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用于猫血清淀粉样蛋白 A 的多克隆和单克隆抗体检测方法的比较:基于初级保健兽医医院自动化比浊免疫测定的研究。

Comparison of polyclonal and monoclonal antibody assays for serum amyloid A in cats: a study based on an automated turbidimetric immunoassay in a primary care veterinary hospital.

出版信息

Am J Vet Res. 2024 Jul 12;85(9). doi: 10.2460/ajvr.24.03.0067. Print 2024 Sep 1.

Abstract

OBJECTIVE

Comparing the utility of the anti-human serum amyloid A (SAA)-specific monoclonal and polyclonal antibodies assays (LZ-SAA) with the pure monoclonal anti-human antibody assays (VET-SAA) during clinical practice in primary care hospital populations by measuring SAA measurement in healthy and diseased domestic cats.

ANIMALS

52 healthy and 185 diseased client-owned cats.

METHODS

SAA concentration was measured using different LZ-SAA and VET-SAA measurements for healthy and various diseased cats. Sensitivity, specificity, and accuracy were calculated for each disease.

RESULTS

VET-SAA has higher sensitivity than LZ-SAA for the most common diseases presenting to primary care veterinary hospitals, including chronic kidney disease, tumors, and gingivostomatitis. Our results reveal the capability of detecting low SAA concentrations in healthy and diseased cats using VET-SAA in contrast to LZ-SAA, which found elevations of SAA concentrations only in diseased cats.

CLINICAL RELEVANCE

Our findings indicate that switching to the new VET-SAA instead of the conventional LZ-SAA will likely enhance the diagnostic performance in primary care veterinary hospitals.

摘要

目的

通过测量健康和患病家猫的血清淀粉样蛋白 A(SAA)浓度,比较在初级保健医院人群中使用抗人血清淀粉样蛋白 A(SAA)特异性单克隆和多克隆抗体检测(LZ-SAA)与纯单克隆抗人抗体检测(VET-SAA)的效果。

动物

52 只健康和 185 只患病的患宠猫。

方法

使用不同的 LZ-SAA 和 VET-SAA 测量健康和各种患病猫的 SAA 浓度。计算每种疾病的敏感性、特异性和准确性。

结果

VET-SAA 对最常见于初级保健兽医医院的疾病(包括慢性肾病、肿瘤和龈口炎)的敏感性高于 LZ-SAA。与 LZ-SAA 仅在患病猫中发现 SAA 浓度升高不同,我们的结果表明 VET-SAA 能够检测健康和患病猫中的低 SAA 浓度。

临床相关性

我们的发现表明,从传统的 LZ-SAA 切换到新的 VET-SAA 可能会提高初级保健兽医医院的诊断性能。

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