Obtaining and Characterization of Experimental Diagnostic Brucellosis Rabbit Sera for the Development of a National Standard for Brucellosis Serum

L. N. Tuychiev, B. M. Tadjiev, N. Tadjieva, O. S. Kasimov, A. M. Bektimirov, A. P. Yusupov, J. Anvarov, B. V. Shukurov
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Abstract

Relevance. The production of brucellosis diagnosticums is currently being established in the medical and veterinary practice of the Republic of Uzbekistan. However, due to the lack of a national standard serum in the country and the high cost of analog standard serums on the market, problems may arise in the production of diagnostic tools. In addition, the lack of national standard serums causes problems in quality control of commercial and local antigens, hinders the development of local drugs – brucellosis diagnostics, which reduces the effectiveness of serological diagnosis of brucellosis in humans and animals. Given the above, it becomes necessary to develop and produce a standard serum with a high level of safety, which will improve the methods of laboratory diagnosis of various forms of brucellosis in patients and animals to identify hidden foci of infection in Uzbekistan. The aim of the study is to obtain and characterize experimental standard diagnostic brucellosis rabbit sera for the development of national and industry standard serum with appropriate titers. Materials and Methods. The experiments were carried out in full compliance with the European Council Directive 2010/63/EU on compliance with ethical principles in working with laboratory animals and the experiments were carried out on the basis of the methodological manual «Methods and rules of work» approved by the Ministry of Health of the Republic of Uzbekistan in 2016 with laboratory animals in experimental microbiological and immunological studies. To obtain positive standard sera against brucellosis pathogens, 12 rabbits weighing from 2.2 kg to 4.6 kg, aged 6 to 12 months, were used. The animals were kept under identical conditions on a standard vivarium diet. For the experiment, animals adapted to the conditions of the study were selected and kept in quarantine for 21 days. The maintenance and conduct of the studies followed international rules for the humane treatment of animals. Results and Discussion. During the evaluation of the heterologic specificity of the obtained sera for 23 collection and hospital strains, a weakly positive response (+) was observed in 16.7% of cases. Rabbit sera positive for heterologic specificity were adsorbed on suspensions of inactivated microorganisms (Citrobacter spp. and Enterobacteriaceae spp.) - no significant drop in titer was observed, and cross-agglutination was eliminated. A significant increase in the total protein level was noted after the first and fourth immunizations. Before the first immunization, the total protein level was 59.57 g/l, and after the fourth immunization, it increased threefold to 157.17 g/l. There was also an increase in albumin and globulin (33.2 g/L and 26.37 g/L, respectively) to 79.37 g/L and 77.43 g/L, respectively. IgM levels remained almost unchanged, increasing 3.5-fold after the second immunization and decreasing to 0.24 mg/ml after the fourth immunization. An increase in the level of IgG after the second and third immunizations was revealed, followed by a decrease after the fourth immunization. Conclusion. The obtained national and industry standard diagnostic polyvalent brucellosis sera, as well as the developed methods of laboratory control of its quality and efficiency testing will make it possible to produce candidate standard serum samples for agglutination reaction test and detection of Brucella strains. The obtained standard serum samples will be further used for control of the produced immunobiological diagnostic preparations and provision of unified requirements to their quality. The goal was achieved – improving the serological diagnosis of brucellosis, laying the foundation for further study and standardization of serum. 
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为制定布鲁氏菌病血清国家标准获取布鲁氏菌病实验诊断兔血清并确定其特性
相关性。目前,乌兹别克斯坦共和国的医疗和兽医部门正在生产布鲁氏菌病诊断血清。然而,由于该国缺乏国家标准血清,且市场上的模拟标准血清价格昂贵,因此在生产诊断工具时可能会出现问题。此外,由于缺乏国家标准血清,商品抗原和本地抗原的质量控制出现问题,阻碍了本地药物--布鲁氏菌病诊断工具的开发,从而降低了人类和动物布鲁氏菌病血清学诊断的有效性。有鉴于此,有必要开发和生产安全性高的标准血清,以改进对患者和动物各种形式布鲁氏菌病的实验室诊断方法,确定乌兹别克斯坦的隐性感染灶。本研究的目的是获得布鲁氏菌病实验标准诊断兔血清并确定其特征,以开发具有适当滴度的国家和行业标准血清。材料和方法。实验完全按照欧洲理事会关于遵守实验动物工作伦理原则的第 2010/63/EU 号指令进行,并根据乌兹别克斯坦共和国卫生部批准的 2016 年实验动物微生物学和免疫学实验研究方法手册 "工作方法和规则 "进行。为了获得针对布鲁氏菌病病原体的阳性标准血清,使用了 12 只体重从 2.2 千克到 4.6 千克、年龄从 6 个月到 12 个月的兔子。这些动物在相同的条件下饲养,并食用标准的活体动物饲料。在实验中,选择适应研究条件的动物,并隔离饲养 21 天。实验的维护和进行都遵循了人道对待动物的国际规则。结果与讨论在对获得的血清对 23 种采集菌株和医院菌株的异源性特异性进行评估时,观察到 16.7% 的病例呈弱阳性反应 (+)。将异源性特异性阳性的兔血清吸附在灭活微生物(柠檬酸杆菌属和肠杆菌属)悬浮液上,滴度没有明显下降,交叉凝集现象也被消除。第一次和第四次免疫后,总蛋白水平明显增加。第一次免疫前,总蛋白水平为 59.57 克/升,第四次免疫后,总蛋白水平增加了三倍,达到 157.17 克/升。白蛋白和球蛋白(分别为 33.2 克/升和 26.37 克/升)也分别增至 79.37 克/升和 77.43 克/升。IgM 水平几乎保持不变,第二次免疫后增加了 3.5 倍,第四次免疫后降至 0.24 毫克/毫升。IgG水平在第二次和第三次免疫后有所上升,第四次免疫后有所下降。结论所获得的国家和行业标准多价布鲁氏菌病诊断血清,以及所开发的实验室质量控制和效率检测方法,将使生产用于凝集反应试验和布鲁氏菌菌株检测的候选标准血清样本成为可能。获得的标准血清样本将进一步用于控制所生产的免疫生物学诊断制剂,并对其质量提出统一要求。目的已经达到--改进布鲁氏菌病的血清学诊断,为进一步研究和标准化血清奠定基础。
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