Serological techniques

  • 文章类型: Journal Article
    从“一个健康”的角度来看,弓形虫是一种典型的人畜共患寄生虫,因为它分布广泛,几乎感染所有温血物种。已经开发了多种血清学技术来检测人和动物中的弓形虫感染。我们的目的是描述和比较这些血清学测试和验证过程的主要特征,并严格分析这些测试是否符合确保准确血清学诊断所需的标准。目前的系统评价和荟萃分析包括2013年至2023年发表的134项研究。采用QUADAS2工具评价纳入研究的质量。研究了与技术特征以及分析和诊断验证参数相关的总共52个变量。为人类开发了更广泛的测试小组,包括专门为人类开发的技术,涉及昂贵的设备和不同的Ig同种型的测量,被认为是先天性弓形虫病的生物标志物。在人类中进行的研究经常采用商业技术作为参考测试,测量不同的免疫球蛋白同种型,IgG占优势(>50%),并区分急性和慢性感染。在动物中,最常用的参考技术是内部测试,几乎只检测到IgG。在大量研究中发现的常见限制是对术语“金标准”和“参考测试”的一些误解,以及缺乏有关所用阴性和阳性对照血清或所用确切截止值的信息。这与研究的质量无关。缺乏分析验证,很少评估与其他病原体的交叉反应性。诊断比值比值表明,基于天然或嵌合抗原的间接ELISA比其他测试表现更好。由于缺乏相关信息和分析验证,无法保证人和动物的血清学测试结果的可重复性。因此,今后应该考虑几个关键问题,包括实验室间环形试验。
    Toxoplasma gondii is a paradigmatic zoonotic parasite from the One Health perspective, since it is broadly distributed and virtually infects all warm-blooded species. A wide variety of serological techniques have been developed to detect T. gondii infection in humans and animals. Our aim was to describe and compare the main characteristics of these serological tests and validation processes and to critically analyze whether these tests meet the standards required to ensure an accurate serological diagnosis. The current systematic review and meta-analysis included 134 studies that were published from 2013 to 2023. QUADAS 2 tool was used to evaluate the quality of the included studies. A total of 52 variables related to the characteristics of the techniques and analytical and diagnostic validation parameters were studied. A wider panel of tests was developed for humans, including techniques exclusively developed for humans that involve costly equipment and the measurement of different Ig isotypes that are considered biomarkers of congenital toxoplasmosis. Studies conducted in humans frequently employed commercial techniques as reference tests, measured different immunoglobulin isotypes with a predominance for IgG (>50%) and discriminated between acute and chronic infections. In animals, the most commonly used reference techniques were in-house tests, which almost exclusively detected IgG. Common limitations identified in a large number of studies were some misunderstandings of the terms \"gold standard\" and \"reference test\" and the absence of information about the negative and positive control sera used or the exact cutoff employed, which were independent of the quality of the study. There is a lack of analytical validation, with few evaluations of cross-reactivity with other pathogens. Diagnostic odds ratio values showed that indirect ELISA based on native or chimeric antigens performed better than other tests. The reproducibility of serological test results in both humans and animals is not guaranteed due to a lack of relevant information and analytical validation. Thus, several key issues should be considered in the future, including interlaboratory ring trials.
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  • 文章类型: Journal Article
    对准确的COVID-19诊断的迫切需要导致了各种SARS-CoV-2检测技术的发展。实时逆转录酶聚合酶链反应(RT-qPCR)仍然是一种可靠的病毒基因检测技术,而其他分子方法,包括核酸扩增技术(NAAT)和等温扩增技术,提供多样化和有效的方法。血清学测定,检测对病毒感染的反应抗体,对疾病监测至关重要。基于唾液的免疫测定显示出用于监测目的的希望。SARS-CoV-2抗体检测的效率各不相同,IgM指示近期暴露,IgG提供延长的可检测性。各种快速测试,包括侧流免疫测定,提供快速诊断的机会,但其临床意义需要通过进一步的研究来验证.挑战包括测试平台之间的特异性和灵敏度的变化以及随时间变化的测定灵敏度。SARS-CoV-2抗原,特别是N和S蛋白,在诊断方法中起着至关重要的作用。创新方法,例如基于纳米酶的测定和特定的核苷酸适体,提供增强的灵敏度和灵活性。总之,SARS-CoV-2检测方法的不断进步有助于全球抗击COVID-19大流行的努力。
    The urgent need for accurate COVID-19 diagnostics has led to the development of various SARS-CoV-2 detection technologies. Real-time reverse transcriptase polymerase chain reaction (RT-qPCR) remains a reliable viral gene detection technique, while other molecular methods, including nucleic acid amplification techniques (NAATs) and isothermal amplification techniques, provide diverse and effective approaches. Serological assays, detecting antibodies in response to viral infection, are crucial for disease surveillance. Saliva-based immunoassays show promise for surveillance purposes. The efficiency of SARS-CoV-2 antibody detection varies, with IgM indicating recent exposure and IgG offering prolonged detectability. Various rapid tests, including lateral-flow immunoassays, present opportunities for quick diagnosis, but their clinical significance requires validation through further studies. Challenges include variations in specificity and sensitivity among testing platforms and evolving assay sensitivities over time. SARS-CoV-2 antigens, particularly the N and S proteins, play a crucial role in diagnostic methods. Innovative approaches, such as nanozyme-based assays and specific nucleotide aptamers, offer enhanced sensitivity and flexibility. In conclusion, ongoing advancements in SARS-CoV-2 detection methods contribute to the global effort in combating the COVID-19 pandemic.
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  • 文章类型: Meta-Analysis
    弓形虫是全球分布的食源性人畜共患寄生虫,感染源众多。控制这种人畜共患病需要一种健康反应,该反应部分取决于人类和动物的血清学监测。在这里,我们进行了系统评价和荟萃分析,以分析和比较“一个健康”方法下的跨学科和综合研究.我们搜索了2014年1月1日至2022年9月5日之间发表的文章,重点是开发和评估用于诊断人类和动物弓形虫感染的血清学技术。在对三个科学数据库进行详尽搜索后,通过QUADAS-2工具对291篇文章进行了质量评估,最终选择了113篇文章。共提取和分析了18个变量,包括文献计量特征,研究目的和方法。值得注意的是,荟萃分析中包含的研究均未明确引用“一个健康”一词,只有23.9%的人提到了“一个健康”方法的基本原则;特别是,没有一个是由只有医生的团队进行的,这些研究大多涉及跨学科研究团队,其次是兽医和非医师或非兽医研究人员。弓形虫血清诊断中遵循的“一个健康”方法仍需要在科学学科之间进一步整合,这对于设计有效的控制策略至关重要。
    Toxoplasma gondii is a globally distributed food-borne zoonotic parasite with numerous infection sources. The control of this zoonosis requires a One Health response that partially depends on serological monitoring in humans and animals. Herein, a systematic review and a meta-analysis were performed to analyse and compare the transdisciplinary and integrative research under the One Health approach. We searched for articles published between January 1st 2014 and September 5th 2022, focused on the development and evaluation of serological techniques for the diagnosis of T. gondii infection in humans and animals. After an exhaustive search on three scientific databases, a quality assessment was performed on 291 articles by QUADAS-2 tool, and 113 articles were finally selected. A total of 18 variables were extracted and analysed, including bibliometric characteristics, study aims and methodology. Remarkably, none of the studies included in the meta-analysis explicitly quoted the words \"One Health\", and only 23.9% of them alluded to the principles underlying the One Health approach; in particular, none were conducted by physician-only teams, with the majority of these studies involving interdisciplinary research teams, followed by veterinarians and by non-physician or non-veterinarian researchers. The One Health approach followed in the serodiagnosis of T. gondii still needs further integration among scientific disciplines, which is essential to design effective control strategies.
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  • 文章类型: Journal Article
    植物病害对全球经济影响显著,和植物病原微生物,如线虫,病毒,细菌,真菌,和类病毒可能是大多数传染病的病因。在农业方面,无病植物的发展是决定田间植物生存和生产力的重要策略。本文综述了在其他领域得到有效应用的生物传感器检测疾病的方法,这些方法可能会改变农业的生产方式。植物病原体的精确识别有助于评估有效的管理步骤,以最大程度地减少生产损失。新的植物病原体检测方法包括疾病体征的评估,培养生物的检测,或通过分子和血清学技术直接检查受污染的组织。基于实验室的方法既昂贵又耗时,需要专业技能。这次审查的结论也表明,迫切需要建立一个可靠的,快,准确,响应,和经济有效的测试方法,用于检测生长早期的田间植物。我们还总结了新兴的生物传感器技术,包括等温扩增,纳米材料的检测,纸质技术,机器人,和芯片实验室分析设备。然而,这些构成了可持续农业中病原体早期诊断方法研究和开发的新颖性。
    Plant diseases significantly impact the global economy, and plant pathogenic microorganisms such as nematodes, viruses, bacteria, fungi, and viroids may be the etiology for most infectious diseases. In agriculture, the development of disease-free plants is an important strategy for the determination of the survival and productivity of plants in the field. This article reviews biosensor methods of disease detection that have been used effectively in other fields, and these methods could possibly transform the production methods of the agricultural industry. The precise identification of plant pathogens assists in the assessment of effective management steps for minimization of production loss. The new plant pathogen detection methods include evaluation of signs of disease, detection of cultured organisms, or direct examination of contaminated tissues through molecular and serological techniques. Laboratory-based approaches are costly and time-consuming and require specialized skills. The conclusions of this review also indicate that there is an urgent need for the establishment of a reliable, fast, accurate, responsive, and cost-effective testing method for the detection of field plants at early stages of growth. We also summarized new emerging biosensor technologies, including isothermal amplification, detection of nanomaterials, paper-based techniques, robotics, and lab-on-a-chip analytical devices. However, these constitute novelty in the research and development of approaches for the early diagnosis of pathogens in sustainable agriculture.
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