Humoral immune responses in a human case of glanders

David M Waag1, Marilyn J England, David DeShazer

  • 1Bacteriology Division, United States Army Medical Research Institute of Infectious Diseases, Ft. Detrick, Maryland, USA. david.waag@amedd.army.mil

Insights

Glanders diagnosis can be improved using a Burkholderia mallei cellular antigen assay. This method detects specific IgA, IgG, and IgM antibodies in patients, aiding in early and accurate glanders identification.

Area of Science:

  • Medical Microbiology
  • Immunology
  • Infectious Diseases

Background:

  • Glanders is a serious infectious disease caused by Burkholderia mallei.
  • Serological tests are crucial for diagnosing glanders, but sensitive and specific diagnostic tools are needed.

Purpose of the Study:

  • To evaluate the diagnostic potential of Burkholderia mallei cellular antigens for serodiagnosis of glanders.
  • To assess the specificity of the immune response against Burkholderia mallei.

Main Methods:

  • A case study of a glanders patient was analyzed.
  • Serological titers (IgA, IgG, IgM) against Burkholderia mallei were measured over time.
  • Serum reactivity against Burkholderia pseudomallei and sera from patients with other diseases was tested.

Main Results:

  • The patient showed significant increases in specific IgA, IgG, and IgM titers against Burkholderia mallei within 2 months of infection.
  • These titers returned to baseline within 14 months.
  • Patient serum was reactive against Burkholderia pseudomallei but not against antigens from other diseases.

Conclusions:

  • A diagnostic assay utilizing Burkholderia mallei cellular antigens shows promise for the serodiagnosis of glanders.
  • The specificity of the immune response suggests the utility of B. mallei antigens in differentiating glanders from other infections.