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An ELISA using a recombinant chimera of protective antigen and lethal factor for serodiagnosis of cutaneous anthrax in India.

Abstract
In this study, an ELISA was developed for simultaneous detection of antibodies against both the important toxins of B. anthracis i.e. protective antigen (PA) and lethal factor (LF). A chimera of PA and LF was made by fusion and cloned and expressed in E. coli. The purified recombinant protein was used in plate ELISA for serodiagnosis of anthrax. The chimera could detect antibodies against both the toxins of Bacillus anthracis. The human serum samples (n = 98) collected from anthrax endemic and non-endemic areas were tested employing ELISA. The ELISA gave sensitivity of 100% (95% Confidence Interval [CI], 92.13 to 100) and specificity of 97.78% (95% Confidence Interval [CI], 88.23 to 99.94) with a J index of 0.97. The efficiency of ELISA was found to be 98.9% with the positive predictive value (PPV) and negative predictive value (NPV) of 97.8% and 100%, respectively. The chimera of PA and LF could be a better diagnostic antigen for serodiagnosis as the assay detects antibodies against both the toxins in early as well delayed infection cases of anthrax. Therefore, it can be a very useful tool for the surveillance as well as for confirmation of cutaneous anthrax cases.
AuthorsAnshul Varshney, Nidhi Puranik, Manoj Kumar, Vijai Pal, J Padmaja, A K Goel
JournalBiologicals : journal of the International Association of Biological Standardization (Biologicals) Vol. 57 Pg. 55-60 (Jan 2019) ISSN: 1095-8320 [Electronic] England
PMID30635155 (Publication Type: Journal Article)
CopyrightCopyright © 2019 International Alliance for Biological Standardization. Published by Elsevier Ltd. All rights reserved.
Chemical References
  • Antibodies, Bacterial
  • Antigens, Bacterial
  • Bacterial Toxins
  • Recombinant Fusion Proteins
  • anthrax toxin
Topics
  • Animals
  • Anthrax (diagnosis, immunology, microbiology)
  • Antibodies, Bacterial (immunology)
  • Antigens, Bacterial (immunology)
  • Bacillus anthracis (immunology, physiology)
  • Bacterial Toxins (immunology)
  • Enzyme-Linked Immunosorbent Assay (methods)
  • Humans
  • India
  • Recombinant Fusion Proteins (immunology)
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Serologic Tests (methods)
  • Skin Diseases, Bacterial (diagnosis, immunology, microbiology)

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