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一项评估三种用于马莱姆病血清学诊断的免疫分析方法的比较研究:检测接种和未接种疫苗马匹血清样本中广义伯氏疏螺旋体特异性抗体。

A comparative study evaluating three line immunoassays available for serodiagnosis of equine Lyme borreliosis: Detection of Borrelia burgdorferi sensu lato-specific antibodies in serum samples of vaccinated and non-vaccinated horses.

作者信息

Broeckl Cornelia V, Hiereth Stephanie, Straubinger Reinhard K

机构信息

Faculty of Veterinary Medicine, Department of Veterinary Sciences, Institute for Infectious Diseases and Zoonoses, Chair of Bacteriology and Mycology, Ludwig-Maximilians-Universität Munich, Oberschleißheim, Bavaria, Germany.

出版信息

PLoS One. 2024 Dec 23;19(12):e0316170. doi: 10.1371/journal.pone.0316170. eCollection 2024.

Abstract

Diagnosis of equine Lyme borreliosis (LB), an infection caused by members of the Borrelia burgdorferi sensu lato complex (Bbsl), is challenging due to the nonspecific clinical signs of the disease and due to the variety of non-standardized serological tests. Specific vaccine-induced antibodies against LB, providing an effective protection against the infection, complicate the issue further. The standard for the detection of specific antibodies against Bbsl is a two-tier test system based on an enzyme-linked immunosorbent assay (ELISA) or indirect fluorescent antibody test (IFA) for antibody screening combined with a qualitative, highly specific immunoassay (e. g. line immunoassay (LIA)) for confirmation. In this study, three LIAs available for detection of antibodies in equine serum samples were evaluated and compared. A total of 393 serum samples of 131 horses with known serostatus were used. It included groups of non-vaccinated horses, immunized horses (vaccinations against LB on days 0 and 14), and horses that had received an initial immunization plus an additional booster on day 180. Sera were collected on days 0, 135 and 210 of the study. Results were compared considering the tests' sensitivity, specificity, diagnostic outcome, and the operability of each test. Agreements of the diagnostic results among the LIAs were calculated for overall test results and single antigen-antibody-complex signal results. They are presented as inter-rater agreement and statistic reliability, represented by the Fleiss' kappa coefficient. Agreement scores ranged from poor to moderate depending on group and time-point of blood sample collection. Depending on LIA used, deficiencies were observed in the form of non-sufficient sensitivity of antigen signals on the LIA strips (especially for outer surface protein A (OspA) or variable major protein like sequence expressed (VlsE)) or as an inappropriate test interpretation of the OspA signal. Operability of the three LIAs was equally user-friendly with minor variations. In two LIAs, test-evaluation was simplified by a supplied scanner and evaluation software. To improve functionality of available LIAs for equine serum samples it is advisable to adjust sensitivity and specificity of single test antigen signals and establish appropriate evaluation protocols.

摘要

马莱姆病(LB)是由伯氏疏螺旋体狭义复合体(Bbsl)成员引起的一种感染,由于该疾病的临床症状不具特异性以及非标准化血清学检测方法多样,其诊断颇具挑战性。针对LB的特异性疫苗诱导抗体虽能有效预防感染,但却使问题更加复杂。检测针对Bbsl的特异性抗体的标准是一个两级检测系统,该系统基于酶联免疫吸附测定(ELISA)或间接荧光抗体试验(IFA)进行抗体筛查,并结合定性、高特异性免疫测定(如线性免疫测定(LIA))进行确认。在本研究中,对三种可用于检测马血清样本中抗体的LIA进行了评估和比较。总共使用了131匹已知血清状态的马的393份血清样本。其中包括未接种疫苗的马群、免疫马(在第0天和第14天接种LB疫苗)以及在第180天接受初次免疫加额外加强免疫的马。在研究的第0天、第135天和第210天采集血清。从检测的敏感性、特异性、诊断结果以及每个检测的可操作性等方面对结果进行了比较。计算了LIA之间诊断结果的一致性,包括总体检测结果和单个抗原 - 抗体复合物信号结果。结果以评分者间一致性和统计可靠性表示,用Fleiss卡方系数衡量。根据采血的组和时间点不同,一致性评分从差到中等不等。根据所使用的LIA不同,观察到存在一些缺陷,表现为LIA试纸条上抗原信号的敏感性不足(特别是对于外表面蛋白A(OspA)或可变主要蛋白样序列表达(VlsE)),或者对OspA信号的检测解释不当。三种LIA的可操作性同样对用户友好,仅有细微差异。在两种LIA中,随附的扫描仪和评估软件简化了检测评估。为提高现有LIA对马血清样本的功能,建议调整单个检测抗原信号的敏感性和特异性,并建立适当的评估方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c605/11666002/a6add629d3e3/pone.0316170.g001.jpg

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