Jenkins A O, Gormley E, Gcebe N, Fosgate G T, Conan A, Aagaard C, Michel A L, Rutten V P M G
Division of Immunology, Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 1, 3584 CL, Utrecht, The Netherlands; Department of Veterinary Tropical Diseases, Bovine Tuberculosis and Brucellosis Research Programme, Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110, South Africa.
TB diagnostics and Vaccine Research Laboratory, School of Veterinary Medicine, Veterinary Sciences Centre, University College Dublin (UCD), Dublin 4, Ireland.
Prev Vet Med. 2018 Apr 1;152:16-22. doi: 10.1016/j.prevetmed.2018.02.003. Epub 2018 Feb 9.
Accurate diagnosis of tuberculosis in cattle may be compromised in areas where there are high rates of exposure to environmental/non-tuberculous mycobacteria (NTM). This cross reaction of immune responses to Mycobacterium bovis antigens shared with NTMs can result in reduced specificity of commonly used diagnostic tests including tuberculin skin tests and the interferon gamma assay (IFN-ɣ). In this study we assessed the cross-reactive immune responses of M. bovis (infected) and NTM exposed animals to M. bovis and M. avium tuberculin, the ESAT6/CFP10 cocktail antigen, tuberculin derived from cultures of selected NTMs, and a panel of recombinant mycobacterium tuberculosis complex (MTBC) antigens sharing homology with orthologues in NTM. Gamma interferon (IFN-ɣ) responses were measured in whole blood cultures using the IFN-ɣ assay and the IFN-ɣ elispot assay on purified peripheral blood mononuclear cells (PBMC). We observed the expected strong IFN-ɣ response to PPD-B in the M. bovis infected animals that distinguished this group from non-infected NTM exposed cattle. The IFN-ɣ responses to PPD-N (M. nonchromogenicum), were relatively high in both infected and non-infected NTM exposed cattle, but were not significantly different to classify the true infection status of each group. The results indicated that the cross-reactive responses to PPD-B and/or PPD-A with PPD-N, likely arose from prior exposure to environmental non-tuberculous mycobacteria. The IFN-ɣ immune responses to the 10 R-Mag measured by the IFN-ɣ elispot assay revealed that three of the selected antigens, Rv3615 (ESpC), Rv0287 (esxG) and the ESAT6/CFP10, were immunogenic in the infected cattle, and distinguished the infected cattle from the non-infected NTM exposed animals. The combined data of PPDs and R-Mags derived from NTM mycobacteria may prove useful in future development of novel bTB diagnostic tests.
在牛结核分枝杆菌暴露率高的地区,牛结核病的准确诊断可能会受到影响。对牛分枝杆菌抗原与非结核分枝杆菌(NTM)共有的免疫反应的这种交叉反应,可能会导致常用诊断测试(包括结核菌素皮肤试验和干扰素γ检测(IFN-ɣ))的特异性降低。在本研究中,我们评估了感染牛分枝杆菌和暴露于NTM的动物对牛分枝杆菌和鸟分枝杆菌结核菌素、ESAT6/CFP10混合抗原、源自选定NTM培养物的结核菌素以及一组与NTM直系同源物具有同源性的重组结核分枝杆菌复合群(MTBC)抗原的交叉反应性免疫反应。使用IFN-ɣ检测和纯化外周血单核细胞(PBMC)上的IFN-ɣ酶联免疫斑点检测,在全血培养物中测量γ干扰素(IFN-ɣ)反应。我们观察到,在感染牛分枝杆菌的动物中,对PPD-B有预期的强烈IFN-ɣ反应,这将该组与未感染的暴露于NTM的牛区分开来。在感染和未感染的暴露于NTM的牛中,对PPD-N(非产色分枝杆菌)的IFN-ɣ反应相对较高,但在区分每组的真正感染状态方面没有显著差异。结果表明,对PPD-B和/或PPD-A与PPD-N的交叉反应性反应,可能源于先前暴露于环境非结核分枝杆菌。通过IFN-ɣ酶联免疫斑点检测测量的对10种R-Mag的IFN-ɣ免疫反应表明,所选抗原中的三种,Rv3615(ESpC)、Rv0287(esxG)和ESAT6/CFP10,在感染的牛中具有免疫原性,并将感染的牛与未感染的暴露于NTM的动物区分开来。源自NTM分枝杆菌的PPD和R-Mag的综合数据可能在未来新型牛结核病诊断测试的开发中证明是有用的。