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用于内脏幼虫移行症酶联免疫吸附测定的犬弓首蛔虫幼虫抗原会与AB同种血凝素发生交叉反应并产生假阳性结果吗?

Do Toxocara canis larval antigens used in enzyme-linked immunosorbent assay for visceral larva migrans cross-react with AB isohemagglutinins and give false positive results?

作者信息

Glickman L T, Schantz P M

出版信息

Z Parasitenkd. 1985;71(3):395-400. doi: 10.1007/BF00928341.

DOI:10.1007/BF00928341
PMID:4013469
Abstract

A variety of helminth parasites have A and B blood group antigens on their surface. These antigens may cross-react with elevated concentrations of A and B isohemagglutinins in some patients and give false-positive results in the serologic diagnosis of visceral larva migrans caused by T. canis. To clarify this point, serum from patients with visceral larva migrans and elevated T. canis antibody titers as determined by ELISA were absorbed with AB blood cells and retested by ELISA without a demonstrable decline in T. canis antibody titers. Similarly, absorption with T. canis embryonated egg antigens of serum containing elevated levels of anti-A or anti-B isohemagglutinins failed to decrease the isohemagglutinin titer. This indicates that the ELISA using T. canis embryonated egg antigen does not give false positive results with sera containing high concentrations of anti-A or anti-B isohemagglutinins.

摘要

多种蠕虫寄生虫在其表面具有A和B血型抗原。这些抗原可能与某些患者中升高的A和B同种血凝素浓度发生交叉反应,并在犬弓首线虫引起的内脏幼虫移行症的血清学诊断中给出假阳性结果。为了阐明这一点,用AB血细胞吸收经ELISA测定的内脏幼虫移行症患者且犬弓首线虫抗体滴度升高的血清,然后通过ELISA重新检测,犬弓首线虫抗体滴度没有明显下降。同样,用含有高水平抗A或抗B同种血凝素的血清与犬弓首线虫感染性虫卵抗原进行吸收,未能降低同种血凝素滴度。这表明使用犬弓首线虫感染性虫卵抗原的ELISA不会对含有高浓度抗A或抗B同种血凝素的血清产生假阳性结果。

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本文引用的文献

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Functional antigens in helminths.蠕虫中的功能性抗原。
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In vitro maintenance of Toxocara canis larvae and a simple method for the production of Toxocara ES antigen for use in serodiagnostic tests for visceral larva migrans.犬弓首蛔虫幼虫的体外培养及一种用于生产用于内脏幼虫移行症血清诊断试验的犬弓首蛔虫ES抗原的简单方法。
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ABO hemolytic disease in Puerto Rico and North Carolina.波多黎各和北卡罗来纳州的ABO溶血病。
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Further evidence for a racial difference in frequency of ABO hemolytic disease.ABO溶血病发病率存在种族差异的进一步证据。
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