Department of Pathology & Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Université de Tours, CEPR, INSERM U1100/Equipe 3, 37000 Tours, France.
J Zoo Wildl Med. 2022 Mar;53(1):60-69. doi: 10.1638/2021-0070.
Aspergillosis remains a difficult disease to diagnose antemortem in many species, especially avian species. In the present study, banked plasma samples from various avian species were examined for gliotoxin (GT), which is a recognized key virulence factor produced during the replication of species hyphae and a secondary metabolite bis(methyl)gliotoxin (bmGT). Initially, liquid chromatography-tandem mass spectrometry methods for detecting GT and bmGT were validated in a controlled model using sera obtained from rats experimentally infected with . The minimum detection level for both measurements was determined to be 3 ng/ml, and the assay was found to be accurate and reliable. As proof of concept, GT was detected in 85.7% (30/35) of the samples obtained from birds with confirmed aspergillosis and in 60.7% (17/28) of samples from birds with probable infection but only in one of those from clinically normal birds (1/119). None of the birds were positive for bmGT. Repeated measures from birds under treatment suggests results may have prognostic value. Further studies are needed to implement quantitative methods and to determine the utility of this test in surveillance screening in addition to its use as a diagnostic test in birds with suspected aspergillosis.
曲霉菌病仍然是许多物种(尤其是禽类)生前诊断的难题。在本研究中,检测了来自各种禽类的储存血浆样本中的Gliotoxin(GT),GT 是真菌丝复制过程中产生的公认关键毒力因子,也是一种次级代谢物双(甲基)Gliotoxin(bmGT)。最初,使用从实验性感染的大鼠血清中获得的血清,在对照模型中验证了检测 GT 和 bmGT 的液相色谱-串联质谱方法。确定这两种测量方法的最小检测水平均为 3 ng/ml,并且该检测方法准确可靠。作为概念验证,在已确诊患有曲霉菌病的鸟类的 30/35 份样本中检测到 GT,在疑似感染的鸟类的 28/28 份样本中检测到 GT,而在临床正常的鸟类的 119 份样本中仅检测到 1 份阳性(1/119)。没有鸟类 bmGT 检测呈阳性。接受治疗的鸟类的重复测量表明,结果可能具有预后价值。需要进一步的研究来实施定量方法,并确定该检测方法在监测筛查中的效用,除了将其用作疑似曲霉菌病鸟类的诊断测试。