Cortina María E, Balzano Rodrigo E, Rey Serantes Diego A, Caillava Ana J, Elena Sebastián, Ferreira A C, Nicola Ana M, Ugalde Juan E, Comerci Diego J, Ciocchini Andrés E
Instituto de Investigaciones Biotecnológicas Dr. Rodolfo A. Ugalde, Instituto Tecnológico de Chascomús (IIB-INTECH), Universidad Nacional de San Martín, CONICET, San Martín, Buenos Aires, Argentina.
Laboratorio de Referencia de la OIE para Brucelosis, Dirección General de Laboratorio y Control Técnico (DiLab), Servicio Nacional de Sanidad y Calidad Agroalimentaria (SENASA), Martínez, Buenos Aires, Argentina.
J Clin Microbiol. 2016 Jun;54(6):1448-1455. doi: 10.1128/JCM.00151-16. Epub 2016 Mar 16.
Brucellosis is a highly zoonotic disease that affects animals and human beings. Brucella suis is the etiological agent of porcine brucellosis and one of the major human brucellosis pathogens. Laboratory diagnosis of porcine brucellosis mainly relies on serological tests, and it has been widely demonstrated that serological assays based on the detection of anti O-polysaccharide antibodies are the most sensitive tests. Here, we validate a recombinant glycoprotein antigen, an N-formylperosamine O-polysaccharide-protein conjugate (OAg-AcrA), for diagnosis of porcine brucellosis. An indirect immunoassay based on the detection of anti-O-polysaccharide IgG antibodies was developed coupling OAg-AcrA to enzyme-linked immunosorbent assay plates (glyco-iELISA). To validate the assay, 563 serum samples obtained from experimentally infected and immunized pigs, as well as animals naturally infected with B. suis biovar 1 or 2, were tested. A receiver operating characteristic (ROC) analysis was performed, and based on this analysis, the optimum cutoff value was 0.56 (relative reactivity), which resulted in a diagnostic sensitivity and specificity of 100% and 99.7%, respectively. A cutoff value of 0.78 resulted in a test sensitivity of 98.4% and a test specificity of 100%. Overall, our results demonstrate that the glyco-iELISA is highly accurate for diagnosis of porcine brucellosis, improving the diagnostic performance of current serological tests. The recombinant glycoprotein OAg-AcrA can be produced in large homogeneous batches in a standardized way, making it an ideal candidate for further validation as a universal antigen for diagnosis of "smooth" brucellosis in animals and humans.
布鲁氏菌病是一种高度人畜共患的疾病,会影响动物和人类。猪布鲁氏菌是猪布鲁氏菌病的病原体,也是人类布鲁氏菌病的主要病原体之一。猪布鲁氏菌病的实验室诊断主要依靠血清学检测,并且已经广泛证明基于检测抗O-多糖抗体的血清学检测是最敏感的检测方法。在此,我们验证了一种重组糖蛋白抗原,即N-甲酰基过氧胺O-多糖-蛋白偶联物(OAg-AcrA),用于诊断猪布鲁氏菌病。基于检测抗O-多糖IgG抗体开发了一种间接免疫测定法,将OAg-AcrA偶联到酶联免疫吸附测定板上(糖基化间接ELISA)。为了验证该测定法,对从实验感染和免疫的猪以及自然感染猪布鲁氏菌生物变种1或2的动物中获得的563份血清样本进行了检测。进行了受试者工作特征(ROC)分析,基于该分析,最佳临界值为0.56(相对反应性),诊断敏感性和特异性分别为100%和99.7%。临界值为0.78时,检测敏感性为98.4%,检测特异性为100%。总体而言,我们的结果表明糖基化间接ELISA对猪布鲁氏菌病的诊断具有高度准确性,提高了当前血清学检测的诊断性能。重组糖蛋白OAg-AcrA可以以标准化方式大量均匀生产,使其成为作为动物和人类“光滑”型布鲁氏菌病诊断通用抗原进行进一步验证的理想候选物。