Bitkowska E
Zakład Parazytologii Lekarskiej PZH, Warszawa.
Wiad Parazytol. 1996;42(1):57-63.
Crude T. spiralis larval antigens often cross-react with antibodies to other parasites (for instance Toxocara canis) in the ELISA test. The crossreactivity of the sera is probably due to the presence of phosphocholine (PC)-specific antibodies to antigens found in the inner layer of the cuticle, in the haemolymph, genital primordium and glycogen aggregates T. spiralis larvae. The anti-PC response following infection with T. spiralis occurs earlier than the antispecific antigens response. The above data suggest a possibility that some results of immunoenzymatic examination for trichinellosis may be false positive. The necessity of WESTERN blot verification of weakly positive results in the ELISA test seems to be obvious. There is a need to improve serological diagnosis of trichinellosis by applying alternative tests that would aid an early diagnosis of the infection such as those for circulation parasite antigens or parasite DNA.
在酶联免疫吸附测定(ELISA)试验中,旋毛虫幼虫粗抗原常与针对其他寄生虫(如犬弓首蛔虫)的抗体发生交叉反应。血清的交叉反应性可能是由于存在针对旋毛虫幼虫角质层内层、血淋巴、生殖原基和糖原聚集体中发现的抗原的磷胆碱(PC)特异性抗体。感染旋毛虫后抗PC反应比抗特异性抗原反应出现得早。上述数据表明,旋毛虫病免疫酶检查的某些结果可能出现假阳性。显然有必要对ELISA试验中弱阳性结果进行蛋白质免疫印迹法验证。需要通过应用有助于早期诊断感染的替代试验,如循环寄生虫抗原或寄生虫DNA检测,来改进旋毛虫病的血清学诊断。