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新型血清标志物可用于检测近期的间日疟原虫感染
2020-05-13 12:17

澳大利亚墨尔本大学Ivo Mueller研究组发现新型血清标志物可用于检测近期的间日疟原虫感染。这一研究成果发表在2020年5月11日的《自然—医学》上。

消灭间日疟原虫的主要难点是鉴定携带临床上沉默且无法检测到的肝期寄生虫(称为次生动物)个体。研究人员开发了一组血清学暴露标记物,能够对最近患有间日疟原虫感染的人进行分类,这些人极有可能潜伏疟原虫休眠体。研究人员在泰国和巴西进行的纵向临床队列中测量了对342种间日疟原虫蛋白的IgG抗体反应,并确定了暴露的候选血清学标志物。
 
研究人员使用在泰国、巴西和所罗门群岛进行的为期一年的观察性队列中的样本对候选标记进行了验证,并且在过去9个月中针对分类为间日疟原虫感染的8种疟原虫蛋白的抗体反应具有80%的敏感性和特异性。
 
数学模型表明,血清学检测和治疗策略可将间日疟原虫患病率降低59–69%。这八种抗体反应可以用作生物标志物,从而确定可以使用抗休眠体疗法的患者。
 
附:英文原文

Title: Development and validation of serological markers for detecting recent Plasmodium vivax infection

Author: Rhea J. Longley, Michael T. White, Eizo Takashima, Jessica Brewster, Masayuki Morita, Matthias Harbers, Thomas Obadia, Leanne J. Robinson, Fumie Matsuura, Zoe S. J. Liu, Connie S. N. Li-Wai-Suen, Wai-Hong Tham, Julie Healer, Christele Huon, Chetan E. Chitnis, Wang Nguitragool, Wuelton Monteiro, Carla Proietti, Denise L. Doolan, Andre M. Siqueira, Xavier C. Ding, Iveth J. Gonzalez, James Kazura, Marcus Lacerda, Jetsumon Sattabongkot, Takafumi Tsuboi, Ivo Mueller

Issue&Volume: 2020-05-11

Abstract: A major gap in the Plasmodium vivax elimination toolkit is the identification of individuals carrying clinically silent and undetectable liver-stage parasites, called hypnozoites. This study developed a panel of serological exposure markers capable of classifying individuals with recent P. vivax infections who have a high likelihood of harboring hypnozoites. We measured IgG antibody responses to 342 P. vivax proteins in longitudinal clinical cohorts conducted in Thailand and Brazil and identified candidate serological markers of exposure. Candidate markers were validated using samples from year-long observational cohorts conducted in Thailand, Brazil and the Solomon Islands and antibody responses to eight P. vivax proteins classified P. vivax infections in the previous 9 months with 80% sensitivity and specificity. Mathematical models demonstrate that a serological testing and treatment strategy could reduce P. vivax prevalence by 59–69%. These eight antibody responses can serve as a biomarker, identifying individuals who should be targeted with anti-hypnozoite therapy.

DOI: 10.1038/s41591-020-0841-4

Source: https://www.nature.com/articles/s41591-020-0841-4

Nature Medicine:《自然—医学》,创刊于1995年。隶属于施普林格·自然出版集团,最新IF:87.241
官方网址:https://www.nature.com/nm/
投稿链接:https://mts-nmed.nature.com/cgi-bin/main.plex


本期文章:《自然—医学》:Online/在线发表

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