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为证实用日本血吸虫单克隆抗独特型抗体NP30制备的抗体检测试剂盒考核治疗效果的价值,采用双“抗原”夹心酶联免疫吸附试验,用NP30替代抗原,检测血吸虫病抗体。结果:该试剂盒对急性感染者的检出率为100%,慢性轻度感染者的检出率为61%,特异性为100%。急性感染和慢性感染的Youden指数(r)分别为1.0和0.61,慢性感染者与经典抗体检测法SEA/ELISA(0.60)的r无差别。用此试剂盒检测血吸虫病治疗后1a的血清,阴转率达100%,明显优于经典抗体检测法(43.6%)。结论:NP30检测的抗血吸虫抗体属短程抗体,该试剂盒具有与循环抗原检测相同的考核疗效价值。
In order to verify the value of using the antibody detection kit prepared by the monoclonal anti-idiotypic antibody NP30 of Schistosoma japonicum to evaluate the therapeutic effect, double-antigen sandwich enzyme-linked immunosorbent assay was used to replace the antigen with NP30 to detect schistosomiasis antibodies. Results: The detection rate of the kit for acute infection was 100%. The detection rate of chronic mild infection was 61% and the specificity was 100%. The Youden index (r) for acute and chronic infections was 1.0 and 0.61, respectively, and no difference was found between chronic infection and r of the classical antibody test SEA / ELISA (0.60). Using this kit to detect serum 1a after schistosomiasis treatment, the negative conversion rate was 100%, which was significantly better than that of the classical antibody detection method (43.6%). CONCLUSIONS: The anti-schistosome antibodies detected by NP30 are short-range antibodies that have the same therapeutic value as circulating antigen assays.