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The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Rapid serodiagnostic test for pulmonary tuberculosis
V V Radhakrishnan1, A Mathai, B Sunderam
1Department of Pathology, Institute for Medical Sciences and Technology, Trivandrum, India.
Insights
Counter-current immunoelectrophoresis (CIE) detected specific mycobacterial antibodies in immune complexes (ICs) from pulmonary tuberculosis (PT) patients. This simple test is valuable for diagnosing PT, especially when sputum tests are negative.
Area of Science:
- Immunology
- Medical Diagnostics
- Microbiology
Background:
- Immune complexes (ICs) play a role in various diseases.
- Diagnosing pulmonary tuberculosis (PT) can be challenging, particularly with negative sputum bacteriology.
Purpose of the Study:
- To investigate the presence of specific mycobacterial antibodies in ICs of PT patients.
- To evaluate counter-current immunoelectrophoresis (CIE) as a potential serodiagnostic tool for PT.
Main Methods:
- Immune complexes were isolated from patient and control sera using polyethylene glycol (PEG) precipitation.
- Specific mycobacterial antibodies within ICs were detected using counter-current immunoelectrophoresis (CIE) against a purified mycobacterial antigen.
Main Results:
- Specific mycobacterial antibodies were found in the ICs of 70% of PT patients.
- No specific antibodies were detected in ICs from non-tuberculous pulmonary disease patients or healthy controls.
Conclusions:
- CIE is a sensitive and rapid method for detecting specific mycobacterial antibodies in PT patients' ICs.
- CIE offers advantages over ELISA and is suitable for resource-limited laboratories for PT diagnosis.
Abstract:
Immune complexes (ICs) were isolated from sera of patients with pulmonary tuberculosis (PT), non-tuberculous pulmonary diseases and healthy control subjects by polyethylene glycol (PEG) precipitation method. Specific mycobacterial antibody in ICs was tested against an affinity purified mycobacterial antigen by counter-current immunoelectrophoresis (CIE). The results show that specific mycobacterial antibodies are present only in ICs of patients with PT (70%). Therefore CIE could be used as a simple and rapid serodiagnostic test in patients with PT, particularly when bacteriological methods in sputum specimens are negative for Mycobacterium tuberculosis. CIE has several operational advantages over ELISA and best suited to laboratories with limited resources.
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