Desquesnes M
CIRAD-EMVT-GUYANE, Institut Pasteur, French Guiana.
Acta Trop. 1997 May 30;65(3):139-48. doi: 10.1016/s0001-706x(96)00643-2.
Polymerase chain reaction (PCR) with specific oligonucleotides for the amplification of Trypanosoma vivax DNA has been developed by Masiga et al. (1992) to detect the presence of T. vivax DNA in biting flies. The aim of this experiment was to evaluate the efficacy of this technique when applied directly on cattle serum, without DNA purification, to detect infection. The sensitivity of this PCR technique was compared with parasitological techniques, namely haematocrit centrifuge technique (HCT) and buffy coat method (BCM), and with the antigen-enzyme-linked immunosorbent assay (Ag-ELISA) for T. vivax developed by Nantulya and Lindqvist (1989). Blood and serum samples were collected from four calves experimentally infected with a stock of T. vivax from French Guyana (IL4007). During the first 51 days of infection, a total of 164 samples were collected and processed using the four tests. Mean percentages of positive results were 68% with HCT, 59% with BCM, 4% with Ag-ELISA and 64% with PCR. Parasitological and PCR techniques yielded approximately the same sensitivities. PCR was able to detect active infection in serum samples when parasitaemia was over 10(3) trypanosomes/ml. With this isolate of T. vivax the Ag-ELISA was not found to be sensitive enough to be used as a diagnostic tool. The sensitivity of this PCR technique is not greater than parasitological techniques but it allows delayed processing of the samples and gives a highly species-specific diagnosis. This simple PCR technique should be evaluated for field diagnosis because it makes retrospective epidemiological survey using serum banks possible. Moreover, it can be substituted to parasitological techniques when immediate examination is not feasible.
马西加等人(1992年)开发了一种聚合酶链反应(PCR),使用特定的寡核苷酸来扩增牛巴贝斯虫DNA,以检测叮咬蝇中牛巴贝斯虫DNA的存在。本实验的目的是评估该技术直接应用于牛血清(不进行DNA纯化)以检测感染时的效果。将这种PCR技术的敏感性与寄生虫学技术(即血细胞比容离心技术(HCT)和血沉棕黄层法(BCM))以及南图利亚和林德奎斯特(1989年)开发的用于牛巴贝斯虫的抗原酶联免疫吸附测定(Ag-ELISA)进行了比较。从四头经实验感染来自法属圭亚那的牛巴贝斯虫毒株(IL4007)的小牛身上采集血液和血清样本。在感染的前51天,共采集了164个样本,并使用这四种检测方法进行处理。阳性结果的平均百分比分别为:HCT为68%,BCM为59%,Ag-ELISA为4%,PCR为64%。寄生虫学技术和PCR技术的敏感性大致相同。当虫血症超过10³个锥虫/毫升时,PCR能够检测血清样本中的活动性感染。对于这种牛巴贝斯虫分离株,未发现Ag-ELISA足够敏感,不能用作诊断工具。这种PCR技术的敏感性不高于寄生虫学技术,但它允许对样本进行延迟处理,并能进行高度种特异性诊断。这种简单的PCR技术应进行现场诊断评估,因为它使得利用血清库进行回顾性流行病学调查成为可能。此外,当无法立即进行检查时,它可以替代寄生虫学技术。