[波兰胃肠道疾病和反应性关节炎患者中空肠梭菌重组蛋白P39抗体的频率]。

Natalia Rokosz-Chudziak, Waldemar Rastawicki
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引用次数: 0

摘要

导读:空肠弯曲杆菌已被发现是世界范围内细菌性肠胃炎的主要原因。空肠梭菌引起的小肠结肠炎临床表现为腹泻、发热、腹痛,部分患者伴粪血。空肠梭菌感染后,可出现反应性关节炎等尖叫声。该研究的目的是调查波兰胃肠道疾病和反应性关节炎患者中重组蛋白P39棒C.空肠抗体的频率。材料与方法:收集46例细菌学证实的空肠弯曲杆菌感染患者的血清、472例胃肠道疾病患者的血清、97例反应性关节炎患者的血清以及84例健康成人和儿童的血清。采用自制ELISA法筛选血清中抗p39空肠c重组蛋白IgA、IgG和igm抗体。利用pet - 30ek /LIC表达载体在大肠杆菌BL21 (DE3)中表达P39蛋白。采用固定化金属(Ni2+)亲和柱层析(His Bind Resign, Novagen)进行纯化。结果:SDS-PAGE和考马斯亮蓝染色证实重组P39蛋白纯度高,预期分子量为39 kDa。P39重组蛋白ELISA检测结果显示,胃肠道疾病患者血清中IgA抗体(x + 2SD)阳性率为18.8%,IgM抗体阳性率为14.8%,IgG抗体阳性率为7.8%。另一方面,在反应性关节炎患者血清中发现重组P39蛋白抗体的比例是胃肠道疾病患者的两倍多(IgA为34.0%,IgG为26.8%,IgM为19.6%)。结论:根据所获得的资料,空肠梭菌可能是引发波兰人类胃肠道疾病和反应性关节炎的重要因素。
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[Frequency of antibodies to the recombinant protein P39 of C. jejuni in patients with gastrointestinal disorders and reactive arthritis in Poland].

Introduction: Campylobacterjejuni is has been found to be the leading cause of bacterial gastroenteritis worldwide. Clinical manifestation on enterocolitis caused by C. jejuni are diarrhea, fever, abdominal pain and in some patients, fecal blood. After C. jejuni infection, squeals may occur such as reactive arthritis. The aim of the study was to investigate the frequency of antibodies to the recombinant protein P39 sticks C. jejuni in patients with gastrointestinal disorders and reactive arthritis in Poland.

Material and methods: Serum samples collected from 46 patients with bacteriology confir- med infection caused by Campylobacter jejuni, 472 sera from patients with gastrointestinal disorders, 97 serum samples obtained from patients with reactive arthritis and 84 sera from healthy adults and children. Sera were screened for anti-P39 C. jejuni recombinant protein IgA, IgG andIgM antibodies by using the home-made ELISA. Protein P39 C. jejuni was expressing in E. coli BL21 (DE3) using the pET-30 Ek/LIC expression vector. Purification was accomplished by immobilized metal (Ni2+) affinity column chromatography (His Bind Resign, Novagen).

Results: SDS-PAGE and Coomassie brilliant blue staining confirmed a high purity of the recombinant P39 protein preparation with an expected molecular mass of 39 kDa. The results of ELISA with the P39 recombinant protein revealed that IgA antibodies in diagnostically significant level (x + 2SD) were found in 18.8%, IgM in 14.8% and IgG in 7.8% of sera obtained from patients with of gastrointestinal disorders. On the other hand, antibodies to recombinant P39 protein in sera obtained from patients with reactive arthritis were found in more than twice the percentage than in patients with gastrointestinal disorders (IgA in 34.0%, IgG in 26.8% and IgM in 19.6%).

Conclusions: In conclusion, based on the data obtained, C. jejuni may be important factor in triggering the gastrointestinal disorder and reactive arthritis in humans in Poland.

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