Abstract
貌盼勇,朱雷,王佑春,侯俊,胡燕,沈宏辉,辛绍杰,李保森,毛远丽,庄辉.SARS-CoV特异性抗体产生规律的初步研究[J].Chinese journal of Epidemiology,2004,25(10):856-858
SARS-CoV特异性抗体产生规律的初步研究
Study on the response of specific antibodies against SARS-CoV in patients infected with SARS
Received:November 05, 2003  
DOI:
KeyWord: 严重急性呼吸综合征|病毒|特异性抗体
English Key Word: Severe acute respiratory syndrome|Virus|Specific antibody
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Author NameAffiliationE-mail
MAO Pan-yong Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
ZHU Lei Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
WANG You-chun 中国药品生物制品检定所细胞室  
HOU Jun Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
HU Yan Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
SHEN Hong-hui Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
XIN Shao-jie Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
LI Bao-sen Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
MAO Yuan-li Institute of Infectious Diseases, Hospital 302 of the Chinese People's Liberation Army, Beijing 100039, China  
ZHUANG Hui 北京大学医学部病原微生物学系 zhuang.hui@hotmail.com 
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Abstract:
      目的 研究严重急性呼吸综合征(SARS)患者感染后体内病毒特异性抗体产生规律。方法 收集临床确诊为SARS患者的血清和非SARS人群血清标本,用IgM捕获法、间接法和抗原夹心法三种不同方法检测抗SARS病毒特异性IgM、IgG和总抗体。结果 检测146份临床诊断为SARS的患者不同发病时间血清标本,三种抗体阳性率分别为61.64%、53.43%和69.86%;SARS病毒特异性IgM、IgG抗体的最早检出时间分别在发病第7天和第12天,特异性IgM抗体最短在发病后42天消失。三种方法检测70份甲型肝炎患者血清时,均有2份非特异阳性反应,检测127份其他病种血清均阴性,1例密切接触SARS患者的医务人员SARS特异性IgG抗体和总抗体均阳性,三种检测方法均不受类风湿因子影响。结论 与其他病毒感染相比,SARS病毒感染者的特异性IgM抗体检出时间较晚,且持续时间较短;三种检测方法均有较好的特异性和敏感性,可用于SARS的流行病学调查和临床诊断的确认和补充,但不适用于SARS的早期诊断。
English Abstract:
      Objective To study the response of specific antibodies against severe acute respiratory syndrome( SARS)一CoV in patients infected with SARS. Methods IgM-capture, indirect and antigen- sandwiched enzyme linked immunosorbent assay (ELISA) were used to detect the SARSCoV specific IgM, IgG and total antibodies in sera of clinical SARS patients or non-SARS individuals. Results The positive rates of IgM, IgG and total antibodies to SARS-CoV in 146 sera of SARS patients collected in different phases of the disease were 61.64 % . 53 . 43 % and 69 . 86,respectively. The earliest detectable days after onset of the disease for IgM and IgG to SRAS-CoV were 7 and 12 days, respectively. The specific IgM disappeared as early as 42 days after the onset of SARS. Of 70 sera from hepatitis A patients. 2 showed false positive Results, while 127 sera from other patients were all negative, detected by the 3 Methods. Serum from one medical worker who had been close contact to SARS patients was positive for anti-SARS (:uV IgG and total antibodies. These 3 Methods used for detection were all not influenced by rheumatoid factor(RF).Conclusion All of the three Methods were specific and sensitive for the detection of specific antibodies to SARS-CoV , and useful for epidemiological research and clinical diagnosis, but not for early diagnosis of SARS.
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