Lumsden W H
Bull World Health Organ. 1969;40(6):871-8.
The author draws attention to the need for accurate epidemiological information so that control programmes may be properly orientated and he emphasizes that we are still at a loss in this respect in the case of trypanosomiasis, as we still lack methods to recognize, among the assemblage of natural trypanosome populations with identical morphology, those populations that have the biological capabilities to produce disease in man and his domestic stock.Immunological approaches do, however, show some promise in this respect in that it is possible to relate the antigenic type to particular virulence characteristics, at least in mice. Nomenclature of trypanosome antigenic types requires to be improved and agreed so as to facilitate the integration of the work of different laboratories. Immunological methods have also improved disease survey, and tests such as immunofluorescence, and serum and cerebrospinal fluid IgM estimation, are now available. These tests may be applied conveniently on a large scale and to primitive populations. They powerfully complement the classical parasitological survey methods. Studies on the immunization of animals against trypanosomiasis have not yet yielded any method of practical application but are useful contributions to basic knowledge and have indicated areas in need of special investigation-such as the variety of antigenic types of the main pathogenic trypanosome species circulating in given areas of Africa, the stability of this "spectrum" of antigenic types in time, and the range of distribution in Africa of particular antigenic types.
作者提请注意,需要准确的流行病学信息,以便对控制计划进行合理定位。他强调,在锥虫病方面,我们在这方面仍然一无所知,因为我们仍然缺乏方法,无法在形态相同的天然锥虫种群中识别出那些具有使人和家畜致病生物学能力的种群。然而,免疫学方法在这方面确实显示出一些希望,因为至少在小鼠中,可以将抗原类型与特定的毒力特征联系起来。锥虫抗原类型的命名需要改进并达成共识,以便促进不同实验室工作的整合。免疫学方法也改进了疾病调查,现在已有免疫荧光、血清和脑脊液IgM检测等方法。这些检测可以方便地大规模应用于原始人群。它们有力地补充了传统的寄生虫学调查方法。关于动物抗锥虫病免疫的研究尚未产生任何实际应用方法,但对基础知识有很大贡献,并指出了需要特别研究的领域,如在非洲特定地区流行的主要致病锥虫种类的抗原类型多样性、这种抗原类型“谱”在时间上的稳定性以及特定抗原类型在非洲的分布范围。