中国寄生虫学与寄生虫病杂志 ›› 1996, Vol. 14 ›› Issue (1): 5-10.

• 论著 • 上一篇    下一篇

日本血吸虫感染中循环抗原动态变化及其机制研究

娄文娴; 张恩英; 俞安洲; 许东红; 杨士静; 沈大康; 朱旭明; 薛纯良   

  1.  上海第二医科大学寄生虫学教研室
  • 出版日期:1996-02-28 发布日期:2017-01-02

STUDIES ON THE DYNAMIC CHANGES OF CIRCULATING ANTIGEN IN SCHISTOSOMA JAPONICUM INFECTION AND ITS MECHANISM

Lou Wenxian; Zhang Enying; Yu Anzhou; Xu Donghong Yang Shijing; Shen Dakang; Zhu Xuming; Xue Chunliang   

  1. Department of Parasitology, Shanghai Second Medical University, Shanghai 200025
  • Online:1996-02-28 Published:2017-01-02

摘要: 目的:探讨日本血吸虫感染中循环抗原动态变化及其机制。方法:感染日本血吸虫的BALB/c小鼠淋巴结B细胞和小鼠骨髓瘤细胞(SP2/0株)融合,制备抗血吸虫循环抗原不同表位的单克隆抗体组合后为探针,检测日本血吸虫病患者和正常人血清;晚期血吸虫病患者脾血和外周血;感染日本血吸虫兔和小鼠的门脉血和外周血。结果:获得9种抗日本血吸虫单克隆抗体,将其中抗不同抗原表位的单抗优化组合后使用,检测抗原的敏感性可提高4-8倍。用组合单抗建立的夹心ELISA和dot-ELISA检测慢性血吸虫病的敏感性分别为74%和84.2%,特异性分别为96.1%和95.7%。通过小鼠和家兔门脉血和外周血以及人的脾血和外周血循环抗原的比较研究表明,门脉血中的抗原水平明显高于外周血。结论:用组合单抗较用一种单抗提高检出率。dot-ELISA检测的不仅是循环抗原,同时还检测到免疫复合物,因此影响疗效考核。

关键词: 日本血吸虫, 单克隆抗体, 循环抗原

Abstract: AIM: To observe the dynamic changes of circulating antigen in Schistosoma japonicum infection and its mechenism. METHOD: After fusion of B lymphocytes from mice infected with S.japonicum and mouse myeloma cell(SP2/0 strain), McAbs against different schistosomal antigenic epitopes were combined as probes to detect sera from schistosomiasis cases, splenic blood and peripheral blood of advanced schistosomiasis cases, portal vein blood and peripheral blood of rabbits and mice infected with S.japonicum. RESULTS: Nine monoclonal antibodies against schistosome antigen were detected by IFA. When these McAbs against different antigenic epitopes were used, in combination the sensitivity of antigen detection could be raised by 4- 8 times. established on the basis of compounded McAbs. When sandwich ELISA and dot-ELISA were used for detection of chronic schistosomiasis, the sensitivity was 74% and 84.2%, the specificity was 96.1% and 95.7%, respectively. The circulating antigen level were significantly higher in portal vein blood and splenic blood than in peripheral blood. CONCLUSION: McAbs against different schistosomal antigens used in combination in sandwich ELIAS could enhance the sensitivity of antigen detection. Not only circulating antigen but also immune complex of schistosomes were detected by dot-ELISA, so it might interfere with judgement of curative effect.

Key words: Schistosoma japonicum, monoclonal antibody, circulating antigen