颗粒棘球蚴原头节抗原在包虫病血清诊断中的应用

Pub Date : 2019-08-01 DOI:10.21608/puj.2019.11387.1039
Rashed Sm, M. Nasr, I. Shalash, Nagwa S. M. Ali, S. Kishik, A. El-Ghanam
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引用次数: 3

摘要

背景:细粒棘球蚴原头节抗原(PSAg)是一种具有显著免疫特性的蛋白质,在ELISA中具有较高的敏感性和特异性。它降低了与其他寄生虫抗体的交叉反应,因此推荐在血清学诊断中应用。用纳米金颗粒标记ELISA提高了实验室技术在棘球蚴病检测中的诊断能力。目的:评价纳米金点ELISA法分离细粒棘球蚴PSAg的方法,并与斑点ELISA法进行比较,评价其在人和动物棘球蚴病血清学诊断中的应用。材料与方法:分离出棘球蚴PSAg,用于兔免疫,制备IgG多克隆抗体(pAb)。用辣根过氧化物酶(HRP)标记这些血清,并用斑点ELISA和纳米金斑点ELISA法检测人、骆驼和绵羊血清中的循环PSAg。结果:抗原头节蛋白pAb与金纳米粒子的偶联使纳米金点ELISA检测抗原的灵敏度提高到94.4%,特异性提高到90%,阳性和阴性预测值分别为94.4%和90%,在人和动物血清中的检测准确率均为92.9%。结论:纳米金点ELISA法检测人和动物棘球蚴病抗原的灵敏度高于点ELISA法
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Echinococcus granulosus protoscolex antigen used in serodiagnosis of hydatidosis by nano-gold dot-ELISA
Background: Echinococcus granulosus protoscolex antigen (PSAg) is a protein with significant immunological properties having higher sensitivity and specificity in ELISA. It lowers cross-reaction with antibodies of other parasites and thus its application is recommended in serological diagnosis. Labelling of ELISA with nano-gold particles improved the diagnostic abilities of the laboratory technique in hydatidosis detection. Objective: To evaluate the use of nano-gold dot-ELISA for isolation of E. granulosus PSAg and its application in serodiagnosis of hydatidosis in humans and animals in comparison with dot-ELISA. Material and Methods: Hydatid cyst PSAg was isolated and used for immunization of rabbits to raise IgG polyclonal antibodies (pAb) in antisera. These sera were labeled with horseradish peroxidase (HRP) and used for detection of circulating PSAg in sera of human cases and camels and sheep by dot-ELISA and nano-gold dot-ELISA. Results: Conjugation of the anti-protoscolex pAb with gold nano-particles increased the sensitivity of antigen detection by nano-gold dot-ELISA to 94.4% and specificity to 90%, with positive and negative predictive values of 94.4% and 90%, and an accuracy of detection of 92.9% in both human and animal sera. Conclusion: Nano-gold dot-ELISA technique is more sensitive than dot-ELISA for detection of hydatidosis antigen both in human and animal samples
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