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艾滋病患者中肠脑炎微孢子虫的特异性检测。

Specific detection of the microsporidia Encephalitozoon intestinalis in AIDS patients.

作者信息

Ombrouck C, Desportes-Livage I, Achbarou A, Gentilini M

机构信息

INSERM U, Paris, France.

出版信息

C R Acad Sci III. 1996 Jan;319(1):39-43.

PMID:8673618
Abstract

The microsporidia Encephalitozoon intestinalis is an opportunistic pathogen responsible for severe gastrointestinal diseases and disseminated infection in AIDS patients. No light-microscopical method allows the specific detection of this unicellular parasite and up to this date, only electron microscopy could confirm the diagnosis of the species. We propose a method combining the non specific labelling of microsporidian spores by the fluorochrome Uvitex 2B and an indirect immunofluorescent assay with a polyclonal antibody specifically directed against E. intestinalis. Preliminary data demonstrate the specificity of this antibody. This method enables the distinction between E. intestinalis and Enterocytozoon bieneusi an other microsporidian also associated with gastrointestinal infection. Due to the precocious detection of E. intestinalis patients will be treated earlier with albendazole which is potentially active against this species.

摘要

微小孢子虫肠道脑炎微孢子虫是一种机会性病原体,可导致艾滋病患者出现严重的胃肠道疾病和播散性感染。目前尚无光学显微镜方法可特异性检测这种单细胞寄生虫,直至今日,只有电子显微镜能够确诊该物种。我们提出一种方法,将荧光染料Uvitex 2B对微孢子虫孢子的非特异性标记与使用特异性针对肠道脑炎微孢子虫的多克隆抗体进行的间接免疫荧光测定相结合。初步数据证明了该抗体的特异性。该方法能够区分肠道脑炎微孢子虫和比氏肠微孢子虫,后者是另一种也与胃肠道感染相关的微孢子虫。由于能够较早检测到肠道脑炎微孢子虫,患者将更早接受对该物种可能有效的阿苯达唑治疗。

相似文献

1
Specific detection of the microsporidia Encephalitozoon intestinalis in AIDS patients.艾滋病患者中肠脑炎微孢子虫的特异性检测。
C R Acad Sci III. 1996 Jan;319(1):39-43.
2
Identification of the microsporidian Encephalitozoon hellem using immunoglobulin G monoclonal antibodies.使用免疫球蛋白G单克隆抗体鉴定微小孢子虫脑内原虫。
Arch Pathol Lab Med. 1998 Feb;122(2):182-6.
3
A patient with acquired immunodeficiency syndrome and untreated Encephalitozoon (Septata) intestinalis microsporidiosis leading to small bowel perforation. Response to albendazole.一名获得性免疫缺陷综合征患者,患有未经治疗的肠脑炎微孢子虫(Septata)小肠微孢子虫病,导致小肠穿孔。对阿苯达唑有反应。
Arch Pathol Lab Med. 1997 Aug;121(8):880-7.
4
Microsporidial AIDS cholangiopathy due to Encephalitozoon intestinalis: case report and review.由肠脑炎微孢子虫引起的艾滋病胆管病:病例报告及文献复习
Am J Gastroenterol. 2000 Sep;95(9):2364-71. doi: 10.1111/j.1572-0241.2000.02334.x.
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[First isolate of Encephalitozoon intestinalis from stools of a Colombian patient with AIDS].[从一名哥伦比亚艾滋病患者粪便中首次分离出肠脑炎微孢子虫]
Biomedica. 2008 Sep;28(3):441-7.
6
[Animal reservoirs of human virulent microsporidian species].[人类致病性微孢子虫物种的动物宿主]
Wiad Parazytol. 2009;55(1):63-5.
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Detection by an immunofluorescence test of Encephalitozoon intestinalis spores in routinely formalin-fixed stool samples stored at room temperature.在室温下储存的常规福尔马林固定粪便样本中,通过免疫荧光试验检测肠道脑炎微孢子虫孢子。
J Clin Microbiol. 1999 Jul;37(7):2317-22. doi: 10.1128/JCM.37.7.2317-2322.1999.
8
Production and characterization of monoclonal antibodies against Encephalitozoon intestinalis and Encephalitozoon sp. spores and their developmental stages.抗肠孢子虫和孢子及其发育阶段的单克隆抗体的制备和鉴定。
Parasit Vectors. 2017 Nov 9;10(1):560. doi: 10.1186/s13071-017-2503-z.
9
Isolation and identification of Encephalitozoon hellem from an Italian AIDS patient with disseminated microsporidiosis.从一名患有播散性微孢子虫病的意大利艾滋病患者中分离并鉴定出海伦脑炎微孢子虫。
APMIS. 1994 Nov;102(11):817-27.
10
Detection and identification of Enterocytozoon bieneusi and Encephalitozoon species in stool and urine specimens by PCR and differential hybridization.通过聚合酶链反应(PCR)和差异杂交技术检测和鉴定粪便及尿液标本中的微小隐孢子虫和脑孢子虫属物种。
J Clin Microbiol. 2005 Feb;43(2):610-4. doi: 10.1128/JCM.43.2.610-614.2005.

引用本文的文献

1
Chronic Infections in Mammals Due to Microsporidia.哺乳动物的微孢子虫慢性感染。
Exp Suppl. 2022;114:319-371. doi: 10.1007/978-3-030-93306-7_12.
2
Detection by an immunofluorescence test of Encephalitozoon intestinalis spores in routinely formalin-fixed stool samples stored at room temperature.在室温下储存的常规福尔马林固定粪便样本中,通过免疫荧光试验检测肠道脑炎微孢子虫孢子。
J Clin Microbiol. 1999 Jul;37(7):2317-22. doi: 10.1128/JCM.37.7.2317-2322.1999.
3
Molecular techniques for detection, species differentiation, and phylogenetic analysis of microsporidia.
用于微孢子虫检测、物种鉴别及系统发育分析的分子技术
Clin Microbiol Rev. 1999 Apr;12(2):243-85. doi: 10.1128/CMR.12.2.243.
4
Ultrastructure, immunofluorescence, western blot, and PCR analysis of eight isolates of Encephalitozoon (Septata) intestinalis established in culture from sputum and urine samples and duodenal aspirates of five patients with AIDS.对从5例艾滋病患者的痰液、尿液样本及十二指肠抽吸物中培养出的8株肠道脑炎微孢子虫(Septata)进行超微结构、免疫荧光、蛋白质印迹及聚合酶链反应分析。
J Clin Microbiol. 1998 May;36(5):1201-8. doi: 10.1128/JCM.36.5.1201-1208.1998.
5
Identification of Encephalitozoon intestinalis in travelers with chronic diarrhea by specific PCR amplification.通过特异性PCR扩增在慢性腹泻旅行者中鉴定肠道脑炎微孢子虫。
J Clin Microbiol. 1998 Jan;36(1):37-40. doi: 10.1128/JCM.36.1.37-40.1998.
6
Specific PCR assay for direct detection of intestinal microsporidia Enterocytozoon bieneusi and Encephalitozoon intestinalis in fecal specimens from human immunodeficiency virus-infected patients.用于直接检测人类免疫缺陷病毒感染患者粪便标本中肠道微孢子虫比氏肠胞微孢子虫和肠脑炎微孢子虫的特异性聚合酶链反应检测法。
J Clin Microbiol. 1997 Mar;35(3):652-5. doi: 10.1128/jcm.35.3.652-655.1997.