Comparative assessment of immunochromatography and ELISA diagnostic tests for HBsAg detection in PCR-confirmed HBV infection.

INTRODUCTION AND AIMS: Viral hepatitis, which appears most frequently at birth or during childhood, is a disease whose transmission routes include tears, bile, sexual fluids, sweat, milk, urine, feces, and saliva. The aim of the present study was to analyze the specificity of the immunochromatographic and ELISA diagnostic tests for hepatitis B surface antigen and compare them with PCR testing. MATERIALS AND METHODS: The study sample was made up of 140 men and 60 women referred to the Urmia Medical University hospital to undergo PCR testing for HBV diagnosis. The ELISA test was performed using the Pioneer Medicine Company kit (Tehran, Iran). RESULTS: The results of the HBs-Ag rapid test and the ELISA test were compared with the PCR test. The HBs-Ag rapid test had 97% sensitivity and 91% specificity, whereas the ELISA test had 78% sensitivity and 76% specificity. DISCUSSION AND CONCLUSION: According to our results, the immunochromatographic test was accurate for diagnosing HBs-Ag in blood and the ELISA test had acceptable sensitivity and specificity, compared with PCR testing.

Nitric oxide and acute phase proteins are involved in pathogenesis of mycophenolate mofetil-induced gastrointestinal disorders in rats.

This study was designed to clarify the molecular mechanism(s) of mycophenolate mofetil (MMF)- induced gastrointestinal (GI) disorders. Forty-two adult Wistar rats were assigned to 7 groups including control and test hosts. The control animals received normal saline and the test animals various doses of MMF (10, 20, or 40 mg/kg) for 14 days, or MMF, aspirin, or lipopolysaccharide as single high doses (40, 200, and 1 mg/kg, respectively). To evaluate the GI disorders, are determined body weight gain, serum level of alkaline phosphatase (ALP), nitric oxide (NO), and acute phase proteins (APP). Additionally, we measured the duodenal NO content and myeloperoxidase activity. MMF administration resulted in a significant (P < .05) body weight loss and elevation of serum levels of ALP and NO. The duodenal NO content increased in the test groups with the highest levels among the aspirin-treated cohort. The myeloperoxidase activity and the serum level of APP were elevated among MMF- and aspirin-treated animals. Histopathologic examinations showed villous atrophy and inflammatory cells infiltration among MMF-treated animals. Our data suggested that the MMF-induced GI disorders were likely related to local inflammatory reactions, which may be attributed to elevated NO and myeloperoxidase activities that result in pathological injuries. Moreover, the biochemical alterations and histopathologic injuries due to MMF administration were similar to aspirin-induced local disorders rather than to lipopolysaccharide-induced systemic damage.

The association between serum apolipoprotein A-I and apolipoprotein B and the severity of angiographical coronary artery disease.

INTRODUCTION: The aim of this study was to investigate the relationship between serum apolipoprotein A-I (apoA-I) and apolipoprotein B (apoB) and the severity of coronary artery stenosis. METHODS: This case-control study was carried out on 106 patients who underwent angiography and 100 healthy controls. ApoA-I and apoB as well as the serum total cholesterol, high-density lipoprotein cholesterol (HDL-C), triglyceride and low-density lipoprotein cholesterol (LDL-C) levels were measured. Very low-density lipoprotein cholesterol levels and the LDL-C/HDL-C ratio were calculated. RESULTS: In an Iranian population with coronary artery disease (79 men and 27 women, aged 53 +/- 8.5 years), the increased levels of apoA-I and apoB were correlated with the number of involved vessels and the severity of coronary lesions. However, no significant correlation was found between the serum values of lipids as well as other lipoproteins and the number of vessels involved and the severity of coronary lesions. CONCLUSION: ApoA-I and apoB are indicated as risk factors for cardiovascular and, possibly, cerebrovascular diseases. From this study, it may be concluded that apoA-I and apoB serum concentration levels are independent risk factors for coronary atherosclerosis in the Iranian population. It also demonstrates a direct relationship between the severity of coronary atherosclerosis and the number of lesions in the involved vessels. It can be regarded as an index for the relationship of apoA-I and apoB to the early, still clinically asymptomatic, steps of the pathogenesis of coronary disease.