Fluorescent Antibody Technique, Indirect

荧光抗体技术,Indirect
  • 文章类型: Journal Article
    新孢子虫病是由犬新孢子虫引起的农场动物和狗的一种经证实的疾病。这项横断面研究调查了268只狗中的N.caninum患病率和血清阳性率。对狗粪便进行Nc5基因PCR并通过测序确认。使用间接荧光抗体测试(IFAT)检测血清阳性率。三个年龄组,性别,局部性(安曼,Irbid,和扎尔卡省),狗类型(流浪,宠物,和繁殖),居住的地方(室内/室外),食物类型(生/熟),腹泻,在该地区堕胎,使用单变量和多变量逻辑回归分析,将附近的动物作为独立变量与犬奈瑟氏菌阳性相关。使用Nc5-PCR测试,犬根虫的真实患病率为34.3%(95%CI28.4,40.5)。使用IFAT,约旦犬之间犬的真实血清阳性率为47.9%(95%CI41.4,54.5)。Nc5-PCR产物的测序分离株(n=85)与三个犬奈瑟菌菌株相匹配,即,NcHareGre(n=70,82.4%,95%CI72.6-89),NCMS2(n=14,16.5%,95%CI9.3-26.1),和L218(n=1,1.2%,95%CI0.03-6.4)。这三个菌株以前是从三个不同的国家和大陆分离的。N.caninum脱落与该地区狗和动物的流产有关(比值比=3.6)。在安曼和扎尔卡,住在室内降低血清阳性率为0.45、0.24和0.02,分别。约旦与三个不同的国家和大洲共享三种分子犬毒株。
    Neosporosis is a proven disease of farm animals and dogs caused by Neospora caninum. This cross-sectional study investigates N. caninum prevalence and seroprevalence among 268 dogs. Nc5 gene PCR was carried out on dog faeces and confirmed by sequencing. Seroprevalence was detected using an indirect fluorescent antibody test (IFAT). Three age groups, gender, locality (Amman, Irbid, and Zarqa Governorates), dog type (stray, pet, and breeding), place of living (indoor/outdoor), food type (raw/cooked), having diarrhoea, having abortion in the area, and having animals nearby were tested as independent variables for associations with positivity to N. caninum using univariate and multivariable logistic regression analyses. The true prevalence of N. caninum was 34.3% (95% CI 28.4, 40.5) using the Nc5-PCR test. The true seroprevalence rate of N. caninum among dogs in Jordan was 47.9% (95% CI 41.4, 54.5) using IFAT. The sequenced isolates of Nc5-PCR products (n = 85) matched three N. caninum strains, namely, NcHareGre (n = 70, 82.4%, 95% CI 72.6-89), NC MS2 (n = 14, 16.5%, 95% CI 9.3-26.1), and L218 (n = 1, 1.2%, 95% CI 0.03-6.4). The three strains were isolated previously from three different countries and continents. N. caninum shedding is associated with abortion among dogs and animals in the area (odds ratio = 3.6). In Amman and Zarqa, living indoors reduced seroprevalence at 0.45, 0.24, and 0.02 odds ratios, respectively. Jordan shares three molecular N. caninum strains with three different countries and continents.
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  • 文章类型: Journal Article
    弓形虫是一种人畜共患病原体,可以感染农场动物,伴侣动物,和人类,有时会引起公共卫生问题。在台湾,养猪业是一个至关重要的农业产业,以91%的自给自足率,猪也是弓形虫的产食动物库。受感染的猪通常无症状,在严重的情况下可能会发生流产和死亡。我们结合了酶联免疫吸附测定(ELISA)和间接荧光测定(IFA),以调查台湾猪种群中弓形虫的血清阳性率。采用分层抽样方法确定样本养殖场数量与各县养猪场数量成正比,在2017年7月至9月期间,每个农场收集了15份血液样本。根据测试结果,利用经验贝叶斯平滑法评估县级弓形虫阳性农场的比例.贝叶斯混合效应逻辑回归模型,将农场和县作为随机效应,用于调查弓形虫检测结果与潜在危险因素之间的关联。收集并测试了来自62个猪场的930份血清样品。总体上的牧群患病率为27.4%,台湾北部的血清阳性率高于台湾南部。2017年的采样月份和伴侣犬密度与猪弓形虫感染显着相关。随着县级每平方公里伴侣犬数量的增加,猪弓形虫感染的几率增加了4.7%(95%CI:1.7-8.9%).这项研究表明,将用于筛选的ELISA与用于确认的IFA相结合是进行大规模样品调查的一种经济有效且节省时间的方法。这也是第一次在全国范围内,台湾猪群调查弓形虫感染的横断面研究。
    Toxoplasma gondii is a zoonotic pathogen that can infect farm animals, companion animals, and humans, sometimes causing public health issues. In Taiwan, the pig industry is a vital agricultural industry, with a self-sufficiency rate of 91 %, and pigs are also food-producing animal reservoirs of Toxoplasma gondii. Infected pigs are usually asymptomatic, and abortions and death may occur in severe cases. We combined an enzyme-linked immunosorbent assay (ELISA) and an indirect fluorescence assay (IFA) to investigate the seroprevalence of Toxoplasma gondii among pig populations in Taiwan. A stratified sampling approach to determine the number of sample farms proportional to the number of pig farms in each county was employed, with 15 blood samples collected at each farm between July and September 2017. With the tested results, empirical Bayesian smoothing was utilized to assess the proportion of Toxoplasma-positive farms at the county level. Bayesian mixed-effects logistic regression models, incorporating farm and county as random effects, were employed to investigate associations between Toxoplasma test results and potential risk factors. A total of 930 serum samples from 62 pig farms were collected and tested. An overall herd prevalence of 27.4 % was shown with the seroprevalence in northern Taiwan being greater than that in southern Taiwan. The sampling month and companion dog density in 2017 were significantly associated with Toxoplasma infections in pigs. With every increase in the number of companion dogs per km² at the county level, the odds of Toxoplasma infection in pigs increased by 4.7 % (95 % CI: 1.7-8.9 %). This study demonstrated that combining ELISA for screening with IFA for confirmation is a cost-effective and time-saving method for conducting a large-scale sample investigation. This was also the first nationwide, cross-sectional study in Taiwanese pig herds to investigate Toxoplasma gondii infection.
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  • 文章类型: Journal Article
    膜性肾病(MN)是非糖尿病成人肾病综合征(NS)的最常见原因之一。大约70%-80%的MN病例是原发性MN(pMN)。许多研究表明,血清磷脂酶A2受体(PLA2R)抗体是pMN的诊断和预后生物标志物,合并诊断灵敏度和特异性为54%-82%和89%-100%,分别,导致PLA2R染色和血清PLA2R抗体被纳入MN的管理算法。在一项对58例接受肾脏活检的成年NS受试者的前瞻性观察性研究中,我们研究了血清PLA2R抗体诊断pMN的敏感性和特异性及其与肾脏活检中PLA2R染色的相关性。活检前通过间接免疫荧光(IF)测定血清PLA2R抗体。送肾活检进行光学显微镜和IF检查。对具有MN组织学的活检样品进行PLA2R抗原染色。在58名成年NS受试者中,28例诊断为pMN,1例诊断为继发性MN。12例pMN患者血清PLA2R抗体阳性,其中一人患有局灶性节段性肾小球硬化,未另作说明,诊断pMN的敏感性为42.8%,特异性为96.7%。PLA2R的肾小球染色(28名受试者中有24名)与肾脏活检诊断pMN之间存在显着关联,灵敏度为82.8%。肾小球PLA2R染色与MN诊断之间的Cohenκ一致性为0.83(0.57-1.08)。
    Membranous nephropathy (MN) is one of the most common causes of nephrotic syndrome (NS) in nondiabetic adults, with about 70%-80% of cases of MN being primary MN (pMN). Many studies have shown that serum phospholipase A2 receptor (PLA2R) antibodies are a diagnostic and prognostic biomarker for pMN, with a pooled diagnostic sensitivity and specificity of 54%-82% and 89%-100%, respectively, resulting in PLA2R staining and serum PLA2R antibodies being incorporated in the management algorithms of MN. We studied the sensitivity and specificity of serum PLA2R antibodies for diagnosing pMN and its correlation with PLA2R staining in kidney biopsies in a prospective observational study of 58 adult NS subjects undergoing a kidney biopsy. Serum PLA2R antibodies were determined by indirect immunofluorescence (IF) before the biopsy. Kidney biopsies were sent for light microscopy and IF examinations. Biopsy samples with MN histology were stained for PLA2R antigens. Out of the 58 adult NS subjects, 28 were diagnosed with pMN and one with secondary MN. Serum PLA2R antibodies were positive in 12 subjects with pMN, and one had focal segmental glomerulosclerosis not otherwise specified, giving a sensitivity of 42.8% and specificity of 96.7% for diagnosing pMN. There was a significant association between glomerular staining for PLA2R (24 of 28 subjects) and a diagnosis of pMN by kidney biopsy, with a sensitivity of 82.8%. Cohen\'s kappa agreement between glomerular staining for PLA2R and a diagnosis of MN was 0.83 (0.57-1.08).
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  • 文章类型: Journal Article
    犬新孢子虫是全球牛生殖丧失的主要原因,因为它导致流产和动物重新定位。虽然弓形虫不会引起牛的生殖问题,食用生牛肉或未煮熟的牛肉会带来传播风险。本研究旨在评估抗N的发生。caninum和反T.圣保罗州西部和西北地区的奶牛中的gondii抗体,巴西。使用间接免疫荧光测定法(IFA)分析了来自奶牛的总共653份血清样品。通过基于抗体存在的逻辑回归,将来自农场的流行病学数据与动物的血清学结果相关联。抗体频率分别为41.6%(272/653)和11.5%(75/653),分别。之间观察到统计学上的显着关联:血清抗N。犬抗体和品种,小牛补充食物的历史,引入后来出现生殖问题的外部动物,和妊娠三个月的生殖问题史。本研究强调了新孢子虫病在研究区域的奶牛中的重要性,并且在研究患有生殖障碍的动物时纳入这种寄生虫很重要。
    Neospora caninum is a major cause of reproductive loss in cattle worldwide as it leads to abortion and animal repositioning. Although Toxoplasma gondii does not cause a reproductive problem in cattle, consuming raw or uncooked beef poses the risk of transmission. This study aimed to evaluate the occurrence of anti-N. caninum and anti-T. gondii antibodies in dairy cattle in the West and Northwest regions of São Paulo State, Brazil. A total of 653 serum samples from dairy cows were analyzed using an indirect immunofluorescence assay (IFA). Epidemiological data from the farms were associated with the serological results of the animals by logistic regression based on the presence of antibodies. The frequencies of the antibodies against N. caninum and T. gondii were 41.6% (272/653) and 11.5% (75/653), respectively. A statistically significant association was observed between: the serum anti-N. caninum antibodies and breed, history of food supplementation for calves, introduction of outside animals that later presented reproductive problems, and history of reproductive problems by the trimester of gestation. The present study highlights the importance of neosporosis in dairy cattle in the study regions and that the inclusion of this parasite in the investigation of animals with reproductive disorders is important.
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  • 文章类型: Journal Article
    背景:由于其媒介性质,非生物因子在婴儿利什曼原虫感染的进化中起着重要作用。这项研究旨在评估Valdeorras(Ourense,西班牙西北部)在20年的时间内,以及不同的气候变量和预防措施可能如何影响它。
    方法:对参加“ServiciosVeterinariosdeSil”兽医诊所(Valdeorras,西班牙西北部)在2003年5月至2023年4月之间检测婴儿乳球菌的暴露。从一年的5月至次年的4月计算了婴儿乳球菌感染的新病例百分比。该地区的气候条件,记录了从2003年到2022年在兽医诊所交付的杀外寄生虫剂的全球销售和针对婴儿乳球菌的疫苗数量。进行了统计分析,以确定这些因素与婴儿乳球菌感染新病例百分比之间的关联。
    结果:共评估了2909只狗,在2003年5月至2023年4月之间进行了3785项IFAT测试。在研究的20年期间,新的血清阳性病例的平均百分比为21.65±10.8%,从研究期间的开始到结束都有所下降。与其他时期(2008年5月至2013年4月,2013年5月至2018年4月以及2018年5月至2023年4月)相比,该百分比在2003年5月至2008年4月期间显着提高。婴儿新感染病例的百分比与冬季最大相对湿度之间呈正相关。相反,新发病例的百分比与杀外寄生虫剂的销售和婴儿L.
    结论:这项研究是对固定位置的婴儿乳球菌感染的演变及其与包括气候条件和预防措施在内的外部因素的关联的最长评估之一。结果证实Valdeorras是婴儿乳球菌感染的高风险区域。已显示使用针对婴儿乳球菌的外寄生虫杀虫剂和疫苗在预防婴儿乳球菌感染中起重要作用,强调兽医在对抗这种疾病中的关键作用。
    BACKGROUND: Abiotic factors play a significant role in the evolution of Leishmania infantum infection due to its vectorial nature. This study aims to assess the evolution in the detection of new L. infantum infection cases in Valdeorras (Ourense, Northwestern Spain) over a 20-year period and how different climatic variables and preventive measures may have affected it.
    METHODS: Indirect immunofluorescence antibody tests (IFAT) were performed on serum samples collected from dogs attending the \'Servicios Veterinarios de Sil\' veterinary clinic (Valdeorras, Northwestern Spain) between May 2003 and April 2023 to detect L. infantum exposure. The percentage of new cases of L. infantum infection was calculated from May of one year to April of the following year. Climatic conditions in the region, global sales of ectoparasiticides and the number of vaccines against L. infantum delivered in the veterinary clinic from 2003 to 2022 were recorded. Statistical analyses were conducted to determine the associations between these factors and the percentage of new cases of L. infantum infection.
    RESULTS: A total of 2909 dogs were assessed, and 3785 IFAT tests were performed between May 2003 and April 2023. The mean percentage of new seropositive cases over the 20-year period studied was 21.65 ± 10.8%, with a decline from the beginning to the end of the period studied. The percentage was significantly higher between May 2003 and April 2008 compared with the other periods (May 2008 to April 2013, May 2013 to April 2018 and May 2018 to April 2023). There was a positive correlation between the percentage of new cases of L. infantum infection and the maximum relative humidity in winter. Conversely, there was a negative correlation between the percentage of new cases and sales of ectoparasiticides and vaccination against L. infantum.
    CONCLUSIONS: This study is one of the longest evaluations of the evolution of L. infantum infection in a fixed location and its association with external factors including climatic conditions and preventive measures. The results confirm that Valdeorras is a high-risk area for L. infantum infection. The use of ectoparasiticides and vaccines against L. infantum has been shown to play a significant role in preventing L. infantum infection, highlighting the crucial role of veterinarians in the fight against this disease.
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  • 文章类型: Journal Article
    抗杆和环(抗RR)抗体最近已被描述为HEp-2细胞上的自身抗体的基于IIF的筛选中的细胞质模式,并且ICAP将其命名为AC-23。最常见的是与药物诱导的抗体产生有关。本研究旨在探讨AC-23阳性的临床意义及其与相关疾病和/或药物使用的诊断和/或随访的相关性。
    从2017年1月至2021年12月,对来自蒂尔基耶六个不同省份的10家医院进行了一项多中心回顾性研究。分析了547.558例HEp-2IIFANA样本中600例抗RR抗体阳性患者的实验室数据和临床信息。
    按年份划分的AC-23阳性患者的分布表明,2017-2021年之间呈稳定增长。COVID-19后时期的抗RR患病率显着高于COVID-19前时期(p=0.00)。在56.5%的患者中检测到合并ANA阳性,最常见的模式是AC-4和AC-5(41.1%)。抗RR阳性患者中最常见的病理是自身免疫性疾病(19.83%);其中28.57%患有类风湿关节炎和17.65%的自身免疫性肝病。在600名患者中,65例(10.83%)被诊断为丙型肝炎病毒(HCV)感染。38名HCV患者的可用数据显示,其中71.05%有干扰素α+利巴韦林病史,其中28.95%有NS3/4/5A/5B聚合酶抑制剂或蛋白酶抑制剂药物使用史。与COVID-19前期相比,在COVID-19后期间观察到抗RR阳性率显着增加(p:0.00)。
    这是Türkiye关于抗RR抗体的临床关联的第一个多中心研究,在常规HEp-2IIF测试中可以忽略。在抗RR在自身免疫疾病和其他病理中的可能作用方面,应考虑HCV以外的病理。这项研究获得的初步数据表明,抗RR抗体的产生也可能与COVID-19有关,支持了先前与病毒引发自身抗体形成的潜力有关的几个数据。大规模前瞻性研究应阐明RR模式的临床意义,并确定其在患者诊断和随访中的作用。
    UNASSIGNED: Anti-rods and rings (anti-RR) antibodies have recently been described as a cytoplasmic pattern in IIF-based screening of autoantibodies on HEp-2 cells and ICAP has named it as AC-23. It is most frequently related to drug-induced antibody generation. This study aimed to investigate the clinical significance of AC-23 positivity and its relevance to the diagnosis and/or follow-up of the associated diseases and/or drug use.
    UNASSIGNED: A multicenter retrospective study was conducted among 10 hospitals from six different provinces in Türkiye from January 2017 to December 2021. The laboratory data and clinical information of 600 patients with positive anti-RR antibodies out of 547.558 HEp-2 IIF ANA samples were analyzed.
    UNASSIGNED: The distribution of AC-23 positive patients by year indicated a steady increase between 2017-2021. Anti-RR prevalence in post-COVID-19 period was significantly higher than that of pre-COVID-19 period (p=0.00). Concomitant ANA positivity was detected in 56.5% of patients, the most common patterns being AC-4 and AC-5 (41.1%). The most frequent pathology among the anti-RR positive patients was an autoimmune disease (19.83%); 28.57% of which had rheumatoid arthritis and 17.65% autoimmune liver disease. Among the 600 patients, 65 (10.83%) were diagnosed as hepatitis C virus (HCV) infection. Available data for 38 of the HCV patients revealed that 71.05% of them had a history of interferon alfa+ribavirin and 28.95% of them had a history of NS3/4/5A/5B polymerase inhibitor or protease inhibitor drug use. Significant increase in the rate of anti-RR positivity was observed in the post-COVID-19 period when compared to pre-COVID-19 period (p:0.00).
    UNASSIGNED: This is the first multicenter study in Türkiye about the clinical association of anti-RR antibodies which may be ignored during routine HEp-2 IIF testing. Pathologies other than HCV should be taken into consideration in terms of the possible role of anti-RR in autoimmune diseases and other pathologies. The preliminary data obtained in this study suggest that anti-RR antibody development might also be associated to COVID-19, supporting the several previous data related to the potential of viruses triggering the formation of autoantibodies. Large-scale prospective studies should elucidate the clinical significance of RR pattern and determine its role in patient diagnosis and follow-up.
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  • 文章类型: Journal Article
    猪流行性腹泻病毒(PEDV)感染给全球养猪业造成了巨大的经济损失。这种病原体可以感染所有猪,并对哺乳仔猪造成特别高的死亡风险。刺突蛋白的S1亚基是诱导可以拦截病毒与宿主相互作用并中和病毒感染性的特别中和抗体的关键靶蛋白。在本研究中,利用HEK293F真核表达系统成功表达和生产重组S1蛋白。通过定量分析,开发了五种特异性靶向PEDV重组S1蛋白的单克隆抗体(mAb),随后使用酶联免疫吸附测定(ELISA)进行评估,间接免疫荧光分析(IFA),和流式细胞术测定(FCA)。结果表明,所有五种mAb都属于IgG1同种型,以及在84.77、7.42、0.89、14.64和7.86pM时测得的它们的半最大有效浓度(EC50)值。所有这5种单克隆抗体均可用于ELISA,FCA,和IFA用于检测PEDV感染。MAb5-F9在ELISA中检测低至0.3125ng/mL的重组PEDV-S1蛋白的灵敏度最高,而在FCA中检测PEDV只需要0.096ng/mL的mAb5-F9。来自抗原表位分析的结果表明mAb8-G2是能够识别线性表位的唯一抗体。总之,这项研究产生了一种高免疫原性的S1蛋白和5种特异性靶向S1蛋白的高亲和力mAb.这些发现对于PEDV感染的早期检测具有重要意义,并为进一步研究病毒-宿主相互作用提供了坚实的基础。
    The porcine epidemic diarrhea virus (PEDV) infection inflicted substantial economic losses upon the global pig-breeding industry. This pathogen can infect all pigs and poses a particularly high fatality risk for suckling piglets. The S1 subunit of spike protein is a crucial target protein for inducing the particularly neutralizing antibodies that can intercept the virus-host interaction and neutralize virus infectivity. In the present study, the HEK293F eukaryotic expression system was successfully utilized to express and produce recombinant S1 protein. Through quantitative analysis, five monoclonal antibodies (mAbs) specifically targeting the recombinant S1 protein of PEDV were developed and subsequently evaluated using enzyme-linked immunosorbent assay (ELISA), indirect immunofluorescence assay (IFA), and flow cytometry assay (FCA). The results indicate that all five mAbs belong to the IgG1 isotype, and their half-maximal effective concentration (EC50) values measured at 84.77, 7.42, 0.89, 14.64, and 7.86 pM. All these five mAbs can be utilized in ELISA, FCA, and IFA for the detection of PEDV infection. MAb 5-F9 exhibits the highest sensitivity to detect as low as 0.3125 ng/mL of recombinant PEDV-S1 protein in ELISA, while only 0.096 ng/mL of mAb 5-F9 is required to detect PEDV in FCA. The results from antigen epitope analysis indicated that mAb 8-G2 is the sole antibody capable of recognizing linear epitopes. In conclusion, this study has yielded a highly immunogenic S1 protein and five high-affinity mAbs specifically targeting the S1 protein. These findings have significant implications for early detection of PEDV infection and provide a solid foundation for further investigation into studying virus-host interactions.
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  • 文章类型: Journal Article
    天疱疮(PF)是狗的一种自身免疫性皮肤病,其特征是表皮内脓疱中含有嗜中性粒细胞和解离的角质形成细胞,与循环和组织结合的IgG自身抗体相关。犬PF靶向桥蛋白-1(DSC1)中的IgG自身抗体子集,表皮内细胞间粘附复合物的一种成分。先前已显示,在没有浸润中性粒细胞的情况下,将IgG自身抗体从犬PF血清被动转移到小鼠会诱发皮肤病。为了确定导致中性粒细胞募集的机制,过去的研究评估了IgA自身抗体在犬PF血清中的患病率,其中<20%的受影响的狗中发现了它们。由于担心以前使用的方法的敏感性,我们重新评估了犬PF中抗DSC1IgA的患病率。我们假设抗DSC1IgA存在于大多数患有PF的狗中,但由于与并发抗DSC1IgG竞争结合其相互抗原靶标而未被检测到。尽管使用亲和层析从患者血清中去除大约80%的IgG,通过对犬DSC1转染的HEK293T细胞进行间接免疫荧光,我们未检测到抗DSC1IgA的增加.一起来看,我们的结果不支持致病性IgA在犬PF中的作用.
    Pemphigus foliaceus (PF) is an autoimmune skin disease of dogs characterized by intraepidermal pustules containing neutrophils and dissociated keratinocytes that develop in association with circulating and tissue-bound IgG autoantibodies. A subset of IgG autoantibodies in canine PF target desmocollin-1 (DSC1), a component of intercellular adhesion complexes within the epidermis. Passive transfer of IgG autoantibodies from canine PF sera to mice was previously shown to induce skin disease in the absence of infiltrating neutrophils. In attempts to identify a mechanism responsible for neutrophil recruitment, past studies evaluated the prevalence of IgA autoantibodies in canine PF sera where they were found in <20% of affected dogs. We re-evaluated the prevalence of anti-DSC1 IgA in canine PF due to concerns regarding the sensitivity of previously used methods. We hypothesized that anti-DSC1 IgA are present in most dogs with PF but have been under-detected due to competition with concurrent anti-DSC1 IgG for binding to their mutual antigenic target. Despite removing approximately 80% of IgG from patient sera using affinity chromatography, we did not detect an increase in anti-DSC1 IgA by performing indirect immunofluorescence on canine DSC1-transfected HEK293T cells. Taken together, our results do not support a role for pathogenic IgA in canine PF.
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    西尼罗河病毒(WNV)黄病毒科的一员,是一种新兴的蚊媒黄病毒,可在涉及中枢神经系统(CNS)的人类和动物中引起潜在的严重感染。由于其新兴趋势,WNV现在发生在其他黄病毒共同发生的许多地区。与黄病毒感染或疫苗接种的交叉反应抗体(例如,蜱传脑炎病毒(TBEV),Usutu病毒(USUV),黄热病毒(YFV),登革热病毒(DENV),因此,日本脑炎病毒(JEV))仍然是诊断黄病毒感染的主要挑战。病毒中和试验被认为是检测特异性黄病毒抗体的参考试验,但是很精致,耗时且需要生物安全3级设施。迫切需要一种简单而直接的测定,用于常规实验室的特异性WNVIgG抗体的区分和检测。在这项研究中,我们比较了两种市售的酶联免疫吸附试验(抗IgGWNVELISA和抗NS1-IgGWNV),一种市售的间接免疫荧光测定法,和新开发的用于检测WNV-NS1-IgG抗体的内部ELISA。将所有四个测试与内部NT进行比较,以确定四个测试系统的灵敏度和特异性。没有一种检测方法能与NT的特异性相匹配,尽管两种基于NS1-IgG的ELISA非常接近NT的特异性,分别为97.3%和94.6%。内部WNV-NS1-IgGELISA在灵敏度和特异性方面具有最佳性能。ELISA测定和间接免疫荧光测定的特异性不能满足必要的特异性和/或灵敏度。
    The West Nile Virus (WNV), a member of the family Flaviviridae, is an emerging mosquito-borne flavivirus causing potentially severe infections in humans and animals involving the central nervous system (CNS). Due to its emerging tendency, WNV now occurs in many areas where other flaviviruses are co-occurring. Cross-reactive antibodies with flavivirus infections or vaccination (e.g., tick-borne encephalitis virus (TBEV), Usutu virus (USUV), yellow fever virus (YFV), dengue virus (DENV), Japanese encephalitis virus (JEV)) therefore remain a major challenge in diagnosing flavivirus infections. Virus neutralization tests are considered as reference tests for the detection of specific flavivirus antibodies, but are elaborate, time-consuming and need biosafety level 3 facilities. A simple and straightforward assay for the differentiation and detection of specific WNV IgG antibodies for the routine laboratory is urgently needed. In this study, we compared two commercially available enzyme-linked immunosorbent assays (anti-IgG WNV ELISA and anti-NS1-IgG WNV), a commercially available indirect immunofluorescence assay, and a newly developed in-house ELISA for the detection of WNV-NS1-IgG antibodies. All four tests were compared to an in-house NT to determine both the sensitivity and specificity of the four test systems. None of the assays could match the specificity of the NT, although the two NS1-IgG based ELISAs were very close to the specificity of the NT at 97.3% and 94.6%. The in-house WNV-NS1-IgG ELISA had the best performance regarding sensitivity and specificity. The specificities of the ELISA assays and the indirect immunofluorescence assays could not meet the necessary specificity and/or sensitivity.
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    文章类型: Journal Article
    背景:抗核抗体(ANA)测试是诊断免疫学实验室要求的最常见的免疫学测试之一。该测试的主要目的是筛选潜在的全身性自身免疫性风湿性疾病(SARD)。用于ANA检测的金标准实验室方法是通过间接免疫荧光(IIF)测定。在大多数实验室里,阳性ANA-IIF以滴定和模式报告。
    目的:本研究旨在确定ANA-IIF滴定与SARDs诊断模式之间的相关性。
    方法:进行了一项回顾性研究,将2018年7月1日至2019年12月31日以及2021年1月1日至2021年3月31日的ANA-IIF阳性样本纳入本研究。排除重复样品。记录所有患者的ANA-IIF滴定和模式。人口统计,临床,并从每位患者的临床记录中检索最终诊断数据.
    结果:共纳入179例患者进行分析。大多数患者为女性(79.9%)和马来人(66.5%)。65名患者(36.3%)的ANA-IIF在1:80滴定时呈阳性,其次是45名患者(25.1%)的滴定等于或大于1:160。斑点是90例患者(50.3%)的主要视觉模式,其次是76例患者(42.5%)的均匀模式。45例(25.1%)最终诊断为SARDs,其中41例诊断为SLE。ANA滴定在所有滴度下与SARDs的最终诊断显着相关(p<0.001),但在滴度等于或大于1:320时注意到最佳截止值,灵敏度和特异性分别为86.7%和77.6%。同质模式也与SARD显著相关(p=0.04)。SARDs的最终诊断明显高于女性(p=0.03),年龄明显较年轻(p<0.001)。
    结论:ANA-IIF滴定等于或大于1:320可用作区分阳性ANA样品中SARDs和非SARDs的最佳滴定。与其他ANA-IIF模式相比,具有同质模式的患者更有可能被诊断为SARD。
    BACKGROUND: Anti-nuclear antibody (ANA) testing is among the most common immunological test requested in the diagnostic immunology laboratory. The main purpose of this test is to screen for the underlying systemic autoimmune rheumatic diseases (SARDs). The gold standard laboratory method for ANA detection is by the indirect immunofluorescence (IIF) assay. In most laboratories, positive ANA-IIF is reported in terms of titration and pattern.
    OBJECTIVE: This study was conducted with the aim of determining the correlation between ANA-IIF titration and pattern for the diagnosis of SARDs.
    METHODS: A retrospective study was conducted whereby the positive ANA-IIF samples from 1st July 2018 until 31st December 2019 and 1st January 2021 until 31st March 2021 were included in this study. The duplicate samples were excluded. ANA-IIF titration and pattern were recorded for all patients. The demographic, clinical, and final diagnosis data were retrieved from each patient\'s clinical note.
    RESULTS: A total of 179 patients were included for analysis. The majority of the patients were female (79.9%) and from Malay ethnicity (66.5%). Sixty-five patients (36.3%) had ANA-IIF positive at 1:80 titration followed by 45 patients (25.1%) positive at titration of equal or more than 1:160. Speckled was the predominant pattern visualised in 90 patients (50.3%) followed by homogeneous in 76 patients (42.5%). Forty-five patients (25.1%) were finally diagnosed with SARDs with 41 of them diagnosed as SLE. ANA titration was significantly associated with the final diagnosis of SARDs at all titres (p<0.001) but the best cut-off was noted at a titre of equal or more than 1:320 with the sensitivity and specificity of 86.7% and 77.6% respectively. The homogeneous pattern was also significantly associated with SARDs (p=0.04). The final diagnosis of SARDs were significantly higher in female (p=0.03) and their age was significantly younger (p<0.001).
    CONCLUSIONS: ANA-IIF titration of equal or more than 1:320 can be used as the best titration for differentiating between SARDs and non-SARDs in a positive ANA sample. Patients with homogeneous pattern were more likely to be diagnosed with SARDs than other ANA-IIF patterns.
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