不同人群抗SARS冠状病毒特异性抗体血清学检测与分析

Serologic determination and analysis of anti-SARS specific antibodies in different populations

  • 摘要: 目的: 探索不同人群中抗SARS冠状病毒特异性抗体的发生、发展及分布规律;评价间接ELISA方法检测SARS冠状病毒IgG、IgM特异性抗体试剂盒及改进方法。方法:分别获取SARS流行前无偿献血者标本3 990份,一线抗SARS医务人员标本397份和临床确诊的SARS患者标本157份,采用ELISA方法进行SARS冠状病毒特异性抗体检测。结果:SARS流行前无偿献血者标本3990份共检出IgG抗体阳性标本16份,阳性率为0.40%;IgM抗体阳性标本0份,阳性率为0%。一线抗SARS医务人员标本397份,共检出IgG抗体阳性标本2份,阳性率为0.50%;IgM抗体均为阴性。临床确诊的SARS患者标本157份,共检出IgG抗体阳性标本119份,阳性率为75.79%;IgM阳性标本68份,阳性率为43.31%。结论: 一线抗SARS医务人员与SARS流行前无偿献血者IgG、IgM抗体阳性率无显著差异(P=0.76>0.05);采用该SARS冠状病毒(变异株)IgG抗体试剂盒检测SARS流行前无偿献血者人群存在一定的阳性率,说明该试剂盒包被的抗原与其它免疫球蛋白(IgG)有交叉反应,有待进一步改进。

     

    Abstract: Objectives:To explore the generation,development and distribution of ant-i SARS (severe acute respiratory syndrome) specific antibodies in different populations;To search the improvement on the reagent kits.Methods:Serum collected from 3990volunteer blood donors before the outbreak of SARS were assayed.Meanwhile,397health care workers from SARS wards and 157cases of SARS patients were parallelly assayed by ELISA methods.Results:Ant-i SARS specific IgG antibody was found in 16 donors among 3990 volunteer blood donors.The positive rate was 0.40%.No specimen was positive with IgM antibody.Of 397health care workers,2 person had IgG antibody,and the positive rate was 0.5%.No IgM antibody was determinated in 397 health care workers.In 157 SARS cases,IgG antibody was found in 119patients.The positive rate became 75.79%.However,IgM antibody was found only in 68 SARS patients.The positive rate was 43.31%.Conclusion:The difference of IgG and IgM antibody positive rate were not significant between volunteer blood donors and health care workers from SARS wards(P=0.76>0.05).Certain positive rate exist when this kind of reagent kits were used to determinate IgG antibody ,which showed that the antigen coated on the micro-plate cross reacted with other kind of IgG antibody.It seems that the reagent kits need some improvement.

     

/

返回文章
返回