Document Detail


Serodiagnosis of tuberculosis: detection of mycobacterial antibodies and antigens.
MedLine Citation:
PMID:  9039443     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SETTING: The diagnosis of tuberculosis is based primarily on identification of mycobacteria and on clinical evidence. Recently, serological studies have been widely used experimentally as a diagnostic approach. OBJECTIVE: The aim of our study was to optimize serodiagnosis of tuberculosis by detecting mycobacterial antigens and antibodies in sera from patients with lung tuberculosis, non-related diseases and healthy controls. DESIGN: Mycobacterium tuberculosis H37Rv was disintegrated by pressure. Cell walls were extracted with 3 M KCL and were subjected to gel filtration in Toyopearl gel. Immune sera were prepared by immunization of rabbits with cell wall material. Anti H37Rv antibodies were purified by affinity chromatography. The reagents obtained were used to detect serum antibodies and antigens (following immune complex dissociation) using ELISA. RESULTS: Using fraction 6 of cell wall extract, antibodies were detected in 72.2% of TB patients; there were no positive reactions in control subjects. By use of affinity-purified antibodies, antigens were detected in 77.1% of TB patients, 10% of patients with unrelated diseases and 6.7% of healthy controls. CONCLUSION: Effective serodiagnosis of tuberculosis can be achieved only by combining detection of both circulating antibodies and antigens using highly specific purified reagents and immune complex-dissociated sera.
Authors:
A G Khomenko; A V Bayensky; L N Chernousova; N V Kulikovskaya; N V Demianenko; V I Litvinov
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tubercle and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease     Volume:  77     ISSN:  0962-8479     ISO Abbreviation:  Tuber. Lung Dis.     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-03-11     Completed Date:  1997-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9212467     Medline TA:  Tuber Lung Dis     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  510-5     Citation Subset:  IM    
Affiliation:
Central Research Institute for Tuberculosis, Russian Academy of Medical Science, Moscow, Russia.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Bacterial / blood
Antigens, Bacterial / blood
Enzyme-Linked Immunosorbent Assay
Humans
Mycobacterium tuberculosis / isolation & purification*
Serologic Tests*
Tuberculosis, Pulmonary / diagnosis*,  immunology
Chemical
Reg. No./Substance:
0/Antibodies, Bacterial; 0/Antigens, Bacterial

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