莱姆病ELISA血清阴性患者血液中有伯氏疏螺旋体抗体包被的伯氏疏螺旋体微生物

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摘要

ELISA检测血清中可能的疏螺旋体相关抗体是一种“间接”抗体依赖技术,因为它旨在确定宿主抗体依赖免疫反应(血清中的游离抗体)对过去的疏螺旋体感染。血液或组织活检中实际螺旋体的显微镜可视化是一种“直接”和不依赖抗体的技术,优于“间接”依赖抗体的ELISA检测方法,因为它证明了螺旋体感染是持续的、当前的和明确的。本文是一项对30例ELISA阴性血清学患者的研究,这些患者的医生诊断的症状复合物符合“持续/慢性血清阴性莱姆病风险”的状态。单克隆抗体证实30例ELISA血清阴性志愿者患者全血中存在疏螺旋体个体和疏螺旋体生物膜。随后用库姆斯试剂(兔种抗人IgG抗体)分析所有患者的涂片,该试剂优化用于医院血库的诊断,以检测血液中自然产生的人免疫球蛋白。用上述两种试剂对全血涂片进行重复检查,证实了一组莱姆ELISA血清阴性的患者,其全血涂片含有抗体包被的bss和BBsl伯氏螺旋体组。全血螺旋体结合抗体检测发现“螺旋体固相”抗体沉积,这在从凝血分离的稀释血清中是不存在的。“全血中抗体掩盖螺旋体”代表了莱姆病患者对感染的免疫反应,这在目前的血清ELISA莱姆病检测中被忽视。
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Lyme ELISA seronegative patients with borrelia antibody coated borrelia microbes in their blood
ELISA testing for detection of possible borrelia related antibodies in serum is an “Indirect” and antibody dependent technology because it seeks to identify the host antibody-dependent immune responses (free antibodies in serum) to past borrelia infections. Microscopic visualization of the actual borrelia spirochetes in blood or in tissue biopsies is a “direct” and antibody independent technology which is superior to “indirect” antibody dependent ELISA testing methods because it proves cases in which borrelia infection is ongoing, current, and unambiguous. Herein is a research study from thirty patients with ELISA negative serologies and whose physician-diagnosed symptom complexes were compatible with a status of “at risk for persistent/chronic Seronegative Lyme borreliosis”. Monoclonal antibody confirmed borrelia individual spirochetes and borrelia biofilms in whole blood in the 30 ELISA seronegative patients in the study group of volunteers. All patient smears were subsequently analyzed with a Coombs reagent (rabbit species antiglobulins to human IgG) optimized for diagnostic use in hospital blood banks to detect naturally produced human immunoglobulins in the bloodstream. Duplicate examination of whole blood smears with the two reagents above confirmed a group of Lyme ELISA seronegative patients whose whole blood smears contained antibody coated borrelia spirochetes of the Bbss and BBsl Burgdorferi groups. Spirochete-bound antibodies from whole blood examination identify “solid phase on the bodies of spirochetes “antibody deposits which are absent in dilute serum separated from clotted whole blood. “Antibody cloaked spirochetes in whole blood” represent patient Lyme borreliosis immune responses to infection which are overlooked in current blood serum only ELISA Lyme tests.
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