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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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