Mattioli R C, Faye J A
International Trypanotolerance Centre, Banjul, The Gambia.
Acta Trop. 1996 Oct;62(2):71-81. doi: 10.1016/s0001-706x(96)00033-2.
The buffy coat/dark ground techniques (BCT) and an antigen enzyme immunoassay (Ag-ELISA) were compared for the diagnosis of trypanosome infection in N'Dama, Gobra zebu and N'Dama x Gobra (F1) crossbred cattle following two sequential experimental Trypanosoma congolense infections. Both first and second challenge were performed by intradermal needle inoculation of trypanosome bloodstream forms. During the course of the first challenge, the overall trypanosome percentage of positive cases detected by BCT in blood samples was higher (P < 0.001) in comparison with that obtained by Ag-ELISA in tested serum samples of the three cattle breeds. Conversely, in the second infection the overall number of infections detected by BCT was lower in N'Dama (P < 0.005) and F1 (P < 0.001) than that obtained using Ag-ELISA; nearly identical positive rates were detected by the two diagnostic techniques in Gobra zebus. Both in the first and second T. congolense challenge, positive rate obtained using BCT significantly decreased as the infection progressed. On the other hand, the positive rate given by Ag-ELISA and its sensitivity manifested a significant opposite trend during the course of the first infection. No relationship between progression of infection and Ag-ELISA positive rate as well as Ag-ELISA sensitivity was found in the second T. congolense challenge. The Ag-ELISA was less than 50% sensitive in detecting circulating antigens during the first 2 months of the primary infection. However, it showed a high and stable sensitivity throughout the second trypanosome infection. It was concluded that the Ag-ELISA was suitable for use in detecting chronic or repeated infections but needs to be combined with BCT to provide reliable results.
在对恩达马牛、戈布拉瘤牛以及恩达马牛×戈布拉瘤牛(F1)杂交牛进行两次连续的实验性刚果锥虫感染后,比较了血沉棕黄层/暗视野技术(BCT)和抗原酶免疫测定法(Ag-ELISA)对锥虫感染的诊断效果。首次和第二次攻击均通过皮内注射锥虫血流形式进行。在首次攻击过程中,与通过Ag-ELISA在三个牛品种的检测血清样本中获得的结果相比,BCT在血液样本中检测到的阳性病例的总体锥虫百分比更高(P < 0.001)。相反,在第二次感染中,BCT在恩达马牛(P < 0.005)和F1杂交牛(P < 0.001)中检测到的感染总数低于使用Ag-ELISA获得的结果;两种诊断技术在戈布拉瘤牛中检测到的阳性率几乎相同。在第一次和第二次刚果锥虫攻击中,随着感染的进展,使用BCT获得的阳性率均显著下降。另一方面,在第一次感染过程中,Ag-ELISA给出的阳性率及其敏感性呈现出显著相反的趋势。在第二次刚果锥虫攻击中,未发现感染进展与Ag-ELISA阳性率以及Ag-ELISA敏感性之间存在关联。在初次感染的前两个月,Ag-ELISA在检测循环抗原方面的敏感性低于50%。然而,在整个第二次锥虫感染过程中,它表现出高且稳定的敏感性。得出的结论是,Ag-ELISA适用于检测慢性或反复感染,但需要与BCT结合以提供可靠的结果。