一个有趣的例子是,B型肝炎表面抗原在献血者血液中分离出了假阴性
Nevenka Bujandric1,2, Jasmina Grujic1,2, Mirjana Krga Milanovic2
1Department of Transfusiology, Faculty of Medicine University in Novi Sad, Novi Sad, Serbia.
Vox sanguinis
|December 29, 2023
概括
一位献血者最初因罕见突变而对乙型肝炎表面抗原 (HBsAg) 呈阴性. 这一案例凸显了对敏感查试验的需要,以检测献血中的HBsAg变体.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 可靠检测乙型肝炎表面抗原 (HBsAg) 突变形式对于献血查至关重要.
- 研究了一种商业HBsAg查试验中单个假阴性结果的病例.
研究的目的:
- 为了调查和描述一个虚假阴性HBsAg查结果导致献血者的病例.
- 为了确定在HBsAg检测中分析灵敏度降低的原因.
主要方法:
- 常规HBsAg和乙型肝炎病毒 (HBV) DNA测试使用迷你池核酸测试 (MP-NAT).
- 个人捐赠ID-NAT,量化,测序,并通过替代血清学检测进行评估.
- 分析之前和之后的捐款,以确认事件的孤立性质.
主要成果:
- 捐赠者的捐赠最初是HBsAg负的,但HBV DNA是阳性的.
- 进一步的测试证实了HBsAg阳性,IgM抗HBc阳性和可检测的HBVDNA.
- 测序揭示了基因型D菌株与特定突变 (T118A,P120T,P127T) 在目标表位附近.
结论:
- 鉴定出HBsAg突变的独特组合是假阴性查结果的可能原因.
- 这种突变组合可能会降低某些免疫试验单克隆的分析灵敏度.
- 这些发现强调了强大的查试验的重要性,以检测血液安全中的HBsAg变体.
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