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Detection of Atrazine Residue in Food Samples by a Monoclonal Antibody-based Enzyme-linked Immunosorbent Assay 被引量:5
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作者 LV Zhi Qiang WANG Cai Hong +8 位作者 WANG Ting Ting CHEN Cui Cui WANG Ying NING Bao An LIU Ming LIU Jian Qing BAI Jia Lei PENG Yuan GAO Zhi Xian 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2013年第5期398-402,共5页
Atrazine(AT,2-chloro-4-ethylamino-6-isopropyl-amino-s-triazine)has been detected in ground water in several areas of the United States for many years,as well as in China,wherein the growth rate of its gross
关键词 Detection of Atrazine Residue in Food Samples by a Monoclonal Antibody-based enzyme-linked Immunosorbent Assay ELISA AT
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Quantitative determination of erlotinib in human serum using competitive enzyme-linked immunosorbent assay 被引量:1
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作者 Yuta Yamamoto Tetsuya Saita +1 位作者 Yutaro Yamamoto Masashi Shin 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2018年第2期119-123,共5页
A selective and sensitive competitive enzyme-linked immunosorbent assay(ELISA) method was developed and validated for the quantification of erlotinib in 50 mL of samples of human serum. Anti-erlotinib serum was obtain... A selective and sensitive competitive enzyme-linked immunosorbent assay(ELISA) method was developed and validated for the quantification of erlotinib in 50 mL of samples of human serum. Anti-erlotinib serum was obtained by immunizing mice with an antigen conjugated with bovine serum albumin and 3,4-bis(2-methoxyethoxy)benzoic acid using the N-succinimidyl ester method. Enzyme labeling of erlotinib with horseradish peroxidase was similarly performed using 3,4-bis(2-methoxyethoxy)benzoic acid. A simple competitive ELISA for erlotinib was developed using the principle of direct competition between erlotinib and the enzyme marker for anti-erlotinib antibody, which had been immobilized on the plastic surface of a microtiter plate. Serum erlotinib concentrations lower than 40 ng/mL were reproducibly measurable using the ELISA. This ELISA was specific to erlotinib and showed very slight cross-reactivity(6.7%) with a major metabolite, O-desmethyl erlotinib. Using this assay, drug levels were easily measured in the blood of mice after oral administration of erlotinib at a single dose of 30 mg/kg. ELISA should be used as a valuable tool for therapeutic drug monitoring and in pharmacokinetic studies of erlotinib. 展开更多
关键词 ERLOTINIB enzyme-linked IMMUNOSORBENT ASSAY O-desmethyl ERLOTINIB TYROSINE-KINASE INHIBITOR
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Seropositivity rates of water channel protein 4 antibodies compared between a cell-based immunofluorescence assay and an enzyme-linked immunosorbent assay in neuromyelitis optica patients 被引量:2
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作者 Xiaoli Wu Zhangyuan Liao +3 位作者 Jing Ye Huiqing Dong ChaodongWang Piu Chan 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第32期2490-2494,共5页
A total of 66 samples (from 27 cases with neuromyelitis optica, 26 cases with multiple sclerosis, aa 13 cases with optic neuritis) were tested for aquaporin-4 antibody by a cell-based immunofluorescence assay and an... A total of 66 samples (from 27 cases with neuromyelitis optica, 26 cases with multiple sclerosis, aa 13 cases with optic neuritis) were tested for aquaporin-4 antibody by a cell-based immunofluorescence assay and an enzyme-linked immunosorbent assay. The sensitivities and specificities of the two assays were similar. We further analyzed an additional 68 patients and 93 healthy controls using the enzyme-linked immunosorbent assay. A Kappa test showed good consistency between the two methods in terms of detection of anti-aquaporin-4 antibody in the se of neuromyelitis optica patients. No significant correlations were identified with onset age or disea duration, suggesting that aquaporin-4 antibody is a good marker for neuromyelitis optica. The enzyme-linked immunosorbent assay can be used for quantifying aquaporin-4 antibody concentrations and may be useful to dynamically monitor changes in the levels of aquaporin-4 antibody during disease duration. 展开更多
关键词 neuromyelitis optica cell-based immunofluorescence assay anti-aquaporin 4 antibody enzyme-linked immunosorbent assay long and extended spinal cord lesions neural regeneration
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Development of a competitive enzyme-linked immunosorbent assay for therapeutic drug monitoring of afatinib
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作者 Rintaro Sogawa Tetsuya Saita +4 位作者 Yuta Yamamoto Sakiko Kimura Yutaka Narisawa Shinya Kimura Masashi Shin 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2019年第1期49-54,共6页
Afatinib is an oral tyrosine kinase inhibitor(TKI) approved for treating advanced non-small cell lung cancer. It is necessary to develop a simple quantification method for TKIs in order to facilitate therapeutic drug ... Afatinib is an oral tyrosine kinase inhibitor(TKI) approved for treating advanced non-small cell lung cancer. It is necessary to develop a simple quantification method for TKIs in order to facilitate therapeutic drug monitoring(TDM) in clinical settings. This study sought to develop a simple and sensitive competitive enzyme-linked immunosorbent assay(ELISA) to quantify afatinib in plasma for routine pharmacokinetic applications. An anti-afatinib antibody was obtained using(S)-N-4-(3-chloro-4-fluorophenyl)-7-(tetrahydrofuran-3-yloxy)-quinazoline-4,6-diamine(CTQD), which has the same substructure as afatinib, as a hapten. Enzyme labeling of afatinib with horseradish peroxidase was similarly performed using CTQD. A simple competitive ELISA for afatinib was developed based on the principle of direct competition between afatinib and the enzyme marker for the anti-afatinib antibody, which had been immobilized on the plastic surface of a microtiter plate. Plasma afatinib concentrations below the limit of quantification of 30 pg/mL were reproducibly measurable. Also, the values of plasma afatinib levels measured from 20 patients were comparable with those measured by high-performance liquid chromatography, and there was a strong correlation between the values determined by both methods(Y=0.976 X – 0.207, r=0.975). As indicated by its specificity and sensitivity, this newly developed ELISA for afatinib is an important tool for TDM and studies of the pharmacokinetics of afatinib. 展开更多
关键词 AFATINIB enzyme-linked IMMUNOSORBENT ASSAY THERAPEUTIC drug monitoring TYROSINE-KINASE inhibitor
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Enzyme-linked Immunosorbent Assay for Detection of Anti-idiotype Antibodies to Antibodies to Ligand of Nicotinic Acetylcholine Receptor in Sera of Patients with Myasthenia Gravis
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作者 黄德仁 涂来慧 +2 位作者 张仁琴 周广智 沈茜 《Journal of Medical Colleges of PLA(China)》 CAS 1990年第3期237-242,共6页
Anti-bungarotoxin anti-serum,which has the internal image of nicotinicacetylcholine receptor,was used as a tool to measure anti-idiotypic antibodies toantibodies to Iigand of nicotinic acctylcholine receptor in scra f... Anti-bungarotoxin anti-serum,which has the internal image of nicotinicacetylcholine receptor,was used as a tool to measure anti-idiotypic antibodies toantibodies to Iigand of nicotinic acctylcholine receptor in scra from 81 patients withmyasthenia gravis.Enzyme-linked immunosorbcnt assay was adopted.Thc positive ratewas 46.9%(38/81).The specific cross inhibitory test with nicotinic acetylcholinereceptor was positive.Anti-idiotype antibodies to antibodies to ligand of nicotinicacetylcholine receptor in sera of different types of myasthenia gravis patients classified ac-cording to modified Osserman’s standard and myasthenia gravis patients with or withoutthymoma were comparcd in this study and the role of anti-idiotype antibodies toantibodies to Iigand of nicotinic acctylcholinc receptor in the immunity of myasthcniagravis and the possibility of thcrapeutic use of anti-idiotype antibodies arc discussed. 展开更多
关键词 MYASTHENIA gravis enzyme-linked immunosorbent assay NICOTINIC acetylcholine receptor LIGAND antibungarotoxin ANTISERUM ANTI-IDIOTYPE ANTIBODIES
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Development of an Indirect Enzyme-Linked Immunosorbent Assay for Seromonitoring Contagious Bovine Pleuropneumonia Using Recombinant Lipoprotein LppQ of Mycoplasma mycoides subsp mycoides SC as Antigen
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作者 XIN Jiu-qing GAO Yun-long +2 位作者 LI Yuan WANG Yan-fan QIAN Ai-dong 《Agricultural Sciences in China》 CAS CSCD 2007年第1期100-107,共8页
Mycoplasma mycoides subsp mycoides SC (MmmSC) is the etiological agent of contagious bovine pleuropneumonia (CBPP). The lipoprotein LppQ encoded by lppQ gene is specific to MmmSC and is found in the type strain an... Mycoplasma mycoides subsp mycoides SC (MmmSC) is the etiological agent of contagious bovine pleuropneumonia (CBPP). The lipoprotein LppQ encoded by lppQ gene is specific to MmmSC and is found in the type strain and in field strains isolated in Europe, Africa, and Australia, as well as in vaccine strains. No serological cross-reactions were observed with the related mycoplasmas of the Mycoplasma mycoides cluster. The N-terminal domain of the mature lipoprotein LppQ is hydrophilic, and it induces a strong, specific, early, and persistent immune response in naturally and experimentally infected animals. Mycoplasma-specific TGA (Trp) codons are utilized as stop codons in most other organisms. The lppQ N-terminal fragment from MmmSC HVRI X strain, the Chinese strain for CF antigen production, was mutated with one-step overlapping extension PCR. Sequence analysis confirmed the successful mutation from A to G in codon 198 in the lppQ gene. The fragment containing the mutation site was subcloned into the pET32a expression vector. The recombinant protein with molecular weight of 42 kDa was purified using the Ni-NTA His.Bind purification kit, with a purity of up to 95%. Western blot indicated that the standard positive serum of CBPP could react with the recombinant protein. The purified protein was diluted to 0.35 μg mL^-1, and coated to microtiter enzyme-linked immunosorbent assay (ELISA) plates. Indirect ELISA reaction conditions were optimized. The value of P/N was determined to be 4.8 (0.934/0.193), the sensitivity to be 95.8% (46/48), and the specificity to be 98.9% (161/163). 3 817 cattle serum samples from three different provinces were detected by the indirect ELISA and CFT. The Kappa value is 0.63, which is middle or high agreement between the two methods. 展开更多
关键词 contagious bovine pleuropneumonia (CBPP) lipoprotein LppQ MUTAGENESIS indirect enzyme-linked immunosorbent assay (ELISA)
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A PRELIMINARY STUDY OF SERUM GLYCOCONIUGATES IN PATIENTS WITH CANCER USING THE ENZYME-LINKED LECTIN ASSAY
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作者 张胜乐 梁伊仁 +2 位作者 李经略 戴奕然 黄迪 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1990年第1期50-53,共4页
After primary analyses on the serum glycocon-jugates of lung cancer and normal individul using the enzyme-linked lectin assay (ELLA) with 12 kinds of lectins, PHA and LCA were selected to further study in the sera of ... After primary analyses on the serum glycocon-jugates of lung cancer and normal individul using the enzyme-linked lectin assay (ELLA) with 12 kinds of lectins, PHA and LCA were selected to further study in the sera of 8 kinds of cancers, 4 kinds of non-malignant disease and 1 kind of postoperative cancer. It was found that the test values of 7 kinds of cancers with PHA or LCA were significantly higher than that of the normal (P<0.01); the values of 4 kinds of non-malignant diseases with PHA were not higher (P>0.05); the values of the postoperative cancer with PHA were obviously lower than that of the preoperative (P<0.05). The results showed that the serum glycoconjugates which can bind to PHA seemed related to the cancerous existence in human bodies. The significance of the findings was discussed. 展开更多
关键词 than A PRELIMINARY STUDY OF SERUM GLYCOCONIUGATES IN PATIENTS WITH CANCER USING THE enzyme-linked LECTIN ASSAY LCA
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ENZYME-LINKED IMMUNOSORBENT ASSAY OF HUMAN PLACENTA TYPE GLUTATHIONE S-TRANSFERASE AND ITS APPLICATION IN THE DIAGNOSIS OF HEPATOCARCINOMA
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作者 林峰 陈惠黎 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1991年第2期78-81,共4页
GST-π was purified from human placenta and its antiserum was raised in rabbits. The antibody IgC was purified and degraded into Fab' fragment which was conjugated with horseradish peroxidase (HRP) using N-succini... GST-π was purified from human placenta and its antiserum was raised in rabbits. The antibody IgC was purified and degraded into Fab' fragment which was conjugated with horseradish peroxidase (HRP) using N-succinimidyl-4-(N-maleimido-methyl) cyclo-hexane-1-carboxylate (SMCC) as crosslinking reagent to produce Fab'-HRP conjugate. A sandwich ELISA was established for the microquantitative determination of GST-π. The sensitivity was 11 pg/tube, which was far more sensitive than the radioimmunoassay so far reported. Using this method, the serum GST-π of 41 cases normal adult was found to be 1.06±0.94 ng/ml. The upper limit of the normal value was 2.6 ng/ml. In 30 cases of primary hepatocarcinoma, the level of serum GST-π was 24.4± 17.4 ng/ml, which was 23 times higher than the normal average value (P<0.01). The positive rate was 90%. In contrast, serum GST-π in 25 cases of chronic hepatitis was determined to be 1.74±1.16 ng/ml, which was not significantly different from the normal value (P>0.05). The pseudo-positive rate was 12.0%. 展开更多
关键词 FAB HRP IgG enzyme-linked IMMUNOSORBENT ASSAY OF HUMAN PLACENTA TYPE GLUTATHIONE S-TRANSFERASE AND ITS APPLICATION IN THE DIAGNOSIS OF HEPATOCARCINOMA GST
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A Comparison of Enzyme-Linked Immunosorbent Assay versus Multiplex Methodology Using an <i>in Vitro</i>Model of Pulmonary Hypertension and Inflammation
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作者 Yan Zhu Deepthi Alapati +3 位作者 Joanna Costa Victoria L. Maduskuie Paul T. Fawcett Thomas H. Shaffer 《Journal of Biomedical Science and Engineering》 2014年第7期419-426,共8页
Enzyme-linked immunosorbent assay (ELISA) is the most widely used method for measuring a single cytokine. Recent developments in cytokine quantification such as multiple arrays measure multiple cytokines simultaneousl... Enzyme-linked immunosorbent assay (ELISA) is the most widely used method for measuring a single cytokine. Recent developments in cytokine quantification such as multiple arrays measure multiple cytokines simultaneously. Although good correlations between ELISA and multiplex methods have been observed, side by side comparisons are limited. In the present study we hypothesized that ELISA and Luminex techniques are comparable in detecting cytokines in culture medium when pulmonary artery smooth muscle cells (PASMC) are exposed to stress. Primary human PASMC were cultured in modular chambers and exposed to 21% FiO2 and peak inspiratory and positive end expiratory pressure of 24 and 8 cmH2O respectively, and 95% FiO2. At 24 hours, culture medium was collected and assayed for interleukin-6 (IL-6) and IL-8 by quantitative ELISA and by Human Cytokine 25-Plex Panel using a Luminex 200 analyzer. A comparative analysis of agreement between our ELISA and Luminex data was detailed for control and stress conditions using the Bland-Altman plot analysis. Each assay resulted in comparable increased (p < 0.001) levels of IL-6 and IL-8 as compared to control in response to oxidative and biophysical stress. The Bland-Altman analysis demonstrated that 95% of the differences between ELISA and Luminex values were within ±1.96 SD from the mean difference indicated by the 95% limits of agreement for the measurements of IL-6 and IL-8. There was no systematic bias as a function of inflammation level. We conclude that in this cell culture model, ELISA and Luminex are comparable in detecting the levels of IL-6 and IL-8 in the culture medium. If measurements of multiple cytokines are demanded and the amount of sample is limited, Luminex multi-analyte profiling technology is accurate and sensitive. 展开更多
关键词 enzyme-linked IMMUNOSORBENT Assay (ELISA) LUMINEX Pulmonary Artery Smooth Muscle Cells (PASMC) INFLAMMATION Bland-Altman PLOT Analysis
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Xpert MTB/RIF联合T-SPOT.TB对结核性脑膜炎的早期诊断价值
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作者 邝红萍 李健康 +5 位作者 贾要丽 袁彦丽 张博 彭强 许路阳 周晓蕾 《河南医学研究》 CAS 2024年第13期2351-2354,共4页
目的探讨利福平耐药实时荧光定量核酸扩增技术(Xpert MTB/RIF)联合结核感染T细胞斑点试验(TSPOT.TB)对结核性脑膜炎早期诊断的临床价值。方法收集2019年10月至2022年9月于河南省胸科医院就诊的疑似结核性脑膜炎患者90例,经确诊分为脑膜... 目的探讨利福平耐药实时荧光定量核酸扩增技术(Xpert MTB/RIF)联合结核感染T细胞斑点试验(TSPOT.TB)对结核性脑膜炎早期诊断的临床价值。方法收集2019年10月至2022年9月于河南省胸科医院就诊的疑似结核性脑膜炎患者90例,经确诊分为脑膜炎组(46例)和非脑膜炎组(44例)。所有研究对象进行脑脊液抗酸杆菌涂片、脑脊液Xpert MTB/RIF和外周血T-SPOT.TB检测,比较各单一检测方法和联合检测的诊断阳性率、阴性率和准确率,采用灵敏度、特异度、阳性预测值、阴性预测值和受试者工作特征曲线对各检测方法的诊断价值进行评价。结果TSPOT.TB和Xpert MTB/RIF单一检测诊断阳性率(分别为69.57%和60.87%)均高于涂片抗酸染色(19.57%),TSPOT.TB与Xpert MTB/RIF并联检测诊断阳性率(89.13%)高于串联检测(60.87%)和所有单一检测方法,差异有统计学意义(P<0.05)。并联检测诊断准确率(90.00%)高于串联检测(78.89%)和Xpert MTB/RIF检测(77.78%),差异有统计学意义(P<0.05)。并联检测对结核性脑膜炎诊断的灵敏度和阴性预测值达到89.13%和88.89%,均高于串联检测和单一检测方法;特异度和阳性预测值分别为90.91%和91.11%,与串联检测和单一检测方法差异无统计学意义(P>0.05);曲线下面积最高,达到0.900(95%CI:0.828~0.972)。结论TSPOT.TB与Xpert MTB/RIF检测用于结核性脑膜炎诊断,相比较传统方法具有较好的敏感度和特异度,采取并联检测方式能够显著提高结核性脑膜炎的诊断效能,有利于早期诊断和治疗。 展开更多
关键词 利福平耐药实时荧光定量核酸扩增技术 结核感染T细胞斑点试验 结核性脑膜炎 联合检测 早期诊断
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Immunoregulatory Effect and Mechanism of Epigallocatechin-3-Gallate in A Mouse Oral Cancer Model
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作者 Yizhen Li Siyi Huang +4 位作者 Yanzi Ling Liyan Fu Ruyue Zheng Xinwei Duan Yueji Luo 《Proceedings of Anticancer Research》 2024年第5期82-88,共7页
Objective:This investigation delineates the anti-cancer potency of epigallocatechin-3-gallate(EGCG)in an oral cancer mouse model,with a focus on its effect on T-cell activation.Methods:An oral cancer model was establi... Objective:This investigation delineates the anti-cancer potency of epigallocatechin-3-gallate(EGCG)in an oral cancer mouse model,with a focus on its effect on T-cell activation.Methods:An oral cancer model was established in male Balb/c mice using 4-nitroquinoline 1-oxide(4-NQO).The mice were systematically grouped and administered graded concentrations of EGCG.Key parameters such as body weight,hydration levels,tumor volume,and mass were meticulously tracked.T-cell activity and cytokine expression profiles,focusing on interleukin-2(IL-2),interferon-gamma(IFN-γ),and tumor necrosis factor-alpha(TNF-α),were quantified using ELISA.A comprehensive statistical evaluation included one-way ANOVA,Tukey’s HSD multiple comparison test,and the Kruskal-Wallis non-parametric assessment.Results:EGCG-administered cohorts exhibited a pronounced reduction in tumor size and mass,with the high-dose group showing the greatest efficacy.ELISA findings corroborated a significant increase in T-cell activity and concomitant upregulation of key cytokines,including IL-2,IFN-γ,and TNF-α(P<0.05).Conclusion:This investigation confirms the tumor-suppressive efficacy of EGCG in a murine oral squamous cell carcinoma model.The therapeutic effects of EGCG are mediated through T-cell activation and the upregulation of pivotal cytokine expression,highlighting its potential immunomodulatory role in oral cancer treatment. 展开更多
关键词 Epigallocatechin-3-gallate(EGCG) Oral squamous cell carcinoma(OSCC) 4-nitroquinoline 1-oxide(4-NQO) Peripheral blood mononuclear cell(PBMC) enzyme-linked immunosorbent assay(ELISA)
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四种方法联合检测对病原学阴性肺结核的诊断价值 被引量:5
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作者 田丽丽 陈双双 +14 位作者 樊瑞芳 张洁 王嫩寒 陈昊 代小伟 任怡宣 赵琰枫 李传友 丁北川 李波 于兰 易俊莉 王佩 杨新宇 宋卫萍 《中国防痨杂志》 CAS CSCD 2023年第2期144-150,共7页
目的:分析结核感染T细胞斑点试验(T-SPOT.TB)、结核抗体(antibody,TB-Ab)、血红细胞沉降率(erythrocyte sedimentation rate,ESR)、超敏C-反应蛋白(high-sensitivity C-reaction protein,hs-CRP)联合检测在病原学阴性肺结核诊断中的价... 目的:分析结核感染T细胞斑点试验(T-SPOT.TB)、结核抗体(antibody,TB-Ab)、血红细胞沉降率(erythrocyte sedimentation rate,ESR)、超敏C-反应蛋白(high-sensitivity C-reaction protein,hs-CRP)联合检测在病原学阴性肺结核诊断中的价值。方法:收集2020年7月至2022年7月北京市疾病预防控制中心结核病门诊收治的初治且病原学检查阴性的肺结核患者216例(病原学阴性肺结核组),以及同期收治的病原学阳性的初治肺结核患者147例(病原学阳性肺结核组)和其他肺部疾病患者455例(其他肺部疾病组)。均行T-SPOT.TB、TB-Ab、ESR、CRP检测,以临床诊断为标准,分析四种方法单独及联合检测的诊断效能。结果:T-SPOT.TB在病原学阴性肺结核组中检测阳性率为82.4%(178/216),与病原学阳性肺结核组阳性率[87.8%(129/147)]相比较,差异无统计学意义(χ2=1.917,P=0.166),与其他肺部疾病组阳性率28.6%(130/455)相比较差异有统计学意义(χ2=160.746,P=0.000)。T-SPOT.TB对病原学阴性肺结核诊断的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为82.4%(178/216)、71.4%(325/455)、57.8%(178/308)、89.5%(325/363)、75.0%(503/671);四种方法联合诊断的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为91.7%(198/216)、53.4%(243/455)、48.3%(198/410)、93.1%(243/261)、65.7%(441/671)。T-SPOT.TB、TB-Ab、ESR、hs-CRP检测ROC曲线下面积(AUC)分别为0.764、0.600、0.529、0.515,联合检测的AUC为0.804。结论:T-SPOT.TB检测病原学阴性肺结核的敏感度、阴性预测值及准确度较好,四种方法联合检测的敏感度、阴性预测值和AUC较高,联合检测可提高病原学阴性肺结核的诊断效能。 展开更多
关键词 结核 临床实验室技术 酶联免疫吸附测定 C反应蛋白 对比研究
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结核抗体 结核感染T细胞斑点试验及痰涂片 痰培养联合应用对活动性肺结核的诊断效能 被引量:2
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作者 牛思田 刘歆 《实用医技杂志》 2023年第6期434-438,共5页
目的探究活动性肺结核患者应用结核抗体、结核感染T细胞斑点试验(T-SPOT.TB)及痰涂片、痰培养联合诊断的诊断效能。方法回顾性分析2021年3月至2023年3月洛阳市东方人民医院经过临床诊断确诊的120例活动性肺结核患者的临床资料,作为肺结... 目的探究活动性肺结核患者应用结核抗体、结核感染T细胞斑点试验(T-SPOT.TB)及痰涂片、痰培养联合诊断的诊断效能。方法回顾性分析2021年3月至2023年3月洛阳市东方人民医院经过临床诊断确诊的120例活动性肺结核患者的临床资料,作为肺结核组,同期收治的101例非活动性肺结核患者作为非结核组,以临床最终诊断结果为金标准。对2组结核抗体、T-SPOT.TB、痰涂片、痰培养及两种、四种联合检测方式进行分析,统计并比较在不同检测方式下2组患者肺部结核分枝杆菌感染阳性率、特异度、敏感度。结果肺结核组结核抗体、T-SPOT.TB、痰涂片、痰培养阳性检出率为45.0%(54/120)、86.7%(104/120)、19.2%(23/120)、45.8%(55/120),非结核组结核抗体、T-SPOT.TB、痰涂片、痰培养阳性检出率分别为24.8%(25/101)、19.8%(20/101)、1.0%(1/101)、4.0%(4/101)(P<0.05);T-SPOT.TB阴性预测值、准确度、敏感度最高,痰涂片阳性预测值、特异度最高;肺结核组结核抗体+T-SPOT.TB、结核抗体+痰涂片、结核抗体+痰培养、T-SPOT.TB+痰涂片、T-SPOT.TB+痰培养、痰涂片+痰培养、结核抗体+T-SPOT.TB+痰涂片+痰培养阳性检出率为85.0%(102/120)、55.8%(67/120)、56.7%(68/120)、76.7%(92/120)、80.8%(97/120)、47.5%(57/120)、91.7%(110/120),非结核组结核抗体+T-SPOT.TB、结核抗体+痰涂片、结核抗体+痰培养、T-SPOT.TB+痰涂片、T-SPOT.TB+痰培养、痰涂片+痰培养、结核抗体+T-SPOT.TB+痰涂片+痰培养阳性检出率为34.6%(35/101)、31.7%(32/101)、33.7%(34/101)、21.8%(22/101)、26.7%(27/101)、3.0%(3/101)、55.4%(56/101)(P均<0.05);结核抗体+T-SPOT.TB+痰涂片+痰培养阴性预测值、敏感度最高,痰涂片+痰培养阳性预测值、特异度最高,T-SPOT.TB+痰涂片与T-SPOT.TB+痰培养准确度最高。结论活动性肺结核患者联合应用结核抗体、T-SPOT.TB及痰涂片、痰培养检测有较高的临床意义,可提高诊断效能。 展开更多
关键词 结核 抗体 细菌 酶联免疫斑点测定
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Location-based prediction model for Crohn’s disease regarding a novel serological marker,anti-chitinase 3-like 1 autoantibodies
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作者 Nora Sipeki Patricia Julianna Kovats +3 位作者 Claudia Deutschmann Peter Schierack Dirk Roggenbuck Maria Papp 《World Journal of Gastroenterology》 SCIE CAS 2023年第42期5728-5750,共23页
BACKGROUND Defective neutrophil regulation in inflammatory bowel disease(IBD)is thought to play an important role in the onset or manifestation of IBD,as it could lead to damage of the intestinal mucosal barrier by th... BACKGROUND Defective neutrophil regulation in inflammatory bowel disease(IBD)is thought to play an important role in the onset or manifestation of IBD,as it could lead to damage of the intestinal mucosal barrier by the infiltration of neutrophils in the inflamed mucosa and the accumulation of pathogens.Like neutrophils in the context of innate immune responses,immunoglobulin A(IgA)as an acquired immune response partakes in the defense of the intestinal epithelium.Under normal conditions,IgA contributes to the elimination of microbes,but in connection with the loss of tolerance to chitinase 3-like 1(CHI3L1)in IBD,IgA could participate in CHI3L1-mediated improved adhesion and invasion of potentially pathogenic microorganisms.The tolerance brake to CHI3L1 and the occurrence of IgA autoantibodies to this particular target,the exact role and underlying mechanisms of CHI3L1 in the pathogenesis of IBD are still unclear.AIM To determine the predictive potential of Ig subtypes of a novel serological marker,anti-CHI3L1 autoantibodies(aCHI3L1)in determining the disease phenotype,therapeutic strategy and long-term disease course in a prospective referral cohort of adult IBD patients.METHODS Sera of 257 Crohn’s disease(CD)and 180 ulcerative colitis(UC)patients from a tertiary IBD referral center of Hungary(Division of Gastroenterology,Department of Internal Medicine,Faculty of Medicine,University of Debrecen)were assayed for IgG,IgA,and secretory IgA(sIgA)type aCHI3L1 by enzyme-linked immunosorbent assay using recombinant CHI3L1,along with 86 healthy controls(HCONT).RESULTS The IgA type was more prevalent in CD than in UC(29.2%vs 11.1%)or HCONT(2.83%;P<0.0001 for both).However,sIgA subtype aCHI3L1 positivity was higher in both CD and UC patients than in HCONT(39.3%and 32.8%vs 4.65%,respectively;P<0.0001).The presence of both IgA and sIgA aCHI3L1 antibodies was associated with colonic involvement(P<0.0001 and P=0.038,respectively)in patients with CD.Complicated disease behavior at sample procurement was associated with aCHI3L1 sIgA positivity(57.1%vs 36.0%,P=0.009).IgA type aCH3L1 was more prevalent in patients with frequent relapse during the disease course in the CD group(46.9%vs 25.7%,P=0.005).In a group of patients with concomitant presence of pure inflammatory luminal disease and colon involvement at the time of diagnosis,positivity for IgA or sIgA type aCH3L1 predicted faster progression towards a complicated disease course in time-dependent models.This association disappeared after merging subgroups of different disease locations.CONCLUSION CHI3L1 is a novel neutrophil autoantigenic target in IBD.The consideration of antibody classes along with location-based prediction may transform the future of serology in IBD. 展开更多
关键词 Chitinase 3-like 1 autoantibodies Crohn’s disease Ulcerative colitis Disease progression Immunoglobulin subtypes enzyme-linked immunosorbent assay
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免疫学检测联合痰涂片和痰培养检测在活动性肺结核临床诊断中的价值 被引量:25
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作者 田丽丽 杨新宇 +12 位作者 代小伟 陈双双 赵琰枫 王嫩寒 张洁 易俊莉 任怡宣 陈昊 樊瑞芳 石伟先 武文清 黄春 丁北川 《中国防痨杂志》 CAS CSCD 2021年第10期1073-1078,共6页
目的分析结核感染T细胞斑点试验(T-SPOT.TB)、结核抗体、痰涂片与痰培养联合检测在活动性肺结核诊断中的临床意义。方法收集2014年1月至2019年12月北京结核病控制研究所门诊收治的疑似活动性肺结核患者715例,最终诊断为活动性肺结核患者... 目的分析结核感染T细胞斑点试验(T-SPOT.TB)、结核抗体、痰涂片与痰培养联合检测在活动性肺结核诊断中的临床意义。方法收集2014年1月至2019年12月北京结核病控制研究所门诊收治的疑似活动性肺结核患者715例,最终诊断为活动性肺结核患者412例(肺结核组),非结核病患者303例(非结核组)。715例患者均行T-SPOT.TB检测、结核抗体检测及痰涂片、痰培养检查;以临床诊断结果为标准,分析4种方法单独及联合检测的临床意义。结果肺结核组患者中,T-SPOT.TB阳性检出率为83.7%(345/412);非结核组患者中,T-SPOT.TB阳性检出率为20.8%(63/303);两组阳性检出率差异有统计学意义(χ^(2)=2.823,P=0.000)。T-SPOT.TB对活动性肺结核检测的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为83.7%(345/412)、79.2%(240/303)、84.6%(345/408)、78.2%(240/307)、81.8%[(345+240)/715];4种方法联合诊断的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为93.7%(386/412)、50.8%(154/303)、72.1%(386/535)、85.6%(154/180)、75.5%[(386+154)/715]。T-SPOT.TB检测、结核抗体检测及痰涂片、痰培养检查的ROC曲线下面积(AUC)分别为0.815、0.575、0.593、0.715,四项联合检测的AUC为0.894。结论 T-SPOT.TB检测的敏感度、阴性预测值较好,T-SPOT.TB检测联合结核抗体、痰涂片和痰培养检测的敏感度、AUC较高,联合检测可提高对肺结核的诊断效能。 展开更多
关键词 酶联免疫斑点检测 结核 对比研究
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结核感染T细胞斑点试验在临床诊断为肺外结核患者中的价值评价 被引量:29
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作者 孙雯雯 肖和平 +1 位作者 吴福蓉 闫丽萍 《中国防痨杂志》 CAS 2015年第7期784-789,共6页
目的探讨结核感染T细胞斑点试验(T-SPOT.TB)检测临床诊断为肺外结核患者中的价值,并且进行评价研究。方法采用回顾性分析方法分析上海市肺科医院2011年1月至2013年12月收治的临床诊断为肺外结核并行抗结核治疗或诊断性抗结核治疗的... 目的探讨结核感染T细胞斑点试验(T-SPOT.TB)检测临床诊断为肺外结核患者中的价值,并且进行评价研究。方法采用回顾性分析方法分析上海市肺科医院2011年1月至2013年12月收治的临床诊断为肺外结核并行抗结核治疗或诊断性抗结核治疗的患者731例。收集所有患者的T-SPOT.TB检测结果,用SPSS16.0软件对结果进行统计学分析,观察组间样本率的比较采用y。检验,P〈0.05认为差异具有统计学意义。结果本研究中最终通过病理、细菌学及诊断性抗结核治疗共确诊肺外结核686例,其中T-SPOT.TB检测阳性者为656例,敏感度为95.63%(656/686);本研究中最终排除肺外结核的患者共45例,其中T-SPOT.TB检测阴性者为37例,特异度为82.22%(37/45);本研究中T-SPOT.TB检测阳性者共664例,阳性预测值为98.80%(656/664);本研究中T-SPOT.TB检测阴性者共67例,故阴性预测值为55.22%(37/67)。对不同部位肺外结核TSPOT.TB分层分析,发现不同部位肺外结核的T-SPOT.TB检测阳性率具有一定差异,其中淋巴结结核T-SPOT.TB检测阳性率最高,达98.37%(181/184)。对于最终确诊肺外结核患者进行分组分析,初治组T-SPOT.TB检测阳性率为94.63%(476/503),复治组为98.36%(180/183),两者比较差异有统计学意义(χ^2=6.41,P〈0.05);细菌学检查阳性组T-SPOT.TB检测阳性率为100.00%(32/32),而细菌学、病理学检查均阴性组TSPOT.TB检测阳性率为95.66%(551/576),两者比较差异有统计学意义(χ^2=4.14,P〈0.05)。合并活动性肺结核组T-SPOT.TB检测阳性率为95.45%(462/484),不合并活动性肺结核组T-SPOT.TB检测阳性率为96.04%(194/202),两者相比差异无统计学意义(χ^2=0.11,P=0.74)。结论T-SPOT.TB检测在临床诊断为肺外结核患者中具有较高的敏感度和特异度,阳性预测值也较高,但仍有一定的假阳性和假阴性;不同部位肺外结核T-SPOT.TB检测阳性率差异有统计学意义;细菌学阳性及复治肺外结核T-SPOT.TB检测阳性率可能更高。 展开更多
关键词 结核/诊断 酶联免疫斑点测定 评价研究
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T细胞斑点试验联合隐球菌乳胶凝集试验对肺结核合并肺隐球菌病诊断的初步研究 被引量:12
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作者 黄绍萍 卢水华 +4 位作者 朱召芹 席秀红 熊延青 冯艳玲 吴文娟 《中国感染与化疗杂志》 CAS 2009年第4期252-255,共4页
目的评价结核分枝杆菌感染T细胞斑点试验(TB ELISPOT)和乳胶凝集试验(LA)联合检测对肺结核合并肺隐球菌病的诊断价值。方法选择2006年3月—2008年9月我中心呼吸科收治的疑诊肺结核合并肺隐球菌病患者76例,均同时作TB ELISPOT、LA检测和... 目的评价结核分枝杆菌感染T细胞斑点试验(TB ELISPOT)和乳胶凝集试验(LA)联合检测对肺结核合并肺隐球菌病的诊断价值。方法选择2006年3月—2008年9月我中心呼吸科收治的疑诊肺结核合并肺隐球菌病患者76例,均同时作TB ELISPOT、LA检测和肺组织病理检查。结果76例患者中,经病原学和病理学确诊为肺隐球菌病15例,肺结核22例,其中肺结核合并肺隐球菌病8例。经检测LA的灵敏度和特异度均为100%,TB ELISPOT的灵敏度和特异度分别为91%和94.4%,8例肺结核合并肺隐球菌病患者LA和TB ELISPOT均为阳性。结论LA和TB ELISPOT联合检测对肺结核合并肺隐球菌病具有诊断价值。 展开更多
关键词 结核病 隐球菌病 酶联免疫斑点法 乳胶凝集试验
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酶联免疫斑点检测和结核菌素试验在初治肺结核中的辅助诊断价值 被引量:25
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作者 刘菲 张宗德 +5 位作者 操敏 马丽萍 高孟秋 吴晓光 朱莉贞 马玙 《中国医学科学院学报》 CAS CSCD 北大核心 2009年第4期443-448,共6页
目的比较酶联免疫斑点检测(ELISPOT)和结核菌素试验(TST),探讨ELISPOT在初治肺结核中的辅助诊断价值。方法选取初治肺结核123例和非结核疾病病例102例作为结核组和对照组,应用6kD早期分泌靶向抗原/10kD培养滤过蛋白融合蛋白(ESAT-6/CFP-... 目的比较酶联免疫斑点检测(ELISPOT)和结核菌素试验(TST),探讨ELISPOT在初治肺结核中的辅助诊断价值。方法选取初治肺结核123例和非结核疾病病例102例作为结核组和对照组,应用6kD早期分泌靶向抗原/10kD培养滤过蛋白融合蛋白(ESAT-6/CFP-10)作为抗原对受试者外周血单个核细胞进行ELISPOT(即ESAT-6/CFP-10-ELISPOT),检测斑点形成细胞(SFCs)的数量;同时对受试者行TST。结果结核组ESAT-6/CFP-10-ELISPOT形成的SFCs数显著高于对照组(P=0.000)。结核组中ESAT-6/CFP-10-ELISPOT的敏感度91.1%(111/123)、特异度80.4%(82/102)、阳性似然比4.60、阴性似然比0.12、阳性预测值0.85、阴性预测值0.87,TST的敏感度65.6%(59/90)、特异度45.1%(46/102)、阳性似然比1.31、阴性似然比0.76、阳性预测值0.51、阴性预测值0.60。ESAT-6/CFP-10-ELIS-POT的敏感度和特异度显著高于TST(均P=0.000)。菌阳肺结核组和菌阴肺结核组间ESAT-6/CFP-10-ELISPOT形成SFCs数量差异无显著性(P=0.166),两组ESAT-6/CFP-10-ELISPOT的敏感度分别为91.8%(67/73)和88.0%(44/50),二者比较差异无显著性(P=0.448)。结论ESAT-6/CFP-10-ELISPOT有可能作为辅助诊断初治肺结核的较为准确方法,并为菌阴肺结核提供一定的诊断依据,但诊断的特异度可能受结核潜伏感染影响。TST对初治肺结核的诊断价值较小。 展开更多
关键词 酶联免疫斑点技术 结核菌素试验 辅助诊断 初治肺结核
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结核性腹膜炎诊断方法比较 被引量:11
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作者 郝卉杰 石朝阳 +3 位作者 周川 薛福敏 张建立 冯百岁 《郑州大学学报(医学版)》 CAS 北大核心 2012年第1期108-110,共3页
目的:分析结核性腹膜炎(TBP)临床诊断方法。方法:搜集确诊的79例TBP患者资料,对其临床特点及血液学指标、腹水生化、影像学、T-SPOT.TB及腹腔镜等检查结果进行总结、分析。结果:发病高峰在20~45岁;男女比例为1:1.55;临床表现以腹胀、... 目的:分析结核性腹膜炎(TBP)临床诊断方法。方法:搜集确诊的79例TBP患者资料,对其临床特点及血液学指标、腹水生化、影像学、T-SPOT.TB及腹腔镜等检查结果进行总结、分析。结果:发病高峰在20~45岁;男女比例为1:1.55;临床表现以腹胀、腹痛及乏力常见。44.30%(35/79)的患者血常规异常,52.82%(28/53)的患者CT异常,56.25%(36/64)的患者红细胞沉降率(ESR)增快,56.72%(38/67)的患者结明三项阳性,60.00%(39/65)的患者B超异常,73.68%(42/57)的患者腹水CA125升高,80.70%(46/57)的患者腹水ADA活性升高,91.43%(32/35)的患者T-SPOT.TB阳性,92.85%(26/28)的患者腹腔镜阳性。腹水ADA、T-SPOT.TB、腹腔镜检查诊断率较高。腹水ADA与腹腔镜检查结果有弱一致性(kappa=0.352,P=0.043),T-SPOT.TB与腹腔镜结果一致性较好(kappa=0.625,P=0.001)。结论:T-SPOT.TB是一种新型的无创的快速诊断TBP的敏感方法;结合患者的临床表现、各项辅助检查结果和试验性抗结核治疗可提高TBP确诊率。 展开更多
关键词 结核性腹膜炎 诊断 T-SPOT.TB 腹腔镜
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ELISPOT辅助临床结核病诊断价值分析 被引量:6
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作者 朱召芹 卢水华 +9 位作者 王瑶娟 熊延青 刘晓茜 万延民 席秀红 许艳 张仁芳 施裕新 卢洪洲 Douglas Lowrie 《中国人兽共患病学报》 CAS CSCD 北大核心 2011年第4期360-363,共4页
目的探讨ELISPOT在结核病诊断中的应用价值。方法分离TB患者54例和非TB患者52例的外周血单个核淋巴细胞,并采用以结核分枝杆菌特异性蛋白ESAT-6和CFP-10为抗原的ELISPOT试验技术进行结核分枝杆菌(Mtb)特异性T淋巴细胞免疫反应的检测,同... 目的探讨ELISPOT在结核病诊断中的应用价值。方法分离TB患者54例和非TB患者52例的外周血单个核淋巴细胞,并采用以结核分枝杆菌特异性蛋白ESAT-6和CFP-10为抗原的ELISPOT试验技术进行结核分枝杆菌(Mtb)特异性T淋巴细胞免疫反应的检测,同时做痰涂片、痰培养、PPD试验和胶体金法检测。以临床明确诊断为标准,比较分析评价不同检测方法的敏感度和特异度。结果 TB-ELISPOT的敏感度(Se)90.7%、特异度(Sp)96.15%、阳性预测值(PPV)0.96、阴性预测值(NPV)0.91、阳性似然比(+LR)23.55和阴性似然比(-LR)0.1;胶体金法的Se 59.26%、Sp 88.46%、PPV0.84、NPV 0.68、+LR 5.14和-LR 0.46;PPD试验的Se 64.81%、Sp 82.69%、PPV 0.80、NPV 3.74、+LR 0.69和-LR 0.43;痰涂片的Se 40.74%、Sp 100.00%、PPV 1.0、NPV 0.62、+LR>10和-LR0.52;痰培养的Se 25.93%、Sp 100.00%、PPV 1.0、NPV 0.57、+LR>10和-LR0.77。统计结果显示ELISPOT检测的敏感度明显高于其它常用结核病诊断方法。ELISPOT在痰涂片和痰培养阴性的TB患者中的阳性检出率分别为84.38%和87.5%。结论 ELISPOT是一种敏感度和特异度均较高的结核病免疫学辅助诊断方法,有助于提高诊断结核感染的阳性检出率,且耗时短,可作为临床结核病诊断尤其是菌阴结核病的重要辅助手段之一,具有较高的临床推广价值。 展开更多
关键词 结核病 诊断 酶联斑点杂交技术
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