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1.
J Clin Invest ; 101(9): 1932-41, 1998 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-9576758

RESUMO

The composition of cytoplasmic vacuoles containing the agent of Human Granulocytic Ehrlichiosis (HGE) was studied to investigate how this pathogen exists within infected host cells. Electron microscopy demonstrated that the HGE organism resides in a membrane-bound compartment within HL-60 cells: early forms of the HGE agent have a round reticular appearance while later structures are small and dense. Vacuoles containing HGE bacteria incorporated endocytosed colloidal gold particles, suggesting that they are part of the endocytic pathway. Antibodies directed to the mannose-6-phosphate receptor labeled vacuole membranes. Antibodies to the transferrin receptor and to the lysosomal membrane glycoprotein LAMP 1 did not. Moreover, 3-(2,4-dinitroanilino)-3'-amino-N-methyldipropylamine, which normally accumulates in compartments with low pH, was not present inside these vacuoles. These results suggest that vacuoles containing the agent of HGE fail to mature into phagolysosomes. We conclude that the agent of HGE appears to enter and modify part of the endocytic pathway.


Assuntos
Ehrlichia/crescimento & desenvolvimento , Endossomos/microbiologia , Neutrófilos/microbiologia , Compartimento Celular , Endocitose , Endossomos/ultraestrutura , Humanos , Neutrófilos/ultraestrutura
2.
J Clin Invest ; 100(12): 3014-8, 1997 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-9399947

RESUMO

The agent of human granulocytic ehrlichiosis (HGE) is a newly recognized tick-borne pathogen that resides within polymorphonuclear leukocytes. C3H/HeN mice can become infected with the agent of HGE (designated aoHGE) by syringe inoculation or tick-borne infection and develop transient neutropenia. They thereby partially mimic human disease and provide a model in which to study immunity to this microorganism. Mice vaccinated with lysates of purified aoHGE, or administered aoHGE antisera, were partially protected from both syringe- and tick-transmitted challenge with aoHGE. These data suggest that antibodies are sufficient to provide substantial, but not complete, immunity against aoHGE.


Assuntos
Vacinas Bacterianas/administração & dosagem , Ehrlichiose/prevenção & controle , Animais , Anticorpos Antibacterianos/imunologia , DNA Bacteriano , Modelos Animais de Doenças , Ehrlichiose/imunologia , Granulócitos , Células HL-60 , Humanos , Imunização Passiva , Ixodes/microbiologia , Camundongos , Camundongos Endogâmicos C3H , Vacinação
3.
Am J Vet Res ; 60(5): 631-5, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10328436

RESUMO

OBJECTIVE: To diagnose granulocytic ehrlichiosis in horses, compare results of indirect fluorescent antibody (IFA) staining procedures with those of immunoblot analysis, and compare serologic test findings with polymerase chain reaction (PCR) results. ANIMALS: 69 horses with high rectal temperatures (> or = 39 C) and lethargy, anorexia, or limb edema. PROCEDURE: 43 convalescent serum samples obtained from 38 horses 2 to 18 weeks after onset of illness were analyzed by use of immunoblot procedures and IFA staining methods, using the NCH-1 or BDS ehrlichial strains. Blood samples from 69 acutely ill horses were tested by PCR to detect ehrlichial DNA. RESULTS: Antibodies to Erlichial equi were detected in serum samples obtained during all seasons; seropositivity rates ranged from 50 to 93%. In IFA assays using the BDS or NCH-1 strain, seropositivity rates were 70 and 79%, respectively, whereas in immunoblot analyses using the NCH-1 strain, a seropositivity value of 79% was recorded. By immunoblot analysis, all serum samples of all seropositive horses were reactive to a protein having molecular mass of about 44 kd. Blood samples from 29 of 69 (42%) acutely ill horses contained ehrlichial DNA. CONCLUSION AND CLINICAL RELEVANCE: Results of the various serologic testing procedures were in close agreement with each other. All serologic testing methods are suitable for laboratory diagnosis of equine granulocytic ehrlichiosis.


Assuntos
Anticorpos Antibacterianos/sangue , Ehrlichiose/veterinária , Doenças dos Cavalos/diagnóstico , Animais , DNA Bacteriano/análise , Ehrlichia/imunologia , Ehrlichiose/sangue , Ehrlichiose/diagnóstico , Técnica Indireta de Fluorescência para Anticorpo , Doenças dos Cavalos/sangue , Doenças dos Cavalos/imunologia , Cavalos , Immunoblotting , Reação em Cadeia da Polimerase , Testes Sorológicos/veterinária
4.
Am J Vet Res ; 62(1): 29-32, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11197555

RESUMO

OBJECTIVE: To develop and evaluate a polyvalent ELISA incorporating a highly specific recombinant antigen (p44) for diagnosis of granulocytic ehrlichiosis in dogs and horses. ANIMALS: 32 dogs and 43 horses. PROCEDURE: Results of the ELISA were compared with results of indirect fluorescent antibody (IFA) staining and western immunoblotting incorporating whole-cell antigen. RESULTS: For the canine and equine samples, percentages of samples with positive IFA staining, western immunoblotting, and ELISA results were similar. For 29 (91 %) canine samples and 30 (70%) equine samples, results of IFA staining, western immunoblotting, and the ELISA were in complete agreement. Results of the ELISA for 3 canine serum samples known to contain antibodies to Ehrlichia canis and 12 equine serum samples known to contain antibodies to E risticii were negative. CONCLUSIONS AND CLINICAL RELEVANCE: Results of the present study suggest that a polyvalent ELISA incorporating a recombinant p44 antigen is suitable for detecting antibodies to E equi in dogs and horses.


Assuntos
Doenças do Cão/diagnóstico , Ehrlichiose/veterinária , Doenças dos Cavalos/diagnóstico , Animais , Western Blotting , Doenças do Cão/sangue , Doenças do Cão/microbiologia , Cães , Ehrlichiose/sangue , Ehrlichiose/diagnóstico , Ensaio de Imunoadsorção Enzimática/métodos , Técnica Indireta de Fluorescência para Anticorpo , Doenças dos Cavalos/sangue , Doenças dos Cavalos/microbiologia , Cavalos , Proteínas Recombinantes
5.
Am J Vet Res ; 62(9): 1365-9, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11560261

RESUMO

OBJECTIVE: To test serum samples of dogs and horses by use of class-specific recombinant-based ELISA for establishing a diagnosis of granulocytic ehrlichiosis attributable to infection with organisms from the Ehrlichia phagocytophila genogroup. SAMPLE POPULATION: Serum samples from 43 client-owned dogs and 131 horses (81 with signs of acute illness and 50 without signs of disease). PROCEDURE: Serum samples were analyzed, using ELISA with a recombinant 44-kd protein antigen for IgM and IgG antibodies to the human granulocytic ehrlichiosis (HGE) agent (NCH-1 strain). Western blot analyses, using infected human promyelocytic leukemia cells, were conducted on 38 serum samples of horses and 11 serum samples of dogs to verify reactivity to the 44-kd peptide. RESULTS: IgM or IgG antibodies to the HGE agent were detected in 5 to 28% of dog serum samples and 5 to 37% of horse serum samples. Thirty-five of 38 (92%) horse serum samples had corresponding results on both tests (2 positive results for 26 samples and 2 negative results for 9 samples), using an ELISA for IgG antibodies or immunoblotting for total immunoglobulins. All 11 serum samples of dogs had positive results for both methods. CONCLUSION AND CLINICAL RELEVANCE: These ELISA with recombinant 44-kd antigen are suitable for detecting IgM or IgG antibodies to the HGE agent in serum samples of dogs and horses. Positive results for serum samples of horses from Connecticut, New York, Virginia, and Georgia indicate that the HGE agent is widely distributed in tick-infested areas of the eastern United States.


Assuntos
Doenças do Cão/imunologia , Ehrlichia/imunologia , Ehrlichiose/veterinária , Ensaio de Imunoadsorção Enzimática/veterinária , Doenças dos Cavalos/imunologia , Animais , Anticorpos Antibacterianos/sangue , Western Blotting/veterinária , Connecticut , Doenças do Cão/sangue , Doenças do Cão/microbiologia , Cães , Ehrlichia/crescimento & desenvolvimento , Ehrlichiose/sangue , Ehrlichiose/imunologia , Ehrlichiose/microbiologia , Ensaio de Imunoadsorção Enzimática/métodos , Técnica Indireta de Fluorescência para Anticorpo/veterinária , Georgia , Doenças dos Cavalos/sangue , Doenças dos Cavalos/microbiologia , Cavalos , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , New York , Proteínas Recombinantes , Virginia
6.
J Wildl Dis ; 35(2): 266-74, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10231753

RESUMO

Serum or whole blood samples, obtained from 141 white-tailed deer (Odocoileus virginianus) in Connecticut (USA) during 1980, 1991, and 1996, were analyzed to detect past or current infections of Ehrlichia phagocytophila genogroup organisms and Borrelia burgdorferi. When the BDS or NCH-1 strains of granulocytic ehrlichiae were used separately in indirect fluorescent antibody (IFA) staining methods, antibody positivity rates varied from 25 to 64% in 1991 and 1996, respectively. All 50 sera tested from 1980 collections were negative. Although percentages of sera with B. burgdorferi antibodies, as detected by an enzyme-linked immunosorbent assay, also differed (23 to 53%), there were coexisting antibodies to both bacteria in 20 (49%) of 41 sera. In tests on specificity, 19 deer sera with ehrlichial antibodies also were tested by IFA staining procedures for Anaplasma marginale antibodies; one serum with a titer of 1:5,120 to ehrlichial antigen reacted to A. marginale antigen at a serum dilution of 1:320. In parallel analyses of 69 sera, results of Western blot analyses for ehrlichial infections in deer were concordant (72% agreement) with those of IFA staining methods containing ehrlichial antigen. All positive immunoblots showed bands to peptides of the NCH-1 strain of the human granulocytic ehrlichiosis (HGE) agent having molecular masses of about 44, 105, or 110 kDa. In polymerase chain reaction (PCR) studies of blood samples from 63 deer, 11 (18%) specimens were positive for 16S ribosomal DNA of an Ehrlichia phagocytophila genogroup organism, whereas 23 (37%) samples were positive for the DNA of the 44 kDa gene of the HGE agent. White-tailed deer are exposed to different tick-borne bacteria in areas where Ixodes scapularis ticks are abundant and may, in some instances, have had concurrent infections.


Assuntos
Grupo Borrelia Burgdorferi/imunologia , Cervos , Ehrlichia/imunologia , Ehrlichiose/veterinária , Doença de Lyme/veterinária , Animais , Anticorpos Antibacterianos/sangue , Western Blotting/veterinária , Connecticut/epidemiologia , DNA Bacteriano/sangue , Ehrlichia/genética , Ehrlichiose/complicações , Ehrlichiose/epidemiologia , Ensaio de Imunoadsorção Enzimática/veterinária , Técnica Indireta de Fluorescência para Anticorpo/veterinária , Doença de Lyme/complicações , Doença de Lyme/epidemiologia , Reação em Cadeia da Polimerase/veterinária , Estudos Soroepidemiológicos
7.
J Wildl Dis ; 35(2): 259-65, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10231752

RESUMO

Serum samples, collected from Peromyscus leucopus (white-footed mouse) or Peromyscus gossypinus (cotton mouse) during 1987 through 1990 in Florida, Georgia, Maryland, Mississippi, and North Carolina (USA), and in 1997 in southern Connecticut were analyzed by indirect fluorescent antibody (IFA) staining methods or Western blot procedures for antibodies to granulocytic ehrlichiae. Of the 82 sera from white-footed mice in Connecticut tested by IFA methods with either the BDS or NCH-1 strain of the human granulocytic ehrlichiosis (HGE) agent, 45 (55%) and 42 (51%) of the samples contained antibodies to these strains, respectively, at concentrations ranging from 1:80 to 1:2560. One (2%) of 43 sera from P. leucopus captured in Assateague Island (Maryland) had a titer of 1:80, while three (20%) of 15 sera from P. gossypinus, captured in Sapelo Island (Georgia) and four (40%) of 10 sera from cotton mice caught in Amelia Island (Florida) had antibodies to the NCH-1 strain at titers of 1:160 to 1:1,280. Fifty-five sera from P. leucopus in Cape Hatteras (North Carolina) and 30 sera from P. gossypinus in Mississippi were negative. Western blot analyses confirmed seropositivity for 19 (95%) of 20 mouse sera positive by IFA staining methods, including samples from both mouse species captured in Connecticut, Maryland, or Florida. There were key banding patterns to proteins having molecular masses of about 44, 80, 105, 110, or 120 kDa. Both serologic assays can be used to determine if mice have been exposed to granulocytic ehrlichiae. These rodents also may be useful in surveillance programs to identify endemic sites for HGE and in performing laboratory studies on immune responses to the etiologic agent.


Assuntos
Anticorpos Antibacterianos/sangue , Ehrlichia/imunologia , Ehrlichiose/veterinária , Peromyscus , Doenças dos Roedores/epidemiologia , Animais , Western Blotting/veterinária , Connecticut/epidemiologia , Ehrlichiose/epidemiologia , Ehrlichiose/imunologia , Técnica Indireta de Fluorescência para Anticorpo/veterinária , Maryland/epidemiologia , Doenças dos Roedores/imunologia , Doenças dos Roedores/microbiologia , Estudos Soroepidemiológicos , Sudeste dos Estados Unidos/epidemiologia
8.
J Am Vet Med Assoc ; 211(9): 1134-7, 1997 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-9364226

RESUMO

OBJECTIVE: To determine whether dogs living in tickinfested areas of the northeastern United States had been exposed to Ehrlichia equi, an etiologic agent of granulocytic ehrlichiosis. DESIGN: Analyses of dog sera. ANIMALS: 106 ill dogs and 12 clinically normal dogs. PROCEDURE: Antibodies to E equi were detected by indirect fluorescent antibody staining methods and western blot analyses. RESULTS: 10 of 106 (9.4%) sera tested from ill, privately owned dogs living in tick-infested areas of Connecticut and New York state had antibodies to E equi, a member of the E phagocytophila genogroup. Titration end points ranged from 1:80 to 1:1,280. Immunoblots revealed antibodies to proteins of E equi having molecular masses of predominantly 29, 40, 44, 105, 120, and 160 kd. There was good agreement between results of serologic testing methods, but use of the human isolate (NCH-1 strain) in western blot analyses detected 2 additional seropositive dogs found to be negative by indirect fluorescent antibody staining methods with the MRK strain. CLINICAL IMPLICATIONS: Dogs living in areas where ixodes scapularis is abundant may be exposed to multiple pathogens, such as E equi or Borrelia burgdorferi. Although mild or subclinical infections with E equi may develop, dogs with marked leukopenia, thrombocytopenia, or anemia should be viewed as possibly having ehrlichiosis. Laboratory diagnosis should include examinations for morulae in granulocytes or monocytes in addition to serologic analyses.


Assuntos
Anticorpos Antibacterianos/sangue , Doenças do Cão/epidemiologia , Ehrlichia/imunologia , Ehrlichiose/veterinária , Animais , Western Blotting/veterinária , Connecticut/epidemiologia , Doenças do Cão/imunologia , Cães , Ehrlichiose/epidemiologia , Ehrlichiose/imunologia , Feminino , Técnica Indireta de Fluorescência para Anticorpo/veterinária , Masculino , New York/epidemiologia , Estações do Ano
9.
J Am Vet Med Assoc ; 217(7): 1045-50, 2000 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-11019714

RESUMO

OBJECTIVE: To determine whether horses living in tick-infested areas of northeastern United States with clinical signs of borreliosis or granulocytic ehrlichiosis had detectable serum antibodies to both Borrelia burgdorferi and Ehrlichia equi. DESIGN: Prospective study. ANIMALS: Serum samples from 51 clinically normal horses, 14 horses with clinical signs of borreliosis, and 17 horses with clinical signs of granulocytic ehrlichiosis. PROCEDURE: Serum B burgdorferi or E equi antibodies were measured by use of an ELISA, immunoblot analysis, or indirect fluorescent antibody (IFA) staining. RESULTS: Of the 82 serum samples tested, 37 (45.1%) and 13 (15.9%) had detectable antibodies to B burgdorferi or E equi, respectively. Test results indicated that 12 horses had been exposed to both agents, 11 of these horses had granulocytic ehrlichiosis. The ELISA regularly detected antibodies to the following recombinant protein (p) antigens of B burgdorferi: p29, p37, p39, and p41-G. The use of immunoblot analysis confirmed ELISA results by indicating antibody reactivities to antigens of whole-cell B burgdorferi having molecular masses of predominantly 31, 34, 37, 39, 41, 58, and 93 kd. CONCLUSIONS AND CLINICAL RELEVANCE: Horses living in areas where ticks (Ixodes scapularis) abound are sometimes exposed to multiple pathogens. Analyses for specific recombinant borrelial antibodies using an ELISA can help separate horses with borreliosis from those with granulocytic ehrlichiosis, even when antibodies to both etiologic agents are detected in serum samples. Analysis using immunoblots is sensitive, and along with ELISA or IFA procedures, is suitable for confirming a clinical diagnosis of each disease.


Assuntos
Grupo Borrelia Burgdorferi/isolamento & purificação , Ehrlichia/isolamento & purificação , Ehrlichiose/veterinária , Doenças dos Cavalos/diagnóstico , Doença de Lyme/veterinária , Animais , Anticorpos Antibacterianos/análise , Ehrlichiose/epidemiologia , Ensaio de Imunoadsorção Enzimática/veterinária , Doenças dos Cavalos/epidemiologia , Cavalos , Doença de Lyme/epidemiologia , Estudos Prospectivos , Infestações por Carrapato/veterinária , Estados Unidos/epidemiologia
10.
Ned Tijdschr Geneeskd ; 142(31): 1778-81, 1998 Aug 01.
Artigo em Holandês | MEDLINE | ID: mdl-9856144

RESUMO

A 69-year-old male presented at a first-aid department in Connecticut (USA) with severe headache, fever and myalgia of three days' duration. Just before he became ill, an engorged tick had been noted on his back and removed. Laboratory results included a decreased white cell count and platelet count and elevated transaminases. So-called morulae consisting of microorganisms were detected in a peripheral blood smear of the day of admission. Treatment for human granulocyte ehrlichiosis with doxycycline for two weeks resulted in prompt and full recovery and after four weeks repeat laboratory tests were all within normal limits. Human granulocyte ehrlichiosis should be considered in a patient with a recent tick bite who develops fever, headache and myalgias, in the presence of leukopenia or thrombocytopenia, even in Western Europe.


Assuntos
Ehrlichiose/diagnóstico , Idoso , Doxiciclina/uso terapêutico , Ehrlichia/isolamento & purificação , Ehrlichiose/sangue , Ehrlichiose/tratamento farmacológico , Febre/etiologia , Cefaleia/etiologia , Humanos , Contagem de Leucócitos , Masculino , Contagem de Plaquetas , Viagem , Resultado do Tratamento
11.
Genomics ; 14(4): 1019-25, 1992 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-1478643

RESUMO

We describe a human genomic cosmid clone, 56.1.1, that contains subtelomeric sequences present on multiple human chromosomes. In particular, using fluorescence in situ hybridization, we have identified 16 sites of hybridization on 12 chromosomes. In a sample of 8 unrelated individuals, 10 of these sites showed interindividual variation. Co-hybridization with other polymorphic probes allowed us to demonstrate cytologically heterozygosity at three sites in six individuals. The chromosomal distribution of hybridization sites in a family strongly suggests that these variants are inherited in a Mendelian fashion. These data show that subtelomeric repeats are a rich source of genetic variability. Possible mechanisms of generation of such variants are discussed.


Assuntos
Cromossomos Humanos , Cariotipagem , Telômero , Cosmídeos , Heterozigoto , Humanos , Hibridização in Situ Fluorescente , Mapeamento por Restrição
12.
Genomics ; 12(4): 833-5, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1572659

RESUMO

Human chromosome 2 was formed by a telomere-to-telomere fusion of two ancestral ape chromosomes. The fusion point is localized in chromosomal band 2q13, which also contains the rare, folate-sensitive fragile site FRA2B. It has been hypothesized that this fragile site may be related to the presence of interstitial telomeric and subtelomeric sequences, which have come to lie in an inverted repeat arrangement as a result of the fusion event. Fluorescence in situ hybridization of a genomic cosmid c8.1, which spans the fusion point, was carried out on metaphase spreads of an individual who expressed the fragile site at 2q13. We show that the fusion point maps distal to this fragile site. Therefore, we conclude that the inverted arrays of telomeric and subtelomeric sequences found at this fusion point are unlikely to correspond to the rare fragile site at 2q13.


Assuntos
Fragilidade Cromossômica , Cromossomos Humanos Par 2/ultraestrutura , Sequência de Bases , Evolução Biológica , Sítios Frágeis do Cromossomo , Cosmídeos , Sondas de DNA , Humanos , Sequências Repetitivas de Ácido Nucleico , Telômero/ultraestrutura
13.
Infect Immun ; 66(7): 3264-9, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9632594

RESUMO

Antibodies in the sera of patients with human granulocytic ehrlichiosis (HGE) commonly recognize a 44-kDa antigen. We cloned the gene encoding the 44-kDa protein of the agent of HGE (aoHGE) by probing an aoHGE lambda ZAP II genomic DNA expression library with sera from aoHGE-infected mice. The gene, hge-44, is part of a multigene family, with sequence similarity to the Anaplasma marginale msp-2 genes. RNA-PCR studies confirmed that hge-44 is expressed by aoHGE cultured in HL-60 cells and by aoHGE during murine infection. Recombinant HGE-44, expressed and purified as a glutathione transferase fusion protein, was used as the substrate in immunoblots to help diagnose HGE. Antibodies in eight sera from eight patients with HGE and in two sera from two aoHGE-infected mice bound recombinant HGE-44. Antibodies in the sera of healthy individuals or patients with Ehrlichia chaffeensis or Borrelia burgdorferi infection did not recognize HGE-44. We conclude that hge-44 is a member of a multigene family and that hge-44 is expressed and elicits specific antibodies during infection.


Assuntos
Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/genética , Ehrlichia/imunologia , Ehrlichiose/microbiologia , Granulócitos/microbiologia , Doenças Transmitidas por Carrapatos/microbiologia , Sequência de Aminoácidos , Sequência de Bases , Clonagem Molecular , Humanos , Immunoblotting , Dados de Sequência Molecular , Peso Molecular , Reação em Cadeia da Polimerase
14.
Proc Natl Acad Sci U S A ; 88(20): 9051-5, 1991 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-1924367

RESUMO

We have identified two allelic genomic cosmids from human chromosome 2, c8.1 and c29B, each containing two inverted arrays of the vertebrate telomeric repeat in a head-to-head arrangement, 5'(TTAGGG)n-(CCCTAA)m3'. Sequences flanking this telomeric repeat are characteristic of present-day human pretelomeres. BAL-31 nuclease experiments with yeast artificial chromosome clones of human telomeres and fluorescence in situ hybridization reveal that sequences flanking these inverted repeats hybridize both to band 2q13 and to different, but overlapping, subsets of human chromosome ends. We conclude that the locus cloned in cosmids c8.1 and c29B is the relic of an ancient telomere-telomere fusion and marks the point at which two ancestral ape chromosomes fused to give rise to human chromosome 2.


Assuntos
Evolução Biológica , Cromossomos Humanos Par 2 , Telômero/fisiologia , Sequência de Bases , Células Cultivadas , Mapeamento Cromossômico , Clonagem Molecular , Cosmídeos , DNA/genética , Sondas de DNA , Biblioteca Genômica , Humanos , Cariotipagem , Linfócitos/citologia , Linfócitos/fisiologia , Metáfase , Microscopia de Fluorescência , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , Sequências Repetitivas de Ácido Nucleico
15.
J Infect Dis ; 178(6): 1835-8, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9815246

RESUMO

Sera from 35 patients diagnosed with human granulocytic ehrlichiosis in Connecticut were tested by indirect IFA staining methods with 5 strains of Ehrlichia equi or the human granulocytic ehrlichiosis agent to assess the suitability of different strains in laboratory analyses. Antigens included horse-derived infected neutrophils (MRK and BDS strains) and human isolates cultured in human promyelocytic leukemia cells (NCH-1, RCH, and Webster). Of 35 sera, 23 (65.7%) reacted to all 5 strains. Seropositivity was highest (97.1%) in assays that contained the MRK strain from California and lowest (71. 4%) in tests with the NCH-1 strain from Nantucket, Massachusetts. In parallel testing of 32 sera with the NCH-1 strain by indirect IFA and Western blot analyses, results were concordant for 30 samples (93.8%). All strains of ehrlichiae can be used in IFA analyses for antibody detection, but assay sensitivity varied with the strain used.


Assuntos
Ehrlichia/classificação , Ehrlichiose/diagnóstico , Animais , California , Connecticut , Ehrlichia/imunologia , Ehrlichia/isolamento & purificação , Ehrlichiose/imunologia , Ehrlichiose/veterinária , Técnica Indireta de Fluorescência para Anticorpo , Granulócitos/microbiologia , Doenças dos Cavalos/diagnóstico , Doenças dos Cavalos/imunologia , Cavalos , Humanos , Neutrófilos/microbiologia , Vigilância da População , Estatísticas não Paramétricas , Infestações por Carrapato
16.
Clin Diagn Lab Immunol ; 5(1): 118-20, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9455892

RESUMO

We describe a patient with human granulocytic ehrlichiosis (HGE), a diagnosis confirmed by PCR and immunoblot analysis. Unexpectedly, immunoglobulin G (IgG) directed towards an 80-kDa ehrlichial antigen (without detectable IgM) was present in the patient's serum in the first week of illness. Lyme disease immunoblots were reactive for IgG (but not IgM), a result indicative of prior exposure to the Lyme disease spirochete. Amino-terminal sequencing revealed that the 80-kDa ehrlichial antigen was an HSP-70 homolog similar to Borrelia burgdorferi HSP-70. We conclude that antibodies against B. burgdorferi HSP-70 may cross-react with the ehrlichial heat shock protein and that this possibility must be considered when serologic test results for HGE and Lyme disease are interpreted.


Assuntos
Anticorpos Antibacterianos/metabolismo , Grupo Borrelia Burgdorferi/imunologia , Ehrlichiose/imunologia , Proteínas de Choque Térmico HSP70/imunologia , Neutrófilos/microbiologia , Idoso , Sequência de Aminoácidos , Reações Cruzadas , Granulócitos/microbiologia , Humanos , Immunoblotting , Imunoglobulina G/análise , Imunoglobulina M/análise , Doença de Lyme/imunologia , Masculino , Peptídeos/análise , Reação em Cadeia da Polimerase , Ligação Proteica , Análise de Sequência
17.
J Clin Microbiol ; 37(11): 3540-4, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10523549

RESUMO

Current antibody testing for human granulocytic ehrlichiosis relies predominantly on indirect fluorescent-antibody assays and immunoblot analysis. Shortcomings of these techniques include high cost and variability of test results associated with the use of different strains of antigens derived from either horses or cultured HL-60 cells. We used recombinant protein HGE-44, expressed and purified as a maltose-binding protein (MBP) fusion peptide, as an antigen in a polyvalent enzyme-linked immunosorbent assay (ELISA). Fifty-five normal serum samples from healthy humans served as a reference to establish cutoff levels. Thirty-three of 38 HGE patient serum samples (87%), previously confirmed by positive whole-cell immunoblotting, reacted positively in the recombinant ELISA. In specificity analyses, serum samples from patients with Lyme disease, syphilis, rheumatoid arthritis, and human monocytic ehrlichiosis (HME) did not react with HGE-44-MBP antigen, except for one sample (specificity, 98%). We conclude that recombinant HGE-44 antigen is a suitable antigen in an ELISA for the laboratory diagnosis and epidemiological study of HGE.


Assuntos
Anticorpos Antibacterianos/sangue , Ehrlichia chaffeensis/imunologia , Ehrlichiose/diagnóstico , Ensaio de Imunoadsorção Enzimática/métodos , Testes Sorológicos/métodos , Antígenos de Bactérias/genética , Proteínas de Bactérias/genética , Proteínas de Bactérias/imunologia , Estudos de Casos e Controles , Reações Cruzadas , Ehrlichia chaffeensis/genética , Ehrlichiose/imunologia , Ensaio de Imunoadsorção Enzimática/estatística & dados numéricos , Humanos , Immunoblotting , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Sensibilidade e Especificidade , Testes Sorológicos/estatística & dados numéricos
18.
J Clin Microbiol ; 38(5): 1735-9, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10790090

RESUMO

Class-specific enzyme-linked immunosorbent assays (ELISAs) with purified recombinant antigens of Borrelia burgdorferi sensu stricto and Western blot analyses with whole cells of this spirochete were used to test human sera to determine which antigens were diagnostically important. In analyses for immunoglobulin M (IgM) antibodies, 14 (82%) of 17 serum samples from persons who had erythema migrans reacted positively by an ELISA with one or more recombinant antigens. There was frequent antibody reactivity to protein 41-G (p41-G), outer surface protein C (OspC), and OspF antigens. In an ELISA for IgG antibodies, 13 (87%) of 15 serum samples had antibodies to recombinant antigens; reactivity to p22, p39, p41-G, OspC, and OspF antigens was frequent. By both ELISAs, serum specimens positive for OspB, OspE, and p37 were uncommon. Analyses of sera obtained from persons who were suspected of having human granulocytic ehrlichiosis (HGE) but who lacked antibodies to ehrlichiae revealed IgM antibodies to all recombinant antigens of B. burgdorferi except OspB and IgG antibodies to all antigens except OspE. Immunoblotting of sera from the study group of individuals suspected of having HGE reaffirmed antibody reactivity to multiple antigens of B. burgdorferi. There was minor cross-reactivity when sera from healthy subjects or persons who had syphilis, oral infections, or rheumatoid arthritis were tested by ELISAs with p37, p41-G, OspB, OspC, OspE, and OspF antigens. Although the results of class-specific ELISAs with recombinant antigens were comparable to those recorded for assays with whole-cell antigen and for individuals with confirmed clinical diagnoses of Lyme borreliosis, immunoblotting is still advised as an adjunct procedure, particularly when there are low antibody titers by an ELISA.


Assuntos
Grupo Borrelia Burgdorferi/imunologia , Lipoproteínas , Doença de Lyme/diagnóstico , Antígenos de Bactérias/imunologia , Proteínas da Membrana Bacteriana Externa/imunologia , Reações Cruzadas , Ensaio de Imunoadsorção Enzimática/métodos , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Doença de Lyme/sangue , Doença de Lyme/imunologia , Proteínas Recombinantes/imunologia , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Testes Sorológicos/métodos
19.
J Clin Microbiol ; 36(10): 2823-7, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9738027

RESUMO

Indirect fluorescent-antibody (IFA) staining methods with Ehrlichia equi (MRK or BDS strains) and Western blot analyses containing a human granulocytic ehrlichiosis (HGE) agent (NCH-1 strain) were used to confirm probable human cases of infection in Connecticut during 1995 and 1996. Also included were other tests for Ehrlichia chaffeensis, the agent of human monocytic ehrlichiosis (HME), Babesia microti, and Borrelia burgdorferi. Thirty-three (8.8%) of 375 patients who had fever accompanied by marked leukopenia or thrombocytopenia were serologically confirmed as having HGE. Western blot analyses of a subset of positive sera confirmed the results of the IFA staining methods for 15 (78.9%) of 19 seropositive specimens obtained from different persons. There was frequent detection of antibodies to a 44-kDa protein of the HGE agent. Serologic testing also revealed possible cases of Lyme borreliosis (n = 142), babesiosis (n = 41), and HME (n = 21). Forty-seven (26.1%) of 180 patients had antibodies to two or more tick-borne agents. Therefore, when one of these diseases is clinically suspected or diagnosed, clinicians should consider the possibility of other current or past tick-borne infections.


Assuntos
Babesiose/epidemiologia , Ehrlichiose/epidemiologia , Ehrlichiose/transmissão , Doença de Lyme/epidemiologia , Doenças Transmitidas por Carrapatos/epidemiologia , Animais , Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/sangue , Babesia/isolamento & purificação , Babesiose/diagnóstico , Babesiose/transmissão , Grupo Borrelia Burgdorferi/isolamento & purificação , Connecticut/epidemiologia , Ehrlichia/isolamento & purificação , Ehrlichia chaffeensis/isolamento & purificação , Ehrlichiose/diagnóstico , Febre , Técnica Indireta de Fluorescência para Anticorpo , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Doença de Lyme/diagnóstico , Doença de Lyme/transmissão , Testes Sorológicos/métodos , Doenças Transmitidas por Carrapatos/diagnóstico
20.
J Clin Microbiol ; 37(9): 2887-92, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10449470

RESUMO

White-footed mice, Peromyscus leucopus, were captured in southern Connecticut during 1997 and 1998 to determine the prevalence of infections caused by granulocytic Ehrlichia sp., Borrelia burgdorferi, and Babesia microti. Of the 50 mice captured and recaptured, 25 of 47 (53.2%) and 23 of 48 (47.9%) contained antibodies to the BDS or NCH-1 Ehrlichia strains, respectively, as determined by indirect fluorescent antibody (IFA) staining methods. The majority (83.3%) of 48 mice also contained antibodies to B. burgdorferi, as determined by enzyme-linked immunosorbent assay. Moreover, 20 of 26 (76.9%) contained antibodies to B. microti by IFA staining methods. In nested PCR tests using the 16S rRNA gene, the DNA of the human granulocytic ehrlichiosis (HGE) agent was detected in 17 of 47 mice (36.2%), but only 4 (23.5%) of these 17 mice were PCR positive at each capture. Antibody-positive reactions to granulocytic Ehrlichia sp. organisms were detected in 17 of 23 (73. 9%) of the PCR-positive mice. The sequences from PCR products from nine positive blood samples were identical to the HGE agent. Ehrlichia spp. were cultured from three of five mice captured in April 1998, including one that was PCR positive in April 1997. In addition, 2 of 14 larval Ixodes scapularis pools, which were attached to two PCR-positive mice, contained DNA of the HGE agent. A high percentage of white-footed mice are infected or have been infected naturally by the HGE agent with low-level persistent infection or frequent reinfection in some individual mice. However, the changes noted in the presence of DNA and antibodies in repeated blood and serum samples from individual mice over several months of field collection suggests that infection with granulocytic Ehrlichia is transient in most wild P. leucopus.


Assuntos
Babesiose/parasitologia , Ehrlichiose/veterinária , Doença de Lyme/veterinária , Peromyscus/microbiologia , Peromyscus/parasitologia , Animais , Anticorpos Antibacterianos/sangue , DNA Bacteriano/sangue , Ehrlichiose/microbiologia , Células HL-60 , Humanos , Doença de Lyme/microbiologia , Camundongos , Camundongos Endogâmicos C3H , Reação em Cadeia da Polimerase
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