Aagaard Claus, Govaerts Marc, Meng Okkels Limei, Andersen Peter, Pollock John M
Department of Infectious Disease Immunology, Statens Serum Institute, Copenhagen, Denmark.
J Clin Microbiol. 2003 Aug;41(8):3719-28. doi: 10.1128/JCM.41.8.3719-3728.2003.
Differential delayed-type hypersensitivity skin testing with tuberculin purified protein derivatives from Mycobacterium bovis and M. avium is the standard for diagnosing bovine tuberculosis. However, improved tests based on defined, specific antigens are urgently needed. In the present study, a combination of bioinformatics, molecular biology, and bovine models of infection were used to screen mycobacterial proteins for their potential as diagnostic reagents which could be used in a whole-blood assay for diagnosis of tuberculosis. Initial screening of 28 proteins selected in silico and expressed as recombinants in Escherichia coli indicated that CFP-10, ESAT-6, TB27.4, TB16.2, TB15.8, and TB10.4 induced strong gamma interferon responses in experimentally infected cattle. A more thorough investigation over time in two groups of animals infected with a high (10(6) CFU) and a low (10(4) CFU) dose of M. bovis revealed that, for both groups, the strength of the in vitro response to individual antigens varied greatly over time. However, combining the results for ESAT-6, CFP-10, and TB27.4, possibly supplemented with TB10.4, gave sensitivities at different infection stages close to those obtained with M. bovis purified protein derivative. Importantly, while responsiveness to ESAT-6 and CFP-10 correlated strongly for individual samples, the same was not the case for ESAT-6 and TB27.4 responsiveness. The results suggest that combinations of specific antigens such as these have great potential in development of optimized diagnostic systems for bovine tuberculosis.
用来自牛分枝杆菌和鸟分枝杆菌的结核菌素纯化蛋白衍生物进行差异迟发型超敏皮肤试验是诊断牛结核病的标准方法。然而,迫切需要基于明确、特异性抗原的改进检测方法。在本研究中,结合生物信息学、分子生物学和牛感染模型,筛选分枝杆菌蛋白作为诊断试剂的潜力,这些试剂可用于全血检测以诊断结核病。对计算机模拟选择并在大肠杆菌中表达为重组体的28种蛋白质进行初步筛选表明,CFP-10、ESAT-6、TB27.4、TB16.2、TB15.8和TB10.4在实验感染的牛中诱导了强烈的γ干扰素反应。对两组分别感染高剂量(10⁶CFU)和低剂量(10⁴CFU)牛分枝杆菌的动物进行了更深入的长期研究,结果显示,对于两组动物,体外对单个抗原的反应强度随时间变化很大。然而,将ESAT-6、CFP-10和TB27.4的结果相结合,可能再加上TB10.4,在不同感染阶段的敏感性接近用牛分枝杆菌纯化蛋白衍生物获得的敏感性。重要的是,虽然单个样本对ESAT-6和CFP-10 的反应性密切相关,但ESAT-6和TB27.4的反应性并非如此。结果表明,这些特定抗原的组合在开发优化的牛结核病诊断系统方面具有巨大潜力。