Rosengarten R, Yogev D
Department of Membrane and Ultrastructure Research, Hebrew University-Hadassah Medical School, Jerusalem, Israel.
J Clin Microbiol. 1996 Jan;34(1):149-58. doi: 10.1128/jcm.34.1.149-158.1996.
Immunobinding assays with mycoplasma colonies on agar plates (immunofluorescence and immunoperoxidase techniques) or with imprints of colonies transferred to solid supports (colony immunoblotting) are widely used as standard diagnostic tests for serological species identification of mycoplasma isolates. However, in light of the high rate of variability of surface antigens in many mycoplasmas, diagnostic data obtained with these techniques require a more critical evaluation. In this report, we demonstrate with some examples that mycoplasma surface variability based on alterations in expression, in size, and in surface presentation of integral and peripheral membrane proteins may lead to misinterpretation of colony immunostaining reactions obtained by using specific monoclonal antibodies as well as conventional diagnostic hyperimmune sera. To more easily identify phenotypically mixed isolates or samples which contain more than one species, we have introduced some minor modifications of the colony immunoblot technique which provide sharp signals of positive as well as negative reactions and enable identification of cryptic epitopes. It is further demonstrated that because of the variability in colony surface antigenic phenotype, mycoplasma strains, including well-established reference and other prototype strains which are used under the same designation in many laboratories, can differ markedly in their antigen profiles and their potentially virulence-related surface properties, since they are usually purified by filter cloning and often propagated by subcultivation of randomly selected agar-grown subpopulations. We conclude from this study that because of this surface variability, the establishment of criteria for standardization of mycoplasma strains and diagnostic antisera is urgently required in order to obtain reproducible results in different laboratories.
琼脂平板上支原体菌落的免疫结合试验(免疫荧光和免疫过氧化物酶技术)或转移至固相支持物上的菌落印记试验(菌落免疫印迹法)被广泛用作支原体分离株血清学种类鉴定的标准诊断试验。然而,鉴于许多支原体表面抗原的高变异性,用这些技术获得的诊断数据需要更严格的评估。在本报告中,我们通过一些例子证明,基于整合膜蛋白和外周膜蛋白表达、大小及表面呈现改变的支原体表面变异性,可能导致使用特异性单克隆抗体以及传统诊断超免疫血清所获得的菌落免疫染色反应出现错误解读。为了更轻松地鉴定表型混合的分离株或含有不止一种支原体的样本,我们对菌落免疫印迹技术进行了一些小的改进,这些改进能提供清晰的阳性和阴性反应信号,并能鉴定隐蔽表位。进一步证明,由于菌落表面抗原表型的变异性,支原体菌株,包括许多实验室以相同名称使用的公认参考菌株和其他原型菌株,其抗原谱以及潜在的与毒力相关的表面特性可能存在显著差异,因为它们通常通过滤膜克隆纯化,且常通过随机选择的琼脂培养亚群的传代培养进行繁殖。我们从这项研究中得出结论,由于这种表面变异性,迫切需要建立支原体菌株和诊断抗血清标准化的标准,以便在不同实验室获得可重复的结果。