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Clinical utility of a combination of lipoarabinomannan, 38-kDa, and 16-kDa antigens as a diagnosis tool for tuberculosis.

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.
AuthorsShaoli Deng, Tao Yuan, Ji Xia, Hengliu Huang, Xiaoxing Cheng, Ming Chen
JournalDiagnostic microbiology and infectious disease (Diagn Microbiol Infect Dis) Vol. 71 Issue 1 Pg. 46-50 (Sep 2011) ISSN: 1879-0070 [Electronic] United States
PMID21784596 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCrown Copyright © 2011. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Antibodies, Bacterial
  • Antigens, Bacterial
  • Lipopolysaccharides
  • lipoarabinomannan
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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