Instituto René Rachou, Fundação Oswaldo Cruz (FIOCRUZ)-Minas, Belo Horizonte, Brazil.
Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Front Immunol. 2022 Apr 14;13:795815. doi: 10.3389/fimmu.2022.795815. eCollection 2022.
In the present work, we developed and evaluated the performance of a new flow cytometry-based single platform, referred to as "FC-Duplex IgG1 (HTLV-1/2)", for universal and differential serodiagnosis of HTLV-1/2 infection. The proposed technology employs a system for detection of IgG1 antibodies in a single competitive immunofluorescence platform by flow cytometry using fluorescently labeled MT-2/MoT cell line mix coupled to a highly sensitive development system (Biotin/Streptavidin/Phycoerythrin). The stability of fluorescent labeling and the antigenicity of MT-2 and MoT cell lines were confirmed upon storage at -20°C for 2, 6, and 12 months. The anti-HTLV-1/2 IgG1 reactivity, expressed as percentage of positive fluorescent cells (PPFC), was evaluated for each target antigen along the titration curve of test serum samples (1:32 to 1:4,096). Upon selection of target cell line and serum dilutions with higher segregation score between groups, the performance of "FIX" and "FIX & PERM" protocols was evaluated. The "FIX" protocol presented excellent performance indices (Se = 92%/Sp = 94%/AUC = 0.96; Se = 96%/Sp = 100%/AUC = 0.99) for the universal (HTLV-1/2 vs. NI) and differential (HTLV-1 vs. HTLV-2) diagnosis of HTLV-1 infection, respectively. Optimization of the "FIX" protocol using the principle of synchronous and asynchronous pairwise analysis further improved the performance of "FC-Duplex IgG1 (HTLV-1/2)", using the "FIX" protocol for differential diagnosis of HTLV-1 and HTLV-2 infections (Se = 100%/Sp = 100%/AUC = 1.00). In conclusion, the "FC-Duplex IgG1 (HTLV-1/2)" method represents an innovation in the biotechnology segment with the potential to compose a serological kit for differential diagnosis of HTLV-1/2 infection for reference laboratories and blood centers.
在本工作中,我们开发并评估了一种新的基于流式细胞术的单平台的性能,称为“FC-Duplex IgG1(HTLV-1/2)”,用于 HTLV-1/2 感染的通用和差异血清诊断。该技术采用了一种在单个竞争性免疫荧光平台上通过流式细胞术检测 IgG1 抗体的系统,使用荧光标记的 MT-2/MoT 细胞系混合物与高度敏感的开发系统(生物素/链霉亲和素/藻红蛋白)相结合。通过在-20°C 下储存 2、6 和 12 个月,确认了荧光标记的稳定性和 MT-2 和 MoT 细胞系的抗原性。沿着测试血清样本的滴定曲线(1:32 至 1:4,096),评估了针对每个靶抗原的抗-HTLV-1/2 IgG1 反应性,以阳性荧光细胞的百分比(PPFC)表示。在选择靶细胞系和血清稀释度后,组间具有更高分离评分的情况下,评估了“FIX”和“FIX & PERM”方案的性能。“FIX”方案分别呈现出用于 HTLV-1 感染的通用(HTLV-1/2 与 NI)和差异(HTLV-1 与 HTLV-2)诊断的出色性能指标(Se = 92%/Sp = 94%/AUC = 0.96;Se = 96%/Sp = 100%/AUC = 0.99)。使用同步和异步成对分析的原理优化“FIX”方案,进一步提高了“FC-Duplex IgG1(HTLV-1/2)”的性能,使用“FIX”方案进行 HTLV-1 和 HTLV-2 感染的差异诊断(Se = 100%/Sp = 100%/AUC = 1.00)。总之,“FC-Duplex IgG1(HTLV-1/2)”方法代表了生物技术领域的一项创新,具有为参考实验室和血液中心组成 HTLV-1/2 感染差异诊断的血清学试剂盒的潜力。