INTRODUCTION

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Actinobacillus pleuropneumoniae is the etiologic agent of swine pleuropneumonia, which is a major cause of economic loss to the swine industry throughout the world. There are 14 recognized serotypes of NAD-dependent A. pleuropneumoniae that vary in predominance depending on geographic location. One method used to control pleuropneumonia in a herd is adjustment of management practices (4). Therefore, knowledge of the immune status of the herd and of individual animals within the herd (for the presence of antibodies to A. pleuropneumoniae) is essential. To address this need a wide variety of serologic tests have been developed to detect antibodies to A. pleuropneumoniae in swine. The complement fixation test was initially used to detect antibodies to distinct components of A. pleuropneumoniae (11), but a variety of other tests have been developed that are more sensitive and specific, particularly enzyme-linked immunosorbent assays (ELISAs) (4). Nonetheless, cross-reactions between strains of the various A. pleuropneumoniae serotypes and other bacterial species have remained problematic. Most of these cross-reactions are due to common epitopes in outer membrane proteins (12). The O side chain of the lipopolysaccharide (LPS) has been proposed for use as a serotype-specific antigen in serologic assays (5, 9, 17). However, cross-reactions between serotypes 1, 9, and 11, 4 and 7, and 3, 6, and 8 have been attributed, at least in part, to the O-side-chain antigen (15, 19, 20). Recently, Lebrun et al. (10) have shown that monoclonal antibodies to the O side chain of A. pleuropneumoniae serotype 7 also cross-react with Actinobacillus lignieresii.

On the basis of structural and immunologic analyses, the capsular polysaccharide (CP) has been shown to be the appropriate serotype-specific antigen for use in serologic tests for A. pleuropneumoniae (9, 17). Direct ELISAs have been developed with the CP as well as the LPS O side chain as antigen (2, 5, 9, 21). However, CP and O-side-chain antigens are hydrophilic and do not bind as well as hydrophobic antigens to most ELISA plates. A radioimmunoassay with purified CP was developed to obtain high sensitivity and serotype specificity (8). However, the complexity of the radioimmunoassay and the need for use of radioisotopes limit the routine use of this test in clinical laboratories. To maximize sensitivity and specificity with an ELISA format, biotin-long chain-hydrazide was covalently conjugated to purified CP of serotype 1, 5, or 7, and the combination was bound to streptavidin-coated microtiter plates. These serotypes account for the majority of clinical cases of swine pleuropneumonia in the United States and Canada (13, 18). The CP-biotin-streptavidin ELISA (CP-BS-ELISA) proved to be highly reproducible, sensitive, and specific when tested with 240 serum samples from pigs before and after experimental challenge with A. pleuropneumoniae serotype 1, 5, or 7 or challenge with other pathogenic bacterial species of swine.

	MATERIALS AND METHODS

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Bacterial strains and growth conditions. Reference strains of each A. pleuropneumoniae serotype were obtained from the American Type Culture Collection (Manassas, Va.) or from J. Nicolet (Institute of Veterinary Bacteriology, University of Berne, Berne, Switzerland). Clinical isolates of A. pleuropneumoniae and other swine pathogens were isolated and identified at the Kansas State University Diagnostic Laboratory from swine with spontaneously occurring cases of pleuropneumonia by standard techniques (3). Bacterial isolates were recovered in pure culture from the respiratory tract. Clinical isolates consisted of A. pleuropneumoniae serotype 1, 5, or 7, Actinobacillus suis, Escherichia coli, Pasteurella multocida, and Haemophilus parasuis. Each species was grown in RPMI medium supplemented with 5% fetal bovine serum and 10 µg of NAD per ml, if needed.

Pigs and challenge procedures. Pigs were obtained from a genetic multiplier herd of a large swine genetics company that provides replacement pigs to pork production herds nationwide. The health status of the pigs from the source farm is by design often better than that of pigs from production-level farms, but the pigs are not specific pathogen free. These pigs are the most appropriate target population because control of A. pleuropneumoniae transmission is most effective when the introduction of A. pleuropneumoniae carrier pigs is prevented through serologic testing of pigs prior to their introduction into a herd. The most common source of introduced commercial farm pigs is herds of the type from which these pigs were obtained (a genetic multiplier herd).

Collection of sera. Sera were collected from the anterior vena cava of pigs before challenge and at the following times after challenge with A. pleuropneumoniae. Sera from pigs infected with serotype 1 were obtained at 14 and 120 days postchallenge, sera from pigs infected with serotype 5 were obtained at 22 and 110 days postchallenge, and sera from pigs infected with serotype 7 were obtained at 20 and 108 days postchallenge. Sera were collected from pigs challenged with all heterologous species at 28 and 49 days postchallenge; however, serum from pigs challenged with P. multocida was collected between 43 and 70 days postchallenge.

Purification and biotinylation of CP and ELISA. Highly purified CP was prepared as described previously (6). CPs from strains of serotypes 1 and 7 were conjugated to biotin following oxidation with sodium meta-periodate to generate aldehyde groups (16) and reacted with biotin-LC-hydrazide according to the manufacturer's instructions (Pierce Chemical Co., Rockford, Ill.). Biotin-LC-hydrazide was coupled directly to the carboxyl groups of 2-keto-3-deoxy-D-manno-2-octulosonic acid in the serotype 5 CP with ethyl-dimethylaminopropyl-carbodiamide (Bio-Rad Laboratories, Richmond, Calif.) according to the manufacturer's instructions (Pierce Chemical Co.).

Statistical analysis. The mean A₄₀₅ values and standard deviations (SDs) were calculated by the t test with InStat computer software (GraphPad, Inc., San Diego, Calif.). The percent specificity of the CP-BS-ELISA was determined from the following formula: [number of true-negative samples/(number of true-negative samples + number of false-positive samples)] × 100. The percent sensitivity of the CP-BS-ELISA was determined from the following formula: [number of true-positive samples/(number of true-positive samples + number of false-negative samples)] × 100. The positive and negative predictive values were calculated from the following equations: [number of true-positive samples/(number of true-positive samples + number of false-positive samples)] × 100 and [number of true-negative samples/(number of true-negative samples + number of false-negative samples)] × 100, respectively (14).

	RESULTS AND DISCUSSION

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Preliminary analyses showed that conjugation of biotin to CP, under the conditions described above, did not reduce the antigenic activity of the CP in a latex agglutination test (7). Furthermore, the use of biotin-CP in conjunction with streptavidin-coated ELISA plates increased the A₄₀₅s for the test wells by 0.3 to 0.8 unit (depending on the CP preparation and the dilution of serum) compared to those for an ELISA with nonconjugated CP and non-streptavidin-coated plates (9). About 10 random serum samples from pigs before and after exposure to one of the three A. pleuropneumoniae serotypes were serially titrated from 1:50 to 1:6,400 in triplicate in order to select a single serum dilution and cutoff A₄₀₅ that would yield the highest sensitivity and the highest specificity. These preliminary experiments resulted in the selection of a 1:200 dilution of test serum and a cutoff A₄₀₅ of 0.20 after subtraction of the A₄₀₅ for the control wells containing test serum but lacking antigen. A variety of blocking buffers were initially tested, such as 5% bovine serum albumin, 3% gelatin, and 5% nonfat dry milk with and without 10% goat serum (all diluted in PBS-0.05% Tween 20). The 5% nonfat dry milk containing 10% goat serum yielded superior results in regard to sensitivity and specificity, particularly when it was used with serotype 7 biotin-CP.

The reproducibility of the assay was tested with 15 serum samples reactive with A. pleuropneumoniae serotype 1, 5, or 7 (five samples of each serotype). Each of the serum samples was tested in triplicate on the same day and on 3 different days with different plates. The mean and SD A₄₀₅ for sera from five pigs challenged with each serotype, after subtraction of the A₄₀₅ for the no-antigen control, are shown in Table 1. The SD of the A₄₀₅ ranged from a maximum of 0.310 (mean, 1.331 for sample 1846, serotype 1) to a minimum of 0.010 (mean, 1.720 for sample 10110, serotype 7) for a single sample on any given day. The SDs of the A₄₀₅s of all assays done for each serum sample ranged from 0.283 (mean, 1.385 for sample 228, serotype 1) to 0.067 (mean, 1.268 for sample 6525, serotype 7). Therefore, assay results did not vary significantly when samples were tested on different days or on different plates. In all cases the SD of the absorbance was less than 24% of the mean absorbance, and variation of the SD did not change any of the positive results to a negative result. In most cases, the A₄₀₅ for sera from pigs prior to challenge or after challenge with heterologous bacteria was less than 0 after subtraction of the A₄₀₅ for the no-antigen control well. For five random samples for which the A₄₀₅ was greater than 0, the mean ± SD A₄₀₅ was 0.022 ± 0.007 (Table 1).

The specificity of the assay with sera from prechallenged swine or sera from pigs challenged with swine pathogens other than A. pleuropneumoniae was 100% with serotype 1 biotin-CP and serotype 5 biotin-CP. The specificity of the assay with antisera to A. suis or E. coli and serotype 7 biotin-CP was 94.1%, and the specificity of the assay with antisera to H. parasuis and P. multocida and with preimmune sera was 100% (Table 2). Serum samples obtained from one pig challenged with A. suis and one pig challenged with E. coli at 49 days postchallenge, but not at 28 days postchallenge, were weakly positive by the serotype 7 biotin-CP-ELISA. It is possible that these two pigs were exposed to A. pleuropneumoniae serotype 7 or to an organism with cross-reacting antigens sometime after the 28-day postchallenge serum collection. The overall sensitivity of the CP-BS-ELISA was 100% with postchallenge sera to A. pleuropneumoniae serotypes 1 and 7 and 87.5% with postchallenge sera to A. pleuropneumoniae serotype 5 (Table 3). Four serum samples from pigs challenged with serotype 5 were negative by ELISAs with serotype 5 biotin-CP at 110 days postchallenge but were positive at 22 days postchallenge. It is likely that the immune response to serotype 5 CP was weak in these four pigs and that antibody titers fell to below the cutoff value by 110 days postchallenge. The overall positive predictive value was 100% by ELISAs with A. pleuropneumoniae serotype 1 biotin-CP and A. pleuropneumoniae serotype 5 CP and 91% by ELISAs with A. pleuropneumoniae serotype 7 biotin-CP. The overall negative predictive value was 100% by ELISAs with A. pleuropneumoniae serotype 1 biotin-CP and A. pleuropneumoniae serotype 7 CP and 97% by ELISAs with A. pleuropneumoniae serotype 5 biotin-CP.

Due to the serotype specificity of any assay based on detection of antibodies to CP, a disadvantage of such a test is that multiple aliquots of one serum sample must be analyzed to screen for antibodies to multiple serotypes. Thus, we sought to determine if biotin-CP from serotypes 1, 5, and 7 could be combined in a polyvalent CP-BS-ELISA to act as a screening test for the detection of antibodies to the most prevalent serotypes. Eighteen serum samples with absorbance values that ranged from weakly positive (1+) to strongly positive (3+) for serotypes 1, 5, and 7 were tested (Table 4). Reactivity remained high or increased for serotypes 1 and 5 but diminished somewhat for serotype 7, with two samples converting from weakly positive to negative. Nevertheless, these results indicated that biotin-CPs of different serotypes could be combined to screen sera for reactivity to multiple serotypes. Our results were similar to those obtained by a mixed-antigen ELISA for the detection of antibodies to A. pleuropneumoniae serotypes 1, 5, and 7 in swine reported by Bossé et al. (1).

The CP-BS-ELISA that we have described here has the advantages of serotype specificity, enhanced sensitivity, and convenience. At one postchallenge time point or another, the assay was 100% sensitive and specific for the detection of serotype-specific antibodies to each CP in challenged pigs. However, by 7 weeks postchallenge two pigs challenged with heterologous species became positive for serotype 7 biotin-CP, and by 16 weeks postchallenge four pigs that were previously reactive and that were challenged with serotype 5 became nonreactive to serotype 5 biotin-CP. We determined that plates could be coated with biotin-CP, the nonspecific sites could be blocked, and the plates could be stored dry at 20°C for at least 6 months without a loss of reactivity (data not shown).

In conclusion, serotype-specific serologic tests should use highly purified CP in order to maximize specificity. Tests that use crude antigens, cell extracts, or LPS may result in reactions with antibodies to multiple serotypes or even heterologous species (10-12, 15, 19, 20). The CP-BS-ELISA described here uses optimum specificity, its sensitivity approaches the sensitivity of radioimmunoassay (8), and it has the convenience of an ELISA format suitable for most clinical laboratories.