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Journal of Clinical Microbiology, August 1999, p. 2568-2575, Vol. 37, No. 8
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Comparison of Ehrlichia chaffeensis Recombinant Proteins for Serologic Diagnosis of Human Monocytotropic Ehrlichiosis

Xue-Jie Yu,1 Patricia A. Crocquet-Valdes,1 Louis C. Cullman,2 Vsevolod L. Popov,1 and David H. Walker1,*

Department of Pathology, University of Texas Medical Branch, Galveston, Texas,1 and MRL Diagnostics, Cypress, California 906302

Received 1 February 1999/Returned for modification 16 March 1999/Accepted 27 April 1999

Diagnosis of human monocytotropic ehrlichiosis (HME) generally depends on serology that detects the antibody response to immunodominant proteins of Ehrlichia chaffeensis. Protein immunoblotting was used to evaluate the reaction of the antibodies in patients' sera with the recombinant E. chaffeensis 120- and 28-kDa proteins as well as the 106- and the 37-kDa proteins. The cloning of the genes encoding the latter two proteins is described in this report. Immunoelectron microscopy demonstrated that the 106-kDa protein is located at the surfaces of ehrlichiae and on the intramorular fibrillar structures associated with E. chaffeensis. The 37-kDa protein is homologous to the iron-binding protein of gram-negative bacteria. Forty-two serum samples from patients who were suspected to have HME were tested by immunofluorescence (IFA) using E. chaffeensis antigen and by protein immunoblotting using recombinant E. chaffeensis proteins expressed in Escherichia coli. Thirty-two serum samples contained IFA antibodies at a titer of 1:64 or greater. The correlation of IFA and recombinant protein immunoblotting was 100% for the 120-kDa protein, 41% for the 28-kDa protein, 9.4% for the 106-kDa protein, and 0% for the 37-kDa protein. None of the recombinant antigens yielded false-positive results. All the sera reactive with the recombinant 28- or the 106-kDa proteins also reacted with the recombinant 120-kDa protein.

* Corresponding author. Mailing address: Department of Pathology, 301 University Blvd., University of Texas Medical Branch, Galveston, TX 77555-0609. Phone: (409) 772-2856. Fax: (409) 772-2500. E-mail: dwalker{at}utmb.edu.

Journal of Clinical Microbiology, August 1999, p. 2568-2575, Vol. 37, No. 8
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.


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