肽在人恰加斯病免疫诊断中的应用。
The use of peptides for immunodiagnosis of human Chagas disease.
机构信息
Laboratório de Biotecnologia de Microrganismos, Universidade Federal de São João Del-Rei, Divinópolis, e Instituto Nacional de Ciência e Tecnologia em Biotecnologia Industrial (INCT-BI), Divinópolis, MG, 35501-296, Brazil.
Programa de Pós-Graduação em Ciências da Saúde: Infectologia e Medicina Tropical, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 30130-100, Brazil.
出版信息
Amino Acids. 2024 May 2;56(1):35. doi: 10.1007/s00726-024-03394-6.
Chagas disease, caused by the protozoa Trypanosoma cruzi, continues to be a serious public health problem in Latin America, worsened by the limitations in its detection. Given the importance of developing new diagnostic methods for this disease, the present review aimed to verify the number of publications dedicated to research on peptides that demonstrate their usefulness in serodiagnosis. To this end, a bibliographic survey was conducted on the PubMed platform using the keyword "peptide" or "epitope" combined with "Chagas disease" or "Trypanosoma cruzi"; "diagno*" or "serodiagnosis" or "immunodiagnosis", without period restriction. An increasing number of publications on studies employing peptides in ELISA and rapid tests assays was verified, which confirms the expansion of research in this field. It is possible to observe that many of the peptides tested so far originate from proteins widely used in the diagnosis of Chagas, and many of them are part of commercial tests developed. In this sense, as expected, promising results were obtained for several peptides when tested in ELISA, as many of them exhibited sensitivity and specificity values above 90%. Furthermore, some peptides have been tested in several studies, confirming their diagnostic potential. Despite the promising results observed, it is possible to emphasize the need for extensive testing of peptides, using different serological panels, in order to confirm their potential. The importance of producing an effective assay capable of detecting the clinical stages of the disease, as well as new immunogenic antigens that enable new serological diagnostic tools for Chagas disease, is evident.
恰加斯病是由原生动物克氏锥虫引起的,在拉丁美洲仍然是一个严重的公共卫生问题,其检测的局限性使其情况恶化。鉴于开发这种疾病新诊断方法的重要性,本综述旨在核实专门研究肽的出版物数量,这些肽证明在血清诊断中有其用途。为此,在 PubMed 平台上使用关键字“肽”或“表位”与“恰加斯病”或“克氏锥虫”结合进行文献调查;“diagno*”或“血清诊断”或“免疫诊断”,没有时间限制。验证了越来越多的关于在 ELISA 和快速检测试验中使用肽的研究的出版物,这证实了该领域研究的扩展。可以观察到,迄今为止测试的许多肽都源自广泛用于诊断恰加斯病的蛋白质,其中许多是开发的商业测试的一部分。在这个意义上,正如预期的那样,当在 ELISA 中测试时,许多肽获得了有希望的结果,因为它们的灵敏度和特异性值都超过 90%。此外,一些肽已经在几项研究中进行了测试,证实了它们的诊断潜力。尽管观察到了有希望的结果,但需要广泛测试肽,使用不同的血清学面板,以确认它们的潜力。生产一种能够检测疾病临床阶段的有效检测方法,以及能够为恰加斯病提供新的血清学诊断工具的新免疫原性抗原的重要性是显而易见的。