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口腔液标本技术的未来应用。

Future applications of oral fluid specimen technology.

作者信息

George J R, Fitchen J H

机构信息

Epitope, Inc., Beaverton, Oregon 97008-7108, USA.

出版信息

Am J Med. 1997 Apr 1;102(4A):21-5. doi: 10.1016/s0002-9343(97)00034-x.

DOI:10.1016/s0002-9343(97)00034-x
PMID:9217635
Abstract

Research has demonstrated that oral mucosal transudate (OMT), a serum-derived fluid that enters saliva from the gingival crevice and across oral mucosal surfaces, can be preferentially concentrated by a novel collecting system to yield detectable levels of immunoglobulins (i.e., IgG and IgM antibodies) against various bacterial and viral diseases. Assays based on OMT can aid in the diagnosis of disease and in the management of therapeutic drugs. A reliable and accurate OMT-based test to detect human immunodeficiency virus (HIV) antibodies is commercially available. Additional tests based on similar technologies may aid in the diagnosis of viral hepatitis, measles, mumps, and rubella as well as in monitoring levels of therapeutic drugs such as theophylline. The future use of OMT-based testing will likely increase because of the inherent advantages of this technology: convenience; avoidance of inadvertent transmission of blood-borne pathogens; ease of use in pediatric and geriatric populations; as well as the potential for blood-free home and workplace collection of patient samples.

摘要

研究表明,口腔黏膜渗出液(OMT)是一种从牙龈沟进入唾液并穿过口腔黏膜表面的血清源性液体,一种新型收集系统可以优先对其进行浓缩,以产生可检测水平的针对各种细菌和病毒疾病的免疫球蛋白(即IgG和IgM抗体)。基于OMT的检测可有助于疾病诊断和治疗药物管理。一种基于OMT检测人类免疫缺陷病毒(HIV)抗体的可靠且准确的检测方法已在市场上有售。基于类似技术的其他检测可能有助于诊断病毒性肝炎、麻疹、腮腺炎和风疹,以及监测诸如茶碱等治疗药物的水平。由于该技术的固有优势,基于OMT检测的未来应用可能会增加:方便;避免血源性病原体的意外传播;便于在儿科和老年人群中使用;以及有可能在家庭和工作场所无血采集患者样本。

相似文献

1
Future applications of oral fluid specimen technology.口腔液标本技术的未来应用。
Am J Med. 1997 Apr 1;102(4A):21-5. doi: 10.1016/s0002-9343(97)00034-x.
2
Accuracy of oral specimen testing for human immunodeficiency virus.
Am J Med. 1997 Apr 1;102(4A):15-20. doi: 10.1016/s0002-9343(97)00033-8.
3
Oral diagnostic testing for detecting human immunodeficiency virus-1 antibodies: a technology whose time has come.
Am J Med. 1997 Apr 1;102(4A):9-14. doi: 10.1016/s0002-9343(97)00032-6.
4
Determination of measles, mumps, and rubella immunization status using oral fluid samples.使用口腔液体样本测定麻疹、腮腺炎和风疹免疫状况。
JAMA. 1994 Jul 20;272(3):219-21.
5
Has oral fluid the potential to replace serum for the evaluation of population immunity levels? A study of measles, rubella and hepatitis B in rural Ethiopia.唾液能否替代血清用于评估人群免疫水平?埃塞俄比亚农村地区麻疹、风疹和乙型肝炎的研究。
Bull World Health Organ. 2001;79(7):588-95.
6
A comparison of oral fluid collection devices for use in the surveillance of virus diseases in children.用于儿童病毒疾病监测的口腔液体采集装置的比较。
Public Health. 2001 May;115(3):201-7. doi: 10.1038/sj/ph/1900751.
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Virus-specific secretory IgA antibodies as a means of rapid diagnosis of measles and mumps infection.病毒特异性分泌型IgA抗体作为快速诊断麻疹和腮腺炎感染的一种手段。
Isr J Med Sci. 1983 Oct;19(10):881-4.
8
Human papillomavirus-specific antibody status in oral fluids modestly reflects serum status in human immunodeficiency virus-positive individuals.口腔液中人类乳头瘤病毒特异性抗体状态适度反映了人类免疫缺陷病毒阳性个体的血清状态。
Clin Diagn Lab Immunol. 2003 May;10(3):431-8. doi: 10.1128/cdli.10.3.431-438.2003.
9
Development and evaluation of a rapid immunochromatographic test for mumps-specific IgM in oral fluid specimens and use as a matrix for preserving viral nucleic acid for RT-PCR.发展和评估一种快速免疫层析试验,用于检测口腔液标本中的腮腺炎特异性 IgM,并用作 RT-PCR 保存病毒核酸的基质。
J Med Virol. 2010 Mar;82(3):485-93. doi: 10.1002/jmv.21693.
10
Detection of antibodies in saliva--an effective auxiliary method in surveillance of infectious diseases.唾液中抗体的检测——传染病监测中的一种有效辅助方法。
Bratisl Lek Listy. 2002;103(1):38-41.

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SARS Antibody Testing in Children: Development of Oral Fluid Assays for IgG Measurements.儿童中 SARS 抗体检测:IgG 测量的口腔液检测方法的开发。
Microbiol Spectr. 2022 Feb 23;10(1):e0078621. doi: 10.1128/spectrum.00786-21. Epub 2022 Jan 5.
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Antibody responses in oral fluid after administration of prophylactic human papillomavirus vaccines.
预防性人乳头瘤病毒疫苗接种后口腔液中的抗体反应。
J Infect Dis. 2009 Nov 1;200(9):1452-5. doi: 10.1086/606026.
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Assessment of measles immunity among infants in Maputo City, Mozambique.莫桑比克马普托市婴儿麻疹免疫力评估。
BMC Public Health. 2008 Nov 12;8:386. doi: 10.1186/1471-2458-8-386.
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Comparison of oral fluid collectors for use in a rapid point-of-care diagnostic device.用于即时快速诊断设备的口腔液体采集器的比较。
Clin Diagn Lab Immunol. 2004 Sep;11(5):909-12. doi: 10.1128/CDLI.11.5.909-912.2004.
6
Human papillomavirus-specific antibody status in oral fluids modestly reflects serum status in human immunodeficiency virus-positive individuals.口腔液中人类乳头瘤病毒特异性抗体状态适度反映了人类免疫缺陷病毒阳性个体的血清状态。
Clin Diagn Lab Immunol. 2003 May;10(3):431-8. doi: 10.1128/cdli.10.3.431-438.2003.