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针对蜱传脑炎病毒非结构蛋白1和全病毒抗原的抗体反应——评估疑似疫苗接种失败患者的新工具。

Antibody responses to tick-borne encephalitis virus non-structural protein 1 and whole virus antigen-a new tool in the assessment of suspected vaccine failure patients.

作者信息

Albinsson Bo, Rönnberg Bengt, Vene Sirkka, Lundkvist Åke

机构信息

Department of Medical Biochemistry and Microbiology, Zoonosis Science Centre, Uppsala University, Uppsala, Sweden.

Laboratory of Clinical Microbiology, Uppsala University Hospital, Uppsala, Sweden.

出版信息

Infect Ecol Epidemiol. 2019 Dec 3;9(1):1696132. doi: 10.1080/20008686.2019.1696132. eCollection 2019.

DOI:10.1080/20008686.2019.1696132
PMID:31839903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6896504/
Abstract

We report a new tool for improved serological diagnostics in suspected tick-borne encephalitis (TBE) vaccine failure cases. Due to an increase in the incidence of disease as well as the number of vaccinees, specific and simplified diagnostic methods are needed. Antibody responses to TBE-virus (TBEV) non-structural protein 1 (NS1) are detectable post TBEV infection but not post vaccination. We have used samples from 14 previously confirmed Swedish TBEV vaccine failure patients to study antibody responses against NS1 and whole virus antigens, respectively. Our conclusion is that the detection of antibodies directed to TBEV NS1 antigen is a useful tool to considerably simplify and improve the quality in investigations regarding suspected TBEV infection in vaccinated patients.

摘要

我们报告了一种新工具,用于改善疑似蜱传脑炎(TBE)疫苗接种失败病例的血清学诊断。由于疾病发病率以及接种疫苗人数的增加,需要特异性且简化的诊断方法。感染TBE病毒(TBEV)后可检测到针对非结构蛋白1(NS1)的抗体反应,但接种疫苗后则检测不到。我们使用了来自14名先前确诊的瑞典TBEV疫苗接种失败患者的样本,分别研究针对NS1和全病毒抗原的抗体反应。我们的结论是,检测针对TBEV NS1抗原的抗体是一种有用的工具,可显著简化并提高对接种疫苗患者疑似TBEV感染调查的质量。

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本文引用的文献

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Tick-borne Encephalitis Vaccine Failures: A 10-year Retrospective Study Supporting the Rationale for Adding an Extra Priming Dose in Individuals Starting at Age 50 Years.蜱传脑炎疫苗失败:一项支持在 50 岁及以上人群中增加额外基础剂量的 10 年回顾性研究。
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EAN consensus review on prevention, diagnosis and management of tick-borne encephalitis.
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Multiplex Serology for Sensitive and Specific Flavivirus IgG Detection: Addition of Envelope Protein Domain III to NS1 Increases Sensitivity for Tick-Borne Encephalitis Virus IgG Detection.多重血清学检测用于敏感和特异的黄病毒 IgG 检测:在 NS1 基础上增加包膜蛋白结构域 III 可提高对蜱传脑炎病毒 IgG 的检测灵敏度。
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