用抗弓形虫单克隆抗体检测孕妇血清中弓形虫循环抗原  

Use of McAb Dot-ELISA to Detect Circulating Antigen of Toxoplasma Gondii in Serum of Pregnant Woman

作　　者：万明明[1,2,3,4] 李裕[1,2,3,4] 陈艳 王宝麟[1,2,3,4] 陈景端[1,2,3,4] 郭莉萍[1,2,3,4] 韦玮 毛克强[1,2,3,4] 

机构地区：[1]贵阳医学院寄生虫学教研室 [2]贵阳医学院附院妇产科 [3]贵州省人民医院妇产科 [4]贵阳市妇产医院

出　　处：《贵阳医学院学报》1998年第4期314-316,共3页Journal of Guiyang Medical College

基　　金：贵州省科学技术基金

摘　　要：用抗弓形虫单克隆抗体Ｄｏｔ－ＥＬＩＳＡ检测３５０例孕妇和１８例娩出畸形儿的产妇血清中的弓形虫循环抗原（ＣＡｇ），同时用Ｄｏｔ－ＥＬＩＳＡ检测这批血清中的弓形虫抗体ＩｇＧ。３５０例孕妇血清中弓形虫ＣＡｇ阳性３例，阳性率为０８６％。弓形虫ＩｇＧ阳性１８例，阳性率为５１４％。３３２份弓形虫ＩｇＧ阴性血清ＣＡｇ均为阴性。１８例ＩｇＧ阳性血清中３例ＣＡｇ阳性，抗体滴度分别为１∶４０，１∶４０，１∶１６０，提示孕妇有早期活动性感染；还提示检测弓形虫ＩｇＧ阳性抗体滴度不高时应作ＣＡｇ检测，不可轻易作为既往感染以免漏诊了孕妇早期感染致使胎儿感染弓形虫。１８例产妇血清中有２例血清ＣＡｇ和ＩｇＧ均为阳性，并分别从畸胎组织和脐血和羊水中分离出弓形虫。５例疟疾病人血清均无交叉反应。实验结果显示抗弓形虫单克隆抗体Ｄｏｔ－ＥＬＩＳＡ检测弓形虫ＣＡｇ敏感性高、特异性强、方法简易、快速，是弓形虫病早期临床诊断的较理想方法。The circulting antigen(CAg) of T. gondii(T.g) was detected in sera of 350 pregnant women and 18 lying in women who delevering deformed fetus. T. gondii monoclonal antibody (T.gMcAb) Dot ELISA was used to detect the CAg. Serum IgG was detected by Dot ELISA simultaneously. 3 of 350 pregnant sera were T.gGAg positive (0.86%),while 18 of 350 pregnant sera were T.gIgG positive (5.14%).In all of the 332 IgG negtive sera the CAg was negtive too. 3 of 18 IgG positive sera were CAg positive, the titer of IgG wese 1∶40,1∶40 and 1∶160 respectively. It indicated that the pregnant woman was in early active infection. It also showed that the CAg must be detected when the titer of IgG was low, in order to make a definite diagnosis of early infection. Because the early infection of pregnant woman may often cause fatal infection. The CAg and IgG were both positive of 2 in 18 lying in women's sera and the T.g were isolated from the deformed fetus. There was no oross reaction with 5 sera of malaria. The results showed that the T.gMcAb Dot ELISA is provided high sensitivity and sepcificity as well as the technic is simple to operate, it is an ideal method for early clinic diagnosis of toxoplasmosis.

关 键 词：抗原 弓形体病 单克隆抗体 孕妇 

分 类 号：R714.251[医药卫生—妇产科学] R531.804[医药卫生—临床医学]