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弓形虫病的血清学诊断,重点在于检测弓形虫特异性免疫球蛋白M抗体。

Serologic diagnosis of toxoplasmosis with emphasis on the detection of Toxoplasma-specific immunoglobulin M antibodies.

作者信息

Fung J C, Clogston A, Swenson P, Kaplan M

出版信息

Am J Clin Pathol. 1985 Feb;83(2):196-9. doi: 10.1093/ajcp/83.2.196.

DOI:10.1093/ajcp/83.2.196
PMID:3881928
Abstract

Commercially available kits were used for the detection of Toxoplasma-specific IgM antibodies. False positive IgM results were observed in whole sera containing Toxoplasma-specific antibodies together with rheumatoid factor when tested by immunofluorescence (IFA). False negative IgM results occurred in whole sera containing competing levels of Toxoplasma-specific IgG antibodies, as indicated by the IFA:IgM-M ratio. False positive and false negative IgM results often occurred when whole sera were tested. These false reactions were eliminated by fractioning IgM from IgG using the Isolab's IgM Isolation System. All five sera in this study with an IFA titer to Toxoplasma of greater than or equal to 1:16,384 also contained Toxoplasma-specific IgM antibodies. This suggests that sera with high titers to Toxoplasma should be tested for Toxoplasma-specific IgM antibodies.

摘要

使用市售试剂盒检测弓形虫特异性IgM抗体。当通过免疫荧光法(IFA)检测时,在含有弓形虫特异性抗体以及类风湿因子的全血清中观察到IgM结果呈假阳性。如IFA:IgM-M比值所示,在含有竞争性水平的弓形虫特异性IgG抗体的全血清中出现IgM结果假阴性。检测全血清时经常出现IgM结果假阳性和假阴性。使用Isolab的IgM分离系统从IgG中分离IgM可消除这些假反应。本研究中所有五份对弓形虫的IFA滴度大于或等于1:16,384的血清也都含有弓形虫特异性IgM抗体。这表明应对弓形虫高滴度血清检测弓形虫特异性IgM抗体。

相似文献

1
Serologic diagnosis of toxoplasmosis with emphasis on the detection of Toxoplasma-specific immunoglobulin M antibodies.弓形虫病的血清学诊断,重点在于检测弓形虫特异性免疫球蛋白M抗体。
Am J Clin Pathol. 1985 Feb;83(2):196-9. doi: 10.1093/ajcp/83.2.196.
2
Determination of IgM and IgG antibodies to Toxoplasma using the IFA test, ELISA, and Dot-ELISA procedures.采用间接荧光抗体试验(IFA)、酶联免疫吸附测定(ELISA)和斑点酶联免疫吸附测定(Dot-ELISA)程序检测弓形虫IgM和IgG抗体。
Vet Parasitol. 1986 Mar;20(1-3):31-42. doi: 10.1016/0304-4017(86)90090-7.
3
Method for differentiation of nonspecific from specfic toxoplasma IgM fluorescent antibodies in patients with rheumatoid factor.类风湿因子患者中非特异性与特异性弓形虫IgM荧光抗体的鉴别方法。
Proc Soc Exp Biol Med. 1975 Apr;148(4):1184-8. doi: 10.3181/00379727-148-38713.
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Comparison of ELISA and indirect immunofluorescence in the detection of IgG and IgM antitoxoplasma antibodies.酶联免疫吸附测定法(ELISA)与间接免疫荧光法在检测抗弓形虫IgG和IgM抗体中的比较
Boll Ist Sieroter Milan. 1983 Nov 30;62(5):445-50.
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Enzyme-linked immunosorbent assay that uses labeled antigen for detection of immunoglobulin M and A antibodies in toxoplasmosis: comparison with indirect immunofluorescence and double-sandwich enzyme-linked immunosorbent assay.使用标记抗原检测弓形虫病中免疫球蛋白M和A抗体的酶联免疫吸附测定:与间接免疫荧光法和双夹心酶联免疫吸附测定法的比较
J Clin Microbiol. 1983 Jun;17(6):997-1004. doi: 10.1128/jcm.17.6.997-1004.1983.
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An enzyme-linked immunosorbent assay for detection of IgM antibodies to Toxoplasma gondii: use for diagnosis of acute acquired toxoplasmosis.一种用于检测弓形虫IgM抗体的酶联免疫吸附测定法:用于急性获得性弓形虫病的诊断。
J Infect Dis. 1980 Nov;142(5):757-66. doi: 10.1093/infdis/142.5.757.
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Difficulties associated with serological diagnosis of Toxoplasma gondii infections.弓形虫感染血清学诊断相关的困难。
Diagn Clin Immunol. 1987;5(1):8-13.
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False-positive anti-Toxoplasma fluorescent-antibody tests in patients with antinuclear antibodies.抗核抗体阳性患者的弓形虫荧光抗体试验假阳性
Appl Microbiol. 1971 Sep;22(3):270-5. doi: 10.1128/am.22.3.270-275.1971.
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Diagnostic significance of immunoglobulin M antibodies to Toxoplasma gondii detected after separation of immunoglobulin M from immunoglobulin G antibodies.从免疫球蛋白G抗体中分离出免疫球蛋白M后检测到的抗弓形虫免疫球蛋白M抗体的诊断意义
J Clin Microbiol. 1980 Sep;12(3):336-42. doi: 10.1128/jcm.12.3.336-342.1980.
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An enzyme immunoassay for immunoglobulin M antibodies to Toxoplasma gondii which is not affected by rheumatoid factor or immunoglobulin G antibodies.一种检测弓形虫免疫球蛋白M抗体的酶免疫测定法,该方法不受类风湿因子或免疫球蛋白G抗体的影响。
J Clin Microbiol. 1986 Jan;23(1):77-82. doi: 10.1128/jcm.23.1.77-82.1986.

引用本文的文献

1
Evaluation of commercial serodiagnostic kits for toxoplasmosis.弓形虫病商用血清学诊断试剂盒的评估
J Clin Microbiol. 1987 Dec;25(12):2262-5. doi: 10.1128/jcm.25.12.2262-2265.1987.