CN110863031A - Marker for detecting treatment effect of brucellosis and application thereof - Google Patents

Marker for detecting treatment effect of brucellosis and application thereof Download PDF

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Publication number
CN110863031A
CN110863031A CN201910936392.5A CN201910936392A CN110863031A CN 110863031 A CN110863031 A CN 110863031A CN 201910936392 A CN201910936392 A CN 201910936392A CN 110863031 A CN110863031 A CN 110863031A
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China
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marker
brucellosis
treatment
detecting
brucella
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薛继华
李家斌
郜玉峰
尹华发
程君
许夕海
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First Affiliated Hospital of Anhui Medical University
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First Affiliated Hospital of Anhui Medical University
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/5005Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells
    • G01N33/5091Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing the pathological state of an organism

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Abstract

The invention relates to the technical field of medicines, in particular to a marker for detecting the treatment effect of brucellosis and application thereof. The invention aims to provide application of eosinophil level in predicting therapeutic effect of brucellosis, and particularly relates to evaluation of therapeutic effect of brucellosis patients by detecting eosinophil count and percentage. A marker for detecting the treatment effect of brucellosis, wherein eosinophils are adopted as the marker. The invention discloses for the first time: eosinophil count and proportion are reduced in brucella patients, and eosinophil count and proportion are gradually recovered after anti-infection treatment.

Description

Marker for detecting treatment effect of brucellosis and application thereof
Technical Field
The invention relates to the technical field of medicines, in particular to a marker for detecting the treatment effect of brucellosis and application thereof.
Background
Brucellosis (Brucellosis) is a natural epidemic disease, and is a bacterial infectious disease caused by Brucella and mainly derived from human and animals. Over the 21 st century, brucellosis in our country has shown a tendency to re-epidemic, with the affected areas expanding from northern pasturing areas to adjacent grassland and agricultural areas, and then to southern coastal and southwest areas. Brucella can invade human body through multiple transmission ways, can cause the hyperplasia of the reticuloendothelial system of the whole body, and is accompanied with the damage of multiple systems such as nerve, circulation, reproduction, immunity and the like, thereby causing the loss of the labor capacity of patients, and even becoming a main factor restricting the economic development in partial areas.
Brucella is an intracellular parasitic bacterium which is mainly propagated in reticuloendothelial system cells of a human body, and lack of proper treatment in an acute stage can cause Brucella to be colonized in each tissue organ cell to form intractable subacute or chronic infection, is similar to tuberculosis, is a granulomatous disease which can affect any organ, and needs long-term chemotherapy to achieve clinical cure. Once diagnosed, antibiotics with strong cell penetration should be given in time for combined application, sufficient amount, long treatment course or multiple treatment courses. If the treatment is not standardized, the delay is usually caused. In a few cases, organic damages to bones and joints can be left, so that the movement of limbs is limited, and in some cases, sequelae of the central nervous system appear, thereby causing great physical and psychological pain and economic burden to patients. More serious can lead to patient death, the main cause of death being endocarditis, serious neurological complications, etc. The treatment of chronic cases caused by untimely and incomplete diagnosis and treatment is complex and has poor treatment effect. At present, no effective index for predicting the antibacterial treatment effect of brucellosis exists, and clinical diagnosis and treatment cannot be guided.
Disclosure of Invention
The invention aims to provide application of eosinophil level in predicting therapeutic effect of brucellosis, and particularly relates to evaluation of therapeutic effect of brucellosis patients by detecting eosinophil count and percentage.
A marker for detecting the treatment effect of brucellosis, wherein eosinophils are adopted as the marker.
Evaluating the treatment effect of the brucellosis patient according to the detected eosinophil count and percentage; the disease condition of the brucella patients is predicted according to the content or the change trend of the content of the blood eosinophils.
Use of a marker for detecting the therapeutic effect and predicting the condition of a patient suffering from brucella.
Use of a reagent for detecting a marker in the preparation of a reagent for assessing the therapeutic effect or predicting the condition of a patient suffering from brucella.
The reagent for detecting eosinophil is leukocyte differential dye liquor (STROMMATOLYSER-4 DS, FFS-800A).
Use of a method for detecting a marker for assessing the treatment effect or predicting the condition of a patient suffering from brucella.
The method for detecting eosinophils is flow cytometry.
Wherein,
the detection marker is the detected eosinophil count and percentage.
The treatment effect refers to whether the body temperature of the patient is normal or not.
The disease condition of the patient with brucella is predicted according to the content of blood eosinophils or the change trend of the content of the blood eosinophils.
The method for predicting the treatment effect of brucellosis refers to judging the treatment effect by monitoring the blood eosinophil count and percentage of patients. The method is determined by dynamically monitoring blood routine during treatment of brucella patients.
The invention discloses for the first time: eosinophil count and proportion are reduced in brucella patients, and eosinophil count and proportion are gradually recovered after anti-infection treatment.
Drawings
FIG. 1 is a graph of eosinophil count and percentage levels before and after normothermia in a patient.
FIG. 2 is a graph of the patient's eosinophil count and percentage change during the course of treatment of the patient.
Detailed Description
For the purpose of facilitating understanding, the invention will be described in detail below with reference to specific drawings and examples. It is specifically intended that the specification and figures are for illustrative purposes only and that various modifications or changes in light thereof will be suggested to persons skilled in the art and are to be included within the spirit and purview of this application. Such modifications and variations are intended to be included within the scope of the present invention.
The methods used in the following examples are conventional methods unless otherwise specified. Materials or reagents required in the following examples are commercially available unless otherwise specified.
Main apparatus and reagents: fully automatic blood analyzers (XE-2100, SYSMEX CORPORATION, Japan); diluent (cellack, PK-30L), sheath fluid (CELLSHEATH), basophilic hemolysin (STROMATOLYSER-FB, FBA-200A), leucocyte-sorting hemolysin (STROMATOLYSER-4DL, FFD-200A), leucocyte-sorting Stain (STROMATOLYSER-4DS, FFS-800A), nucleated erythrocyte Stain (STROMATOLYSER-NR, SNR-800), haemoglobin hemolysin (SULFOLYSER, SLS-220A), juvenile hemolysin (STROMATOLYSER-IM, SIM-220A), detergent (CELLCLEAN, CL-50), nucleated erythrosin (STROMATOLYSER-NR), reticulocyte diluent (RETSEARCH-II Dilution), reticulocyte Stain (RETSEARCH-II Stain). All reagents were from SYSMEX CORPORATION (Sysmex group).
Example 1
30 cases of patients with Brucella are used as samples, peripheral blood samples (EDTA anticoagulated) are collected before and after the patients are normothermic, and conventional blood detection is carried out by using a full-automatic blood analyzer (XE-2100, SYSMEX CORPORATION, Japan). Eosinophil levels were analyzed before and after normothermia of the patients after antibacterial treatment.
As shown in figure 1, the absolute count and percentage of peripheral blood eosinophils of brucella patients before treatment were significantly reduced and could be restored to normal after effective anti-infective treatment.
Example 2
Peripheral blood samples (EDTA anticoagulated) of 20 patients with Brucella whose body temperature was not normal before and after treatment and body temperature was normal after treatment were collected, and subjected to routine blood testing using a fully automatic blood analyzer (XE-2100, SYSMEX CORPORATION, Japan). Eosinophil levels were analyzed during the course of antimicrobial therapy until after normothermia in the patients.
As shown in figure 2, the absolute eosinophil count and percentage in peripheral blood of brucella patients were significantly reduced before treatment, and gradually restored after effective anti-infection treatment.
The combination of the above results indicates that eosinophil level can predict anti-infection treatment effect of Brucella patients.

Claims (8)

1. A marker for detecting the treatment effect of brucellosis is characterized in that: the marker is eosinophil.
2. The marker of claim 1, wherein: evaluating the treatment effect of the brucellosis patient according to the detected eosinophil count and percentage; the disease condition of the brucella patients is predicted according to the content or the change trend of the content of the blood eosinophils.
3. Use of the marker of claim 1 for detecting the effect of treatment and predicting the condition of patients with brucellosis.
4. Use of a reagent for detecting the marker of claim 1 for the preparation of a reagent for evaluating the effect of treatment or predicting the condition of a patient with brucella.
5. Use of a method for detecting a marker according to claim 1 for assessing the efficacy of a treatment or predicting the condition of a patient suffering from brucella.
6. Use according to claim 4 or 5, characterized in that: the detection marker is the detected eosinophil count and percentage.
7. Use according to claim 4 or 5, characterized in that: the treatment effect refers to whether the body temperature of the patient is normal or not.
8. Use according to claim 4 or 5, characterized in that: the disease condition of the patient with brucella is predicted according to the content of blood eosinophils or the change trend of the content of the blood eosinophils.
CN201910936392.5A 2019-09-29 2019-09-29 Marker for detecting treatment effect of brucellosis and application thereof Pending CN110863031A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050026191A1 (en) * 2003-06-02 2005-02-03 Julie Carman Polynucleotides encoding novel guanylate binding proteins (GBP's)
US20100249019A1 (en) * 2007-09-11 2010-09-30 Dorian Bevec Use of a peptide as a therapeutic agent
CN102781468A (en) * 2009-12-03 2012-11-14 西班牙高等科研理事会 Method for the identification of animals vaccinated against brucella
CN106596958A (en) * 2016-12-19 2017-04-26 中国兽医药品监察所 Brucellosis CF-ELISA antibody detection kit
CN107001449A (en) * 2014-10-15 2017-08-01 芝诺锡拉公司 The composition of immunogenicity with reduction
CN107513575A (en) * 2017-10-16 2017-12-26 内蒙古民族大学 A kind of method and its application for detecting the bacterium infection of cloth Shandong

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050026191A1 (en) * 2003-06-02 2005-02-03 Julie Carman Polynucleotides encoding novel guanylate binding proteins (GBP's)
US20100249019A1 (en) * 2007-09-11 2010-09-30 Dorian Bevec Use of a peptide as a therapeutic agent
CN102781468A (en) * 2009-12-03 2012-11-14 西班牙高等科研理事会 Method for the identification of animals vaccinated against brucella
CN107001449A (en) * 2014-10-15 2017-08-01 芝诺锡拉公司 The composition of immunogenicity with reduction
CN106596958A (en) * 2016-12-19 2017-04-26 中国兽医药品监察所 Brucellosis CF-ELISA antibody detection kit
CN107513575A (en) * 2017-10-16 2017-12-26 内蒙古民族大学 A kind of method and its application for detecting the bacterium infection of cloth Shandong

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
PENG-FEI JIAO ET AL.: "Expression of eosinophils be beneficial to early clinical diagnosis of brucellosis", 《INT J CLIN EXP MED》 *
张斌等: "1例米诺环素治疗布鲁氏菌病致急性嗜酸性粒细胞性肺炎的分析", 《中国临床药理学杂志》 *
薛继华等: "25例布鲁菌病的临床特征分析", 《中国临床药理学杂志》 *

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