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Journal of Clinical Microbiology, October 1998, p. 3028-3031, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Detection of Specific Antibodies to an Antigenic
Mannoprotein for Diagnosis of Penicillium marneffei
Penicilliosis
Liang
Cao,1,*
Da-Liang
Chen,1
Cindy
Lee,1
Che-Man
Chan,1
King-Man
Chan,1
Nongnuch
Vanittanakom,2
Dominic N. C.
Tsang,3 and
Kwok-Yung
Yuen1
Department of Microbiology, The University of
Hong Kong,1 and
Department of Pathology,
Queen Elizabeth Hospital,3 Hong Kong, and
Department of Microbiology, Faculty of Medicine, Chiang Mai
University, Chiang Mai, Thailand2
Received 30 March 1998/Returned for modification 27 May
1998/Accepted 14 July 1998
The disseminated and progressive fungal disease Penicillium
marneffei penicilliosis is one of the most common infectious
diseases in AIDS patients in Southeast Asia. To diagnose systemic
penicilliosis, we developed an enzyme-linked immunosorbent assay
(ELISA)-based antibody test with Mp1p, a purified recombinant antigenic
mannoprotein of P. marneffei. Evaluation of the test with
guinea pig sera against P. marneffei and other pathogenic
fungi indicated that this assay was specific for P. marneffei. Clinical evaluation revealed that high levels of
specific antibody were detected in two immunocompetent penicilliosis
patients. Furthermore, approximately 80% (14 of 17) of the documented
penicilliosis patients with human immunodeficiency virus tested
positive for the specific antibody. No false-positive results were
found for serum samples from 90 healthy blood donors, 20 patients with
typhoid fever, and 55 patients with tuberculosis, indicating a high
specificity of the test. Thus, this ELISA-based test for the detection
of anti-Mp1p antibody can be of significant value as a diagnostic for
penicilliosis.
*
Corresponding author. Mailing address: Department of
Microbiology, The University of Hong Kong, University Pathology
Building, Queen Mary Hospital Compound, Hong Kong. Phone: (852)
2855-4822. Fax: (852) 2855-1241. E-mail:
lcao{at}hkucc.Hku.hk.
Journal of Clinical Microbiology, October 1998, p. 3028-3031, Vol. 36, No. 10
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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