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Journal of Clinical Microbiology, March 2004, p. 1243-1246, Vol. 42, No. 3
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.3.1243-1246.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Section of Rheumatology, Department of Internal Medicine,1 Section of Immunobiology and the Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06520,4 Department of Neurology, State University of New York at Stony Brook, Stony Brook, New York 11794,2 Department of Medicine, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 071033
Received 15 July 2003/ Returned for modification 11 November 2003/ Accepted 3 December 2003
Borrelia burgdorferi antibodies preferentially present in cerebrospinal fluid (CSF) were examined by differentially probing a B. burgdorferi expression library with CSF and sera from patients with neurologic Lyme disease. Several phage clones selectively reacted with CSF, and these genes were then expressed in recombinant form and used to detect specific antibody in an enzyme-linked immunosorbent assay. Decorin-binding protein B (BBA25) and BBA50 (hypothetical protein) elicited immunoglobulin G (IgG) or IgM detectable in CSFbut not seraof patients, demonstrating preferential antibody production during neuroborreliosis.
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