尿路血吸虫病的血清诊断以及血吸虫可溶性虫卵和成虫抗原中免疫反应蛋白的分析。

IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES
Kabirat A Sulaiman, Tajudeen O Oriade, Timothy Auta, Funmilayo I D Afolayan, Alexander B Odaibo, Rafaella Fq Grenfell, Ramzy G Fatem, Oyetunde T Oyeyemi
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引用次数: 0

摘要

背景目标:为实现到2030年根除血吸虫病的计划,开发高效的诊断方法至关重要。本研究重点评估血吸虫可溶性虫卵抗原(SEA)和虫体抗原(SWA)对尿路血吸虫病的免疫诊断潜力:方法:尿液显微镜从总共 500 份检查样本中鉴定出 50 份血吸虫阳性样本和 50 份阴性样本。另外还包括来自非流行区的 50 份样本,使用于检测的样本总数达到 150 份。使用 SEA 和 SWA 作为探针抗原的间接 ELISA 免疫测定评估了来自 Sh 阳性、阴性流行区 (NE) 和非流行区 (NNE) 的各 50 份血清样本。对粗蛋白提取物进行了 SDS-PAGE 分析,然后使用从 Sh 感染血清样本中提取的一抗进行了 Western 印迹分析:使用接收者操作特征曲线(ROC)下面积(AUC)、灵敏度和特异性评估诊断性能。在东北样本中,Sh SEA 和 SWA 的 AUC 值分别为 0.75 和 0.76,在东北样本中分别为 0.91 和 0.89。在东北样本中,SEA 和 SWA 的灵敏度分别为 90(95% CI:78.64 - 95.65)/64.71(95% CI:52.17 - 75.92),特异度分别为 50(95% CI:36.64 - 63.36)/81.25(95% CI:63.56 - 92.79)。此外,东北样本中 SEA 和 SWA 的敏感性分别为 90 (78.64 - 95.65)/ 92 (95% CI: 80.77 - 97.78),特异性分别为 72 (95% CI: 58.33 - 82.53)/ 72.00 (95% CI: 57.51 - 83.77)。感染样本中 Sh SEA 的平均抗体滴度明显高于非感染样本(P 解释性结论:Sh SEA 和 SWA 可用于诊断流行和非流行地区的尿路血吸虫病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serodiagnosis of urogenital schistosomiasis and profiling of immunoreactive protein(s) in Schistosoma haematobium soluble egg and adult worm antigens.

Background objectives: To achieve schistosomiasis eradication plan by 2030, the development of efficient diagnosis is crucial. This study focuses on assessing the immunodiagnostic potential of S. haematobium (Sh) soluble egg antigen (SEA) and worm antigen (SWA) for urogenital schistosomiasis.

Methods: Urine microscopy identified 50 S. haematobium-positive and 50 negative samples from a total of 500 examined. An additional 50 samples from a non-endemic area were included, bringing the total number of samples used for the assay to 150. Indirect ELISA immunoassays using SEA and SWA as the probing antigens evaluated 50 sera samples each from Sh positive, negative endemic (NE), and non-endemic (NNE) individuals. SDS-PAGE analysis of crude protein extracts was conducted, followed by Western blot analysis using primary antibodies from pooled Sh-infected sera samples.

Results: Diagnostic performance was evaluated using the area under the receiver operating characteristic (ROC) curve (AUC), sensitivity, and specificity. The AUC values for Sh SEA and SWA were 0.75 and 0.76 in NE samples, and 0.91 and 0.89 in NNE samples, respectively. Sensitivities 90 (95% CI: 78.64 - 95.65)/ 64.71 (95% CI: 52.17 - 75.92), and specificities 50 (95% CI: 36.64 - 63.36)/ 81.25 (95% CI: 63.56 - 92.79) were recorded for SEA and SWA, respectively in NE samples. In addition, sensitivities 90 (78.64 - 95.65)/ 92 (95% CI: 80.77 - 97.78), and specificities 72 (95% CI: 58.33 - 82.53)/ 72.00 (95% CI: 57.51 - 83.77) were recorded for SEA and SWA, respectively in NNE samples. The mean antibody titer against Sh SEA in infected samples was significantly higher than in non-infected samples (P <0.0001). Eight (8) immunoreactive protein bands; 4 each of SEA and SWA were identified, indicating potential for diagnostic tool development.

Interpretation conclusion: Sh SEA and SWA demonstrate promise for diagnosing urogenital schistosomiasis in both endemic and non-endemic regions.

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来源期刊
Journal of Vector Borne Diseases
Journal of Vector Borne Diseases INFECTIOUS DISEASES-PARASITOLOGY
CiteScore
0.90
自引率
0.00%
发文量
89
审稿时长
>12 weeks
期刊介绍: National Institute of Malaria Research on behalf of Indian Council of Medical Research (ICMR) publishes the Journal of Vector Borne Diseases. This Journal was earlier published as the Indian Journal of Malariology, a peer reviewed and open access biomedical journal in the field of vector borne diseases. The Journal publishes review articles, original research articles, short research communications, case reports of prime importance, letters to the editor in the field of vector borne diseases and their control.
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