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Antibody responses to the 18-kDa protein of Mycobacterium leprae in leprosy and tuberculosis patients.
Int J Lepr Other Mycobact Dis. 1992 Jun; 60(2):201-7.IJ

Abstract

The 18-kDa protein of Mycobacterium leprae, as recognized by the monoclonal antibody L5, has a restricted species distribution, being confined to M. leprae and M. habana. We have developed a solid-phase ELISA using purified, recombinant M. leprae 18-kDa protein and compared the serological responses of Nepali leprosy and tuberculosis patients and endemic control subjects to the protein and the M. leprae phenolic glycolipid-I (PGL-I). Few control subjects had anti-18-kDa antibodies. A small proportion of paucibacillary (PB) leprosy and 42% of multibacillary (MB) leprosy patients had IgG anti-M. leprae antibodies. A similar proportion (47%) of Nepali tuberculosis (TB) patients were seropositive, and IgG anti-18-kDa antibody levels were significantly higher in MB and TB patients than in control subjects. By comparison, IgM anti-PGL-I antibodies were detected in 88% of MB leprosy patients and only 7% of TB patients. The possible reasons for the 18-kDa protein seroreactivity in TB patients are discussed, and the anti-18-kDa assay is compared with other antibody assays for protein and nonprotein antigens of M. leprae. It is concluded that the sensitivity and specificity of the anti-M. leprae 18-kDa ELISA are insufficient for the assay to be of clinical utility in leprosy patients.

Authors+Show Affiliations

Mycobacterial Research Laboratory, Anandaban Leprosy Hospital, Kathmandu, Nepal.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1381739

Citation

Roche, P W., et al. "Antibody Responses to the 18-kDa Protein of Mycobacterium Leprae in Leprosy and Tuberculosis Patients." International Journal of Leprosy and Other Mycobacterial Diseases : Official Organ of the International Leprosy Association, vol. 60, no. 2, 1992, pp. 201-7.
Roche PW, Prestidge RL, Watson JD, et al. Antibody responses to the 18-kDa protein of Mycobacterium leprae in leprosy and tuberculosis patients. Int J Lepr Other Mycobact Dis. 1992;60(2):201-7.
Roche, P. W., Prestidge, R. L., Watson, J. D., & Britton, W. J. (1992). Antibody responses to the 18-kDa protein of Mycobacterium leprae in leprosy and tuberculosis patients. International Journal of Leprosy and Other Mycobacterial Diseases : Official Organ of the International Leprosy Association, 60(2), 201-7.
Roche PW, et al. Antibody Responses to the 18-kDa Protein of Mycobacterium Leprae in Leprosy and Tuberculosis Patients. Int J Lepr Other Mycobact Dis. 1992;60(2):201-7. PubMed PMID: 1381739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antibody responses to the 18-kDa protein of Mycobacterium leprae in leprosy and tuberculosis patients. AU - Roche,P W, AU - Prestidge,R L, AU - Watson,J D, AU - Britton,W J, PY - 1992/6/1/pubmed PY - 1992/6/1/medline PY - 1992/6/1/entrez SP - 201 EP - 7 JF - International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association JO - Int J Lepr Other Mycobact Dis VL - 60 IS - 2 N2 - The 18-kDa protein of Mycobacterium leprae, as recognized by the monoclonal antibody L5, has a restricted species distribution, being confined to M. leprae and M. habana. We have developed a solid-phase ELISA using purified, recombinant M. leprae 18-kDa protein and compared the serological responses of Nepali leprosy and tuberculosis patients and endemic control subjects to the protein and the M. leprae phenolic glycolipid-I (PGL-I). Few control subjects had anti-18-kDa antibodies. A small proportion of paucibacillary (PB) leprosy and 42% of multibacillary (MB) leprosy patients had IgG anti-M. leprae antibodies. A similar proportion (47%) of Nepali tuberculosis (TB) patients were seropositive, and IgG anti-18-kDa antibody levels were significantly higher in MB and TB patients than in control subjects. By comparison, IgM anti-PGL-I antibodies were detected in 88% of MB leprosy patients and only 7% of TB patients. The possible reasons for the 18-kDa protein seroreactivity in TB patients are discussed, and the anti-18-kDa assay is compared with other antibody assays for protein and nonprotein antigens of M. leprae. It is concluded that the sensitivity and specificity of the anti-M. leprae 18-kDa ELISA are insufficient for the assay to be of clinical utility in leprosy patients. SN - 0148-916X UR - https://www.unboundmedicine.com/medline/citation/1381739/Antibody_responses_to_the_18_kDa_protein_of_Mycobacterium_leprae_in_leprosy_and_tuberculosis_patients_ DB - PRIME DP - Unbound Medicine ER -