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禽流感H5亚型、结核分支杆菌及弓形虫感染金标快速检测技术研究
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摘要
目前,由各种病原微生物引起的感染性疾病仍然是危害人类健康、导致人类和动物死亡的重要原因。其中禽流感、结核等病原体引起的感染性疾病呈爆发流行,引发重大的社会和经济问题。弓形虫病等人兽共患病在严重威胁畜牧业发展的同时,也可引起人口出生健康等问题。研究病原微生物的新型检测技术及试剂盒产品,对感染性疾病的防控具有重要意义。本论文采用单克隆抗体技术、基因工程技术、胶体金标记及免疫层析技术,建立了禽流感H5亚型病毒(AIV-H5)、结核及弓形虫感染金标快速检测技术并研制了试剂盒。
     用AIV-H5抗原免疫BALB/c小鼠,取小鼠脾脏与SP2/0骨髓瘤细胞融合,筛选AIV-H5单克隆抗体(McAb),测定抗体亚类并分析其抗原结合位点。结果共获得5株单克隆抗体,均具有良好的型特异性。除了一株抗体亚类为IgM外,其余4株均为IgG,腹水抗体效价最高可达1:2.56×10~5,其中三株单抗具有不同的抗原结合位点,适合“双抗体夹心”免疫反应。用一株胶体金标记的AIV-H5 McAb和另一株未标记AIV-H5 McAb包被硝酸纤维素膜,制备金标检测试剂盒。结果与AIV-H5抗原反应较好,与AIV其它亚型及NDV,IBV,EDSV等禽类病毒不发生交叉反应。检测灵敏度可达到1:2~2血凝( HA)效价单位,比琼脂扩散试验高10倍,但比荧光免疫组化法低10倍。检测试剂盒的符合率、重复性均达到100%,紧密型性CV值为0,37℃12d破坏实验表明试剂盒质量稳定。除心脏检测为阴性外,试剂盒对人工感染鸡的肝、脾、肺等脏器的检测结果与鸡胚病毒分离培养100%符合。田间试验结果与荧光RT-PCR试剂盒符合率为100%。
     根据结核分枝杆菌TB16和TB38基因序列设计引物,以结核分枝杆菌(H37Rv)基因组DNA为模板进行PCR扩增,分别克隆TB16和TB38基因片段。用限制性内切酶酶切后分别与pET-30a质粒连接再转入E. coli DH5α感受态细胞,挑取转化菌落提取质粒进行PCR、酶切及测序鉴定。将构建的重组表达质粒pET30a-TB16和pET30a-TB38转化E. coli BL21(DE3),诱导表达后用SDS-PAGE进行分析。结果PCR扩增分别获得约0.4 kb的TB16基因片段和约1.1 kb的TB38基因片段。成功构建了pET30a-TB16和pET30a-TB38重组表达质粒,测序结果表明插入的TB16和TB38目的基因片段分别为435 bp和1053 bp,与GenBank中的相关基因序列完全相同。pET30a-TB16转化菌经IPTG诱导后,在相对分子量21 kDa处有表达带出现,重组蛋白主要以可溶性形式表达,表达量占菌体总蛋白的40%左右。pET30a-TB38转化菌经IPTG诱导后,在相对分子量41 kD处有表达带出现,重组蛋白主要以包涵体形式表达,表达量占菌体总蛋白的30%左右。应用TB16和TB38重组蛋白作检测抗原包被硝酸纤维素膜,研制了结核抗体金标阵列检测试剂盒。结果对结核抗体阴阳性质控品检测符合率均达到100%,紧密性CV值为0,37℃12d破坏实验表明试剂盒质量稳定。检测活动性肺结核病人血清抗体的灵敏度为78.3%,特异性为93%,其敏感性明显高于抗酸染色(27.96%)和细菌培养(57.99%),差异极显著(P﹤0.01),比单用TB38重组蛋白为检测抗原的结核抗体金标检测卡(72.2%)高6.1%。检测抗酸染色阴性病例,结核抗体阳性率达到77.66%,检出率接近阳性病例(82.32%)。检测结核分枝杆菌培养阴性病例,结核抗体阳性率亦可达到65.5%,但检出率不如阳性病例(85.82%)。
     应用弓形虫分泌抗原制备了“双抗原夹心”弓形虫抗体金标检测卡。结果对弓形虫抗体阴阳性质控品检测符合率均达到100%,紧密性CV值为3%,37℃12d破坏试验和常温保存18个月,检测卡质量保持不变。对852份健康体检人血清、547份孕、产妇血清以及1206份各种肿瘤病人血清样品检测的阳性率分别为2.87%,4.38%和6.72%,与ELISA符合率达96%。弓形虫在肿瘤患者中的感染情况显示,肿瘤患者弓形虫阳性率高于正常体检人群2.38倍(肿瘤患者6.72%,正常体检人2.82%),两者相比差异显著(P<0.01)。不同临床类型恶性肿瘤患者弓形虫感染率不同,以肾癌患者最高(22.50%),其次为肺癌(15.04%)、皮肤癌(12.05%)和乳腺癌(9.03%)患者,高于正常人的感染率(2.82%)3-8倍,差异极显著(P<0.01);消化道癌患者感染率(5.56%)与正常人相比差异显著(P<0.05);子宫癌(3.70%)和其他恶性肿瘤(3.68%)感染率略高于正常人,但无显著性差异(P﹥0.05),而血液淋巴系统恶性肿瘤(2.27%)、肝癌(1.79%)和甲状腺癌(0)感染率低于正常人。不同临床类型肿瘤患者之间弓形虫感染率差异较大,最高感染者肾癌是其他恶性肿瘤患者平均感染率(6.72%)的3.3倍,两者之间有极显著差异性(P<0.01)。
     本研究研制的AIV-H5金标检测试剂盒、结核抗体金标阵列检测试剂盒及弓形虫抗体金标检测卡特异性强、敏感性高,可适用于H5亚型禽流感、结核病及弓形虫病的检测、监控和临床诊断,是具有广泛应用价值的快速检测试剂。
At present, the infectious diseases caused by a variety of pathogenic microorganisms continue to be hazardous to human health and lead to death of humans and animals. Outbreaks of avian influenza, tuberculosis and other infectious diseases have triggered major social and economic problems. Toxoplasma gondii infection and other zoonotic diseases have been a serious threat to the development of animal breeding and cause human health problems at birth. The development of new detection techniques and kits is important for infectious disease prevention and treatment. In this paper, rapid detection techniques and kits for the avian influenza virus H5 subtype (AIV-H5), Mycobacterium tuberculosis and Toxoplasma gondii infection were developed based on the monoclonal antibody technique, genetic engineering technique and colloidal gold labeling immunochromatography technique.
     BALB/c mice were immunized with purified AIV-H5 antigen and spleen cells were fused to myeloma cells SP2/0. The AIV-H5 monoclonal antibodies were screened and the Ig subclass and their antigen binding sites were analysed. Five AIV-H5 monoclonal antibodies with good specificity and stability were obtained. Except for one McAb which belongs to IgM subclass, the other four are IgG subclass with the highest ascites antibody titer of 1:2.56×105. Three of them have different antigen binding sites and are suitable for“double-antibody sandwich”immunoassay. AIV-H5 lateral flow assay was developed by colloidal gold labeling AIV-H5 McAb and AIV-H5McAb coated on nitrocellulose membrane. Except for AIV-H5 antigen, the developed lateral flow assay did not have cross reaction with the other AIV subtypes, NDV, IBV, EDSV or other avian viruses. The sensitivity reached 1: 22 HA (hemocyte agglutination) which was 10 times higher than that of agar diffusion test but 10 times lower than the fluorescence immunohistochemistry assay. The coincidence rate and reproducibility of the assay is 100% with precision coefficient of variation of zero (CV=0). The kit quality was stable after store at 37℃for 12 days. Except for the negative result from the heart, AIV-H5 was detected in the liver, spleen, lung and other organs of chicken artificially infected with AIV-H5 by this assay, which is 100% coincident to chicken embryo virus isolation assay. In field test the coincidence rate of the assay and fluorescent RT-PCR kit was 100%.
     The primers derived from TB16 and TB38 genes were used to amplify the target gene fragments from Mycobacterium tuberculosis H37Rv genomic DNA. After digested with restriction enzymes, the amplified TB16 and TB38 gene fragments were ligated to pET30a and transformed to E. coli DH5αcell. The transformants were identified by PCR, enzyme digestion and sequencing. The 0.4 kb fragment of TB16 and 1.1 kb fragment of TB38 were amplified. The pET30a-TB16 and pET30a-TB38 recombinant expression plasmids were successfully constructed and sequencing results indicated the 435 bp insert of TB16 and 1053 bp insert of TB38 were identical to the corresponding sequences in GenBank. The recombinant plasmid pET30a-TB16 and pET30a-TB38 were then transformed to E. coli BL21 (DE3), induced for expression and analysed with SDS-PAGE. After induction by IPTG, pET30a-TB16 transformant had an expression band at 21 kDa which reached 40% of bacterial total protein as soluble form. After induction by IPTG, pET30a-TB38 transformant had an expression band at 41 kDa which reached 30% of bacterial total protein as inclusion body form. Tuberculosis antibody colloidal gold labeling array assay was developed by colloidal gold labeling human IgG McAb with TB16 and TB38 recombinant antigens coated on nitrocellulose membrane. The detection coincidence rate and reproducibility of the assay is 100% with precision coefficient of variation of of zero (CV=0). The kit quality was stable after store at 37℃for 12 days. The sensitivity for detection active TB antibody was 78.3%, which was higher than acid-fast stain (27.96%) and Bacteria culture (57.99%) with very significant difference (P<0.01). The sensitivity was 6.1% higher than that of TB antibody lateral flow assay based on only TB38 recombinant antigen. TB antibody positive rate of the array assay was 77.66% in acid-fast stain negative patients and the detection rate was similar to positive patients (82.32%). TB antibody positive rate of the array assay was 65.50% in Bacteria culture negative patients but the detection rate was lower than positive patients (85.82%).
     Double-antigen sandwich T. gondii antibody colloidal gold labeling lateral flow assay was developed with T. gondii excretory and secretory antigen. The detection coincidence rate of the assay is 100% to T. gondii positive and negative control serum with the precision coefficient of variation of 0.3% (CV=0.3%). The kit quality was stable after storage at 37℃for 12 days or at room temperature for 18 months. The T. gondii antibody positive rate was 2.87%, 4.38% and 6.72% respectively in 852 normal physical examination serum samples, 547 pregnant or lying-in woman serum samples and 1206 tumor patients, which was 96% identical to that of ELISA. T. gondii infection in tumor patients indicated that T. gondii antibody positive rate in tumor patients (6.72%) was 2.38 times higher than that in normal medical population (2.82%) with very significant difference (P<0.01). There were some differences of T. gondii infection rates in different clinical forms tumor patients. T. gondii infection rate in the renal cell carcinoma patients was the highest (22.50%), followed by lung cancer (15.04%), skin cancer (12.05%) and breast cancer (9.03%) patients, which was 3 to 8 times higher than those in normal human serum (2.82%) with very significant difference (P<0.01). T. gondii infection rate in digestive tract cancer patients was 5.56% with significant difference to normal serum (P<0.05). T. gondii infection rate in uterine cancer patients was 3.70% and 3.68% in other malignant tumor patiens which was slightly higher than normal serum with no significant difference (P>0.05). While the T. gondii infection rate in blood lymphoid malignancies (2.27%), liver (1.79%) and thyroid cancer (0) was lower than those in normal serum. T. gondii infection rates were different among different clinical forms of tumor patients, the infection in renal cell carcinoma was 3.3 times higher than the average infection rate in other malignant tumors (6.72%) with very significant differences (P <0.01) .
     The developed AIV-H5 gold labeling detection kit, TB antibody gold labeling array assay kit and T. gondii antibody gold labeling lateral flow assay kit showed high specificity and sensitivity and could be used to rapidly detect these diseases.
引文
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