的样品:冷冻液态血浆(-20°C),以及滴加到保持在-20°C(DPS-FZ)和环境温度(DPS-AT)的 Protein Saver 卡上的血浆。然后测定解冻的液态血浆(TLP)、DPS-FZ 和 DPS-AT 样品中 IFN-γ、IL-2、CXCL10、CXCL9、CCL2 和 CXCL8 的浓度。在利什曼原虫和利什曼原虫地区,所有研究的细胞因子/趋化因子在 TLP 和 DPS-FZ/AT 样品之间均显示出强烈的相关性。因此,Protein Saver 903 卡似乎允许在环境温度下通过快递运输 SLA 刺激的血浆样品。在这些血浆斑中可检测到的 CXCL10 和 CXCL9 为来自两个流行地区的无症状受试者提供了可靠的识别标志物。这种简单的程序为资源有限环境中的现场研究开辟了新的可能性,这有助于控制利什曼病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a71/5722824/244c8c536773/41598_2017_17315_Fig1_HTML.jpg

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