Previous Article | Next Article ![]()
Clinical and Diagnostic Laboratory Immunology, March 2003, p. 233-240, Vol. 10, No. 2
1071-412X/03/$08.00+0 DOI: 10.1128/CDLI.10.2.233-240.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Bacteriology, Moredun Research Institute, Penicuik, EH26 0PZ, United Kingdom,1 Animal Diseases Research Institute, Dar-es-Salaam, Tanzania2
Received 30 September 2002/ Returned for modification 16 October 2002/ Accepted 16 November 2002
|
|
|---|
|
|
|---|
The current Office International des Épizooties-prescribed test for the diagnosis of CBPP is the modified complement fixation test (CFT) (5, 25). Although the test is highly specific, it is relatively expensive to perform, it is slow, and it requires trained personnel and laboratory facilities. In addition, it is less effective at diagnosing animals in the early stages of the disease or of animals with chronic lesions (25). A number of more modern tests have recently been described, including biochemical (28), indirect and competitive enzyme-linked immunosorbent assay (ELISA) (12, 24), immunoblotting (24, 27), and PCR (3, 20). Although these tests can offer advantages in terms of sensitivity, specificity, or reproducibility, they still require considerable investment in equipment and trained personnel and, most importantly, cannot be used for rapid "penside" diagnosis of CBPP, since they must be performed in the laboratory.
As an aid to effective field control, a rapid and inexpensive penside test for the accurate diagnosis of CBPP was recently identified as a top priority by the OIE/FAO/OAU Consultative Group on CBPP (2). Rapid slide agglutination tests for CBPP diagnosis by using MmmSC CFT antigen mixed with a drop of whole blood or serum have previously been described (26, 34). Although these tests were reported to be very sensitive, their use is not recommended due to an unacceptable number of false-positive reactions (1, 34). Since control measures for CBPP can include both quarantine and slaughter, it is vital for a test to exhibit a low number of false-positive reactions if the confidence of the local farmer is to be maintained.
Latex agglutination tests (LATs) for the diagnosis of contagious caprine pleuropneumonia caused by the related Mycoplasma capricolum subsp. capripneumoniae have been described previously (15, 31). These tests are designed to detect either serum antibodies against the mycoplasmal capsular polysaccharide (CPS) or, alternatively, to detect this antigen directly. The first test was made by coating latex particles with purified CPS, whereas the second test used specific anti-M. capricolum subsp. capripneumoniae immunoglobulin G (IgG) to bind to circulating CPS. In use, a positive reaction is signaled by a rapid agglutination signal (1 to 5 min).
MmmSC is known to produce large quantities of extracellular CPS (11) and, during the early or acute stages of infection, this antigen can "eclipse" the antibody response and lead to a false-negative diagnosis for CBPP with the CFT (35). In one study, up to 36% of CBPP-positive animals were undetected by the CFT (4). The development of a LAT that detects this circulating antigen could offer significant advantages in terms of diagnosis of early or acute stages of infection. We describe here the development and testing of such an LAT for the diagnosis of CBPP that is based upon the detection of serum CPS by using latex particles coated with MmmSC-specific IgG.
|
|
|---|
|
View this table: [in a new window] |
TABLE 1. Mycoplasma strains used in this study
|
CBPP field sera were obtained from naturally infected cattle herds from the Iringa, Mbeya, and Morogoro regions of Tanzania. Negative control bovine antisera were obtained from herds located in several outdoor locations in the United Kingdom, a country that has been free from CBPP for more than 100 years. (The sera were supplied by Robin Nicholas, Veterinary Laboratories Agency, Addlestone, United Kingdom.)
Purification of CPS. CPS was purified from spent medium by using a previously published technique (36). No protein could be detected in the purified CPS by a variety of assays (Bradford assay, Lowry assay, and after silver staining of sodium dodecyl sulfate-polyacrylamide gel electrophoresis gels). The amount of carbohydrate present was measured by the phenol-sulfuric acid method (6).
Measurement of CPS antibody titer. ELISA analysis was used to estimate the MmmSC CPS antibody titer in the IgG fraction used to coat the latex particles (to allow for standardization between different antibody batches). Microtiter plates (Greiner) were coated with a saturating amount of antigen, i.e., 0.1 ml of antigen solution at a concentration of 10 µg/ml in PBS (pH 7.5), and left overnight at 4°C. The antigen was either purified CPS, or whole MmmSC, pelleted out of growth medium, washed three times in PBS (supplemented with 5% [wt/vol] glucose), and then resuspended in PBS prior to sonication (three 20-s bursts). The plates were then blocked in a 5% solution of dry skim milk in PBST (PBS plus 0.05% Tween 20 [Sigma]) for 2 h at room temperature. Primary antibody (either anti-MmmSC IgG [R54] or a negative control IgG [R37]) was standardized at an initial concentration of 7.5 mg/ml in PBS and then diluted 1:200 into blocking solution. Twofold serial dilutions in blocking buffer were then made across the plate (1:200 down to 1:409,600). Incubations were done in a final volume of 0.1 ml. Appropriate negative primary and secondary controls were included. Sodium azide was added to a final concentration of 0.05% (wt/vol), and the plates were incubated overnight at room temperature. Four 5-min washes in PBST were performed,and then secondary antibody (pig anti-rabbit antibody-horseradish peroxidase conjugate; Dako A/S, Glostrup, Denmark) was added at a 1:1,000 dilution in blocking solution. After incubation at room temperature for 1 h, plates were washed four times in PBST and developed with o-phenylenediamine dichloride (OPD; Sigma). The optical density was measured at 492 nm with an IEMS plate reader (Labsystems).
Coating of microspheres. A 10% (wt/vol) solution of 0.8-µm diameter polystyrene latex microspheres (LB8; Sigma) was used in the binding reaction. Prior to use, the bead suspension was vigorously vortexed to ensure even distribution of the beads and to break up any large particles. To 0.15 ml of beads (15 mg) was added 2.5 mg of polyclonal anti-MmmSC IgG, and the volume was made up to 1 ml with PBS. (For experiments where the ratio of antibody to beads was altered, the volume of beads and final reaction volume were kept constant, whereas the amount of added antibody was varied. In this case, the volume of beads added was 0.015 ml, with the mixture made up to a final volume of 0.1 ml. No further washing was performed in order to prevent loss of "excess" IgG from the bead solution.) Negative control beads were produced by using an identical protocol but with IgG purified from a nonimmunized rabbit. The mixture was incubated overnight at 4°C on an end-to-end shaker, and then centrifuged at 15,000 rpm (20,000 x g) for 3 min in a microfuge. The supernatant was removed, and the beads were resuspended in 1 ml of PBST. The mixture was centrifuged as before, the supernatant was removed, and the beads were resuspended in a final volume of 1.0 ml of PBS supplemented with 0.05% sodium azide as a preservative. Resuspension of the beads was normally achieved by vortexing, although a brief sonication (5 s) was found to be useful in difficult cases. Preabsorption of polyclonal anti-MmmSC IgG with CPS was accomplished as follows: 50 µg of purified CPS was added to 100 µg of IgG in a reaction volume of 0.1 ml of PBS. A positive control tube contained only IgG. The mixture was left to incubate at room temperature for 30 min, followed by centrifugation at 15,000 rpm (20,000 x g) in a microfuge. The supernatant was added to 15 µl (15 mg) of beads and treated as described above, prior to resuspension in a final volume of 0.1 ml of PBS. The beads were then tested in agglutination reactions.
Latex agglutination tests. Agglutination tests were performed on (i) purified CPS diluted in negative bovine serum, medium, or PBS; (ii) field and experimentally infected bovine serum samples; and (iii) mycoplasma suspensions grown in ME liquid medium, with serial dilutions made in the same medium. Agglutination reactions were performed in triplicate by using the same procedure: 25 to 30 µl of test solution was divided into aliquots onto a glass microscope slide, and 3 to 5 µl of the bead suspension (containing 50 to 75 µg of beads) was added with a pipette. The beads were thoroughly mixed, and the slide was incubated for 1 to 5 min on a rocking shaker with gentle agitation. The key to good agglutination reactions appeared to be side-to-side movement of the reaction solution across the slide. Beads coated with negative IgG were mixed with the positive test solutions to test for autoagglutination. Agglutination (when seen against a dark background) was most obvious when the reaction was still wet, although it could still be clearly observed when dry in the case of strong positive reactions.
CFT. The CFT was performed according to the OIE manual of standards (25) with antigen and reagents supplied by Onderstepoort Veterinary Institute of the Agricultural Research Council of South Africa.
|
|
|---|
![]() View larger version (41K): [in a new window] |
FIG. 1. Visual definition of agglutination reactions. Agglutination activity is scored from "+++" (or 3) to "-" (or 0).
|
Sensitivity of anti-MmmSC IgG-coated latex microspheres at detecting MmmSC in medium.
MmmSC strain N6 was cultured in ME medium to a titer of 5 x 109 CFU/ml. The culture was serially diluted in fresh medium and tested in a LAT (Table 2). Clear agglutination activity was observed down to a dilution of 1: 32,768, which is equivalent to 4.8 x 103 mycoplasma per agglutination reaction (0.03 ml) or a titer of 1.4 x 105 mycoplasmas per ml. This is the same degree of sensitivity as previously reported for antigen detection LATs directed at both M. capricolum subsp. capripneumoniae (15) and M. pneumoniae (18) and represented an "average" sensitivity level for strains of MmmSC. Sensitivity levels between different cultures of MmmSC varied over a 5- to 10-fold range (data not shown), possibly reflecting differences in the level of CPS production between strains (17). When the medium was cleared of mycoplasma prior to testing in the LAT (by centrifugation at 15,000 x g for 30 min), no difference in sensitivity was observed, strongly suggesting that soluble CPS was responsible for agglutinating activity rather than (or in addition to) the mycoplasmas themselves. If the mycoplasma pellet was resuspended in fresh ME medium after centrifugation, a positive agglutination reaction was observed at
100-fold-reduced sensitivity, presumably due to shedding of the CPS coat during resuspension (after a further round of centrifugation, this medium was still positive). No agglutination was observed with negative IgG-coated beads or with anti-MmmSC IgG-coated beads placed in negative medium.
|
View this table: [in a new window] |
TABLE 2. Sensitivity of MmmSC IgG-coated microspheres at detecting MmmSC in culture
|
1,000-fold higher than the CPS antigen concentration, suggesting that excess anti-CPS is unlikely to be a problem affecting test sensitivity in practice. |
View this table: [in a new window] |
TABLE 3. Sensitivity of the anti-MmmSC IgG-coated microspheres in detecting MmmSC N6 CPS in solutiona
|
Measurement of CPS antibody titer in MmmSC IgG fraction. To enable reproducibility between different batches of antisera used to produce anti-MmmSC coated beads, the titer of the CPS-specific IgG used to coat the beads was measured by ELISA. Two ELISAs were used: one to measure the anti-CPS titer (using purified CPS as antigen) and the second to measure the overall anti-MmmSC titer (using whole sonicated MmmSC as antigen). Thus, the specific anti-CPS titer could be estimated and taken into account (if necessary) between different batches of serum.
Purified IgG was standardized at 7.5 mg/ml and then twofold serially diluted from 1:200 to 1:409,600 and incubated with antigen-coated plates. Results are plotted graphically in Fig. 2 (purified CPS as antigen [panel A] and whole sonicated MmmSC as antigen [panel B]). Using the linear portion of the graph to estimate antibody titer, 7.5 mg of R54 antiserum/ml (as used to produce the LAT) can be seen to detect purified CPS down to a dilution of 1:100,000 and whole sonicated MmmSC down to a dilution of 1:300,000 (a ratio of 1:3). Negative control IgG (R37) exhibited a negligible titer against both antigens. Production of a CPS monospecific polyclonal antiserum for use in the LAT was not successful, since immunization of rabbits with purified CPS did not result in a detectable antibody titer (16), a frequent occurrence with carbohydrate antigens when presented in a pure form to the immune system (9, 32).
![]() View larger version (28K): [in a new window] |
FIG. 2. ELISA data showing antibody titer of R54 and R37 antisera against purified CPS antigen (A) and whole MmmSC antigen (B). Serum was initially diluted 1:200 and then twofold serially diluted down to 1:409,600. The linear portion of each graph was used to estimate the point of intersection with the x axis.
|
|
View this table: [in a new window] |
TABLE 4. Specificity of MmmSC IgG-coated LAT as indicated by the agglutination signal after mixture with mycoplasma cultures grown in ME brotha
|
![]() View larger version (45K): [in a new window] |
FIG. 3. Agglutination signals with various bovine sera by using the LAT. The percentage of samples within each group exhibiting a positive agglutination reaction at each time point after the test was started is shown. Abbreviations: CFT +ve and CFT -ve, sera obtained from field outbreaks of CBPP in Africa and detected as CFT positive (n = 44) and CFT negative (n = 35), respectively. UK -ve; "known" negative sera obtained from United Kingdom cattle, a country free of CBPP.
|
Comparison of the LAT with the CFT. A comparison of the LAT with the CFT was made (Table 5) by using African field sera from a CBPP outbreak. The LAT exhibited 62 and 61% correlation in diagnosis (after 2 or 3 min of incubation, respectively). The main discrepancy in diagnosis was due to reduced sensitivity of the LAT compared to the CFT.
|
View this table: [in a new window] |
TABLE 5. Comparison of CFT and LAT with 79 sera from animals in a region positive for CBPPa
|
|
|
|---|
The sensitivity level of the MmmSC IgG-coated LAT was (the equivalent of) ca. 5 x 103 mycoplasmas or 2.5 ng of pure CPS per agglutination reaction (volume of 0.025 to 0.03 ml). Since the test detects soluble CPS rather than (or in addition to) the mycoplasmas themselves, and with equal sensitivity, the use of clarified serum, pleural fluid, nasal swabs, or cell medium is possible. The LAT was found to detect all strains of MmmSC tested, in agreement with data obtained with monoclonal antibodies that CPS is antigenically conserved between all strains of MmmSC (13). In addition to MmmSC, the LAT was also agglutinated by some strains of the closely related M. mycoides cluster members M. mycoides subsp. mycoides large-colony biotype (MmmLC), and M. mycoides subsp. capri. The taxonomic grouping of these latter two mycoplasmal species is the subject of some debate at present, with several recent publications suggesting that on the basis of DNA sequence analysis it may be more appropriate to reclassify them as a single species (8, 21, 33). The data reported here, in which some strains of each species are detected by the LAT, do not disagree with this hypothesis. However, they do suggest that if MmmLC and M. mycoides subsp. capri are indeed the same species of mycoplasma, then at least two serotypes must exist. We have observed similar "serotyping" results with CPS-specific monoclonal antibodies (unpublished results). Whether the presence of common CPS epitopes between MmmSC and the MmmLC-M. mycoides subsp. capri cluster might result in false-positive diagnoses for CBPP remains to be determined from field studies. However, we have been unable to trace any report concerning the detection of CPS antigen from MmmLC-M. mycoides subsp. capri in cattle, and the pathogenicity of these latter species in cattle remains uncertain (23, 29, 30).
It is likely that the LAT will be more effective in diagnosing acutely infected cattle, whereas the CFT will be more effective in diagnosing convalescent animals. The CFT was originally introduced in 1935 (5, 25) and, although the test is highly specific, it is not particularly sensitive, being less effective at diagnosing animals in the early stages of the disease or of animals with chronic lesions (25). High levels of circulating CPS antigen can lead to false-negative diagnoses due to antibody "masking" (35), and in one study up to 36% of CBPP-positive animals were undetected by the CFT (4). In comparison to the CFT, the MmmSC IgG-coated LAT exhibited 62 and 61% correlation in diagnosis at 2 and 3 min of incubation, respectively. Discrepancies in diagnosis were noted with both African CFT-positive sera (55 or 61% LAT-positive after 2 or 3 min of incubation, respectively) and CFT-negative sera (29 or 40% LAT-positive after 2 or 3 min of incubation, respectively). However, a high level of correlation is unlikely since the CFT detects a serological response, whereas the LAT detects the presence of antigen, and it is unlikely that both will coexist at a high level in the same animal. The specificity of the LAT was very good with "known"' UK-negative sera, i.e., "known" negative sera obtained from United Kingdom cattle, a country free of CBPP (3 and 13% false positives at 2 and 3 min incubation, respectively). Since the test does not detect an antibody response, nonspecific serological reactions leading to false-positive diagnoses should not occur. On the basis of these results, the recommended incubation period for the MmmSC IgG-coated LAT would be for 2 min. This should detect more than half of all CFT-positive animals (and some animals undetected by the CFT) in a herd and yet result in a very low level of false-positive reactions.
A test that allows rapid and inexpensive primary herd screening prior to confirmatory laboratory diagnosis (e.g., PCR or ELISA) should be useful in the field. In contrast to other diagnostic tests, no expensive equipment or reagents are required (e.g., ELISA plate readers, PCR machines, gel electrophoresis equipment, enzymes, etc.), and results can be obtained in situ within minutes. The requirements are minimal: glass slides (which are inexpensive and reusable) and disposable plastic Pasteur pipettes (using a predetermined drop size). The stability of the beads after storage for several months at ambient temperatures was not affected (data not shown). At the herd level, the MmmSC IgG-coated LAT should allow rapid and early recognition of a CBPP infection and allow appropriate control measures to be swiftly implemented, for example, quarantine or movement restriction.
We thank Robin Nicholas for the supply of negative bovine sera; Willie Donachie, Jason Clark, and Catherine Jepson for review of the manuscript; and Cora Cloughley for technical assistance.
|
|
|---|
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»