牛结核γ干扰素ELISPOT检测方法的建立

本研究旨在建立一种牛结核γ干扰素ELISPOT检测方法,并评价该方法用于牛结核病检测的价值。通过筛选与天然牛γ干扰素特异性结合的单克隆抗体分别作为包被抗体和检测抗体,并探索不同的实验条件确定最佳包被抗体浓度、最佳细胞数量和最佳检测抗体浓度等,建立牛γ干扰素ELISPOT检测方法。采集30头奶牛尾静脉血并分离外周血单个核细胞,以结核菌素作为刺激原,使用建立的ELISPOT检测方法进行牛结核病检测,并与BOVIGAMTM ELISA试剂盒检测结果进行比较。筛选到两株与天然牛γ干扰素特异性结合的单抗2G5和5E11,确定ELISPOT检测方法的最佳实验条件为:包被抗体2G5浓度2.5μg/m L,每孔细胞数量2.5×105个,检测抗体Bio-5E11浓度1μg/mL。使用建立的ELISPOT检测方法与BOVIGAMTM ELISA试剂盒对30头奶牛进行同步检测,结果显示,以BOVIGAMTM ELISA试剂盒检测结果作为参考标准,14头BOVIGAMTM ELISA试剂盒检测阳性牛中,ELISPOT方法检出的阳性牛为11头,敏感性为78.6%(11/14);16头BOVIGAMTM ELISA试剂盒检测阴性牛中,ELISPOT方法检出的阴性牛为12头,特异性为75%(12/16)。应用结核菌素作为刺激原的牛结核γ干扰素ELISPOT检测方法可用于牛结核病辅助检测,具有潜在的临床应用价值。     

淋病奈瑟菌感染的实验室诊断技术概述

淋病奈瑟菌是淋病的病原菌,淋病不及时诊断和治疗会引起严重的并发症,早期诊断和治疗是控制淋病传播的关键。试验诊断技术在淋病的诊断和治疗中具有十分重要的作用。目前,常用的试验诊断方法有涂片镜检、分离培养、免疫学方法、分子生物学检查和快速检查等。分泌物直接涂片染色镜检大多常用革兰染色,但是有其局限性,细菌培养是诊断淋病的金标准,也是目前诊断淋病最可靠的方法,但淋病奈瑟菌培养困难,仅做细菌学培养检查,诊断意义有限。随着新仪器的研发以及现代分子生物学理论和技术的发展,快速、准确、特异、敏感的分子生物学技术已经成为试验诊断的重要手段,具有广阔的应用前景,临床上还需要开发新的核酸扩增试验技术,以便更好地指导临床治疗。临床医生在实际诊疗过程中应该根据患者的实际情况正确选择检测方法,有时建议选择两种以上的检测方法以提高阳性检出率。本文就淋病奈瑟菌感染的试验诊断技术的研究进展加以概述。     

Development of an internally controlled PCR assay for broad range detection of bacteria in platelet concentrates

A real-time PCR assay based on the 16S rRNA gene was optimized for the detection of a broad range of bacteria in plasma and platelet concentrates (PC). A lambda phage internal control was constructed and implemented in the assay, which made it suitable for diagnostic use. Spiking studies in plasma and PCs were performed to determine the analytical sensitivity of the assay. Thirty three colony forming units (CFU)/ml of E. coli and 72 CFU/ml of Staphylococcus epidermidis could be detected in plasma, and 97 CFU/ml of S. epidermidis in PCs. The assay detected all bacteria relevant for bacterial contamination of PCs. The short turn around time of the assay made it suitable for testing PCs for bacterial contamination prior to transfusion.     

Development of an immunoassay to detect insect contamination of microalgal products

While the insect fragment count is currently the primary test used for assessing insect contamination of food products, this technique is very problematical for assaying microalgal materials. An account is given of a new immunoassay technique,which is based on an enzyme-linked immunosorbent assay(ELISA) detection of insect myosin and which provides a rapid and convenient means of quantitatively determining the amount of insect contamination in algal product samples with a high degree of replicability. Up to 30 samples can be tested in duplicate in 2.5–3 h. Experiments were carried out with a variety of common contaminant insects of algal products, using various life stages, including Corixidae, Ephydridaeand Chironomidae using both Spirulina (Arthrospira) and Chlorella as typical algal materials. As little as one insect per 50 g sample can readily be detected, with excellent correlation (r² = 0.99) between the number of insects present and the color produced. A matrix analysis to determine the ruggedness of the immunoassay was carried out following the protocols of the AOAC International and established that minor departures in seven variables from the standard assay resulted in no substantial differences. The insect myosin assay offers a quantitative and reliable means for assessing insect contamination of algal materials and should be considered for adoption as a standard method for this type of product. This revised version was published online in August 2006 with corrections to the Cover Date.     

结核分枝杆菌RD1区研究进展

RD1区是结核分枝杆菌(MTB)在长期传代过程中丢失的重要保护性抗原,RD1区仅存在于致病性分枝杆菌中,而在卡介苗(BCG)及环境分枝杆菌中缺失。RD1区基因全长9.5kb,共有9个开放读码框,分别编码9个蛋白。RD1区是MTB毒力的关键因素之一,同时RD1区存在一种新分泌表达体系,能保证ESAT6和CFP10蛋白分泌表达。RD1区蛋白有较强的免疫原性,在MTB的预防和诊断中将可能发挥巨大作用,并有可能成为筛选抗MTB药物的理想靶抗原。     

In vitro system for high-throughput screening of random peptide libraries for antimicrobial peptides that recognize bacterial membranes.

Antibacterial peptides have been isolated from a wide range of species. Some of these peptides act on microbial membranes, disrupting their barrier function. With the increasing development of antibiotic resistance by bacteria, these antibacterial peptides, which have a new mode of action, have attracted interest as antibacterial agents. To date, however, few effective high-throughput approaches have been developed for designing and screening peptides that act selectively on microbial membranes. In vitro display techniques are powerful tools to select biologically functional peptides from peptide libraries. Here, we used the ribosome display system to form peptide-ribosome-mRNA complexes in vitro from nucleotides encoding a peptide library, as well as immobilized model membranes, to select specific sequences that recognize bacterial membranes. This combination of ribosome display and immobilized model membranes was effective as an in vitro high-throughput screening system and enabled us to identify motif sequences (ALR, KVL) that selectively recognized the bacterial membrane. Owing to host toxicity, it was not possible to enrich any sequence expected to show antimicrobial activity using another in vitro system, e.g. phage display. The synthetic peptides designed from these enriched motifs acted selectively on the bacterial model membrane and showed antibacterial activity. Moreover, the motif sequence conferred selectivity onto native peptides lacking selectivity, and decreased mammalian cell toxicity of native peptides without decreasing their antibacterial activity.     

结核分枝杆菌MPT83的免疫原性及其奶牛结核病血清学检测方法的建立

【目的】利用大肠杆菌系统表达并纯化结核分枝杆菌MPT83蛋白,通过小鼠模型评价其免疫原性,建立血清学间接ELISA方法用于牛结核病临床检测,评价其应用潜能。【方法】构建p ET30a(+)-mpt83重组质粒,转化BL21(DE3)诱导表达并纯化,经细胞表面分子的流式细胞术(Flow Cytometry,FCM)分析、ELISPOT试验等分析其在小鼠中的免疫原性,建立间接ELISA方法,检测临床奶牛血样,评价其用于牛结核病血清学检测的潜能。【结果】SDS-PAGE显示目的蛋白成功表达,Western blot证实其对兔抗H37Rv多抗血清具有良好免疫反应性;FCM结果显示其下调树突状细胞表面CD80分子的表达,上调小鼠脾脏CD4+和CD8+T细胞表面CD69的表达,ELISPOT结果表明其诱导的特异性IL-4分泌细胞数显著高于IFN-γ分泌细胞数,表现为Th2型免疫应答;建立了ELISA方法,检测临床奶牛血样200份,与牛结核外周血γ-干扰素体外释放试验结果的阳性符合率和阴性符合率分别为48.6%和90%。【结论】在大肠杆菌系统中高效可溶性表达MPT83蛋白,其在小鼠模型中主要呈现Th2型免疫应答,并以该蛋白为抗原建立了牛结核病血清学检测的间接ELISA方法。     

结核感染T细胞斑点试验对肺外结核诊断价值探讨

目的评价结核感染T细胞斑点试验（T—SPOT．TB）在肺外结核中的诊断价值。方法采用T—SPOT．TB试剂盒对疑诊或待排结核患者外周血中特异性T淋巴细胞进行检测。结果结核感染T细胞斑点试验的对结核病的敏感度、特异度分别为76．7％、84．3％。肺外结核组与肺结核组阳性率分别为92．0％和78．2％,差异有统计学意义（P〈0．05）。该数据显著高于结核菌素试验的31．4％和结核分枝杆菌培养的19．3％,差异有统计学意义（P〈0．05）。结论结核感染T细胞斑点试验是诊断肺外结核的快速敏感方法,值得在临床中推广使用。     

贵州省某土法炼锌点土壤重金属污染现状

对贵州省赫章县新官寨土法炼锌点的土壤重金属含量及空间分布进行了研究,以了解土法炼锌活动停止以后土壤重金属的污染状况.结果表明,当地农业土壤重金属的平均含量分别为Pb 337、Zn 648、Cd 9.0、Hg 0.44、Cu 121和As 17 mg·kg-1,分别是贵州省农业土壤背景值的7.5、7.9、26.4、2.2、4.7和0.8倍.单项污染指数显示,土壤Cd的污染最重,依次为Zn、Pb、As、Hg和Cu.综合污染指数揭示,该土法炼锌点4 km范围内的表层农业土壤严重污染.土壤中的污染物主要累积于表层30 am内,30 cm以下浓度较低.土壤Zn和Cd具有较高的活性和迁移性,峰值已向下迁移15～20 cm.     

A new diagnostic tool for rapid and accurate detection of Mycobacterium tuberculosis

Mycobacterium tuberculosis, acid fast bacilli from the family of Mycobacteriaceae, is the causative agent of most cases of tuberculosis. Tuberculosis, as a communicable disease, remains a serious public health threat, killing more than one million people globally every year. Primary diagnosis of tuberculosis bacilli (TB) relies mainly on microscopic detection of acid fast bacilli (AFB), but the method suffers from low sensitivity and the results largely depend on the technician’s skill. New diagnostic tools are necessary to be introduced for rapid and accurate detection of the bacilli in sputum samples. We, in collaboration with Anda Biologicals, have developed a new platform, named as “Patho-tb”, for rapid detection of AFB with high sensitivity and with low dependence on human skills. Evaluation of Patho-tb test performance was done in two settings: (1) primary field study conducted using 38 sputa from high TB prevalence area of Iran (Zabol city near to the Afghanistan border), and (2) main study conducted using 476 sputa from Tehran, capital of Iran. Patho-tb was applied for processed sputum samples in parallel with routine diagnostic methods (including AFB microscopy, culture and PCR). All test results were compared to final clinical diagnostic state of an individual and diagnostic sensitivity (DSe), specificity, positive predictive value, negative predictive value and accuracy of each test results were calculated using standard formulations. Analytical sensitivity and specificity of the Patho-tb test were also determined. Calculated values for five above mentioned parameters are as follows: for field study: AFB (DSe: 29.6, DSp: 81.8, PPV: 80, NPV: 23.1, AC: 44.7), Patho-tb (DSe: 63, DSp: 72.7, PPV: 85, NPV: 44.4, AC: 65.8), and for main study: AFB (DSe: 86.1, DSp: 99.4, PPV: 98.5, NPV: 93.9, AC: 95.2), Patho-tb (DSe: 97.4, DSp: 92.9, PPV: 86.5, NPV: 98.7, AC: 94.3). Reproducibility of Patho-tb test results were near to 100% (Cohen’s kappa value between 0.85 and 1). The detection limit of Patho-tb test with 100% positivity rate was 3 × 10³ cells/ml of sputum. In the field study, Patho-tb test was 33.4% more sensitive than AFB microscopy, while the improvement was only 11.3% during the main study. Patho-tb results are easy to interpret and the test can be merged with other screening tests, like AFB. Totally, Patho-tb test alone or in conjunction with AFB microscopy is a useful screening tool for TB detection especially in poor geographical lab conditions.     

Development of a synthetic positive control which also detects plasmid contamination in diagnostic polymerase chain reaction

This paper describes a technique for the development of a positive control for use in a nested PCR to show that the PCR has worked correctly with both outer and inner primers designed for diagnostic amplification of 618 bp and 317 bp products respectively. This positive control produces a larger product than the diagnostic sample that can be discriminated on an agarose gel. This technique is advantageous over traditional cloning of the diagnostic PCR product itself by: 1) making it visually easy to detect plasmid contamination and thus, prevent false positives from the plasmid; 2) develop a positive control when the target organism is at a very low prevalence so initial detection is not relied on for cloning positive controls. This will ensure the PCR is working correctly prior to diagnostic sampling, reducing false negatives; or 3) for developing a PCR and determining the sensitivity prior to the use of diagnostic samples. The methods used to produce this nested positive control demonstrates how to use large oligonucleotide primers in PCR without non-specific binding occurring.     

植物离体培养中微生物污染的鉴定与控制(综述)

本文综述植物离体培养过程中微生物污染的鉴定与控制的研究进展,包括通过指示培养和菌种鉴别以鉴定污染菌;从保护条件下生长的植株上取材以及材料的预处理,以便有效地控制附生菌和应用抗生素控制内生菌.     

Tuberculosis patients co-infected with Mycobacterium bovis and Mycobacterium tuberculosis in an urban area of Brazil

In this cross-sectional study, mycobacteria specimens from 189 tuberculosis (TB) patients living in an urban area in Brazil were characterised from 2008-2010 using phenotypic and molecular speciation methods (pncA gene and oxyR pseudogene analysis). Of these samples, 174 isolates simultaneously grew on Löwenstein-Jensen (LJ) and Stonebrink (SB)-containing media and presented phenotypic and molecular profiles of Mycobacterium tuberculosis, whereas 12 had molecular profiles of M. tuberculosis based on the DNA analysis of formalin-fixed paraffin wax-embedded tissue samples (paraffin blocks). One patient produced two sputum isolates, the first of which simultaneously grew on LJ and SB media and presented phenotypic and molecular profiles of M. tuberculosis, and the second of which only grew on SB media and presented phenotypic profiles of Mycobacterium bovis. One patient provided a bronchial lavage isolate, which simultaneously grew on LJ and SB media and presented phenotypic and molecular profiles of M. tuberculosis, but had molecular profiles of M. bovis from paraffin block DNA analysis, and one sample had molecular profiles of M. tuberculosis and M. bovis identified from two distinct paraffin blocks. Moreover, we found a low prevalence (1.6%) of M. bovis among these isolates, which suggests that local health service procedures likely underestimate its real frequency and that it deserves more attention from public health officials.     

Geochemical behavior of lead in an alfisol and an ultisol at high leveis of contamination

The behavior of Pb in the A and B horizons of an Alfisol from Michigan and an Ultisol from Virginia was studied to determine the effects of “shock”; loading. Combined sequential extraction‐sorption isotherm analysis (CSSA), a relatively new and little tested method, was used in the study. After spiking to simulate severe contamination (～3000 to 60,000 mg/kg), CSSA revealed unexpectedly high levels of exchangeable Pb in the A horizon of the Alfisol and in both horizons of the Ultisol, and showed that the sorption capacities of the phases commonly responsible for fixation of Pb at low to moderate levels of contamination were exceeded. Carbonate sorbed the bulk of the Pb in the Alfisol B horizon and has a high sorption capacity in both soils, despite the presence of other phases with a strong affinity for Pb. Thus, when shock loading occurs (e.g., at a shooting range or dump sites), the highly contaminated A horizons of both soils are expected to pose a serious toxic hazard to humans, and groundwater contamination is possible in association with the Ultisol. CSSA proved useful for determining the sorption capacities of the individual phases while together in a natural soil system and therefore is a valuable method for predicting the attenuation capabilities of soils.     

添加有扩增内标的副溶血弧菌PCR检测方法的建立

摘要：【目的】发掘副溶血弧菌特异性更强的检测靶点,并人工构建扩增内标,建立可以有效避免假阴性的新PCR检测体系。【方法】利用生物信息学方法,从副溶血弧菌（Vibrio parahaemolyticus）基因组DNA中发掘特异性很高的序列,并设计相应的特异性引物,人工构建扩增内标,建立PCR检测体系。【结果】本研究发掘得到的序列vp1332特异性很强,经检索,该序列是编码ABC转运子接合蛋白组分的基因片段,根据此序列设计一对特异检测引物（vp1332L/vp1332R）,同时,构建了扩增内标,并建立了PCR检测体系。利用该体系对296株副溶血弧菌和33株非副溶血弧菌进行检测,结果显示,所有以副溶血弧菌为模板的PCR反应均可扩增到一条343 bp的特异片段,而模板来源于非副溶血弧菌的则只能扩增到一条499 bp的扩增内标片段。灵敏度实验表明,该PCR反应体系的检测灵敏度为1.6×102 cfu/mL。人工污染实验表明,起始染菌量为1.24 cfu/25 g样品时经8 h增菌,即可检测到副溶血弧菌。实际样品检测结果也证实该方法的有效性。【结论】本研究建立的PCR反应体系能特异地检测副溶血弧菌,并可有效地排除假阴性,提高检测准确率。     

Diagnostic value of nucleic acid amplification tests on bronchoalveolar lavage fluid for smear-negative pulmonary tuberculosis: a meta-analysis

The diagnosis of smear-negative pulmonary tuberculosis (SNPT) remains a clinical challenge. Many studies suggest that nucleic acid amplification tests (NAATs) on bronchoalveolar lavage fluid (BALF) plays a role in diagnosing SNPT, but with considerable varying results. The current study aimed to summarize the overall diagnostic accuracy of NAATs assay on BALF for SNPT. A systematic literature search was performed and data were retrieved. Pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR) and diagnostic odds ratio (DOR) were calculated. A summary receiver operating characteristic curve and area under the curve (AUC) were used to evaluate the overall diagnostic performance. All the statistical analysis was performed by using STATA 12.0 and Meta-DiSc 1.4 software. A total of nine studies with 1214 subjects were included this meta-analysis. The pooled sensitivity, specificity, PLR, NLR and DOR were 0.54 [95% CI (confidence interval): 0.48–0.59], 0.97 (95% CI: 0.95–0.98), 12.13 (95% CI: 8.23–17.88), 0.36 (95% CI: 0.23–0.56) and 44.71 (95% CI: 22.30–89.63) respectively. The AUC was 0.96. Estimated positive and negative post-probability values for a SNPT prevalence of 20% were 82% and 7% respectively. No publication bias was identified. Current available evidence indicated that NAATs on BALF may play a role in diagnosing SNPT, whereas the results should be interpreted in parallel with clinical information of patients and the results of traditional tests. Further studies should be performed to confirm our findings.     

Immunoreactivity of five antigens of Mycobacterium tuberculosis in patients attending a public health care facility in an area with high endemicity for TB

The objective of this study was to evaluate people attending a primary health clinic in Rio de Janeiro, Brazil for immunoreactivity to five Mycobacterium tuberculosis antigens, as these antigens are markers of immune response and factors associated with active TB. The serum antibody titers of different categories of patients (defined by microbiological and radiological characteristics and by response to therapy on follow‐up) to 38 kDa, 16 kDa, MPT64, ESAT‐6 and MT10.3 antigens were determined blind with ELISA. Positive tests to each antigen were defined with ROC analysis. OR were calculated for factors associated with humoral response in patients with active TB. A total of 201 patients underwent serological testing. Patients with confirmed active TB responded more frequently to MPT64 (44%), 16 kDa (37.7%) and 38 kDa (36.1%). ESAT‐6 and MT10.3 were also able to distinguish people in TB groups from controls. TB infected subjects responded less frequently to ESAT‐6 and MT10.3 (3.7% and 11%, respectively). Sensitivity and specificity to all antigens combined were 58.4% and 60.7%, respectively. Reactivity to 38 kDa and to MPT64 was more likely among alcohol users OR 2.61 (95%CI;1.05–6.94) and OR 3.27 (95%CI;1.33–8.15), respectively. 16 kDa antigen elicited a more protective response among smokers, OR 0.29 (95%CI; 0.10–0.83). It was concluded that reactivity to all antigens tested represented markers of active disease. ESAT‐6 and MT10.3 could not be identified as markers of TB infection in this community. Sensitivity was higher to all antigens combined, but at a cost of lower specificity. Interestingly, among factors associated with positive immunoreactivity, alcohol use and smoking seem to polarize the humoral response in different directions. This finding deserves further investigation.