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Journal of Clinical Microbiology, July 2001, p. 2466-2476, Vol. 39, No. 7
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.7.2466-2476.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Serodiagnosis of Human Granulocytic Ehrlichiosis by Using Novel Combinations of Immunoreactive Recombinant Proteins

Michael J. Lodes,1,* Raodoh Mohamath,1 Lisa D. Reynolds,1 Patricia McNeill,1 Christopher P. Kolbert,2 Elizabeth S. Bruinsma,2 Darin R. Benson,1 Eric Hofmeister,2 Steven G. Reed,1,3,4 Raymond L. Houghton,1 and David H. Persing1,3,*

Corixa Corporation1 and Infectious Disease Research Institute,3 Seattle, Washington 98104; University of Washington, Department of Pathobiology, Seattle, Washington 981954; and Department of Laboratory Medicine and Pathology, Mayo Foundation, Rochester, Minnesota 559052

Received 31 October 2000/Returned for modification 28 January 2001/Accepted 8 April 2001

A panel of seven recombinant antigens, derived from Ehrlichia phagocytophila (the agent of human granulocytic ehrlichiosis), was evaluated by class-specific enzyme-linked immunosorbent assays (ELISAs) for utility in the diagnosis of the infection. Fourteen genomic fragments, obtained by serologic expression screening, contained open reading frames (ORFs) encoding 16 immunodominant antigens. Eleven of these antigens were members of the major surface protein (MSP) multigene family. Alignment of their predicted protein sequences revealed a pattern of conserved sequences, which contained short direct repeats, flanking a variable region. In addition, two genomic clones contained two and three MSP ORFs, respectively, indicating that these genes are clustered in tandem copies. The implications for this pattern of both genomic and protein arrangements in antigenic variations of MSPs and in their utilities in a diagnostic assay are discussed. In addition to two MSP recombinant antigens (rHGE-1 and -3) and a fusion protein of these antigens (rErf-1), five further recombinants were evaluated by ELISA. Two of these antigens (rHGE-14 and -15) were novel, while a third (rHGE-2), with no known function, has been described. The final two recombinant antigens (rHGE-9 and -17) represent overlapping segments of the ankyrin gene (ank). The addition of rHGE-9 ELISA data resulted in the detection of 78% (21 of 27) of acute-phase sera. When serologic data for all recombinants are combined, 96.2% (26 of 27) of convalescent-phase patient serum samples and 85.2% (23 of 27) of acute-phase patient serum samples are detected, indicating the potential of these antigens for use in the development of a rapid serologic assay for the detection of E. phagocytophila infection.


* Corresponding author. Mailing address: Corixa Corporation, 1124 Columbia St., Suite 200, Seattle, WA 98104. Phone: (206) 754-5797 or (206) 754-5879. Fax: (206) 754-5715. E-mail for Michael J. Lodes: lodes{at}corixa.com. E-mail for David H. Persing: persing{at}corixa.com.


Journal of Clinical Microbiology, July 2001, p. 2466-2476, Vol. 39, No. 7
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.7.2466-2476.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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