基于牛分枝杆菌PPD的猕猴全血IFN-γ释放试验观察
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广东省科技计划项目(2013B020307005;2015A030302029);国家科技支撑计划(2013BAK11B01)


Performance of Bovine-PPD Based Whole Blood IFN-γ Assay for Rhesus Macaques
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    摘要:

    目的 分析全血IFN-γ释放试验在猕猴分枝杆菌检测中的应用价值。 方法 首先测定结核菌素试验(TST)阳性、阴性猕猴血清样本的基础IFN-γ含量。然后以PBS为对照,200 IU bovine-PPD为刺激抗原,分别与TST阴性和阳性猕猴肝素抗凝血共培养约24 h,收集血浆,测定IFN-γ含量。通过分析抗原刺激前后血浆IFN-γ含量变化和刺激指数探讨全血IFN-γ释放试验的诊断效能。 结果 TST阳性猕猴血清基础IFN-γ含量明显高于TST阴性猕猴,但离散度都较大。PPD刺激前后,TST阴性猕猴血浆IFN-γ含量无明显变化,而TST阳性猕猴血浆IFN-γ含量明显升高(P<0.01)。刺激指数结果显示,TST阳性猕猴明显高于TST阴性猴(P<0.01)。ROC曲线分析表明,血浆IFN-γ含量和刺激指数均可作为全血IFN-γ释放试验的评价指标。 结论 本研究基于小样本量的实验结果证实,全血IFN-γ释放试验是猕猴分枝杆菌快速诊断的有益补充方法。

    Abstract:

    Objective To assess the potential of whole blood IFN-γ assay for diagnosing mycobacterium in rhesus macaques. Methods Firstly, basic serum IFN-γ concentrations of TST-negative and positive rhesus macaques were detected out. Then, heparinized whole blood from TST-negative and positive rhesus macaques was incubated with PBS and 200 IU bovine-PPD for about 24 h respectively. The supernatant plasma were harvested and used to determine the concentrations of IFN-γ. Results of plasma IFN-γ concentrations and stimulation index (SI) were used to analyses the diagnostic potential of whole blood IFN-γ assay. Results The basic serum concentrations of IFN-γ for the TST-positive were significantly higher than the TST-negative, showing high coefficient of variation. There was no significant effect on the production of IFN-γ in TST-negative macaques. While significantly elevation of IFN-γ concentrations were found in stimulated plasma of TST-positive macaques (P<0.01). The SI of TST-positive macaques was significant higher than the TST-negative. ROC curve analysis revealed that IFN-γ concentrations and SI could be used as evaluation index of whole blood IFN-γ assay. Conclusion Conclusion based on small samples could be drawn that whole blood IFN-γ assay might be one possible auxiliary diagnostic method for TST.

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闵凡贵,郭羽,罗挺,潘金春,刘助红,张钰.基于牛分枝杆菌PPD的猕猴全血IFN-γ释放试验观察[J].中国比较医学杂志,,().

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  • 收稿日期:2016-03-01
  • 最后修改日期:2016-03-19
  • 录用日期:2016-06-14
  • 在线发布日期: 2016-11-28
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