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Journal of Clinical Microbiology, November 1999, p. 3540-3544, Vol. 37, No. 11
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Serodiagnosis of Human Granulocytic Ehrlichiosis by
a Recombinant HGE-44-Based Enzyme-Linked Immunosorbent Assay
Jacob W.
Ijdo,1
Caiyun
Wu,1
Louis A.
Magnarelli,2 and
Erol
Fikrig1,*
Section of Rheumatology, Department of
Internal Medicine, Yale University School of
Medicine,1 and Connecticut
Agricultural Experiment Station,2 New Haven,
Connecticut
Received 11 May 1999/Returned for modification 30 June
1999/Accepted 22 July 1999
Current antibody testing for human granulocytic ehrlichiosis relies
predominantly on indirect fluorescent-antibody assays and immunoblot
analysis. Shortcomings of these techniques include high cost and
variability of test results associated with the use of different
strains of antigens derived from either horses or cultured HL-60 cells.
We used recombinant protein HGE-44, expressed and purified as a
maltose-binding protein (MBP) fusion peptide, as an antigen in a
polyvalent enzyme-linked immunosorbent assay (ELISA). Fifty-five normal
serum samples from healthy humans served as a reference to establish
cutoff levels. Thirty-three of 38 HGE patient serum samples (87%),
previously confirmed by positive whole-cell immunoblotting, reacted
positively in the recombinant ELISA. In specificity analyses, serum
samples from patients with Lyme disease, syphilis, rheumatoid
arthritis, and human monocytic ehrlichiosis (HME) did not react with
HGE-44-MBP antigen, except for one sample (specificity, 98%). We
conclude that recombinant HGE-44 antigen is a suitable antigen in an
ELISA for the laboratory diagnosis and epidemiological study of HGE.
*
Corresponding author. Mailing address: 608 Laboratory
of Clinical Investigation, Section of Rheumatology, Department of
Internal Medicine, Yale University School of Medicine, 333 Cedar St.,
New Haven, CT 06520-8031. Phone: (203) 785-2453. Fax: (203) 785-7053. E-mail: efb{at}emailmed.yale.edu.
Journal of Clinical Microbiology, November 1999, p. 3540-3544, Vol. 37, No. 11
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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