Wang Lei, Zhao Shiqi, Qi Xinru, Pei Qichuan, Chen Yixiao, Yin Dehui, Yao Meixue
Department of Neurology, Xuzhou Central Hospital, Xuzhou, 221009, Jiangsu, China.
Department of Neurology, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, 221009, Jiangsu, China.
Sci Rep. 2025 Aug 26;15(1):31389. doi: 10.1038/s41598-025-16590-5.
Brucellosis, a significant zoonotic infectious disease caused by Brucella spp., necessitates the development of efficient, rapid, accurate, and cost-effective diagnostic methods. This study evaluated the diagnostic value of Brucella Type IV secretion proteins VirB1, VirB5, and VirB6 for human brucellosis serological diagnosis. A total of 100 positive serum samples, 96 negative serum samples, and 27 serum samples from patients with fever caused by other pathogens were collected. Recombination VirB1 (rVirB1), rVirB5, and rVirB6 were expressed using prokaryotic expression systems, while VirB2 and VirB7 were synthesized as peptides. An indirect ELISA method was established using purified proteins and synthetic peptides, with sensitivity, specificity, AUC, and cut-off values determined through ROC analysis. The study successfully prepared rVirB1 (~ 36 kD, purity 90.6%), rVirB5 (~ 32 kD, purity 90.3%), and rVirB6 (~ 28 kD, purity 94.9%). These proteins exhibited sensitivity and specificity exceeding 0.9500 and 0.9271, respectively, comparable to traditional LPS antigens. Cross-reactivity assessments revealed that rVirB1 exhibited cross-reactivity with Pseudomonas putrida, while rVirB5 and rVirB6 showed no cross-reactivity. In contrast, LPS exhibited 14 instances of cross-reactivity. This study successfully developed an indirect ELISA diagnostic method using rVirB1, rVirB5, and rVirB6, demonstrating high diagnostic accuracy comparable to traditional LPS antigen detection techniques. Although some cross-reactivity was observed, the method presents a promising new candidate for the serological diagnosis of brucellosis. Future research should focus on optimizing this method to enhance diagnostic specificity and reliability.
布鲁氏菌病是由布鲁氏菌属引起的一种重要的人畜共患传染病,因此需要开发高效、快速、准确且经济高效的诊断方法。本研究评估了布鲁氏菌IV型分泌蛋白VirB1、VirB5和VirB6在人类布鲁氏菌病血清学诊断中的价值。共收集了100份阳性血清样本、96份阴性血清样本以及27份由其他病原体引起发热患者的血清样本。使用原核表达系统表达重组VirB1(rVirB1)、rVirB5和rVirB6,而VirB2和VirB7则合成为肽段。利用纯化蛋白和合成肽段建立了间接ELISA方法,并通过ROC分析确定了敏感性、特异性、AUC和临界值。该研究成功制备了rVirB1(约36 kD,纯度90.6%)、rVirB5(约32 kD,纯度90.3%)和rVirB6(约28 kD,纯度94.9%)。这些蛋白的敏感性和特异性分别超过0.9500和0.9271,与传统LPS抗原相当。交叉反应性评估显示,rVirB1与恶臭假单胞菌存在交叉反应,而rVirB5和rVirB6未显示交叉反应。相比之下,LPS出现了14例交叉反应。本研究成功开发了一种使用rVirB1、rVirB5和rVirB6的间接ELISA诊断方法,其诊断准确性高,与传统LPS抗原检测技术相当。尽管观察到了一些交叉反应,但该方法为布鲁氏菌病的血清学诊断提供了一个有前景的新候选方法。未来的研究应集中于优化该方法,以提高诊断特异性和可靠性。