Interferon- release assay for Coxiella burnetii Q fever Caused by - - PowerPoint PPT Presentation
Interferon- release assay for Coxiella burnetii Q fever Caused by - - PowerPoint PPT Presentation
Interferon- release assay for Coxiella burnetii Q fever Caused by bacteria Coxiella burnetii Human infections after shedding by animals (goats, sheep, cattle, etc.) Found worldwide except New Zealand Main type of diagnostics: serology Main
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Caused by bacteria Coxiella burnetii Human infections after shedding by animals (goats, sheep, cattle, etc.) Found worldwide except New Zealand Main type of diagnostics: serology Main treatment: antibiotics (doxycycline) Largest outbreak: The Netherlands in 2007-2010: 100,000 infections by goats Vaccination programs: in Australia
Q fever
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First diagnostic test based on cellular immune response In vitro blood stimulation with killed off Coxiella bacteria* Interferon-ɣ production used as response measure
What’ s new?
* Schoffelen et al., 2013
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Q-detect looks at T-cell response
Serology IgG - IgM Humoral immunity
B-cells
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Q-detect looks at T-cell response
Q-detect Interferon ɣ Serology IgG - IgM Humoral immunity
B-cells
Cellular immunity
T-cells
+
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Q-detect way of working
Blood withdrawal (8 ml) Stimulation with killed bacteria in biosafety level 2 laboratory
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Q-detect way of working
24 h incubation @37⁰C Washing and colouring (ELISA) Interferon-ɣ measurement
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Results based on individual:
- Coxiella induced IFN-γ production (cox - neg)
- Relative Coxiella Response vs. PHA
Large study* in high prevalence community compares IFA** to Q-detect ( > 5 years after infection ) Q-detect finds 80% more Q fever infected people
Q-detect results
* Q-Herpen II Study, 2014, >1,500 people included, financed by the Dutch Ministery of Health, Welfare and Sports ** Focus Diagnostics
100 200 300 400 500 600 700 800 900 1000 Q fever positive IFA Q-detect
+68%
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Validated on > 1,600 volunteers Sensitivity: 94% (at prevalence of 10%) Specificity: > 92% CE marked (Dec 2014) Can be adapted for veterinary use Q-detect in combination with IL-2 investigated for QFS
Product information
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Innatoss Laboratories
Molenstraat 110, 5342 CC Oss, the Netherlands (Pivot Park, Room RE 2428) Contact: Maarten van der Zanden E: maarten.vanderzanden@innatoss.com T: +31 637353787