Luo Q, Li S J, Xiao T Y, Li M C, Liu H C, Lou Y L, Wan K L
School of Laboratory Medicine and Life Science, Wenzhou Medical University, Wenzhou 325035, China.
State Key Laboratory for Infectious Diseases Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Apr 10;39(4):514-518. doi: 10.3760/cma.j.issn.0254-6450.2018.04.026.
To evaluate the serological diagnostic value of four new antigens Rv0432, Rv0674, Rv1566c and Rv1547. and were amplified from strain H37Rv genomic DNA by using PCR, among which was divided into two segments for amplification ( and ). The segments were cloned into expression vector PET-32a while the recombinant proteins were purified by affinity chromatography. Serums were incubated with BL21 (DE3) proteins. Antibodies IgG against were tested with 151 serum samples (41 healthy people and 110 TB patients) by using ELISA. The diagnostic efficiency of antigens was analyzed by means of receiver operating characteristic curve. Difference of the objective proteins in TB patients and healthy controls was compared by -test. Recombinant antigens Rv0432, Rv0674, Rv1566c, Rv1547-1 and Rv1547-2 were successfully expressed and purified. Results from ELISA showed that the sensitivity, specificity, positive predictive value, negative predictive value, Youden index and area under the curve of Rv0432, Rv0674, Rv1566c, Rv1547-1 and Rv1547-2, as 43.64%-92.73%, 80.49%-92.68%, 0.92-0.94, 0.38-0.80, 0.363-0.732 and 0.649-0.915. All the objective proteins showed significantly higher antibody levels in TB patients, when compared to the healthy controls (<0.000 1). The newly identified antigens Rv0432, Rv0674, Rv1566c, Rv1547-1 and Rv1547-2 all performed well when being used for TB serological diagnosis, thus were expected to be new candidate antigens used for TB diagnosis.
为评估四种新抗原Rv0432、Rv0674、Rv1566c和Rv1547的血清学诊断价值。通过PCR从H37Rv菌株基因组DNA中扩增出这些抗原,其中Rv1547分为两段进行扩增(Rv1547-1和Rv1547-2)。将这些片段克隆到表达载体PET-32a中,并用亲和层析法纯化重组蛋白。血清与BL21(DE3)蛋白孵育。采用ELISA法检测151份血清样本(41名健康人和110名结核病患者)中针对这些抗原的抗体IgG。通过受试者工作特征曲线分析抗原的诊断效率。采用t检验比较结核病患者和健康对照中目标蛋白的差异。重组抗原Rv0432、Rv0674、Rv1566c、Rv1547-1和Rv1547-2成功表达并纯化。ELISA结果显示,Rv0432、Rv0674、Rv1566c、Rv1547-1和Rv1547-2的敏感性、特异性、阳性预测值、阴性预测值、约登指数和曲线下面积分别为43.64%-92.73%、80.49%-92.68%、0.92-0.94、0.38-0.80、0.363-0.732和0.649-0.915。与健康对照相比,所有目标蛋白在结核病患者中的抗体水平均显著更高(P<0.0001)。新鉴定的抗原Rv0432、Rv0674、Rv1566c、Rv1547-1和Rv1547-2用于结核病血清学诊断时均表现良好,有望成为用于结核病诊断的新候选抗原。