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Modulation of acute stress and immune response in tilapia, Oreochromis niloticus, using longevity spinach, Gynura procumbens extract, as nutraceuticals 用长寿菠菜、原丘豆提取物作为营养保健品对罗非鱼急性应激和免疫反应的调节
Pub Date : 2022-06-06 DOI: 10.1080/15321819.2022.2080558
S. Mumu, A. Mustafa
ABSTRACT We investigated the effects of different concentrations of longevity spinach, Gynura procumbens, on the hematological parameters of acutely stressed Nile tilapia, Oreochromis niloticus, (average weight 461.81 ± 16.60 g and average length 28.71 ± 0.34 cm) and determined the best concentration. The fish were subjected to hormonal stress in this research. We fed the stress control group commercial feed with 0.01% hydrocortisone, a stress hormone (0.01% of fish body weight) without Gynura. All the treatment groups were supplemented with Gynura extracts (0.5 g/kg, 1.0 g/kg, and 1.5 g/kg of feed weight) in combination with hydrocortisone. We evaluated blood glucose, lysozyme activity, phagocytic capacity, hematocrit, spleen somatic index, and hepatosomatic index. During the acute stress period, G. procumbens has been shown to decrease the levels of blood glucose in 1.5 g/kg treatment group (49.60 mg/dl at Day 1; 53.75 mg/dl at Day 3) compared to stress control group (80.00 mg/dl at Day 1; 69.20 mg/dl at Day 3). Higher lysozyme activity observed in 1.5 g/kg Gynura treatment group (11.44 T/min at 540 nm) compared to control (7.85 T/min at 540 nm). The 1.5 g/kg treatment group maintained the homeostatic level of significant physiological parameters including phagocytic capacity, packed cell volume, and hepatosomatic index. These findings are promising for the development of new nutraceuticals for the aquaculture industry.
摘要研究了不同浓度的长寿菠菜Gynura procumbens对急性应激尼罗罗非鱼(平均体重461.81±16.60 g,平均体长28.71±0.34 cm)血清学参数的影响,确定了最佳浓度。在这项研究中,这些鱼受到荷尔蒙压力的影响。在饲料中添加0.01%的应激激素氢化可的松(占鱼体重的0.01%),不添加Gynura,饲喂应激对照组。各处理组在氢化可的松的基础上,分别添加0.5 g/kg、1.0 g/kg和1.5 g/kg料重的菊提取物。我们评估了血糖、溶菌酶活性、吞噬能力、红细胞比容、脾体指数和肝体指数。急性应激期,1.5 g/kg给药组可降低血糖水平(第1天49.60 mg/dl;与应激对照组(第1天80.00 mg/dl;1.5 g/kg Gynura处理组溶菌酶活性(在540 nm时为11.44 T/min)高于对照组(在540 nm时为7.85 T/min)。1.5 g/kg处理组的吞噬能力、堆积细胞体积、肝体指数等重要生理参数均维持在稳态水平。这些发现为水产养殖业开发新的营养保健品提供了希望。
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引用次数: 1
Survey of the association between polymorphisms of CTLA-4 exon 1 49 A/G genes with rheumatoid arthritis in Iran 伊朗CTLA-4外显子149a /G基因多态性与类风湿关节炎的相关性研究
Pub Date : 2022-05-23 DOI: 10.1080/15321819.2022.2076109
Mahin Lashgari, Sanaz Keshavarz Shahbaz, A. Javadi, M. Sahmani, Maryam Khalaji, Amirhosein Maali, Farshad Foroughi
ABSTRACT Cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), which suppresses T cell proliferation, is a promising candidate for the susceptibility genes to rheumatic arthritis diseases (RA). This study aims to examine the association between the polymorphisms of the CTLA-4 exon 1(+ 49) genes with RA in the Qazvin city of Iran population. The polymerase chain reaction of genomic DNA-restriction fragment length polymorphism (PCR-RFLP) was applied to genotype the CTLA-4 exon 1(+ 49) polymorphisms in 105 RA patients and 90 control subjects. Laboratory diagnostic tests were also measured for RA and control groups. Our results did not demonstrate a significant difference in allele and genotype frequencies of the CTLA-4 exon 1(+ 49) between RA patients and the control group (p < .0001). There was no significant difference in age at onset, CRP, RF value in patients with RA according to the CTLA-4 polymorphisms; just anti-CCP showed a significant difference. Our data declared that polymorphisms of CTLA-4 exon 1(+ 49) genes are not correlated with RA susceptibility and its clinical and paraclinical manifestations.
细胞毒性T淋巴细胞相关蛋白4 (CTLA-4)可抑制T细胞增殖,是风湿性关节炎(RA)的潜在易感基因。本研究旨在研究伊朗Qazvin市人群中CTLA-4外显子1(+ 49)基因多态性与RA之间的关系。应用基因组dna限制性片段长度多态性聚合酶链反应(PCR-RFLP)对105例RA患者和90例对照者的CTLA-4外显子1(+ 49)多态性进行基因分型。对RA和对照组进行实验室诊断测试。我们的研究结果没有显示RA患者和对照组之间CTLA-4外显子1(+ 49)的等位基因和基因型频率有显著差异(p < 0.0001)。根据CTLA-4多态性,RA患者的发病年龄、CRP、RF值差异无统计学意义;只有反共表现出显著的差异。我们的数据表明,CTLA-4外显子1(+ 49)基因多态性与RA易感性及其临床和临床旁表现无关。
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引用次数: 0
Winner of the 2021 Journal of Immunoassay & Immunochemistry Early Career Research Prize 2021年《免疫测定与免疫化学杂志》早期职业研究奖得主
Pub Date : 2022-05-04 DOI: 10.1080/15321819.2022.2075624
M. Moscovitch-Lopatin
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引用次数: 0
Evidence of hepatitis B infection and co-infection with enteric fever among febrile patients in a primary health facility in Kogi State, Nigeria 尼日利亚科吉州初级卫生机构发热患者中乙型肝炎感染和合并感染肠热的证据
Pub Date : 2022-05-02 DOI: 10.1080/15321819.2022.2071127
Martin-Luther Oseni Okolo, C. Omatola, S. Samson, B. Idache
ABSTRACT Hepatitis B and enteric fever remain infectious diseases of major health concern and the etiologic agents share overlapping regions of high endemicity worldwide. This study determined the seroprevalence of hepatitis B and enteric fever among febrile patients in Ejule metropolis, North-central Nigeria. In a cross-sectional study, blood samples obtained from 200 consenting patients were screened for hepatitis B and enteric fever with standard diagnostics ABON hepatitis B surface antigen (HBsAg) and Widal agglutination tests, respectively. A structured questionnaire was used to collect socio-demographic and risk factor information. Of the 200 sera tested, 20 (10%) had HBV alone, 35 (17.5%) enteric fever while 6 (3%) had both HBV/enteric fever. Males recorded more HBV (12% vs 6.7%), enteric fever (20% vs 13.3%), and co-infection (3.2% vs 2.7%) than their counterpart females. Ages 18–30 years were more predisposed to single and dual infections compared to older categories. Although sex, ages as well as the participants’ occupation were not significantly linked to both infections (p > .05). The prevalence of enteric fever differed significantly with being married (p = .01). The illiterate had a higher prevalence of HBV, enteric fever, and dual infection (16.7%, 25%, and 8.3%) compared to higher educational levels. The study confirms the endemicity of hepatitis B and enteric fever in the area. Their concurrent rate highlights the need for clinicians to always consider the laboratory diagnosis of both diseases among febrile patients in endemic regions for proper management in events of co-morbidity. The high prevalence of both infections in connection with illiteracy shows the need to further intensify education of masses on the predisposing risk factors.
乙型肝炎和肠热仍然是主要的卫生问题传染病,其病因在全球范围内具有重叠的高流行区。本研究确定了尼日利亚中北部埃朱勒市发热患者中乙型肝炎和肠热的血清患病率。在一项横断面研究中,从200名同意的患者中获得的血液样本分别通过标准诊断ABON乙型肝炎表面抗原(HBsAg)和Widal凝集试验筛选乙型肝炎和肠热。采用结构化问卷收集社会人口统计和风险因素信息。在检测的200份血清中,20份(10%)单独存在HBV, 35份(17.5%)存在肠道热,6份(3%)同时存在HBV/肠道热。男性记录的HBV(12%比6.7%)、肠热(20%比13.3%)和合并感染(3.2%比2.7%)均高于女性。与年龄较大的人群相比,18-30岁的人群更容易发生单次和双次感染。尽管性别、年龄以及参与者的职业与两种感染没有显著联系(p < 0.05)。肠热患病率与已婚人群差异有统计学意义(p = 0.01)。与受教育程度较高的人相比,文盲的HBV、肠热和双重感染的患病率更高(16.7%、25%和8.3%)。这项研究证实了该地区乙型肝炎和肠热的地方性。它们的并发率突出了临床医生在流行地区的发热患者中需要始终考虑两种疾病的实验室诊断,以便在合并发病事件中进行适当管理。这两种感染的高流行率与文盲有关,这表明有必要进一步加强对群众的教育,使他们了解易患的危险因素。
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引用次数: 0
Medullary thyroid carcinoma diagnosed with liquid-based cytology and immunocytochemistry 液基细胞学和免疫细胞化学诊断甲状腺髓样癌
Pub Date : 2022-04-27 DOI: 10.1080/15321819.2022.2070025
I. Nikas, G. Kazamias, M. Vrontaki, Aleka S Rapti, E. Mastorakis
ABSTRACT Medullary thyroid carcinoma (MTC) is a rare neuroendocrine malignancy that arises from the parafollicular cells (C cells) secreting calcitonin. This study summarizes our experience in the diagnosis of MTC with ultrasound-guided thyroid FNA, subsequently processed with liquid-based cytology (LBC) and immunocytochemistry (ICC). We searched our laboratory archives for thyroid FNA cases with an interpretation of positive or suspicious for MTC, during the period 2004–2018. A total of 20 cases (18 thyroid FNAs; two lymph node FNAs) were selected and included in this study. These displayed high cellularity and a discohesive pattern, with a few loose syncytial groups. There was some variation in the cell size and shape both across and within our cases. Most MTCs (n = 15) exhibited a predominant plasmacytoid/epithelioid cell morphology, whereas five of our cases showed a spindle cell pattern. Of interest, none of eight MTC microcarcinomas (≤1 cm) showed a spindle cell morphology. Amyloid was found in 11/20 cases (55%), while binucleation/multinucleation in 17/20 (85%), and nuclear pseudoinclusions in 3/20 MTC cases (15%). Nuclei exhibited a granular, “salt and pepper” chromatin in all cases. ICC was performed in 18/20 cases (90%). Calcitonin, CEA, TTF1, and Chromogranin were positive wherever applied, whereas thyroglobulin and CK19 were negative. In conclusion, ultrasound-guided thyroid FNA – processed with LBC and ICC – is a reliable modality to detect MTC preoperatively, facilitating the management of such patients.
甲状腺髓样癌(MTC)是一种罕见的神经内分泌恶性肿瘤,起源于滤泡旁细胞(C细胞)分泌降钙素。本研究总结了超声引导甲状腺FNA诊断MTC的经验,随后进行了液基细胞学(LBC)和免疫细胞化学(ICC)处理。我们检索了2004-2018年期间甲状腺FNA病例的实验室档案,这些病例的MTC解释为阳性或可疑。共20例(甲状腺FNAs 18例;两个淋巴结FNAs)入选本研究。这些细胞表现出高度的细胞性和分离的模式,有一些松散的合胞群。在我们的病例中,细胞的大小和形状都有一些变化。大多数MTCs (n = 15)表现出主要的浆细胞样/上皮样细胞形态,而我们的5例病例显示梭形细胞模式。有趣的是,8个MTC微癌(≤1 cm)均未显示梭形细胞形态。淀粉样蛋白占11/20(55%),双核/多核占17/20(85%),核假包涵体占3/20(15%)。所有病例的细胞核均呈现粒状的“盐和胡椒”染色质。18/20例(90%)行ICC。降钙素、CEA、TTF1和嗜铬粒蛋白均为阳性,而甲状腺球蛋白和CK19均为阴性。综上所述,超声引导甲状腺FNA -经LBC和ICC -处理是一种可靠的术前检测MTC的方式,方便了这类患者的管理。
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引用次数: 1
Carrier status of Streptococcus suis in the palatine tonsils of apparently healthy slaughtered pigs of India 貌似健康的印度屠宰猪的腭扁桃体中猪链球菌的携带者状况
Pub Date : 2022-03-30 DOI: 10.1080/15321819.2022.2048011
Vishva K V, Pradeep Gangwar, Jigarji Chaturji Thakor, M. Dinesh, M. Sahoo, R. Singh, S. Mahajan, S. Qureshi, Lahari Laddika, Nihar Ranjan Sahoo, Ujjawal K De
ABSTRACT Streptococcus suis is an emerging bacterial pathogen of huge economic impact to the swine industry worldwide. The information regarding the carrier status of S. suis in the slaughtered pigs along with its genetic characterization is not available in Indian pig population, which needs to be addressed for the therapeutic and preventive measures. In the present study, 563 palatine tonsils of apparently healthy slaughtered pigs were probed for the prevalence, and genetic characterization of S. suis and prevalence were found to be 15.45% and 32.68% by bacteriological and molecular methods, respectively. In 87 isolates recovered, 6 cps-types were detected showing the predominance of serotype 7 (24.13%) and 5 (18.39%), whereas 11 cps-types were detected in tonsillar DNA involving cps-types 9 (28.26%) and 7 (14.13%) as the major serotypes with arcA+/sly+/epf+/mrp− being the prevalent genotype. The histopathological changes with the immunodetection of S. suis antigen confirmed its persistence in asymptomatic carriers. Of 87 bacterial isolates, 7 isolates (serotypes 7 & 2) were pathogenic to Swiss albino mice showing the classical lesions of meningitis and septicemia. The presence of virulent serotypes of S. suis in healthy slaughtered pigs suggests a great health risk to the people engaged in piggery operations and in-contact pigs.
猪链球菌是一种新兴的细菌性病原体,对世界范围内的养猪业产生了巨大的经济影响。关于猪链球菌在被屠宰猪群中的携带状况及其遗传特征的信息在印度猪群中是不可获得的,这需要在治疗和预防措施中加以解决。本研究对563只表面健康的屠宰猪的腭扁桃体进行了调查,结果发现猪链球菌的遗传特征和流行率分别为15.45%和32.68%。在87株分离株中,共检出6种cps型,以血清7型(24.13%)和血清5型(18.39%)为主;在扁桃体DNA中检出11种cps型,以血清9型(28.26%)和血清7型(14.13%)为主,以arcA+/sly+/epf+/mrp−为主。猪链球菌抗原免疫检测的组织病理学变化证实其在无症状携带者中持续存在。在87株细菌分离株中,7株(血清型7和2)对瑞士白化小鼠具有致病性,表现为脑膜炎和败血症的典型病变。健康屠宰猪中存在猪链球菌毒力血清型,提示养猪业人员和与猪接触的人存在很大的健康风险。
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引用次数: 1
Immunohistochemical detection and pathology of toxoplasmosis in Nigerian wild rats 尼日利亚野生大鼠弓形虫病的免疫组化检测与病理
Pub Date : 2022-03-20 DOI: 10.1080/15321819.2022.2053989
S. Ode, T. Jarikre, A. Jubril, B. Emikpe
ABSTRACT Toxoplasmosis is a zoonotic disease of economic importance found worldwide, and it is caused by Toxoplasma gondii, which affects a wide range of hosts. High prevalence of toxoplasmosis has been reported in rodents, and they are considered very important in the circulation and maintenance of the disease. However, epidemiologic studies of the disease in rodents are generally scarce in the Tropics. This study utilized the immunohistochemical (IHC) technique to detect Toxoplasma gondii in wild rats sampled from across the North Central Nigeria. The brain, intestine, diaphragm, lungs and kidney tissue samples from 227 wild rats (Zyzomys pedunculatus) were routinely processed for histopathology, out of which 86 were further selected for IHC detection of T. gondii antigens using the streptavidin-peroxidase method. The histologic lesions observed were mild to moderate in severity, including meningitis, focal gliosis, neuronal degeneration and necrosis, villous atrophy and denudation, enteritis, diaphragmatic myositis, broncho-interstitial pneumonia and interstitial nephritis. Toxoplasma gondii was detected in 82.6% of the selected samples showing various degrees of immunoreaction intensity. We conclude that IHC is a useful tool in the detection of T. gondii in wild rats, and lungs and kidney may be the organ of choice for the detection of T. gondii.
摘要弓形虫病是一种全球范围内具有重要经济意义的人畜共患疾病,由刚地弓形虫引起,影响广泛的宿主。据报道,啮齿动物中弓形虫病的流行率很高,它们被认为对疾病的循环和维持非常重要。然而,在热带地区,对啮齿动物疾病的流行病学研究通常很少。本研究利用免疫组化(IHC)技术在尼日利亚中北部取样的野生大鼠中检测弓形虫。对227只野生大鼠(Zyzomys pedunculatus)的脑、肠、膈、肺和肾组织进行常规病理处理,选取86只进行弓形虫抗原的免疫组化检测,采用链霉霉素过氧化物酶法。组织学病变的严重程度为轻中度,包括脑膜炎、局灶性胶质瘤、神经元变性和坏死、绒毛萎缩和脱落、肠炎、膈肌炎、支气管间质性肺炎和间质性肾炎。有不同程度免疫反应强度的样本中,有82.6%检出弓形虫。我们认为免疫组化是检测野生大鼠弓形虫的有效工具,肺和肾可能是检测弓形虫的首选器官。
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引用次数: 0
Accelerated co-cultured dendritic cell (acDC) loaded with autologous apoptotic bodies might be a promising approach for antigen delivery 负载自体凋亡小体的加速共培养树突状细胞(acDC)可能是一种很有前途的抗原递送方法
Pub Date : 2022-03-18 DOI: 10.1080/15321819.2022.2048010
K. Kalantar, N. Gholijani, E. Martinuzzi, S. Culina, D. Kabelitz, Z. Amirghofran
ABSTRACT Antigens derived from engulfed apoptotic bodies that are presented by dendritic cells can amplify Ag-specific T-cells. Accelerated co-cultured DC (acDC) strategy keeps lymphocytes in contact with differentiating DCs. Therefore, Ag-specific T-cell activation can occur during DC maturation. Our aim was to prepare DCs by acDC method and check the subsequent engulfment of the apoptotic body by acDC. We have proposed that this method could be feasible if we transfect the apoptotic bodies with the antigen. DCs were prepared using acDC method and their maturation markers were confirmed by flow cytometry. Ultraviolet was used for inducing apoptosis in the PBMCs and induction of apoptosis checked by propidium iodide and 7-aminoactinomycin D staining. Flow cytometry and immunohistochemistry were used for checking the uptake of apoptotic bodies by the DCs. The alloreactivity against apoptotic bodies was examined by enzyme-linked immunospot (ELISPOT) assay. Results showed that 40.4% of DCs could efficiently engulf the apoptotic bodies. The results indicated that acDC method is capable to isolate a high yield of DCs, and these cells could properly engulf the apoptotic bodies, more works should be performed to use this method for Ag discovery through delivering the Ag by apoptotic bodies into the DCs.
树突状细胞呈递的来自吞噬凋亡小体的抗原可以扩增ag特异性t细胞。加速共培养DC (acDC)策略保持淋巴细胞与分化的DC接触。因此,ag特异性t细胞激活可以在DC成熟过程中发生。我们的目的是用acDC法制备dc,并观察acDC对凋亡小体的吞噬情况。我们已经提出,如果用抗原转染凋亡小体,这种方法是可行的。采用acDC法制备树突状细胞,流式细胞术鉴定其成熟标志物。紫外诱导PBMCs凋亡,碘化丙啶染色和7-氨基放线菌素D染色检测凋亡诱导情况。流式细胞术和免疫组织化学检测树突状细胞对凋亡小体的摄取。采用酶联免疫斑点法(ELISPOT)检测其对凋亡小体的异体反应性。结果表明,40.4%的树突状细胞能有效吞噬凋亡小体。结果表明,acDC方法能够高产量地分离出dc细胞,并且这些细胞能够很好地吞噬凋亡小体,利用这种方法通过凋亡小体将Ag传递到dc细胞中发现Ag还需要做更多的工作。
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引用次数: 0
Correlates of transfusion transmissible infections among patients with sickle cell disease in Nigeria: case-control study 尼日利亚镰状细胞病患者输血传播感染的相关因素:病例对照研究
Pub Date : 2022-03-14 DOI: 10.1080/15321819.2022.2046601
O. Akpa, Oluwatoyin Babalola, A. Odetunde, A. Fagbamigbe, F. Fasola, B. Brown, N. Alamukii, C. Babalola, G. Odaibo, A. Falusi
ABSTRACT Transfusion transmissible infections (TTIs) such as Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) are among the most frequent complications in individuals with Sickle Cell Disease (SCD). We investigated factors associated with TTIs in SCD patients and controls in South-west Nigeria. A total of 2,034 participants with or without SCD were recruited in a matched case-control study. HIV, HBV and HCV infections were diagnosed using commercialy available ELISA kits (Biorad, Paris). Samples positive for HIV ELISA were further confirmed using Western blot. Data were analyzed using descriptive statistics, paired/independent t-test and logistic regression at p = .05. Proportion with HBV was higher among those with multiple sexual partners (12.7%), tattoo/body incision (11.8%), and sharing of sharp objects (7.3%), but HIV was only higher among participants with history of tattoo/body incision (1.5%). Prevalence of TTIs was similar among participants with or without transfusion. History of sharing sharp objects (adjusted odds ratios (aOR) = 1.72; 95%CI:1.11–2.66) and tattoo/body incision (aOR = 1.89; 95%CI:1.22–2.94) almost doubled the risk of HBV. TTIs are endemic in the studied area. Certain lifestyles predispose people to TTIs than having blood transfusion. Population-based intervention targeting lifestyle changes may reduce the risk of TTIs in the study area. Abbrveviations AA: Hemoglobin AA; AC: Hemoglobin AC; aOR: adjusted Odds Ratios; AS: Hemoglobin AS; CHOP: Children Outpatient; CI: Confidence Interval; EDTA: Ethylenediamine Tetraacetic Acid; GOP: General Outpatient; HBV: Hepatitis B Virus; HCV: Hepatitis C Virus; HIV: Human Immunodeficiency Virus; HPLC: High Performance Liquid Chromatography; IAMRAT: Advanced Medical Research & Training; IDU: Injection Drug Use; MOP: Medical Outpatient; SC: Hemoglobin SC; SCD: Sickle cell disease; SD: Standard Deviation; SF: Hemoglobin SF; SS: Hemoglobin SS; STDs: Sexually Transmitted Diseases; TTI: Transfusion transmissible infections; UCH: University College Hospital Ibadan; UI: University of Ibadan;
输血传播感染(tti),如乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)是镰状细胞病(SCD)患者最常见的并发症。我们调查了尼日利亚西南部SCD患者和对照组中与tti相关的因素。在一项匹配的病例对照研究中,共招募了2034名患有或不患有SCD的参与者。使用市售的ELISA试剂盒(Biorad,巴黎)诊断HIV、HBV和HCV感染。免疫印迹法进一步证实HIV ELISA阳性样品。数据分析采用描述性统计、配对/独立t检验和logistic回归,p = 0.05。有多个性伴侣(12.7%)、纹身/身体切口(11.8%)和共用尖锐物品(7.3%)的人感染HBV的比例较高,但有纹身/身体切口史的人感染HIV的比例较高(1.5%)。输血或不输血的参与者中tti的患病率相似。共用尖锐物品史(调整优势比(aOR) = 1.72;95%CI: 1.11-2.66)和纹身/全身切口(aOR = 1.89;95%CI: 1.22-2.94)感染HBV的风险几乎翻倍。TTIs在研究地区是地方性的。某些生活方式比输血更容易使人患感染性鼻炎。以改变生活方式为目标的以人群为基础的干预可能会降低研究地区tti的风险。缩写AA:血红蛋白;AC:血红蛋白AC;aOR:调整优势比;AS:血红蛋白AS;CHOP:儿童门诊;CI:置信区间;乙二胺四乙酸;GOP:普通门诊;HBV:乙型肝炎病毒;HCV:丙型肝炎病毒;HIV:人类免疫缺陷病毒;HPLC:高效液相色谱法;IAMRAT:先进医学研究与培训;IDU:注射用药;MOP:医疗门诊;SC:血红蛋白SC;SCD:镰状细胞病;SD:标准差;SF:血红蛋白SF;SS:血红蛋白SS;性传播疾病:性传播疾病;TTI:输血传播感染;伊巴丹大学附属医院;伊巴丹大学;
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引用次数: 0
Flavivirus cross-reactivity would explain the apparent findings of Japanese encephalitis virus infection in Nigeria 黄病毒的交叉反应性可以解释尼日利亚乙型脑炎病毒感染的明显结果
Pub Date : 2022-03-07 DOI: 10.1080/15321819.2022.2039184
T. Bharucha, Nicole Zitzmann, P. Newton, A. Dubot-Pérès, L. Turtle
To the Editor, Journal of Immunoassay and Immunochemistry 21 January 2022 Re: Sero-evidence of silent Japanese Encephalitis Virus infection among inhabitants of Ilorin, North-central Nigeria: a call for active surveillance https://www.tandfonline.com/doi/abs/10.1080/15321819.2021.1993897 We read with interest the recent article published in the Journal of Immunoassay and Immunochemistry reporting Japanese encephalitis virus (JEV) serological testing in Nigeria. There is no doubt that there are ongoing changes in the geographical distribution of flaviviruses, and surveillance for the relevant disease syndromes would be helpful. To our knowledge, serological testing of this kind has not been performed before in Nigeria. JEV RNA was apparently detected in a patient with confirmed yellow fever in Angola; however, acute JEV infection was not corroborated by conventional IgM ELISA or seroneutralisation. As the authors discuss in the article, there is high cross-reactivity between flaviviruses, and very significant false positives with ELISA tests. We urge caution in the interpretation of the results. Anti-JEV IgG results cannot be interpreted alone, they require to be reported alongside testing for other endemic flaviviruses, most importantly anti-dengue virus and yellow fever virus IgG, and flavivirus vaccination history. Yellow fever is reported in Nigeria, and yellow fever vaccine is widely used. There are minimal data on the use of anti-JEV IgG, particularly the cited Diagnostic Automation assay, and the authors do not report any in-house validation. The optimal approach for detection of previous exposure or vaccination is a seroneutralisation assay involving contemporaneous testing to other flaviviruses. We understand that seroneutralisation requires considerable resources and technical expertise, but we would suggest that the authors consider verifying the anti-JEV IgG results by sending the samples to a reference laboratory for seroneutralisation testing. There is unequivocal evidence for the hyperendemicity of dengue virus and yellow fever vaccine use in Nigeria. In the absence of further testing, these results may be explained entirely by cross-reactivity with other flaviviruses, and do not represent evidence of JEV circulation in Nigeria. Kind regards, JOURNAL OF IMMUNOASSAY AND IMMUNOCHEMISTRY 2022, VOL. 43, NO. 4, 463–465 https://doi.org/10.1080/15321819.2022.2039184
回复:尼日利亚中北部伊洛林居民中无症状日本脑炎病毒感染的血清证据:呼吁积极监测https://www.tandfonline.com/doi/abs/10.1080/15321819.2021.1993897我们饶有兴趣地阅读了最近发表在《免疫测定和免疫化学杂志》上的一篇文章,报道了尼日利亚进行的日本脑炎病毒(JEV)血清学检测。毫无疑问,黄病毒的地理分布正在发生变化,对相关疾病综合征的监测将有所帮助。据我们所知,尼日利亚以前从未进行过这类血清学检测。在安哥拉一名确诊黄热病患者身上明显检测到乙脑病毒RNA;然而,急性乙脑病毒感染没有得到常规IgM ELISA或血清中和的证实。正如作者在文章中讨论的那样,黄病毒之间存在高交叉反应性,并且ELISA测试具有非常显著的假阳性。我们敦促在解释结果时要谨慎。抗乙脑病毒IgG检测结果不能单独解释,它们需要与其他地方性黄病毒检测一起报告,最重要的是抗登革热病毒和黄热病病毒IgG检测,以及黄病毒疫苗接种史。尼日利亚报告了黄热病,黄热病疫苗被广泛使用。关于使用抗乙脑病毒IgG的数据很少,特别是引用的诊断自动化测定,作者没有报告任何内部验证。检测既往暴露或疫苗接种的最佳方法是血清中和试验,包括同时检测其他黄病毒。我们知道血清中和需要大量资源和技术专长,但我们建议作者考虑通过将样本送到参比实验室进行血清中和测试来验证抗乙脑病毒IgG结果。有明确的证据表明,尼日利亚登革热病毒和黄热病疫苗的高流行度。在缺乏进一步检测的情况下,这些结果可能完全由与其他黄病毒的交叉反应性来解释,并不代表在尼日利亚存在乙脑病毒传播的证据。敬祝,《免疫分析与免疫化学杂志》2022年第43卷第1期。4,463 - 465 https://doi.org/10.1080/15321819.2022.2039184
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