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评价基于细胞和组织的免疫荧光检测方法在检测未知病因脑膜脑炎和其他中枢神经系统疾病犬脑脊液中神经胶质纤维酸性蛋白自身抗体的应用。

Evaluation of cell-based and tissue-based immunofluorescent assays for detection of glial fibrillary acidic protein autoantibodies in the cerebrospinal fluid of dogs with meningoencephalitis of unknown origin and other central nervous system disorders.

出版信息

Am J Vet Res. 2021 Feb;82(2):132-137. doi: 10.2460/ajvr.82.2.132.

Abstract

OBJECTIVE

To evaluate whether cell-based and tissue-based immunofluorescent assays (IFAs) run in parallel could be used to detect glial fibrillary acidic protein (GFAP) autoantibodies in the CSF of dogs with meningoencephalitis of unknown origin (MUO) and other CNS disorders.

ANIMALS

15 CSF samples obtained from dogs with presumed MUO (n = 5), CNS disease other than MUO (5), and idiopathic epilepsy (5).

PROCEDURES

All CSF samples underwent parallel analysis with a cell-based IFA that targeted the α isoform of human GFAP and a tissue-based IFA that involved mouse brain cryosections. Descriptive data were generated.

RESULTS

Only 1 CSF sample yielded mildly positive results on the cell-based IFA; that sample was from 1 of the dogs with presumed MUO. The remaining 14 CSF samples tested negative on the cell-based IFA. All 15 CSF samples yielded negative results on the tissue-based IFA.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that concurrent use of a cell-based IFA designed to target the human GFAP-α isoform and a tissue-based IFA that involved mouse tissue cryosections was inadequate for detection of GFAP autoantibodies in canine CSF samples. Given that GFAP autoantibodies were likely present in the CSF samples analyzed, these findings suggested that epitopes differ substantially between canine and human GFAP and that canine GFAP autoantibody does not bind to mouse GFAP. Without a positive control, absence of GFAP autoantibody in this cohort cannot be ruled out. Further research is necessary to develop a noninvasive and sensitive method for diagnosis of MUO in dogs.

摘要

目的

评估细胞和组织免疫荧光分析(IFAs)是否可以平行运行,以检测原因不明的脑膜脑炎(MUO)和其他中枢神经系统疾病犬的脑脊液中的神经胶质纤维酸性蛋白(GFAP)自身抗体。

动物

15 份疑似 MUO(n=5)、非 MUO 中枢神经系统疾病(n=5)和特发性癫痫(n=5)犬的脑脊液样本。

程序

所有脑脊液样本均采用针对人 GFAP-α 异构体的细胞 IFA 和涉及鼠脑冰冻切片的组织 IFA 进行平行分析。生成描述性数据。

结果

仅 1 份脑脊液样本在细胞 IFA 上呈轻度阳性结果;该样本来自 5 只疑似 MUO 的犬之一。其余 14 份脑脊液样本在细胞 IFA 上呈阴性。所有 15 份脑脊液样本在组织 IFA 上均呈阴性结果。

结论和临床相关性

结果表明,同时使用旨在针对人 GFAP-α 异构体的细胞 IFA 和涉及鼠组织冰冻切片的组织 IFA 不足以检测犬 CSF 样本中的 GFAP 自身抗体。鉴于分析的 CSF 样本中可能存在 GFAP 自身抗体,这些发现表明犬和人 GFAP 之间的表位存在显著差异,并且犬 GFAP 自身抗体不与鼠 GFAP 结合。由于没有阳性对照,因此不能排除该队列中不存在 GFAP 自身抗体。需要进一步研究以开发一种非侵入性和敏感的方法来诊断犬的 MUO。

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