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用于布氏冈比亚锥虫人类感染血清学诊断的变异特异性锥虫溶解试验评估

Evaluation of variant specific trypanolysis tests for serodiagnosis of human infections with Trypanosoma brucei gambiense.

作者信息

Van Meirvenne N, Magnus E, Buscher P

机构信息

Laboratory of Serology, Institute of Tropical Medicine, Antwerp, Belgium.

出版信息

Acta Trop. 1995 Dec;60(3):189-99. doi: 10.1016/0001-706x(95)00127-z.

DOI:10.1016/0001-706x(95)00127-z
PMID:8907397
Abstract

Twelve T.b. gambiense clone populations of distinct Variable Antigen Type (VAT) were combined in immune lysis tests with 340 sera of trypanosome infected patients from 8 different African countries and 267 non trypanosomiasis control sera. The diagnostic specificity of the test was 100%. At a serum dilution of 1:4 the overall test sensitivity with single VATs varied from 39.1 to 98.2% and from 12.1 to 86.8% at 1:32. At a serum dilution of 1:32 some combination tests with 2 VATs still scored above 96%. The VAT recognition patterns were clearly correlated with the geographical origin of the sera, reflecting a diversity in variable antigen repertoires.

摘要

将12个不同可变抗原类型(VAT)的布氏冈比亚锥虫克隆群体与来自8个不同非洲国家的340例锥虫感染患者的血清以及267例非锥虫病对照血清进行免疫裂解试验。该试验的诊断特异性为100%。在血清稀释度为1:4时,单个VAT的总体试验敏感性在39.1%至98.2%之间,在1:32时为12.1%至86.8%。在血清稀释度为1:32时,一些使用2个VAT的联合试验得分仍高于96%。VAT识别模式与血清的地理来源明显相关,反映了可变抗原库的多样性。

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