Nur Hafizah Sudirman, Noor Izani Noor Jamil, Ahmad Najib Mohamad, Wan-Nor-Amilah Wan Abdul Wahab
School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Institute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, Kelantan, Malaysia.
Malays J Med Sci. 2023 Aug;30(4):25-32. doi: 10.21315/mjms2023.30.4.3. Epub 2023 Aug 24.
Fascioliasis is an important zoonotic disease prevalent in domestic animals and it leads to socioeconomic impact in rural farming communities of the developing world. The gold standard diagnosis of ruminant fascioliasis involves coprological detection of spp. eggs or recovery of flukes in infected livers. Coprological analysis is unreliable in the patent period of chronic infection, and even then, its sensitivity is relatively low. Robust diagnostic tools that can promptly and accurately detect an active infection are crucial to avoid complications and further losses in ruminant livestock productivity, as well as to preserve the livelihood of communities at risk. Immunodiagnosis determined by antibody and antigen detection in the sera and faeces of infected ruminants provides a valuable alternative to the parasitological diagnostic approach. This review discusses current developments in immunological techniques by enzyme-linked immunosorbent assay (ELISA) in the detection of ruminant fascioliasis and summarises the performance of various ELISAs in studies conducted to date. Indirect ELISAs demonstrated effective immunodiagnostic performance with high sensitivities and specificities. Cathepsin L ELISA is the most favourable antigen in serodiagnosis, among other recombinant and native proteins evaluated. Sandwich ELISA provides excellent sensitivity and specificity, which correlates well with the fluke burden. Utilising monoclonal antibodies in sandwich ELISA reduces the detection time and performance variations that commonly occur in polyclonal antibody ELISA.
肝片吸虫病是一种在家畜中流行的重要人畜共患病,它对发展中世界农村养殖社区造成社会经济影响。反刍动物肝片吸虫病的金标准诊断包括通过粪便学检测肝片吸虫卵或从受感染肝脏中检出吸虫。在慢性感染的排虫期,粪便学分析不可靠,即便如此,其敏感性也相对较低。能够及时、准确地检测出活动性感染的可靠诊断工具对于避免反刍动物生产力出现并发症和进一步损失,以及保护面临风险的社区生计至关重要。通过检测受感染反刍动物血清和粪便中的抗体和抗原进行免疫诊断,为寄生虫学诊断方法提供了一种有价值的替代方法。本综述讨论了酶联免疫吸附测定(ELISA)免疫技术在反刍动物肝片吸虫病检测中的当前进展,并总结了迄今为止各项ELISA在相关研究中的表现。间接ELISA表现出有效的免疫诊断性能,具有高敏感性和特异性。在评估的其他重组蛋白和天然蛋白中,组织蛋白酶L ELISA是血清学诊断中最有利的抗原。夹心ELISA具有出色的敏感性和特异性,与吸虫负荷相关性良好。在夹心ELISA中使用单克隆抗体可减少检测时间以及多克隆抗体ELISA中常见的性能差异。