Infect Dis:利用超敏感的血吸虫-气相结合的磷-侧向流动循环阳极抗原(ucp-低频)分析样品池策略

2018-04-25 MedSci MedSci原创

<p class="MsoNormal" style="margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;text-justify:inter-ideograph;line-height:normal">高灵敏度种属特异性血吸虫CAA试纸条方法的应用可以实现对单个虫活性感染(最终灵敏度)的检测,本研究讨论了其在混合样本检测中的

高灵敏度种属特异性血吸虫CAA试纸条方法的应用可以实现对单个虫活性感染(最终灵敏度)的检测,本研究讨论了其在混合样本检测中的有效性。除了能够降低相关的成本之外,混合样本检测可以为大尺度制图、监测和监控提供有价值的数据。

基于实验室的CAA试纸条检测利用发光的定量转换磷(UCP)报告粒子和快速容易操作的横向流(低频)分析格式。这个检测所包括一个样品制备步骤对尿液样本浓度不受限,能够达到最大(单个虫检测)100%的特异性的灵敏度。这有助于对多个样本多样本进行检测,而将敏感性和特异性降低到最小。该检测确定了混合样本中个体的平均CAA水平,从而显示了总体血吸虫负担和患病率。当需要在个体水平上监测时,需根据预期的流行程度或者未知的情况,对较小的混合样本的平均CAA进行分析;对于CAA阴性的混合样本不需要再进行单独的检测,从而可以减少检测次数。

直接的混合样本策略表明,在亚群体水平上,CAA试纸检测是一种有效的分析方法,可用于一般制图、热点识别、分层感染水平的确定以及对大规模群体服药(MDA)的精确监测。在个体水平上,它可以减少检测数量,即在低流行情况下,混合样本的规模可以随着发病率的减少而增加。

在亚群体水平上,在尿液混合样本中测定的平均CAA浓度是一种衡量血吸虫负担的适当措施。采用不同的CAA检测试纸并且不影响测试的敏感性和特异性,因此,这种大规模测试的混合策略是可行的。它能够进行低成本的分层检测和在亚群体水平监测疾病负担,理论上可以根据大规模监测所产生的实用数据,在从传播阻断到消除的过渡中提升MDA项目的性能和改善战略规划。

原始出处:

Paul L.A.M. Corstjens, Pytsje Ti,Utilizing the ultrasensitive Schistosoma Up-Converting Phosphor Lateral Flow Circulating Anodic Antigen (UCP-LF CAA) assay for sample pooling-strategies.

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2012653, encodeId=6ff920126539f, content=<a href='/topic/show?id=7d69598468' target=_blank style='color:#2F92EE;'>#Dis#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5984, encryptionId=7d69598468, topicName=Dis)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c689267, createdName=cmj8wellington, createdTime=Wed Jun 13 04:08:00 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=309911, encodeId=ff09309911aa, content=好文章.学习了., beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Sat Apr 28 00:10:49 CST 2018, time=2018-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1428869, encodeId=2d671428869da, content=<a href='/topic/show?id=ce5a8898902' target=_blank style='color:#2F92EE;'>#血吸虫#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88989, encryptionId=ce5a8898902, topicName=血吸虫)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=38144138896, createdName=ylz8404, createdTime=Fri Apr 27 11:08:00 CST 2018, time=2018-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1623285, encodeId=ba5e162328583, content=<a href='/topic/show?id=62a655263e9' target=_blank style='color:#2F92EE;'>#抗原#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55263, encryptionId=62a655263e9, topicName=抗原)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f59b20519025, createdName=xiaoyeshuang, createdTime=Fri Apr 27 11:08:00 CST 2018, time=2018-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=309607, encodeId=e6f230960ebf, content=学习了.好文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Apr 27 00:08:15 CST 2018, time=2018-04-27, status=1, ipAttribution=)]
    2018-04-28 1e0f8808m18(暂无匿称)

    好文章.学习了.

    0

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    2018-04-27 ylz8404
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    2018-04-27 1e0f8808m18(暂无匿称)

    学习了.好文章.

    0