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目的体外表达CagA蛋白,发展快速而简便的检测cagA+Hp感染的免疫学方法.方法用PCR技术克隆cagA基因5端片段(854bp)于pBV220中,在DH5α中温度诱导表达Mr38000的单体FCagA,复性后分别作阴离子交换及凝胶柱层析,Westernblot鉴定FCagA的抗原性.以重组FCagA为抗原,通过制备胶体金及免疫胶体金,建立了斑点金免疫渗滤试验(DIGFA)快速检测cagA+Hp感染的方法.结果FCagA具有抗原性.以该抗原所建立的斑点金免疫渗滤试验(DIGFA)快速检测cagA+Hp感染的方法仅需2min~3min可完成,无需特殊设备,并可单人份操作.经过与EIA法对比检测262例患者血清,本方法的特异性为985%,敏感度为968%.结论具有抗原活性的FCagA蛋白的表达及DIGFA检测抗CagA抗体方法的建立,对CagA+Hp感染的流行病学研究具有重要意义
Objective To express CagA protein in vitro and to develop a rapid and simple immunological method for the detection of cagA + Hp infection. Methods The 5? -terminal fragment (854bp) of cagA gene was cloned into pBV220 by PCR. The recombinant plasmid was induced to express Mr38000 in DH5α. After renaturation, the recombinant plasmids were separated by anion exchange and gel filtration chromatography. Western blot was used to identify FCagA antigen Sex. Using recombinant FCagA as antigen, a method of rapid detection of cagA + Hp infection by dot immunogold filtration assay (DIGFA) was established by preparing colloidal gold and immunogold gold. Results FCagA was antigenic. The antigen-based Blot Immunofiltration (DIGFA) assay for rapid detection of cagA + Hp infections takes only 2 to 3 minutes, eliminating the need for special equipment and operating in single doses. After comparing with the EIA method to detect the serum of 262 patients, the specificity of this method was 98.5% and the sensitivity was 96.8%. Conclusion The expression of FCagA with antigenic activity and the detection of anti-CagA antibody by DIGFA are important for the epidemiological study of CagA + Hp infection