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麻风病微生物学的最新进展。

Recent advances in microbiology in leprosy.

出版信息

Lepr India. 1977 Jan;49(1):10-33.

PMID:70571
Abstract

The recent advances in microbiology of leprosy are reviewed. Till now the leprosy bacillus had not been cultivated in laboratory media; the recent claims of success have not been confirmed. There has been a breakthrough in the experimental transmission of leprosy to experimental animals--the white mice, the immune depressed white mice, and the nine-banded armadillo. Apart from providing definite proof for the causative relationship of the bacillus discovered by Hansen and the disease leprosy, the experimental transmission to animals have considerably advances our knowledge about the disease. The mouse has provided a suitable model for screening of antileprosy drugs, detecting development of drug resistance, ascertaining viability of the bacilli and determining the genuineness of a supposed culture of the leprosy bacillus. The armadillo has provided a model for making basic studies of the disease as it occurs in man. Further, the generalised infection in armadillo has provided large amounts of leprosy bacilli for preparing standardised lepromin, for preparing a specific skin-testing antigen containing the active protein fraction of the bacillus, and a step towards the production of a vaccine against leprosy. It is interesting to note that the fact that the protein fraction of the bacillus was responsible for the positive lepromin reaction was discovered by Dharmendra far back in 1941.

摘要

本文综述了麻风病微生物学的最新进展。到目前为止,麻风杆菌仍无法在实验室培养基中培养;最近关于成功培养的说法尚未得到证实。在麻风病向实验动物(小白鼠、免疫抑制小白鼠和九带犰狳)的实验性传播方面取得了突破。除了为汉森发现的杆菌与麻风病之间的因果关系提供确凿证据外,向动物的实验性传播还极大地增进了我们对该疾病的了解。小白鼠为抗麻风病药物的筛选、耐药性发展的检测、杆菌活力的确定以及麻风杆菌假定培养物真实性的判定提供了合适的模型。犰狳为研究人类麻风病提供了基础研究模型。此外,犰狳的全身性感染为制备标准化麻风菌素、制备含有杆菌活性蛋白成分的特异性皮肤试验抗原以及迈向生产麻风病疫苗的一步提供了大量麻风杆菌。值得注意的是,早在1941年,达门德拉就发现了杆菌的蛋白成分是麻风菌素阳性反应的原因。

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