De Bont J, Van Lieshout L, Deelder A M, Ysebaert M T, Vercruysse J
Department of Clinical Studies, Samora Machel School of Veterinary Medicine, University of Zambia, Lusaka.
Parasitology. 1996 Nov;113 ( Pt 5):465-71. doi: 10.1017/s0031182000081531.
Levels of 2 Schistosoma circulating antigens, the circulating anodic antigen (CAA) and the circulating cathodic antigen (CCA), were determined in serum samples collected, on a monthly basis over a period of 1.5 years, from 32 farm animals of different ages and from 12 tracer calves exposed to Schistosoma mattheei infection on a Zambian farm. Faecal egg counts were monitored in all animals and worm burdens in tracers determined after perfusion. Antigen determination tests in serum, with sensitivities between 95 and 100% in heifers and adult cows, proved to be excellent tools for the diagnosis of cattle schistosomiasis. Also in young calves, some infections could be demonstrated earlier by CCA determination than by faecal egg examination. A poor correlation was seen between the data for faecal egg counts and for CAA and CCA levels. It therefore appears that circulating antigen measurements in serum are of limited value as indicators of the pathogenesis of infection in cattle. Although all tracer calves were found infected at perfusion, large variations were recorded in antigen levels. An unexpected finding was the observation in farm animals of a clear seasonal pattern in CAA levels, with significant increase between August and October during the second half of the dry season, when animals are subjected to heavy physical and nutritional stress. It therefore appears that, although circulating antigen determination may provide an indication of the worm burden in ageing infections, possible variations of antigen clearance rate with the physiological condition of the host may complicate the interpretation of the results.
在赞比亚一个农场,对32头不同年龄的农场动物以及12头暴露于马氏血吸虫感染的示踪小牛,在1.5年的时间里每月采集血清样本,测定两种血吸虫循环抗原,即循环阳极抗原(CAA)和循环阴极抗原(CCA)的水平。监测所有动物的粪便虫卵计数,并在灌注后测定示踪小牛的虫负荷。血清中的抗原测定试验在小母牛和成年母牛中的灵敏度在95%至100%之间,被证明是诊断牛血吸虫病的优秀工具。在幼龄小牛中,通过测定CCA比通过粪便虫卵检查能更早地发现一些感染情况。粪便虫卵计数数据与CAA和CCA水平之间的相关性较差。因此,血清中循环抗原的测量作为牛感染发病机制的指标,其价值有限。尽管所有示踪小牛在灌注时都被发现感染,但抗原水平记录有很大差异。一个意外的发现是,在农场动物中观察到CAA水平有明显的季节性模式,在旱季下半年的8月至10月之间显著增加,此时动物承受着巨大的体力和营养压力。因此,虽然循环抗原测定可能为老化感染中的虫负荷提供一个指标,但抗原清除率可能随宿主生理状况的变化,这可能会使结果的解释复杂化。