摘要
应用日本血吸虫抗31/32kD(1D=0.9921u)单克隆抗体双夹心酶联免疫吸附试验(双夹心ELISA)检测血吸虫循环抗原,用于城市急性血吸虫病经吡喹酮治疗5年后无再次感染患者的疗效考核,阳性率为12.20%。与快速法ELISA检测循环抗原的符合率为96.34%。与常用检测抗体的IHA、ELISA法平行对照,阳性率基本一致。与改进的粪便孵化法比较,两法的符合率为85.36%。无疫水接触史健康人未见阳性反应。对肝病患者无交叉反应。结果显示双夹心ELISA法检测循环抗原敏感性高,特异性强,具有良好的抗血吸虫药物疗效考核价值。
Using against 31/32 kD(1D=0.9921u)McAb Sandwich-ELISA for detecting schistosoma japonicum circulatint antigens(Cag)the therapeutic effect of antischistosomal agents was assessed. In the reinfected patients treated by praziquantel for 5 years the positive rate was 12.20%.As compared with Fast-ELISA for rapid detecting of Cag,the coincidental rate was 96.34%.This method was also compared with IHA and ELISA for detecting circulating antibodies(Cab)and the positive rate was nearly identical.Compared with improved fecal hatching miracidium method,the coincidental rate was 85.36%,Using this method for detecting healthy individuals without exposure to infected water,no positive reaction was found.And no cross reaction was found in hepatitis cases.The results of this Sandwich-ELISA showed high sensitivity and specificity,and is valuahle in evaluation of therapeutic effect of antischistosomal agents.
出处
《同济医科大学学报》
CSCD
北大核心
1995年第4期282-284,共3页
Acta Universitatis Medicinae Tongji
关键词
血吸虫病
ELISA
单克隆抗体
循环抗原
antibody
monoclonal
enzyme-linked immunosorbent assay
circulating antigen
schistosomiasis
japonicum
assessing theraputic effect