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Antemortem and postmortem examinations of the cattle calf naturally infected with Mycobacterium avium subsp. paratuberculosis

机译:自然感染鸟分枝杆菌亚种的牛犊的死前和死后检查。副结核病

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摘要

A male cattle calf was detected as subclinically and naturally infected with Mycobacterium avium subspecies paratuberculosis (MAP) by a series of antemortem and postmortem tests. The MAP infection was identified by strong antibody and cell-mediated immune (CMI) response by a commercial ELISA kit and an intradermal Johnin test, respectively, in the initial antemortem examination. The antemortem status of the calf was further confirmed by MAP-specific interferon gamma (IFN-γ) response. For detection of IFN-γ response, MAP-specific IFN-γ release assays (IGRAs): (a) immuno capture ELISA (IC-ELISA) and (b) ELISPOT was employed. In addition, the presence of intracellular cytokine IFN-γ was detected by flow cytometry. For all cytokine assays, MAP-specific recombinant antigens HSP65 and 35 kDa were employed to overcome the poor sensitivity and specificity resulting from the use of Johnin, the crude protein purified derivative of MAP. Postmortem examination of the MAP-infected/suspected cattle calf did not reveal any pathognomonic gross lesions in the gastro-intestinal tract. Histopathological examination of multiple organs showed the presence of epithelioid cells/macrophages and edematous lesions in the mesenteric lymphnodes suggestive of MAP; however, no granulomas were observed in the intestinaltract. The necropsy samples of rectum and mesenteric lymph nodes were positivefor isolation of MAP by culture in the BACTEC™ MGIT™ 960 system, and acid fastbacilli were demonstrated by fluorescence microscopy confirming the infection.Due to differential and complex expression patterns of MAP antigens reported inliterature, a combination of assays such as those based on IGRAs and antibodydetection is essential. Therefore, the current experimental evidence confirmsthe efficacy of the approach adopted. However, further studies will be needed tounderstand the optimal combination MAP-specific antigens for use in IGRAs orantibody assays that can be used for detecting MAP infection in every stage ofthe disease.
机译:通过一系列的宰前和死后检测,发现一头公牛犊被亚临床感染并自然感染了鸟分枝杆菌亚种副结核病(MAP)。在最初的死前检查中,分别通过市售ELISA试剂盒和皮内Johnin试验分别通过强抗体和细胞介导的免疫(CMI)反应鉴定MAP感染。通过MAP特异性干扰素γ(IFN-γ)反应进一步确认了小牛的死前状态。为了检测IFN-γ反应,使用MAP特异性IFN-γ释放测定(IGRA):(a)免疫捕获ELISA(IC-ELISA)和(b)ELISPOT。另外,通过流式细胞术检测细胞内细胞因子IFN-γ的存在。对于所有细胞因子检测,均使用MAP特异性重组抗原HSP65和35 kDa来克服因使用粗蛋白纯化的MAP衍生物Johnin而导致的较差的敏感性和特异性。对MAP感染/怀疑的牛犊进行死后检查未发现胃肠道有任何病原性肉眼可见病变。多个器官的组织病理学检查显示肠系膜淋巴液中存在上皮样细胞/巨噬细胞和水肿性病变提示MAP的节点;但是,在肠道内未观察到肉芽肿道。剖检直肠和肠系膜淋巴结阳性通过在BACTEC™MGIT™960系统中进行培养来分离MAP,并耐酸细菌通过荧光显微镜证实感染。由于MAP抗原的差异和复杂表达模式文献,例如基于IGRA和抗体的检测方法的组合检测是必不可少的。因此,目前的实验证据证实所采用方法的有效性。但是,将需要进一步研究了解用于IGRA的MAP特异性抗原的最佳组合抗体检测可用于检测MAP感染的每个阶段这种病。

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