TY - JOUR KW - Amino Acid Sequence KW - Animals KW - Antibodies, Bacterial KW - Antigens, Bacterial KW - Cells, Cultured KW - Enzyme-Linked Immunosorbent Assay KW - Female KW - Humans KW - Immunologic Tests KW - Interferon-gamma KW - leprosy KW - Leukocytes, Mononuclear KW - Mice KW - Mice, Inbred C57BL KW - Molecular Sequence Data KW - Mycobacterium leprae KW - Peptides KW - T-Lymphocytes AU - Araoz R AU - Honore N AU - Banu S AU - Demangel C AU - Cissoko Y AU - Arama C AU - Uddin MKM AU - Hadi A AU - Monot M AU - Cho S AU - Ji B AU - Brennan PJ AU - Sow S AU - Cole S AB -

In addition to multidrug therapy, elimination of leprosy requires improved diagnostic methods. Using a comparative genomics approach, 17 potential protein antigens (MLP) that are restricted to Mycobacterium leprae, or of limited distribution, were produced and tested for antigen-specific immune responses on leprosy patients, healthy contacts of leprosy patients, and tuberculosis patients in Mali and Bangladesh, as well as on non-endemic controls. T-cell antigenicity of MLP was confirmed by IFN-gamma production in whole-blood assays with the highest responses observed in paucibacillary leprosy patients and healthy contacts. Four MLP behaved well in both countries and induced significantly different responses between the study groups. Peptides carrying T cell epitopes from one of the antigens gave promising results in restimulation assays in mice and immune responses were not influenced by prior exposure to BCG or environmental mycobacteria. This study provides the immunological framework for the development of a specific, peptide-based immunodiagnostic test for leprosy.

BT - Microbes and infection C1 - http://www.ncbi.nlm.nih.gov/pubmed/16797206?dopt=Abstract DA - 2006 Jul DO - 10.1016/j.micinf.2006.04.002 IS - 8 J2 - Microbes Infect. LA - eng N2 -

In addition to multidrug therapy, elimination of leprosy requires improved diagnostic methods. Using a comparative genomics approach, 17 potential protein antigens (MLP) that are restricted to Mycobacterium leprae, or of limited distribution, were produced and tested for antigen-specific immune responses on leprosy patients, healthy contacts of leprosy patients, and tuberculosis patients in Mali and Bangladesh, as well as on non-endemic controls. T-cell antigenicity of MLP was confirmed by IFN-gamma production in whole-blood assays with the highest responses observed in paucibacillary leprosy patients and healthy contacts. Four MLP behaved well in both countries and induced significantly different responses between the study groups. Peptides carrying T cell epitopes from one of the antigens gave promising results in restimulation assays in mice and immune responses were not influenced by prior exposure to BCG or environmental mycobacteria. This study provides the immunological framework for the development of a specific, peptide-based immunodiagnostic test for leprosy.

PY - 2006 SP - 2270 EP - 6 T2 - Microbes and infection TI - Towards an immunodiagnostic test for leprosy. VL - 8 SN - 1286-4579 ER -