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Clinical and Diagnostic Laboratory Immunology, November 1998, p. 826-830, Vol. 5, No. 6
Biochemistry and Molecular Biology Units and
Mycology Group, Corporación para Investigaciones
Biológicas (CIB), Medellín, Colombia
Received 21 July 1998/Returned for modification 17 August
1998/Accepted 10 September 1998
Paracoccidioidomycosis (PCM) is one of the most important endemic
mycoses in Latin America; it is usually diagnosed by observation and/or
isolation of the etiologic agent, Paracoccidioides
brasiliensis, as well as by a variety of immunological methods.
Although the latter are effective, two circumstances, cross-reactions
with other mycotic agents and antigen preparation that is marked by extreme variability among lots, hinder proper standardization of the
procedures. To circumvent this lack of reproducibility, molecular
biology tools were used to produce a recombinant 27-kDa-molecular-mass antigen from this fungus; a sizable quantity of this antigen was obtained through fermentation of Escherichia coli DH5
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Use of the 27-Kilodalton Recombinant Protein from
Paracoccidioides brasiliensis in Serodiagnosis of
Paracoccidioidomycosis

,
which is capable of expressing the fungal protein. The latter was
purified by the Prep-Cell System (Bio-Rad); the recovery rate of the
pure protein was approximately 6%. A battery of 160 human serum
samples, consisting of 64 specimens taken at the time of diagnosis from patients with PCM representing the various clinical forms plus 15 serum
specimens each from patients with histoplasmosis and aspergillosis, 10 each from patients with cryptococcosis and tuberculosis, 6 from
patients with coccidioidomycosis, and 40 from healthy subjects, were
all tested by an indirect enzyme-linked immunosorbent assay with the
purified 27-kDa recombinant protein. The latter was used at a
concentration of 1.0 µg/well; there were three serum dilutions (1:1,000, 1:2,000, and 1:4,000). The experiment was repeated at least
twice. The average sensitivity for both experiments was 73.4%; in
comparison with the healthy subjects, the specificity for PCM patients
was 87.5% while for patients with other mycoses, it was 58.7%.
Important cross-reactions with sera from patients with aspergillosis
and histoplasmosis were detected. The positive predictive value of the
test was 90.4%. These results indicate that it is possible to employ
recombinant antigenic proteins for the immunologic diagnosis of PCM
and, by so doing, achieve high coverage rates. Furthermore, antigen
reproducibility can now be ensured, thus facilitating inter- and
intralaboratory standardization.
*
Corresponding author. Mailing address: Molecular
Biology Unit, Corporación para Investigaciones
Biológicas (CIB), Carrera 72A#78B-141, Medellín,
Colombia. Phone: 57 4 441 0855. Fax: 57 4 441 5514. E-mail:
cib{at}epm.net.co.
Present address: Department of Biology, Universidad de Antioquia,
A.A. 1226 Medellín, Colombia.
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