Abstract
Tuberculosis is emerging as a major public health problem in developing and developed world. Early and precise diagnosis is of prime importance in successful control of infection. Indirect ELISA with penicillinase as marker was developed using purifiedM. tuberculosis excretory-secretory (EST-DE1) antigen for detecting IgG antibodies in pulmonary tuberculosis. The assay System gave a overall sensitivity of 82% for both smear positive and smear negative pulmonary tuberculosis cases with a specificity of 84%. The positive and negative predictive values were 75% and 88% respectivaly. Further studies with EST-DE1 antigen revealed that, it contains two of the active antigen fractions of Mtb EST antigen i.e. Mtb EST-4 (56–68 KDa) and Mtb EST-6 (37–45 KDa), as demonstrated by inhibition ELISA. Reactivity with monoclonal antibodies HGT 3a showed the presence of 38 KDa molecule in EST-DE1 antigen.
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References
Sudre, P., Ten Dam, G. and Kochi, A. (1992) Tuberculosis a global overview of the situation today. Bull WHO 70(2), 149–159.
Park, K. (1995) Tuberculosis. In: Parks textbook of preventive and social medicine, 4th Ed, Banarasidas Bhanot, Jabalpur, India 131–145.
Godlee, F. (1993) Tuberculosis “a global emergency”. Br. Med. J. 306 (6886), 1147.
Kardjito, T.G., Granage, J.M. and Beck, J.S. (1986) Cooperative studies on immunology of tuberculosis at Airlanga University Surbya, Indonesia. Asian Pacific J. Aller and Immunol. 8: 141–146.
Nassau, E., Parsons, E.R. and Johnson, G.D. (1976) The detection of antibodies toMycobacterium tuberculosis by microplate enzyme linked immunosorbent assay (ELISA). Tubercle. 57, 67–70.
Daniel, T.M. and Debanne, S.M. (1987) The serodiagnosis of tuberculosis and other mycobacterial diseases by enzyme linked immunosorbent assay. Am. Rev. Resp. Dis. 135, 1137–1157.
Harnandez, R., Munoz, O. and Guiscafre, H. (1984) Sensitive enzyme immunoassay for early diagnosis of tuberculosis meningitis. J. Clin. Microbiol. 20.(3), 533–535.
Grange, J.M. (1984) The humoral immune response in tuberculosis, its nature, biological role and diagnostic usefulness. In: Fox W. Ed. Advances in Tuberculosis Research. Basel, Switzerland; S. Karger. 21, 1–78.
Abou Zeid, C., Smith, J., Grange, J.M., Ratliff, T.L., Steels, J. and Rook, G.A.W. (1988) The secreted antigens ofMycobacterium tuberculosis and their relationship with those recognized by the available antibodies. J. Gen. Microbiol. 134, 531–538.
Grange, J.M. (1985) Virulence ofMycobacterium tuberculosis. FEMS Microbiol. Reviews. 32, 55–60.
Anderson, P. (1994) The T cell response to secreted antigens ofMycobacterium tuberculosis. Immunobiol. 191, 537–547.
Wiker, H.G. (1991) Secreted mycobacterial antigens. In: Secreted antigens ofMycobacterium tuberculosis andMycobacterium bovis BCG. University of Oslo, Oslo, Norway. 17–51.
Harbo, M. (1992) The significance of proteins actively secreted byMycobacterium tuberculosis in relation to immunity and complications of mycobacterial diseases. International J. of Leprosy 60(3), 470–476.
Jackett, P.S., Bothamley, G.H., Batra, H.V., Mistry, A. and Young, D.B. (1988) Specificity of antibodies to immunodominant mycobacterial antigens in pulmonary tuberculosis. J. Clin. Microbiol. 26, 2313–2318.
Lodam, A.N., Reddy, M.V.R., Narang, P., Gupta, O.P. and Harinath, B.C. (1996) Fractionation, analysis and diagnostic utility ofMycobacterium tuberculosis H37Ra excretory-secretory antigen in pulmonary tuberculosis. Ind. J. Biochem. Biophys. 33, 66–71.
Cheirmaraj, K., Parkhe, K. and Harinath, B.C. (1992) Evaluation of fractionated circulating filarial antigen in the diagnosis of bancroftian filariasis. J. Trop. Med. Hyg. 95, 47–51.
Malhotra, A. and Harinath, B.C. (1984) Detection and monitoring of microfilarial ES antigens levels by inhibition ELISA during DEC therapy. Ind. J. Med. Res. 79, 194–198.
Avrameas, S. (1969) Coupling of enzymes to proteins with glutaraldehyde-use of conjugate for the detection of antigen and antibodies. Immunochemistry. 6, 43–52.
Reddy, M.V.R., Piessens, W.F. and Harinath, B.C. (1984) Monoclonal antibodies againstWuchereria bancrofti microfilarial excretory-secretory antigens. J. Biosci. 6(5), 717–722.
Daniel, T.M., De Murillo, G.M., Sawyer, J.A., McLean Griffin, A., Pinto, E., Debanne, S.M., Espinosa, P. and Cespedes, E. (1986) Field evaluation of enzyme linked immunosorbent assay for the serodiagnosis of tuberculosis. Am. Rev. Respir. Dis. 134, 662–665.
Kaplan, M.H. and Chase, M.W. (1980) Antibodies to mycobacteria in human tuberculosis. Development of antibodies before and after antimicrobial therapy. J. Infect. Dis. 142, 825–834.
Bhaskar, A., Pradhan, P., Chaturvedi, P., Basak, A., Lodam, A., Narang, P. and Harinath, B.C. (1994) Immunodiagnosis of childhood pulmonary and extraulmonary tuberculosis usingMycobacterium tuberculosis ES antigen by penicillinase ELISA. Annals of Trop. Paediatr. 14, 25–30.
Kumar, S., Chenthamarakshan, V., Reddy, M.V.R., Narang, P., Gupta, O.P. and Harinath, B.C. (1994) Detection of tuberculous IgG antibodies usingMycobacterium tuberculosis 37 Ra excretory-secretory and tuberculin purified protein derivatives. Ind. J. Exptl. Biol. 32, 163–167.
Benjamin, R.G., Debanne, S.M., Ma, Y., and Daniel, T.M. (1984) Evaluation of mycobacterial antigens in an enzyme linked immunosorbent assay (ELISA) for serodiagnosis of tuberculosis. J. Med. Microbiol. 18, 309–318.
Benjamin, R.G. and Daniel, T.M. (1982) Serodiagnosis of tuberculosis using enzyme linked immunosorbant asay (ELISA) of antibody toM. tuberculosis antigen 5. Am. Rev. Respir. Dis. 126, 1013–1016.
Harboe, M. and Wiker, H.G. (1992) The 38 K Da protein ofMycobacterium tuberculosis: a review. J. Infect. dis. 166, 874–884.
Kadival, G.V. and Chaparas, S.D. (1987) Production, characterization and specificity of five monoclonal antibodies toMycobacterium tuberculosis. J. Clin. Microbiol. 25, 76–80.
Hoslov, J., Anderssen, B., Ljungqvist, L. and Bentzon, M.W. (1990). Comparison of the immunological activity of five defined antigens fromMycobacterium tuberculosis in seven inbred guinea pig strains. The 38 K Da antigen is immunodominant. J. Immunol. 31, 503–514.
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Lodam, A.N., Pramanik, J., Reddy, M.V.R. et al. Diagnostic potential of fractionatedMycobacterium tuberculosis H37Ra excretory-secretory (EST-DE1) antigen in pulmonary tuberculosis. Indian J Clin Biochem 12, 71–77 (1997). https://doi.org/10.1007/BF02867960
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DOI: https://doi.org/10.1007/BF02867960