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Journal of Clinical Microbiology, April 2001, p. 1368-1377, Vol. 39, No. 4
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.4.1368-1377.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Chlamydial Serology: Comparative Diagnostic Value of Immunoblotting, Microimmunofluorescence Test, and Immunoassays Using Different Recombinant Proteins as Antigens

S. Bas,1,* P. Muzzin,2 B. Ninet,3 J. E. Bornand,4 C. Scieux,5 and T. L. Vischer1

Division of Rheumatology,1 Division of Infectious Diseases,3 and Virology Laboratory, Department of Internal Medicine,4 University Hospital, and Medical Biochemistry Department, Geneva Medical School,2 1211 Geneva 14, Switzerland, and Bacteriology Laboratory, Saint-Louis Hospital, 75475 Paris, France5

Received 7 September 2000/Returned for modification 23 October 2000/Accepted 3 January 2001

To improve the reliability of the serodiagnosis of Chlamydia trachomatis infections, an immunoblot analysis, a microimmunofluorescence titration, and different immunoassays using synthetic peptides derived from species-specific epitopes in variable domain IV of the major outer membrane protein or recombinant antigens (heat shock protein 70 [hsp70], hsp60, hsp10, polypeptide encoded by open reading frame 3 of the plasmid [pgp3], macrophage infectivity potentiator, and a fragment of the total lipopolysaccharide) were evaluated. Because cross-reactions between chlamydial species have been reported, the microimmunofluorescence tests were also performed with Chlamydia pneumoniae and Chlamydia psittaci used as antigens, and C. pneumoniae-specific antibodies were also determined by immunoassays. Since the presence of antimicrobial antibodies must be interpreted in light of their prevalence in the general population, responses obtained with serum samples from patients with well-defined infection (i.e., with positive urethral or endocervical C. trachomatis DNA amplification) were compared to those obtained with samples from healthy blood donors. The best sensitivity (86%) with a specificity of 81% was obtained for immunoblotting results, when the number of individuals with >= 10 immunoglobulin G (IgG) and/or >= 2 IgM responses to the different C. trachomatis antigens was considered. A 13-kDa antigen was recognized by most of the samples (86% for IgG) from patients with acute urogenital infection but rarely (3%) by those from healthy blood donors (P < 0.0001). The sensitivity and specificity results obtained for serum antibodies to peptides or recombinant antigens were slightly lower than those results obtained for the number of responses to whole C. trachomatis antigens, which were 76 and 77%, respectively, when IgG responses to both recombinant hsp60 and pgp3 were considered.


* Corresponding author. Mailing address: Division of Rheumatology, Department of Internal Medicine, University Hospital, 1211 Geneva 14, Switzerland. Phone: (41 22) 382 36 80. Fax: (41 22) 382 35 30. E-mail: bas-sylvette{at}diogenes.hcuge.ch.


Journal of Clinical Microbiology, April 2001, p. 1368-1377, Vol. 39, No. 4
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.4.1368-1377.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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