Determinação da atividade sérica de adenosina deaminase como método diagnóstico auxiliar da tuberculose bovina

=== The detennination of serum levels of adenosine deaminase (ADA), enzyme produced by monocytes/macrophages and lymphocytes, has been used in the diagnosis of human tuberculosis. In the present study, senmi activity of ADA was tested as a complementary test in the diagnosis of bovine tuberculosis....

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Bibliographic Details
Main Author: Marcio Roberto Silva
Other Authors: Andrey Pereira Lage
Format: Others
Language:Portuguese
Published: Universidade Federal de Minas Gerais 1998
Online Access:http://hdl.handle.net/1843/BUOS-8QFQ5Z
Description
Summary:=== The detennination of serum levels of adenosine deaminase (ADA), enzyme produced by monocytes/macrophages and lymphocytes, has been used in the diagnosis of human tuberculosis. In the present study, senmi activity of ADA was tested as a complementary test in the diagnosis of bovine tuberculosis. Two hundred fifty-six animals were classified by the comparative skin test using bovine and avian PPDs in reactors (52 animals), from herds where the Mvcobacterium bavis had previously been isolated. and non-reactors (204), from tuberculosis-tree herds. Mean ADA semm values from reactor animals (4.45 +/- 2.33 U/l) were signiiicantly smaller (p=0.008) then those observed in sera from non-reactor animals (6.12 +/-4.47 U/l). When non-reactor animals from a herd with clinical cases of bovine enzootic leukosis were withdrawn from analysis, the mean ADA serum values of the non-reactor group (5.12 +/- 3.75 U/1) was not different from that of the reactor group (p=0.28). Using two different cut0H points, 6.12 U/l and 15 U/l, there was no agreement between the determination of ADA serum values and the comparative skin test in the detection of tuberculous animals (kappa = -0.086 and kappa = -0.082, respectively). In conclusion, the determination of ADA serum activity was not a good complementary test for bovine tuberculosis, because it was not possible to distinguish skin test reactors and non-reactors by ADA serum levels. === A determinação dos níveis de adenosina deaminase (ADA) no soro sanguíneo, enzima produzida principalmente por células linfóides, tem sido utilizada no diagnóstico da tuberculose humana. A atividade da ADA foi testada neste trabalho, como possível método auxiliar no diagnóstico da tuberculose bovina. Pela tuberculinização intradérmica comparada, empregando-se tuberculinas PPD bovina e aviária, foram caracterizados dois grupos: animais reagentes (n=52), provenientes de propriedades onde o M. bovis já havia sido isolado, e animais não reagnetes (n=204), provenientes de propriedades livres de tuberculose bovina. Soros destes 256 bovinos foram submetidos à determinação de ADA, obtendo-se valores séricos de 4,45 +/- 2,33 U/I no grupo de animais reagentes e de 6,12 +/- 4,47 U/I, não houve concordância entre os dois métodos diagnósticos na detecção de animais tuberculosos (kappa=0,086 e kappa=0,082, respectivamente). Pelos resultados, conclui-se que a determinação da atividade de ADA no soro de bovinos não foi um bom método auxiliar no diagnóstico da tuberculose bovina, uma vez que a dosagem da atividade de ADA no soro não permitiu distinguir animais reagentes de não reagentes à tuberculinização.