[Determination of IgG toxoplasma antibodies using ELISA with uniform serum dilutions].

J Sýkora, S Polednáková
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Abstract

The ELISA reaction with uniform serum dilution (1:400) for assessment of toxoplasmatic antibodies class IgG agreed in 100% when compared with commercial kits (VIRELISA and GULL Lab.). Both these tests disagreed with the standard complement fixation reaction in 7.5% of the specimens. This qualitative disagreement was confirmed also in a group of 400 sera where 7.14% of CFR negative specimens reacted positively in the described ELISA reaction. Quantitative correlation of results of CFR and ELISA IgG displays the usual scatter of values. Therefore individual CFR titres cannot be matched unequivocally with titres of optic density and thus it is not possible to assess empirically the stage of infection. To assess the stage of infection it is therefore necessary to make a supplementary assessment of IgM antibodies. In cases detected in time the decision can be based on a rise of IgG values in paired serum specimens examined in one reaction. Dynamics of formation of IgG antibodies and their chronological sequence with IgM antibodies displayed a typical course in patients with clinical toxoplasmosis. The described reaction is the basis of commercially manufactured kits ELISA IgG Toxo Micro II.

ELISA法测定弓形虫IgG抗体
与商用试剂盒(VIRELISA和GULL实验室)相比,采用均匀血清稀释(1:400)的ELISA反应评估弓形虫抗体IgG的一致性为100%。在7.5%的标本中,这两种测试都不符合标准的补体固定反应。这一定性差异也在400份血清中得到证实,其中7.14%的CFR阴性标本在所描述的ELISA反应中呈阳性。CFR与ELISA IgG结果的定量相关性显示出通常的散点值。因此,单个CFR滴度不能与光密度滴度明确匹配,因此不可能根据经验评估感染阶段。因此,为了评估感染阶段,有必要对IgM抗体进行补充评估。在及时发现的病例中,可根据在一次反应中检查的成对血清标本中IgG值的升高来作出决定。临床弓形虫病患者IgG抗体的形成动态及其与IgM抗体的时间顺序显示出典型的病程。所描述的反应是商业生产试剂盒的基础,ELISA IgG微型弓形虫II。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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