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重组融合蛋白CFP10-ESAT6在结核病血清学诊断中的初步应用
引用本文:姚卫,李红霞,陈建平,曾林子.重组融合蛋白CFP10-ESAT6在结核病血清学诊断中的初步应用[J].西部医学,2008,20(4):854-856.
作者姓名:姚卫  李红霞  陈建平  曾林子
作者单位:1. 绵阳市疾病预防控制中心,四川,绵阳,621000
2. 绵阳市中心医院检验科
3. 四川大学华西医学中心基础医学与法医学院
4. 四川省疾病预防控制中心
摘    要:目的探讨结核分枝杆菌重组融合蛋白CFP 10-ESAT 6用于结核病血清学诊断的价值。方法分别用CFP 10-ESAT 6、ESAT 6和PPD检测220例确诊的结核病患者血清、30例非结核病呼吸系统疾病患者血清和50例健康人血清。结果rCFP 10-ESAT 6、rESAT 6和PPD检测的敏感性分别为45%、25%和57%;特异性分别为93%、95%和75%。rCFP 10-ESAT 6的敏感性高于rESAT 6,特异性高于PPD(P〈0.05)。结论rCFP 10-ESAT 6应用于结核病血清学诊断具有较好的敏感性和很高的特异性,对于结核病的诊断有很好的应用价值。

关 键 词:结核病  血清学诊断  rCFP10-ESAT6  rESAT6  PPD

Preliminary application of recombinant CFP10-ESAT6 fusion protein in the serological diagnosis for tuberculosis
Institution:YAO Wei, LI Hong-xia ,CHEN Jian-ping ,et al (1. Center for Disease Control and Prevention of Mianyang, Mianyang 621000, S ichuan, China; 2. Department of Clinical Laboratory, Mianyang Central Hospital 3. School of Basic Medicine and Forensic Medicine, Sichuan University; 4, Center for Disease Control and Prevention of Sichuan)
Abstract:Objective To study the value of recombinant Mycobacterium tuberculosis CFP10-ESAT6 fusion protein in the serological diagnosis for tuberculosis. Methods Using rCFP10-ESAT6 as coating antigen to detect the specific antibodies of tuberculosis patients by ELISA. rESAT6 and PPD were used as control. Results The sensitivity of rCFP10-ESAT6, rESAT6 and PPD were 45%, 25% and 57% % the specificity of rCFP10-ESAT6, rESAT6 and PPD were 93%, 95% and 75%. Statistics analysis showed that the sensitivity of rCFP10-ESAT6 was higher than that of rESAT6 and the specificity was higher than that of PPD. Conclusion The serological diagnosis for tuberculosis using rCFP10-ESAT6 shows high sensitivity and specificity, which is valuable for tuberculosis diagnosis.
Keywords:Tuberculosis  Serological diagnosis  rCFP10-ESAT6  rESAT6  PPD
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