• The Microorganisms and Industry
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• v.18 no.2
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• pp.19-25
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• 1992

본문에서는 현재 주로 사용되고 있는 혈청학적 방법을 주로 소개하고자 한다. HIV 감염의 특성상 헌혈 혈액 등과 같이 많은 시료를 신속하게 검사하여야 하고 또한 검사결과가 개인에게 매우 중요한 의미를 지니므로 HIV에 대한 혈청학적 검사는 일차적으로 민감도가 높은 검색용 검사를 우선 시행하고 이차적으로 특이도가 높은 확인용 검사를 실시하여 판정하는 것을 원칙으로 하고 있다.

• Proceedings of the Korean Society of Veterinary Pathology Conference
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• 2000.09a
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• pp.31-31
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• 2000

최근 원전주변지역을 중심으로 한 기형가축이 발생함에 따라 이의 원인을 규명하기 위하여 우선 역학적 조사와 혈청학적 검사 및 기형송아지 , 유산·사산 태아 등의 수집가 검물을 중심으로 하여 병리학적 검사를 실시하였다. 원전주변 기형우 발생농가의 역학적 조사와 모우의 임상적 소견에서는 하동의 이상을 관찰할 수 없었다 . 수집된 가검물 (울진원전주변지역 : 3두, 월성원전주변지역 : 3두, 고리원전주변지역 : 3두, 기타지역 2두) 총 11개 농가 11두에 대한 병리학적 검사와 모우 및 자우의 혈청학적 검사에서 9두가 Akabane 병으로 진단되었고, 나머지 2 두는 곰팡이감염증 1두 그리고 간경화 l 두로 판정되었다. Akabane virus에 감염된 9두는 기형송아지, 유·사산태아로서 사지기형, 척추만곡 및 중추신경계이상(대뇌결손, 뇌수두증)등이 관찰되었다. (중략)

• Parasites, Hosts and Diseases
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• v.24 no.1
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• pp.25-41
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• 1986

The applicability of micro-ELISA was evaluated in human neuro-cysticercosis using paired samples of serum and CSF. A total of 355 cases who were mostly neurologic patients was subjected. Cystic fluid of C. cellulosae was used as antigen in protein concentration of $2.5{\;}{\mu}g/ml$. Serum was diluted to 1 : 100 and CSF was undiluted in the assay for the specific IgG antibody level. The differential criterion of the positive reaction was the abs. of o. 18 in both samples. The results were summarized as follows: 1. The overall sensitivity of the micro-ELISA in 71 confirmed neurocysticercosis was 90.1% ; the sensitivity by serum was 77.5% and that by CSF was 83.1%. CSF was a more sensitive and valuable material. Most of the false negative cases of neuro-cysticercosis showed far lower level of abs. rather than marginal. 2. The overall specificity of the micro-ELISA in 52 confirmed other neurologic diseases was 88.5%; the specificities by serum and by CSF were 94.2% respectively. Cases of other neurologic diseases did not show false positive reactions in both samples. 3. When serum was assayed, taeniasis(2/18), sparganosis(2/20), paragonimiasis(1/56), clonorchiasis(1/15) and fascioliasis(1/1) cases showed cross reactions. When CSF was assayed, 2 ot 10 neuro-sparganosis showed cross reactions while none of 9 neuro-paragonimiasis showed it. Out of 71 confirmed neuro-cysticercosis cases, 6 and 11 showed cross reactions by serum and CSF to crude extract antigen of sparganum; but no case did show it to crude extract antigen of Paragonimus westermani. 4. Ventricular CSF showed low or negative levels of IgG antibody than lumbar CSF unless the lesion was at the lateral ventricle itself. 5. Out of 4 racemose cysticercosis cases, 3 showed positive reaction in serum while all of 3 examined CSF were positive. The above results indicated that the serological test for detecting the specific IgG antibody by micro-ELISA using paired samples of serum and CSF was very helpful for clinical differentiation of neuro-cysticercosis from neurologic diseases of other causes.

• Proceedings of the Korean Society of Veterinary Pathology Conference
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• 2001.09a
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• pp.36-36
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• 2001

원충성 질병인 Neospora caninum은 소와 개를 비롯한 여러 동물에서 유ㆍ사산 및 신경증상을 유발하는 질병으로 전 세계적으로 그 피해가 증가하고 있으며, 최근국내에서도 젖소농가를 중심으로 발생보고가 있으나, 한우에 대해서는 거의 역학적조사가 되어있지 않은 바, 본 연구에서는 도축되는 한우, 유ㆍ사산 및 기형송아지를 중심으로 간접형광 항체검사법(IFAT)을 이용한 혈청학적 조사 및 면역조직화학적 방법에 의한 Neospora caninum의 동정을 실시하였다. (중략)

• Proceedings of the Korean Society of Veterinary Pathology Conference
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• 2001.09a
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• pp.35-35
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• 2001

최근 원전주변지역을 중심으로 한 기형가축이 발생함에 따라 이의 원인을 규명하고 사육농민들의 불안해소와 경제적 손실을 방지하기 위하여 역학적 조사, 혈청학적 검사를 실시하였으며 기형송아지 및 유ㆍ사산 태아 등의 이상산을 중심으로 임상적 및 병리학적 검사를 실시하였다. 2000년 2월부터 2001년 8월까지 총 19개월간 수집된 54 두의 이상산 중 45두가 기형송아지였다. (중략)

• Parasites, Hosts and Diseases
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• v.26 no.1
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• pp.27-32
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• 1988

The applicability of indirect immunoftuorescent antibody test (IFAT) was compared with enzyme-linked immunosorbent assay (ELISA) in sera from 163 cases of confirmed neurocysticercosis, 101 other neurologic and parasitic diseases and 100 normal controls. As antigen, frozen sections of a Taenia solium metacestode from a human brain was used in IFAT and cystic fluid was used in ELISA. For the detection of specific IgG antibody, IFAT was equally sensitive (89.6%) and specific (85.1%) as ELISA. The antibody titers by IFAT were correspondingly increased with mean absorbance of ELISA. The corresponding rate of positivity in the two techniques was 90.8%. Except for the difficulty in detecting antibodies in cerebrospinal fluid (CSF), IFAT was concluded to be very useful for the serodiagnosis of human neurocysticercosis.

• Journal of Gastric Cancer
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• v.9 no.4
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• pp.172-176
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• 2009

Purpose: The rapid urease test is a rapid and reliable method for diagnosing Helicobacter pylori infection. However it requires gastric mucosal biopsies during endoscopy, and the test is not covered by national health insurance for patients with gastric cancer. So, we introduced an alternative method for a rapid urease test using back-table gastric mucosal biopsies from gastrectomy specimen. Materials and Methods: Ninety gastric cancer patients underwent an anti H. pylori IgG ELISA test and gastrectomy. Just after gastrectomy, two gastric mucosal biopsies from the prepyloric antrum and lower body of the gastrectomy specimen were taken from the back table in the operative room, and these were fixed immediately with the rapid urease test kit, and the color change was monitored for up to 24 hours. In this study, H. pylori infection was defined as positive when the serology or rapid urease test showed positive results. Results: The positive rate of the rapid urease test and serology was 91.1% and 77.8%, respectively. The sensitivity, specificity, positive predictive value and negative predictive value of the rapid urease test and serology were 94.3 and 80.5%, 100 and 100%, 100 and 100%, and 37.5 and 15%, respectively. The accuracy of the rapid urease test was higher than that of serology (94.4 vs. 81.1%, respectively). The rapid urease test showed a higher rate of detecting H. pylori infection than that of serology (McNemar's test, P=0.019). Conclusion: The result of the rapid urease test using back-table gastric mucosal biopsies from a gastrectomy specimen is comparable to the reference data of the conventional rapid urease test using gastric mucosal endoscopic biopsies. Therefore, it can be an alternative diagnostic method for H. pylori infection.

• Parasites, Hosts and Diseases
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• v.31 no.1
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• pp.49-56
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• 1993

Specific antibody test in serum and cerebrosinal fluid (CSF) is still the main mode of serological diagnosis of cystiercosis. Of different techniques of artibody test, enzyme-linked immunosorbent assay (micro-ELISA) has widely been applied. This study was undertaken to observe whether diagnostic capability can be Improved by applying more sensitive techniques such as Protein A-ELISA and avidin biotin complex ELISA (ABC-ELISA). When evaluated using 115 sera of human cysticercosis, the antibody positive rates were not significantly improved in Protein A-ELISA (82.6%) and in ABC-ELISA (86.1%) than in micro-ELISA (81.7%). The specificities, evaluated in 165 sera from other diseases and normal controls, were significantly improved (88.5% by micro-ELISA, 93.3% by Protein A-ELISA and 93.8% by ABC-ELISA). Antibody levels (absorbance, abs.) in individual serum were correlated well (r : 0.83∼0.86) each other. An actual benefit of Protein A-ELISA and ABC-ELISA was that they needed smaller amount of test sample.

• Parasites, Hosts and Diseases
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• v.24 no.2
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• pp.159-170
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• 1986

A total of 69 patients of confirmed neurocysticercosis was followed serologically by ELISA up to 22 months after praziquantel treatment. The intervals and numbers of follow-up were variable by patient. Serially collected samples of serum and CSF were examined simultaneously for their specific IgG antibody levels by ELISA, using cystic fluid, saline extracts of bladder wall and scolex as antigen. Within 4 months after praziquantel treatment, the antibody levels were elevated temporarily in both serum and CSF in most patients. In some cases antibody levels exhibited steady declining tendency after the treatment. Concomitant administration of dexamethasone appeared to suppress the elevation of antibody levels. The rate of mean absorbance of antibody changed more in serum than in CSF. The rate of elevation was greater in antibodies to parenchymal antigens than that to cystic fluid, but absolute difference of antibody levels was greater in antibody to cystic fluid. Previously negative samples for IgG antibody may become positive after the praziquantel treatment, which could be used as a complementary tool (provocation test) in serodiagnosis. One month was considered to be sufficient interval for the follow-up test for that purpose. In the follow-up of up to 22 months, only few cases of chronic neurocysticercosis showed declining tendency of IgG antibody levels below negative range. During acute encephalitic attacks in chronic patients, IgG antibody to parenchymal antigen were elevated in CSF temporarily. These results indicated that serologic follow-up of every year was recommendable to differentiate the cured patients from chronic patients with slowly calcifying lesions.

• Biomedical Science Letters
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• v.2 no.2
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• pp.223-229
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• 1996

HLA-B27 gene, one of the HLA-class I molecule, is strongly associated with ankylosing spondylitis. It has been most frequently used as a disease-correlated HLA gene by clinicians. In most laboratories, conventional HLA-B27 typing is still performed by cell cytotoxicity tests or fluorescence serology with specific antibodies. In this study, DNA typing method for HLA-B27 was developed by using group specific Polymerase Chain Reaction (PCR). Four HLA-B27 cell lines (HOM-2, JESTHOM, WT24 and BTB) and fifty six B27 Korean individuals defined by serology were used. The results of control cell and B-27 positive individual samples were correlated well with the data which was performed by serological method. All of B27 positive PCR products gave positive signals on Southern blot hybridization with B27 specific probe. This study shows that the HLA-B27 DNA typing is a relatively simple, fast and practical tool for the determination of the HLA-B27 gene in routine clinical laboratory work.