Mortensen K, Binder M
Acta Vet Scand. 1985;26(2):231-45. doi: 10.1186/BF03546554.
Endotoxin added in vitro to plasma of swine and cattle was detected by the Limulus Amoebocyte Lysate (LAL) test in order to evaluate the possible utility of the test for detection of endotoxemia in the veterinary clinic and in research. The inhibitory effect of plasma on the test was diminished in porcine plasma by dilution with saline, by heat-extraction, or by the pH-shift method. The last-mentioned method was not applicable to porcine plasma, whereas the heat-extraction method followed by serial 2-fold dilutions in water admitted the detection of endotoxin at low concentrations in porcine as well as in bovine plasma. The inhibition of the LAL test was more pronounced by bovine than by porcine plasma in that, when the same lysate sensitivity was used, the detection limit of endotoxin was highest in bovine plasma. The detection limit could be lowered by increasing the lysate sensitivity either by prolongation of the incubation or by the use of water instead of saline as diluent for plasma. However, an essential increase in lysate sensitivity demands extreme precautions, and a comparatively greater increase in the clinical applicability of the LAL test would be obtained if the inhibitory effect, that is present at low concentrations of endotoxin even in heat-extracted plasma, could be eliminated. It is concluded, that to get full benefit of the LAL test for detection of endotoxemia in the veterinary clinic and in research, a functional LAL laboratory must be made available and new techniques for the elimination of plasma inhibitors at low concentrations of endotoxin must be developed.
为了评估鲎试剂(LAL)检测法在兽医临床和研究中检测内毒素血症的潜在效用,对猪和牛的血浆进行了体外添加内毒素的检测。通过用生理盐水稀释、热提取或pH值改变法可降低猪血浆对该检测的抑制作用。最后一种方法不适用于猪血浆,而热提取法随后在水中进行连续2倍稀释可检测到猪血浆和牛血浆中低浓度的内毒素。牛血浆对LAL检测的抑制作用比猪血浆更明显,即在使用相同的鲎试剂灵敏度时,牛血浆中内毒素的检测限最高。通过延长孵育时间或使用水而非生理盐水作为血浆稀释剂来提高鲎试剂的灵敏度,可降低检测限。然而,大幅提高鲎试剂的灵敏度需要极其谨慎,并且如果能够消除即使在热提取血浆中低浓度内毒素时也存在的抑制作用,LAL检测在临床适用性方面将有相对更大的提高。得出的结论是,为了在兽医临床和研究中充分利用LAL检测法检测内毒素血症,必须设立一个功能完善的LAL实验室,并且必须开发新的技术来消除低浓度内毒素时血浆中的抑制剂。