钩端螺旋体膨胀试验用于快速鉴定菌群的研究

本文报导的膨胀试验,为一种鉴定钩端螺旋体菌群的快速而可靠的方法,经近二年的实验研究和现场考核应用,其结果可归述如下： 1．据我们实验研究,膨胀试验的抗血清浓度以1：500倍稀释为宜(指血清凝溶效价为1：12800之通常定群用诊断血清)。当此稀血清与同群钩端螺旋体各一接种环在玻片上加以混和,并覆以盖玻片,置于400倍暗视野下,于10分钟内观察结果,阳性时,可见钩端螺旋体发生膨张、伸长和部分溶解等显著形态学变化。 2．对304株不同群别的钩端螺旋体地方株(病人37,猪16,鼠251)和国内13群14型标准菌分别进行了膨胀试验定群鉴定,并同时以凝溶试验作对照,结果两者完全相符。 3．膨胀试验具有快速、简单、特异性高等优点。本文结果表明该法较凝溶试验更为优越,特别是可在“非常”条件下用于快速鉴定钩端螺旋体菌群。     

问号钩端螺旋体中一个新的OmpA家族蛋白抗原性及保守性研究

目的克隆表达和鉴定问号钩端螺旋体(L.interrogans)黄疸出血群赖型赖株中一个新的外膜蛋白(Omp)A家族基因LA0301,研究LA0301编码蛋白的抗原性和在15个钩端螺旋体(简称钩体)血清群代表株中的保守性,探讨其在疫苗研究中的意义。方法生物信息学软件分析预测LA0301的特征。构建原核表达重组体pQE31-LA0301,经IPTG诱导后用十二烷基磺酸钠-聚丙烯酰胺凝胶电泳(SDS-PAGE)及蛋白质印迹法(Western blot)鉴定表达情况。用表达的重组蛋白免疫BALB/c小鼠,Western印迹检测其免疫反应性和在不同血清型钩体中的保守性。酶联免疫吸附试验(ELISA)和Western印迹检测兔抗钩体全菌血清中的LA0301编码蛋白的抗体。结果生物信息学预测结果显示,LA0301具有OmpA家族的结构域。克隆表达了重组质粒pQE31-LA0301,重组蛋白能刺激BALB/c小鼠产生特异性抗体,效价为1:32000。在兔抗钩体全菌血清中检测到特异的LA0301蛋白抗体,并在15个血清群的代表株钩体中均可检测到LA0301蛋白。结论LA0301蛋白是问号钩体中一个新的OmpA家族蛋白,具有良好的抗原性和保守性,并且能在钩体感染的过程中刺激机体产生相应的抗体。为进一步研究钩体新型疫苗候选基因奠定了基础。     

免疫印迹法在实验大鼠汉坦病毒监测中的应用及与间接免疫荧光法之比较

用汉坦病毒汉滩株（７６－１１８）重组核蛋白作为免疫印迹法（ＷｅｓｔｅｒｎＢｌｏｔ以下简称ＷＢ）的诊断抗原,用于实验感染大鼠血清抗体效价测定。同时与用汉城株（ＳＲ－１１）感染的Ｖｅｒｏ－Ｅ６细胞作抗原的间接免疫荧光法（以下简称ＩＦＡ）进行比较。ＷＢ法对３／４标本在大鼠接种病毒后第３天测得血清ＩｇＭ阳性,而ＩＦＡ法仅１／４标本出现阳性,ＩＦＡ效价为１：５１２０的血清,ＷＢ效价为１’：４０９６０,且在血清１：１０稀释时反应带亦清晰。两种方法分别测定６４份大鼠血清。甩ＩＦＡ法,４４份（６８．８％）出现类似阳性的荧光颗粒,而用ＷＢ法测定,无特异的反应带出现。非感染Ｖｅｒｏ－Ｅ６细胞作ＩＦＡ抗原,３０份（４６．９％）与正常细胞抗原有反应,此结果表明ＷＢ法在特异性和敏感性方面均高于ＩＦＡ法。ＩＦＡ法中的非特异性反应系血清与细胞成份之反应。     

医院内新生儿手掌菌群的调查

本文对１１５例产科分娩的正常新生儿手掌细菌菌群的种类、分布及其药物敏感性进行了调查。结果表明,出生１～１２小时的新生儿感染率为５７８％,１２～２４小时的新生儿感染率为７５％,２４小时～５天的新生儿感染率为９７１％。共检细菌１６１株,其中革兰氏阳性细菌１３５株,占８３８％,包括金黄色葡萄球菌８７株,占５４０４％;表皮葡萄球菌８株,占４９６％;腐生葡萄球菌２株,占１２４％。革兰氏阴性细菌２６株,占１６１５％。包括大肠埃希氏菌１２株,占７４５％;阴沟肠杆菌３株,占１８６％;异型枸椽酸杆菌３株,占１８６％;丙二酸盐阴性枸椽酸杆菌６株,占３７３％。所检出的细菌对丁胺卡那霉素和氟哌酸敏感率较高,分别为９４２％和３７４％,对青霉素、氨苄青霉素、庆大霉素、西力欣、头孢三嗪均耐药。生产方式和性别与感染率无显著相关性。     

七日热群钩端螺旋体的一个新血清型

A23株钩端螺旋体系1962年8月3日分离富云南省勐腊县钩端螺旋体病患者血液。经交叉凝集试验、交又凝集素吸收试验和园子血清凝集试验证明是七日热群保林卡那亚群钩端螺旋体的一个新血清型。建议命名为致病性钩端螺旋体曼I芏血清型(Leptospira interrogansserovar manzhucng)。此型感染在勐腊已发现6例。     

中国钩端螺旋体参考菌株的建立与应用

本文简要介绍了中国钩端螺旋体（钩体）参考菌株的建立与应用。该参考菌株从无到有,目前已有１８个血清群７５个血清型,其中曼耗新菌群和赖等２６个新菌型已被国际确认为国际新菌群与国际新菌型。该参考菌株已在中国钩体病研究、预防、临床实验诊断、流行病学调查、医学教育和动物检疫等方面得到广泛的应用,取得了丰硕的成果     

用纤维支气管镜检查236例肺部感染者的病原学分析

本文报告了２３６例支气管肺部感染者,用纤支镜双塞保护法采样,病原菌培养结果。总阳性率７４．６％。共分离到２２种２９１株病原菌。球茵占１６．７％、肠杆菌科占１１．７％、非发酵菌占３７．１％,厌氧菌占２２．３％、真菌占１２．７％,３９．２％的病例为复合菌感染。还报告了８种带见病原菌对２８种抗生素的敏感试验结果。对近年肺部感染的病原菌谱型变化及复合菌感染等进行了讨论。     

败血症及发热待查患者血液中金黄色葡萄球菌抗体的测定

因为败血症及原因不明发热疾病常为金黄色葡萄球菌感染。由于培养前常用过抗生素,常规培养不易生长,Ｌ型培养虽可提高阳性率,但返祖鉴定时间较长,加做金黄色葡萄球菌抗体试管定量测定可供参考。结果败血症或发热待查１１７例平均效价１∶２６１．６０疑为钩体感染１１０例平均效价１∶１５７,大学生对照组４２人平均效价１∶２８．７５,Ｐ＜０．０１三者差异非常显著。     

小肠结肠炎耶尔森氏菌血清群的研究II．我国小肠结肠炎耶尔森氏菌分群菌株的筛选和参考菌株的建立

从我国收集到新分离的小肠结肠炎耶尔森氏菌1120株,经检定符合本菌特征的74 7株(占66．7％),并筛选出其形态、培养特征及生化特性典型的有335株,分成36个不同血清群,并分别找出各群代表株制出抗血清。试验结果证明,用本套菌株制备的群血清,灵敏性和特异性效价都优于国外引进的参考菌株制备的抗血清。通过实际使用,对国内新分离菌株检定能提高定群率2—3％。     

中国钩端螺旋体rRNA基因多态性分析

以ＤｉｇｄＵＴＰ标记的１６ＳｒＲＮＡ及２３ＳｒＲＮＡ基因为探针,分析了八个血清群５４个血清型６４株国内外致病性钩端螺旋体参考株和２７株野生株染色体经限制性内切酶ＥｃｏＲⅠ消化后的ｒＲＮＡ基因限制性图谱。结果发现,９１株菌中共有５６个核糖核酸型（Ｒｉｂｏｔｙｐｅ,简称ＲＴ）,除部分血清群中少数不同的血清型有相同的ＲＴ型外,大部分血清型都有独特的ＲＴ型,同一血清群往往拥有共同的核心片段;除黄疸出血群的黄疸出血型外,同一血清型的国内和国际参考株的ＲＴ型不相同;大多数野生株的ＲＴ和相应血清型国内参考株相同,差异也只表现为谱形上个别带型的缺少和增加,所研究的波摩那型野生株的ＲＴ型和国际参考株相同而和国内参考株不同     

福氏志贺群7因子血清免疫方法的探讨

为了提高福氏志贺菌免疫的群7因子的血清效价和优化免疫方法,以两种免疫原成分,按两种浓度、剂量免疫动物后定期采集血清。用凝集试验检测血清抗体效价,比较新法和传统方法免疫家兔体内的抗体水平。结果显示,传统方法免疫的家兔所产生的抗体1∶1280,而新法免疫中高剂量组可使福氏志贺群7因子血清效价达到1∶2560的水平,完全可以用于常规生产。     

O型孕妇产前IgG血型抗体效价与新生儿溶血病的相关性

目的:探讨O型孕妇产前IgG血型抗体效价与新生儿溶血病(HDN)的相关性。方法:选择2013年1月至2015年12月期间,在我院分娩的夫妻ABO血型不合的O型Rh(D)阳性孕妇432例及新生儿为研究对象,观察孕妇血清IgG抗体效价情况,新生儿HDN发病情况,并分析二者相关性。结果:432例孕妇中血清IgG抗A(B)效价大于或等于1:64的有189例,占43.75%,随IgG抗A(B)效价升高,孕妇比例逐渐减少。随孕次增加,孕妇血清IgG抗A(B)效价逐渐增高,各组孕妇血清IgG抗A(B)效价比较有统计学差异(P0.05)。随年龄增加,孕妇血清IgG抗A(B)效价逐渐增高,各组孕妇血清IgG抗A(B)效价比较有统计学差异(P0.05)。随IgG抗A(B)效价升高,HDN发生率显著升高,各组比较有统计学差异(P0.05)。等级相关检验显示,孕妇血清IgG抗A(B)与HDN发生呈正相关(r=0.732,P0.05)。结论:O型孕妇产前IgG血型抗体是引起HDN的主要原因,其水平与HDN呈正相关,值得临床重视。     

ABO血型正反定型及交叉配血实验在外科病人手术输血中应用

目的:探讨ABO血型正反定型及交叉配血实验在外科手术患者输血中的应用效果及影响因素。方法:选取我院自2017年2月-2019年2月收治的80例行ABO正反定型与交叉配血治疗的外科手术患者,记录ABO反定型与交叉配血不合的标本,使用2-Me处理被患者自身冷抗体凝集的红细胞,同时使用微柱凝胶法、凝聚胺法对血型不规则抗体以及特异性进行筛选和鉴定。分析ABO血型反定型不符合以及交叉配血不合的影响因素。结果:对正反定型完全无凝集反应的80例血清标本进行交叉配血实验,其中8例存在凝集反应,配血不合情况;导致外科手术患者输血中ABO血型反定型不符交叉配血不合的主要因素包括自身冷抗体、血型抗原性减弱、血型不规则抗体以及血型抗体效价减弱等。结论:ABO血型正反定型及交叉配血治疗中的患者中,大部分配血一致,少数的交叉配血不合,主要与自身冷抗体、血型抗原性减弱、血型不规则抗体以及血型抗体效价减弱等因素相关。     

人轮状病毒ZTR-5株灭活疫苗的制备及小鼠血清免疫学评价

目的: 研究人轮状病毒ZTR-5株灭活疫苗的制备及在实验小鼠中的免疫原性评价。方法: 轮状病毒ZTR-5株在MA104细胞上经蚀斑筛选纯化后,获得单一克隆接种至Vero细胞上适应性培养,免疫荧光定量检测病毒的感染性滴度,对收获的病毒液进行离心、超滤、分子筛纯化,甲醛灭活,抗原定量检测Al(OH)₃吸附制备的实验性疫苗。使用不同剂量(8EU、32EU、128EU、256EU)经肌内注射免疫小鼠,共免疫三次,免疫间隔2周。采用间接ELISA法检测血清特异性抗体效价。 结果: 通过蚀斑纯化,筛选得到一株纯化的病毒株ZTR-5纯-1,在Vero细胞上适应性后感染性滴度达7.35logCCID₅₀/ml;大量培养收获的病毒原液滴度为7.57logCCID₅₀/ml,制备获得轮状病毒样品抗原含量为2 560EU/ml;经肌内注射,初次免疫后,所有剂量组动物均获得抗体阳转,阳转率为100%;第一次加强免疫后,各组血清特异性抗体水平均明显增高,免疫剂量为128EU和256EU的两组小鼠血清抗体效价均达1∶10 240;第二次加强免疫后,各剂量组(8EU、32EU、128EU、256EU)血清抗体效价依次达1∶5 120,1∶7 456,1∶14 481.54,1∶14 481.54。 结论:人轮状病毒ZTR-5株可在Vero细胞上稳定增殖,所制备的疫苗具良好免疫原性,用128EU/2次免疫即可获得良好的免疫效果。     

茵陈蒿汤联合西药治疗母儿ABO血型不合疗效分析

目的：评价中西药结合治疗对母儿ABO血型不合的疗效以及新生儿溶血发生与孕次关系的探讨。方法：对314例抗体滴度≥l：64的ABO母儿血型不合孕妇（20-45岁）进行研究,其中246例孕期给予以中西药结合治疗（茵陈蒿汤联合25%葡萄糖液、维生素C、维生素E、苯巴比妥）,68例作为对照,观察孕妇IgG抗A/B抗体效价变化及新生儿溶血发生情况。结果：治疗组抗体效价降低与对照组相比,差异有统计学意义（P〈0.05）,治疗组新生儿溶血发生率与对照组相比,差异有统计学意义（P〈0.05）。孕次越大,新生儿溶血的发生率越高。结论：中西药结合治疗对降低孕妇IgG抗A/B效价及防治新生儿溶血疗效满意,新生儿溶血发生可能与孕次呈正相关。     

Experimental Infections of Dogs with Type C Influenza Virus

A study was performed to determine if type C influenza infection could be established in dogs as a model for human cases. Mongrel dogs were infected with the Ann Arbor/1/50 strain of type C influenza virus and were examined for clinical symptoms, virus isolation and antibody response. After the first exposure to the virus, all infected animals developed nasal discharge and some of them also showed swelling of the eyelids, and suffusion of the eyes with tears and eye mucus, within 1 to 4 days. The animals showed an increase in hemagglutination-inhibiting (HI) serum antibody, and recovery of the agent from the nasal swabs was successful. The symptoms lasted for as long as 10 days in most infected dogs, which was comparable to our human cases reported previously (Katagiri, S., Ohizumi, A., and Homma, M. 1983. J. Infect. Dis. 48 : 51–56). After the second and third virus exposures at intervals of 50 days, all animals developed the same symptoms as those described above and the rise in antibody titer was evident. The virus could be recovered from four of the six dogs 2 to 5 days after the second exposure and from one dog as late as 10 days after the third exposure. Increases in antibody titer in the IgM fraction were observed after every infection. In control dogs which were mock-infected with UV-inactivated virus, no symptoms were evident and recovery of the virus was not successful although an increase in HI serum antibody titer was seen. These results show that mongrel dogs are sensitive to type C influenza virus and that repeated infections characteristic of human influenza C can be experimentally produced in dogs.     

Antibodies against Toxoplasma gondii in the Pacific bottlenose dolphin (Tursiops aduncus) from the Solomon Islands

Serum samples from 58 Pacific bottlenose dolphins (Tursiops aduncus) from the Solomon Islands were tested for the IgG antibody to Toxoplasma gondii by the latex agglutination test (LAT), enzyme-linked immunosorbent assay (ELISA), and immunoblotting. The ELISA cut-off value was taken as OD > or = 0.276, and the final dilution ratio, recognized as positive, was represented by the end titer. In 25 of 58 samples, no antibody activity was detected by LAT and ELISA. In 8 of 58 samples, anti-T. gondii IgG antibodies were detected by both LAT and ELISA, with titers of greater than 1 : 64 and 1 : 160, respectively. By immunoblotting, the 8 serum samples producing higher titers showed specific antibody IgG binding to several antigens on the T. gondii lane, but not on the Neospora caninum lane. No specific bands were noted on the lanes for either parasite in the 25 serum samples for which no antibody activity was detected. The specific binding of IgG antibodies to T. gondii antigens observed for serum samples producing higher titers suggests that Pacific bottlenose dolphins from the Solomon islands are exposed to T. gondii.     

Overlooked Risk for Chronic Kidney Disease after Leptospiral Infection: A Population-Based Survey and Epidemiological Cohort Evidence

Background

Leptospirosis is the most widespread zoonosis. Chronic human infection and asymptomatic colonization have been reported. However, renal involvement in those with leptospira chronic exposure remains undetermined.

Methods and Findings

In 2007, a multistage sampling survey for chronic kidney disease (CKD) was conducted in a southern county of Taiwan, an area with a high prevalence of dialysis. Additionally, an independent cohort of 88 participants from a leptospira-endemic town was followed for two years after a flooding in 2009. Risks of CKD, stages of CKD, associated risk factors as well as kidney injury markers were compared among adults with anti-leptospira antibody as defined by titers of microscopic agglutination test (MAT). Of 3045 survey participants, the individuals with previous leptospira exposure disclosed a lower level of eGFR (98.3±0.4 vs 100.8±0.6 ml/min per 1.73 m², P<0.001) and a higher percentage of CKD, particularly at stage 3a-5 (14.4% vs 8.5%), than those without leptospira exposure. Multivariable linear regression analyses indicated the association of leptospiral infection and lower eGFR (95% CI -4.15 to -1.93, P < 0.001). In a leptospiral endemic town, subjects with a MAT titer ≥400 showed a decreased eGFR and higher urinary kidney injury molecule–1 creatinine ratio (KIM1/Cr) level as compared with those having lower titers of MAT (P<0.05). Furthermore, two participants with persistently high MAT titers had positive urine leptospira DNA and deteriorating renal function.

Conclusions and Significance

Our data are the first to show that chronic human exposure of leptospirosis is associated significantly with prevalence and severity of CKD and may lead to deterioration of renal function. This study also shed light on the search of underlying factors in areas experiencing CKD of unknown aetiology (CKDu) such as Mesoamerican Nephropathy.     

Development and Evaluation of a Simple Latex Agglutination Test for Diagnosis of Tuberculosis

A simple latex agglutination test (SLAT) based on modifications of existing serodiagnostic techniques, in which commercially available reagents are used, was developed for detection of antibodies against Mycobacterium tuberculosis. Tests performed on 553 serum samples from 316 individuals, including 117 bacteriologically confirmed active tuberculosis patients, showed 80% positive titers. Sera from 12 patients with arrested tuberculosis showed 91% positive titers. Nonspecific reactions were noted in 5% of 160 serums from selected normal individuals and patients with diseases other than tuberculosis. The antibodies detected by the SLAT method were found to be relatively stable when exposed to low temperatures, whereas high temperatures reduced the antibody titer considerably. Disodium ethylenediaminetetraacetic acid inactivation of serum complement was found to be satisfactory. No variation of tuberculosis antibody titer was noted in tests on multiple specimens from patients whose conditions were stabilized. However, considerable fluctuation was encountered in antibody titers obtained on recently detected individuals. Data obtained in this study indicate that the modified procedures of the SLAT method could replace the tuberculin skin test for simple screening of tuberculosis in adults.