欢迎来到《四川大学学报(医学版)》

梯度渐变量子点荧光技术在布鲁氏菌属快速检测中的应用评价

Evaluation of Gradient-Variant Quantum Dot Fluorescence Technology for Rapid Detection of Brucella

  • 摘要:
    目的 建立适用于自然疫源性疾病现场快速筛查的布鲁氏菌属病监测检测技术。
    方法 以梯度渐变量子点作为荧光示踪物,基于双抗体夹心检测模型,研制布鲁氏菌属免疫快检技术,通过对布鲁氏菌属标准菌株悬液测试评价该技术的敏感性、线性、精密性和特异性;通过不同样本的方法学比对,评价该方法检测结果的一致性。
    结果 使用布鲁氏菌属标准菌株评价梯度渐变量子点检测方法,其敏感性为1×103 CFU/mL,线性相关系数r为0.994(95%置信区间:0.933,1.055),重复检测结果的变异系数最高为12.49%,特异性良好。通过305个临床样本对布鲁氏菌属梯度渐变量子点检测方法、虎红平板凝集试验(RBT)方法、试管凝集试验(SAT)方法进行比对评价,Kappa分析结果为0.95,几乎完全一致。通过现场采集的110个环境样本对布鲁氏菌属梯度渐变量子点检测方法、荧光定量PCR法进行比对评价,其中气溶胶采集液、表面擦拭物和羊毛样本的检测结果Kappa分析均高于0.83,几乎完全一致;粪便、土壤样本的检测结果Kappa分析均高于0.62,呈高度一致性。
    结论 基于梯度渐变量子点检测技术的布鲁氏菌属检测方法简便快捷,具有良好的敏感性、线性、精密性和特异性,临床样本检测一致性较好,适用于自然疫源性疾病的现场快速筛查,在人畜共患病的监测预防、快速检测中具有良好的应用前景。

     

    Abstract:
    Objective To establish a brucellosis monitoring and testing technique applicable for the rapid field screening of natural epidemic diseases.
    Methods A rapid testing technique for Brucella was developed based on a double-antibody sandwich testing model using gradient-variant quantum dots as fluorescent tracers. The sensitivity, linearity, precision, and specificity of the technique were evaluated using suspensions of standard Brucella strains. Methodological comparisons across different sample types were conducted to assess the consistency of the test results.
    Results The gradient-variant quantum dots detection method was evaluated with standard Brucella strains, exhibiting a sensitivity of 1 × 103 CFU/mL and a linear correlation coefficient (r) of 0.994 (95% CI, 0.933-1.055). The maximum coefficient of variation was 12.94% in repeated tests, showing good specificity. A comparative assessment of 305 clinical samples was conducted using the Brucella gradient-variant quantum dots detection method, the Rose Bengal plate agglutination test (RBT), and the serum agglutination test (SAT), yielding a Kappa value of 0.95, indicating almost perfect agreement. Additionally, a comparative assessment of 110 environmental samples collected on-site was conducted using the Brucella gradient-variant quantum dots detection method and quantitative real-time PCR (qPCR). The Kappa values for aerosol collection fluid, surface wipes, and wool samples were all above 0.83, demonstrating near-perfect agreement. For fecal and soil samples, the Kappa values were above 0.62, indicating substantial agreement.
    Conclusion The Brucella detection method based on gradient-variant quantum dots technology is simple and can be conducted rapidly. The detection method demonstrates high sensitivity, linearity, precision, and specificity. It shows consistent performance in clinical sample testing. It is well-suited for field rapid screening of natural epidemic diseases in field settings and shows good application prospects in the monitoring, prevention, and rapid detection of zoonotic diseases.

     

/

返回文章
返回