Development of a mouse food pad model for detection of sub clinical leprosy

Ramanuj Lahiri1, Baljit Randhawa, Kees L M C Franken

  • 1Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care, National Hansen's Disease Program, Baton Rouge, LA, USA.

Leprosy Review
|March 24, 2012
PubMed

Insights

Developing an objective laboratory test for leprosy is crucial for early diagnosis and preventing nerve damage. This study identified specific Mycobacterium leprae antigens that elicit a measurable immune response in a mouse model, paving the way for new diagnostic tools.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Microbiology

Background:

  • Leprosy diagnosis relies on clinical signs, leading to underreporting and delayed treatment, which allows nerve damage to progress.
  • Current diagnostic methods lack objectivity and sensitivity for early leprosy detection, necessitating the development of reliable laboratory tests.
  • Effective early diagnosis and multi-drug therapy (MDT) are essential to prevent the characteristic nerve damage, disability, and deformity associated with leprosy.

Purpose of the Study:

  • To develop and validate an objective laboratory test for early leprosy detection.
  • To screen Mycobacterium leprae (M. leprae) specific antigens and synthetic peptides for their ability to elicit a cell-mediated immune response.
  • To establish a reliable animal model for evaluating diagnostic antigens under controlled conditions.

Main Methods:

  • Utilized a mouse foot pad model to simulate early leprosy infection and assess T cell responses.
  • Screened splenic T cells for Interferon-gamma (IFN-gamma) secretion in response to M. leprae antigens and synthetic peptides.
  • Determined the minimum infectious dose (10^5 live M. leprae) required for a consistent IFN-gamma response in the mouse model.

Main Results:

  • Identified several M. leprae recombinant proteins (ML0840, ML2028, ML2307, ML2346, ML2478, ML2532) that induced significant IFN-gamma secretion.
  • Demonstrated a consistent splenic T cell response three months post-inoculation with a minimum dose of 10^5 live M. leprae.
  • The mouse model allowed for controlled monitoring of bacillary growth and T cell responses, mitigating confounding factors seen in human studies.

Conclusions:

  • The identified M. leprae antigens show promise for developing sensitive and specific diagnostic assays for early leprosy.
  • The mouse foot pad model serves as a valuable platform for screening diagnostic antigens before human field trials.
  • Objective laboratory tests are critical for improving leprosy surveillance and enabling timely intervention to prevent long-term complications.

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