We measured isotype-specific human
antibodies directed against Campylobacter jejuni native
flagellin and a synthetic
peptide derived from the N-terminal amino acid sequence of the
protein by using a microdilution
enzyme-linked
immunosorbent assay (ELISA). Serum samples from patients with gastrointestinal
infection caused by C. jejuni (n = 20) and control samples (number from normal subjects = 20; number from patients with
diarrhea other than campylobacter = 20) were tested in this assay. Serum specimens from patients with
campylobacter infection showed statistically significant higher isotype-specific antiflagellin antibody titers than control samples did. Detection of
immunoglobulin G (
IgG)
antibodies was less specific (70%) than detection of either
IgA or
IgM antibodies in infected patients (95%). The sensitivity of testing for any of the isotypes ranged from 64 to 100% in acute-phase serum specimens and 85 to 95% in convalescent-phase serum specimens. An ELISA with an N-terminal synthetic
peptide derived from the
flagellin protein as
antigen was not sensitive (60%) for detecting
campylobacter infection but was very specific (97.5%). In conclusion, detection of serum
IgA or
IgM against C. jejuni
flagellin may be a useful marker of
infection. Although the N-terminal synthetic
peptide was antigenic in a few patients with
infection and showed good specificity in the ELISA, additional amino acid sequences with better sensitivity for detecting
infection need to be identified.