基于γ-干扰素释放试验的麻风分枝杆菌感染筛查诊断  

Screening and diagnosis of Mycobacterial leprae infection based on interferon-gamma release assay

作　　者：李艳艳 王川 孙乐乐[1,2] 潘晴 王娜[1,2] 周桂芝 刘红[1,2] 张福仁 LI Yanyan;WANG Chuan;SUN Lele;PAN Qing;WANG Na;ZHOU Guizhi;LIU Hong;ZHANG Furen(Hospital for Skin Diseases,Shandong First Medical University,Jinan 250022,China;Shandong Provincial Institute of Dermatology and Venereology,Shandong Academy of Medical Sciences,Jinan 250022,China)

机构地区：[1]山东第一医科大学附属皮肤病医院,山东济南250022 [2]山东省皮肤病性病防治研究所,山东济南250022

出　　处：《中国麻风皮肤病杂志》2024年第2期85-88,共4页China Journal of Leprosy and Skin Diseases

基　　金：山东省皮肤性病学临床医学研究中心,山东省医药卫生科技发展计划项目(编号:202004120262)。

摘　　要：目的:探讨γ-干扰素释放试验(IGRA)在麻风分枝杆菌感染诊断中的应用价值。方法:在麻风患者、健康人群的PBMCs中进行IGRA检测。麻风患者进一步按多菌型(MB)和少菌型(PB)展开研究,使用I-SPOT-TB试剂盒(酶联免疫斑点法)检测释放IFN-γ的效应T细胞频数。比较分析MB和PB患者IGRA检测的阳性率,结合qPCR结果对PB患者进行讨论分析。结果:以患者的病理诊断为确诊依据,纳入29例麻风患者,20名健康人群作为对照。用rESAT6-CFP10刺激后,MB和PB患者IFN-γ的激活程度和IGRA阳性率均无统计学差异。37.5%的PB患者qPCR阴性,IGRA阳性;12.5%的PB患者IGRA阴性,qPCR阳性;IGRA阳性或qPCR阳性的PB患者达75%。结论:IGRA阳性提示分枝杆菌感染的可能,IGRA联合qPCR可作为早期筛查麻风的辅助检测方法。Objective:To investigate the value of interferon-γrelease assay(IGRA)in the diagnosis of Mycobacterium leprae infection.Methods:IGRA was detected in PBMCs of leprosy patients and healthy people.The frequency of IFN-γreleasing effector T cells was detected by I-SPOT-TB kit(enzyme-linked immunospot assay)in the multibacillary(MB)and paucibacillary(PB)leprosy patients.Comparative analysis of IGRA test positive rate between MB and PB patients,and the IGRA test combined with qPCR was discussed and analyzed in PB patients.Results:Based on the pathological diagnosis of patients,29 leprosy patients and 20 healthy people were enrolled as controls.There was no significant difference of IFN-γactivation and IGRA positivity rate between MB and PB patients.37.5%of PB patients were qPCR negative but IGRA positive.12.5%of PB patients were IGRA negative but qPCR positive.The percentage of IGRA positive or qPCR positive PB patients was 75%.Conclusion:Positive result of IGRA suggests the possibility of Mycobacterium leprae infection.IGRA combined with qPCR may be an auxiliary detection method for early screening of leprosy.

关 键 词：Γ-干扰素释放试验 麻风分枝杆菌感染 

分 类 号：R755[医药卫生—皮肤病学与性病学]