02283nas a2200361 4500000000100000008004100001260001300042653002600055653002400081653003800105653001300143653001100156653001200167653002400179653001800203653002500221653003200246100001200278700001500290700001500305700001400320700001500334700001300349700001800362700001700380245016500397856005900562300001000621490000700631050003200638520123700670022001401907 1993 d c1993 Mar10aAntibodies, Bacterial10aAntigens, Bacterial10aEnzyme-Linked Immunosorbent Assay10aEpitopes10aHumans10aleprosy10aLipopolysaccharides10aMycobacterium10aMycobacterium leprae10aSensitivity and Specificity1 aSekar B1 aSharma R N1 aLeelabai G1 aAnandan D1 aVasanthi B1 aYusuff G1 aSubramanian M1 aJayasheela M00aSerological response of leprosy patients to Mycobacterium leprae specific and mycobacteria specific antigens: possibility of using these assays in combinations. uhttp://leprev.ilsl.br/pdfs/1993/v64n1/pdf/v64n1a03.pdf a15-240 v64 aInfolep Library - available3 a

The serological response of 147 leprosy patients to 3 mycobacterial antigens, PGL-I, 35 kDa (Mycobacterium leprae-specific) and LAM (which is a common mycobacterial antigen) were analysed. A stronger serological response was seen amongst the MB patients than the PB patients in all the assays. The 3 antibody levels correlated positively with each other in both MB and PB cases. An overlap of seropositivity was seen between anti-PGL-I and anti-LAM (p > 0.05). A progressive increase in seropositivity and a significant difference of absorbance or titre in antibody levels in all 3 assays over increasing grades of BI were seen in the MB patients (p < 0.05). A significant difference in seropositivity between untreated and treated groups of patients was observed for anti PGL-I (p < 0.05) and antiLAM (p < 0.01) antibodies. The sensitivity, specificity and efficiency of antiPGL-I (50%; 99%; 70%), antiLAM (43%; 95%; 64%) and anti35 kDa (66%; 100%; 80%) assays taken individually were less than that of combinations of antiPGL-I/anti-35 kDa (74%; 99%; 84%) or antiPGL-I/anti-35 kDa/antiLAM (80%; 94%; 86%). The difference in the efficiency of both sets of combination of assays were not statistically significant (p > 0.05).

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