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[提高HIV感染者脑弓形虫病的病因诊断水平]

[IMPROVEMENT OF ETIOLOGICAL DIAGNOSIS OF THE CEREBRAL TOXOPLASMOSIS IN HIV-INFECTED PERSONS].

作者信息

Bondarenko A, Gavrylov A, Katsapov D, Bondarenko O, Pavlov V

机构信息

National Medical University, Kharkiv; Regional Clinical Infectious Diseases Hospital, Kharkiv, Ukraine.

出版信息

Georgian Med News. 2018 Oct(283):63-66.

Abstract

The objective of the study was to determine the diagnostic value of the parallel detection of the avidity index of the IgG to Toxoplasma gondii in the blood and cerebrospinal fluid by a three-step solid-phase enzyme immunoassay using T. gondii antigen, protein dissociating agent and monoclonal antibodies against human IgG at HIV-infected individuals with a focal damage of the brain. The results of the study showed that conducting of the enzyme-linked immunosorbent assay by a direct and dissociated method makes it possible to detect specific intrathecal and serum immunoglobulins, which is proposed in terms of improving diagnosis of cerebral toxoplasmosis in HIV-infected individuals. The high informative ability of the test system for detecting the avidity index of IgG antibodies to T. gondii allows the possibility to apply it in the algorithm for diagnosing an etiological factor of neuroinfection in HIV-infected individuals.

摘要

该研究的目的是通过使用弓形虫抗原、蛋白质解离剂和抗人IgG单克隆抗体的三步固相酶免疫测定法,确定在患有脑部局灶性损伤的HIV感染个体中,平行检测血液和脑脊液中抗弓形虫IgG亲和力指数的诊断价值。研究结果表明,采用直接和解离方法进行酶联免疫吸附测定能够检测到特异性鞘内和血清免疫球蛋白,这对于改善HIV感染个体脑弓形虫病的诊断具有重要意义。该检测系统在检测抗弓形虫IgG抗体亲和力指数方面具有较高的信息能力,使其有可能应用于HIV感染个体神经感染病因诊断算法中。

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