分枝杆菌感染患者血清中脂阿拉比甘露聚糖抗原和抗脂阿拉比甘露聚糖抗体谱及其在疾病过程中的意义

S.A Patil, G Ramu, M Patil
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引用次数: 7

摘要

使用双单克隆抗体系统的夹心抗原捕获试验显示,在肺结核和结核样麻风病受试者的约25%的血清样本中存在lipoarabinman聚糖(LAM)抗原。麻风病血清抗原阳性约40%。约90%的肺结核和麻风病患者可检出抗lam抗体。而结核样麻风患者血清抗lam抗体阳性仅22%。在抗分枝杆菌治疗期间,肺结核和麻风病的抗原和抗体水平稳步下降,而在结核型麻风病中,抗体阳性明显增加。抗lam抗体在肺结核患者中的高比例可能具有诊断意义。
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Lipoarabinomannan antigen and anti-lipoarabinomannan antibody profile in the serum of patients with mycobacterial infections and their significance in disease process

A sandwich antigen capture assay using a double monoclonal antibody system revealed the presence of lipoarabinomannan (LAM) antigen in about 25% of the serum samples in subjects with pulmonary tuberculosis and tuberculoid leprosy. Lepromatous leprosy sera showed about 40% antigen positivity. Anti-LAM antibodies could be detected in about 90% of subjects with pulmonary tuberculosis and lepromatous leprosy. However in tuberculoid leprosy sera anti-LAM antibodies were positive in only 22% of the patients. Antigen and antibody levels in pulmonary tuberculosis and lepromatous leprosy declined steadily during anti-mycobacterial therapy, whereas in the tuberculoid type leprosy a distinct increase in antibody positivity was noticed. The high percentage of anti-LAM antibodies in pulmonary tuberculosis subjects may be of diagnostic significance.

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Subject index Volume contents Author index The value of ELISA vs. negative Coombs findings in the serodiagnosis of human brucellosis Detection of toxoplasma-specific antibody in human saliva using conventional assays
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