Abstract |
The aim of this study was to evaluate the diagnostic value of tests detecting antibodies against lipoarabinomannan ( LAM), 38-kDa, and 16-kDa antigens for Mycobacterium tuberculosis (MTB). Sera from 160 tuberculosis (TB) patients and 150 non-TB healthy controls were subjected to simultaneous detection of antibodies against LAM, 38-kDa, and 16-kDa antigens using protein chips. The diagnostic value of the 3 TB antigens, alone or combined, was evaluated. Results showed that LAM and 38-kDa antigens had the highest positive rates in the TB patients. Tests showing any single positive antibody, 2 positive antibodies, and 3 positive antibodies had a sensitivity of 93.1%, 51.3%, and 15.6%, and a specificity of 81.3%, 96.6%, and 99.3%, respectively. The positive predictive value of tests showing any 2 positive antibodies and 3 positive antibodies was 94.2% and 96.1%, respectively. Combined detection of a selected panel of TB antibodies can improve the positive rates for TB diagnosis and can serve as an important aid to the diagnosis of TB especially extrapulmonary TB.
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Authors | Shaoli Deng, Tao Yuan, Ji Xia, Hengliu Huang, Xiaoxing Cheng, Ming Chen |
Journal | Diagnostic microbiology and infectious disease
(Diagn Microbiol Infect Dis)
Vol. 71
Issue 1
Pg. 46-50
(Sep 2011)
ISSN: 1879-0070 [Electronic] United States |
PMID | 21784596
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Crown Copyright © 2011. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Antibodies, Bacterial
- Antigens, Bacterial
- Lipopolysaccharides
- lipoarabinomannan
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Antibodies, Bacterial
(blood)
- Antigens, Bacterial
(immunology)
- Female
- Humans
- Lipopolysaccharides
(immunology)
- Male
- Middle Aged
- Mycobacterium tuberculosis
(immunology)
- Reproducibility of Results
- Sensitivity and Specificity
- Tuberculosis
(diagnosis, immunology)
- Young Adult
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