Interferon-gamma ELISPOT for the screening and diagnosis of latent tuberculosis infection in healthy population of China

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DOI: 10.4236/abb.2012.33036    4,820 Downloads   8,312 Views  

ABSTRACT

The aim of this study was to analyze the combination of three kinds of in-house IFN-γ ELISPOT using peptide A53 and peptide mixtures (E6 + E7 and E6 + E7 + C14) with tuberculin skin test (TST) to detect latent TB infection (LTBI) in China. A total of 788 healthy people were recruited and analyzed by three kinds of IFN-g ELISPOT, 581 of them had TST results, of which 147 samples were also compared with the T- SPOT.TB test. The positive detection rates for T- SPOT.TB and three kinds of IFN-γ ELISPOT with A53, E6 + E7 and E6 + E7 + C14 were 14.28% (21/147), 29.43% (171/581), 23.24% (135/581) and 28.40% (165/581), respectively. These results were significantly lower than the positive TST results, which were positive in 82.99% (122/147) and 75.73% (440/ 581), respectively. The positive detection rates of three kinds of IFN-γ ELISPOT (31.60%, 26.65% and 32.11% in 788 cases, respectively) could better reflect over 40.00% of Mycobacterium tuberculosis (MTB) infection rate in China. Detection rates between contacts and non-contacts by three kinds of IFN-γ ELIS-POT were not significantly different (p > 0.05). It can be seen that the three kinds of in-house IFN-γ ELIS- POT might be used as a complementary tool of T- SPOT.TB for detecting LTBI in the healthy population of China.

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Peng, Y. , Yang, F. , Zhou, L. , Zhao, M. , Li, Y. , Huang, Y. , Wang, J. , Huang, L. , Xie, D. , Tu, Z. , Lin, W. , Liu, J. , Zhong, Q. and Lai, X. (2012) Interferon-gamma ELISPOT for the screening and diagnosis of latent tuberculosis infection in healthy population of China. Advances in Bioscience and Biotechnology, 3, 259-268. doi: 10.4236/abb.2012.33036.

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