A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.

Human brucellosis is most commonly diagnosed by serology based on agglutination of fixed Brucella abortus as antigen. Nucleic acid amplification techniques have not proven capable of reproducibly and sensitively demonstrating the presence of Brucella DNA in clinical specimens. We sought to optimize...

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Main Authors: Kailash P Patra, Mayuko Saito, Vidya L Atluri, Hortensia G Rolán, Briana Young, Tobias Kerrinnes, Henk Smits, Jessica N Ricaldi, Eduardo Gotuzzo, Robert H Gilman, Renee M Tsolis, Joseph M Vinetz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-06-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0002926
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author Kailash P Patra
Mayuko Saito
Vidya L Atluri
Hortensia G Rolán
Briana Young
Tobias Kerrinnes
Henk Smits
Jessica N Ricaldi
Eduardo Gotuzzo
Robert H Gilman
Renee M Tsolis
Joseph M Vinetz
author_facet Kailash P Patra
Mayuko Saito
Vidya L Atluri
Hortensia G Rolán
Briana Young
Tobias Kerrinnes
Henk Smits
Jessica N Ricaldi
Eduardo Gotuzzo
Robert H Gilman
Renee M Tsolis
Joseph M Vinetz
author_sort Kailash P Patra
collection DOAJ
description Human brucellosis is most commonly diagnosed by serology based on agglutination of fixed Brucella abortus as antigen. Nucleic acid amplification techniques have not proven capable of reproducibly and sensitively demonstrating the presence of Brucella DNA in clinical specimens. We sought to optimize a monoclonal antibody-based assay to detect Brucella melitensis lipopolysaccharide in blood by conjugating B. melitensis LPS to keyhole limpet hemocyanin, an immunogenic protein carrier to maximize IgG affinity of monoclonal antibodies. A panel of specific of monoclonal antibodies was obtained that recognized both B. melitensis and B. abortus lipopolysaccharide epitopes. An antigen capture assay was developed that detected B. melitensis in the blood of experimentally infected mice and, in a pilot study, in naturally infected Peruvian subjects. As a proof of principle, a majority (7/10) of the patients with positive blood cultures had B. melitensis lipopolysaccharide detected in the initial blood specimen obtained. One of 10 patients with relapsed brucellosis and negative blood culture had a positive serum antigen test. No seronegative/blood culture negative patients had a positive serum antigen test. Analysis of the pair of monoclonal antibodies (2D1, 2E8) used in the capture ELISA for potential cross-reactivity in the detection of lipopolysaccharides of E. coli O157:H7 and Yersinia enterocolitica O9 showed specificity for Brucella lipopolysaccharide. This new approach to develop antigen-detection monoclonal antibodies against a T cell-independent polysaccharide antigen based on immunogenic protein conjugation may lead to the production of improved rapid point-of-care-deployable assays for the diagnosis of brucellosis and other infectious diseases.
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spelling doaj-art-78ee8f95f67d4901ac92cf60b38fc0af2025-08-20T02:09:17ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352014-06-0186e292610.1371/journal.pntd.0002926A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.Kailash P PatraMayuko SaitoVidya L AtluriHortensia G RolánBriana YoungTobias KerrinnesHenk SmitsJessica N RicaldiEduardo GotuzzoRobert H GilmanRenee M TsolisJoseph M VinetzHuman brucellosis is most commonly diagnosed by serology based on agglutination of fixed Brucella abortus as antigen. Nucleic acid amplification techniques have not proven capable of reproducibly and sensitively demonstrating the presence of Brucella DNA in clinical specimens. We sought to optimize a monoclonal antibody-based assay to detect Brucella melitensis lipopolysaccharide in blood by conjugating B. melitensis LPS to keyhole limpet hemocyanin, an immunogenic protein carrier to maximize IgG affinity of monoclonal antibodies. A panel of specific of monoclonal antibodies was obtained that recognized both B. melitensis and B. abortus lipopolysaccharide epitopes. An antigen capture assay was developed that detected B. melitensis in the blood of experimentally infected mice and, in a pilot study, in naturally infected Peruvian subjects. As a proof of principle, a majority (7/10) of the patients with positive blood cultures had B. melitensis lipopolysaccharide detected in the initial blood specimen obtained. One of 10 patients with relapsed brucellosis and negative blood culture had a positive serum antigen test. No seronegative/blood culture negative patients had a positive serum antigen test. Analysis of the pair of monoclonal antibodies (2D1, 2E8) used in the capture ELISA for potential cross-reactivity in the detection of lipopolysaccharides of E. coli O157:H7 and Yersinia enterocolitica O9 showed specificity for Brucella lipopolysaccharide. This new approach to develop antigen-detection monoclonal antibodies against a T cell-independent polysaccharide antigen based on immunogenic protein conjugation may lead to the production of improved rapid point-of-care-deployable assays for the diagnosis of brucellosis and other infectious diseases.https://doi.org/10.1371/journal.pntd.0002926
spellingShingle Kailash P Patra
Mayuko Saito
Vidya L Atluri
Hortensia G Rolán
Briana Young
Tobias Kerrinnes
Henk Smits
Jessica N Ricaldi
Eduardo Gotuzzo
Robert H Gilman
Renee M Tsolis
Joseph M Vinetz
A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
PLoS Neglected Tropical Diseases
title A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
title_full A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
title_fullStr A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
title_full_unstemmed A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
title_short A protein-conjugate approach to develop a monoclonal antibody-based antigen detection test for the diagnosis of human brucellosis.
title_sort protein conjugate approach to develop a monoclonal antibody based antigen detection test for the diagnosis of human brucellosis
url https://doi.org/10.1371/journal.pntd.0002926
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