Background: A new rapid Immunochromatographic test (ICT) kit (MPT64 TB Ag Kit) for detection of MPT64 Antigen in M. tuberculosis (MTB) isolates used for rapid identification of MTB isolates developed by SD (Standard D...Background: A new rapid Immunochromatographic test (ICT) kit (MPT64 TB Ag Kit) for detection of MPT64 Antigen in M. tuberculosis (MTB) isolates used for rapid identification of MTB isolates developed by SD (Standard Diagnostics) Bio line, South Korea was evaluated. The ICT is a rapid, reliable and cheaper method that can be used instead of conventional biochemical tests for confirming MTB in culture isolates in resource limited laboratories. The study also evaluated the ability of ICT to detect MPT64-Antigen before the micro MGIT could signal positive. Material/Methods: A total of 450 sputum samples of individual patients were used for the study. 152 isolates of Mycobacteria were recovered from solid and liquid media. These strains were tested for the detection of MPT64-antigen. H37Rv strain was served as the positive reference control and also used for early detection of Antigen experiment. Findings: The development of bands on both test and sample region when H37Rv strain was tested were seen (MPT64 antigen positive). When 138 MTB isolates were tested, it showed a similar banding pattern indicating 100% sensitivity. MPT64 band formation was not detected in any of the 14 isolates indicating 100% specificity. Both PPV & NPV were 100%. All the isolates negative for MPT64 Ag were confirmed as MOTT by conventional bio-chemical PNBA. The H37Rv strain showed a faint band from the 2nd day onwards from inoculation till 3rd day in the earlier Antigen detection experiment. Conclusion: Rapid identification of MTB culture isolate is a pressing need for diagnosis and proceeding to perform drug susceptibility testing. MPT64 TB Ag detection ICT kit is a rapid, reliable method, good substitute for molecular identification methods, and conventional biochemical test which is time-consuming and technically demanding. The early detection of Antigen can be used as an effective tool in diagnosis.展开更多
目的牛分枝杆菌抗原MPB70、MPB83、CFP-10和ESAT-6的融合表达及相关特性分析。方法应用PCR方法从牛分枝杆菌临床分离株基因组中扩增获得mpb70、mpb83、cfp-10和esat-6四个目的基因片段。采用重叠延伸剪接技术(splicing by overlapextens...目的牛分枝杆菌抗原MPB70、MPB83、CFP-10和ESAT-6的融合表达及相关特性分析。方法应用PCR方法从牛分枝杆菌临床分离株基因组中扩增获得mpb70、mpb83、cfp-10和esat-6四个目的基因片段。采用重叠延伸剪接技术(splicing by overlapextension,SOE)获得融合基因cfp10-esat6和mpb83-cfp10-esat6,将mpb70和mpb83-cfp10-esat6串连于载体pUC19-Linker上,再将mpb70-mpb83-cfp10-esat6连于表达载体pET28a(+)中得到重组质粒pET70-83-C10-E6。转化BL21(DE3)感受态细胞后,经IPTG诱导获得以可溶形式表达的融合蛋白。用Ni2+亲合层析法纯化该融合蛋白。结果经ELISA验证该融合蛋白能分别与抗原蛋白MPB70、MPB83和CE(cfp10-esat6)的多抗反应,说明该融合蛋白具有四个抗原蛋白的免疫学活性。Westernblot分析显示:该融合蛋白能与抗牛分枝杆菌阳性血清发生特异性反应,而与牛其它疾病的阳性血清不反应。热稳定性试验证明该融合蛋白属于热稳定性蛋白。结论融合表达了牛分枝杆菌的四种特异性抗原蛋白,该蛋白具有单个蛋白的免疫原性和稳定性,作为一种新型的诊断抗原具有良好的应用前景。展开更多
目的：评估利福平耐药结核分枝杆菌实时荧光定量核酸扩增检测技术（Xpert M TB／RIF）在温州地区诊断肺结核及利福平耐药的临床应用价值。方法纳入可疑肺结核、临床诊断肺结核和可疑耐药肺结核患者214例，采集痰标本同时送检抗酸染色涂...目的：评估利福平耐药结核分枝杆菌实时荧光定量核酸扩增检测技术（Xpert M TB／RIF）在温州地区诊断肺结核及利福平耐药的临床应用价值。方法纳入可疑肺结核、临床诊断肺结核和可疑耐药肺结核患者214例，采集痰标本同时送检抗酸染色涂片、液体培养和 Xpert M TB／RIF 检测。以临床最终诊断结果为金标准，比较三种方法检测结核分枝杆菌的敏感度、特异度。以液体药物敏感试验结果为金标准，Xpert M TB／RIF 检测利福平耐药的敏感度和特异度。率的比较采取卡方检验。结果以临床最终诊断结果作为金标准，Xpert M TB／RIF 检测结核分枝杆菌的敏感度高于抗酸染色涂片（69．5％比44．1％，χ^2＝23．31，P ＜0．01），而与液体培养比较敏感度差异无统计学意义（69．5％比62．1％，χ^2＝2．15，P＞0．05）；Xpert M TB／RIF 在痰涂片阳性与阴性的标本中检测结核分枝杆菌的敏感度分别为97．4％和47．5％，在痰涂片阳性与阴性的标本中检测结核分枝杆菌的特异度均为100．0％。以液体药物敏感试验结果为金标准，Xpert M TB／RIF 检测痰标本利福平耐药的敏感度和特异度分别为92．9％和98．8％。结论 Xpert M TB／RIF 能够快速、准确地检测结核分枝杆菌及其利福平耐药性，且敏感度较高，具有很好的应用价值。展开更多
文摘Background: A new rapid Immunochromatographic test (ICT) kit (MPT64 TB Ag Kit) for detection of MPT64 Antigen in M. tuberculosis (MTB) isolates used for rapid identification of MTB isolates developed by SD (Standard Diagnostics) Bio line, South Korea was evaluated. The ICT is a rapid, reliable and cheaper method that can be used instead of conventional biochemical tests for confirming MTB in culture isolates in resource limited laboratories. The study also evaluated the ability of ICT to detect MPT64-Antigen before the micro MGIT could signal positive. Material/Methods: A total of 450 sputum samples of individual patients were used for the study. 152 isolates of Mycobacteria were recovered from solid and liquid media. These strains were tested for the detection of MPT64-antigen. H37Rv strain was served as the positive reference control and also used for early detection of Antigen experiment. Findings: The development of bands on both test and sample region when H37Rv strain was tested were seen (MPT64 antigen positive). When 138 MTB isolates were tested, it showed a similar banding pattern indicating 100% sensitivity. MPT64 band formation was not detected in any of the 14 isolates indicating 100% specificity. Both PPV & NPV were 100%. All the isolates negative for MPT64 Ag were confirmed as MOTT by conventional bio-chemical PNBA. The H37Rv strain showed a faint band from the 2nd day onwards from inoculation till 3rd day in the earlier Antigen detection experiment. Conclusion: Rapid identification of MTB culture isolate is a pressing need for diagnosis and proceeding to perform drug susceptibility testing. MPT64 TB Ag detection ICT kit is a rapid, reliable method, good substitute for molecular identification methods, and conventional biochemical test which is time-consuming and technically demanding. The early detection of Antigen can be used as an effective tool in diagnosis.
文摘目的牛分枝杆菌抗原MPB70、MPB83、CFP-10和ESAT-6的融合表达及相关特性分析。方法应用PCR方法从牛分枝杆菌临床分离株基因组中扩增获得mpb70、mpb83、cfp-10和esat-6四个目的基因片段。采用重叠延伸剪接技术(splicing by overlapextension,SOE)获得融合基因cfp10-esat6和mpb83-cfp10-esat6,将mpb70和mpb83-cfp10-esat6串连于载体pUC19-Linker上,再将mpb70-mpb83-cfp10-esat6连于表达载体pET28a(+)中得到重组质粒pET70-83-C10-E6。转化BL21(DE3)感受态细胞后,经IPTG诱导获得以可溶形式表达的融合蛋白。用Ni2+亲合层析法纯化该融合蛋白。结果经ELISA验证该融合蛋白能分别与抗原蛋白MPB70、MPB83和CE(cfp10-esat6)的多抗反应,说明该融合蛋白具有四个抗原蛋白的免疫学活性。Westernblot分析显示:该融合蛋白能与抗牛分枝杆菌阳性血清发生特异性反应,而与牛其它疾病的阳性血清不反应。热稳定性试验证明该融合蛋白属于热稳定性蛋白。结论融合表达了牛分枝杆菌的四种特异性抗原蛋白,该蛋白具有单个蛋白的免疫原性和稳定性,作为一种新型的诊断抗原具有良好的应用前景。
文摘目的：评估利福平耐药结核分枝杆菌实时荧光定量核酸扩增检测技术（Xpert M TB／RIF）在温州地区诊断肺结核及利福平耐药的临床应用价值。方法纳入可疑肺结核、临床诊断肺结核和可疑耐药肺结核患者214例，采集痰标本同时送检抗酸染色涂片、液体培养和 Xpert M TB／RIF 检测。以临床最终诊断结果为金标准，比较三种方法检测结核分枝杆菌的敏感度、特异度。以液体药物敏感试验结果为金标准，Xpert M TB／RIF 检测利福平耐药的敏感度和特异度。率的比较采取卡方检验。结果以临床最终诊断结果作为金标准，Xpert M TB／RIF 检测结核分枝杆菌的敏感度高于抗酸染色涂片（69．5％比44．1％，χ^2＝23．31，P ＜0．01），而与液体培养比较敏感度差异无统计学意义（69．5％比62．1％，χ^2＝2．15，P＞0．05）；Xpert M TB／RIF 在痰涂片阳性与阴性的标本中检测结核分枝杆菌的敏感度分别为97．4％和47．5％，在痰涂片阳性与阴性的标本中检测结核分枝杆菌的特异度均为100．0％。以液体药物敏感试验结果为金标准，Xpert M TB／RIF 检测痰标本利福平耐药的敏感度和特异度分别为92．9％和98．8％。结论 Xpert M TB／RIF 能够快速、准确地检测结核分枝杆菌及其利福平耐药性，且敏感度较高，具有很好的应用价值。
