Specific, sensitive, and quantitative enzyme-linked immunosorbent assay for human immunoglobulin G antibodies to anthrax toxin protective antigen.

Specific, sensitive, and quantitative enzyme-linked immunosorbent assay for human immunoglobulin G antibodies to anthrax toxin protective antigen.
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DOI:
10.3201/eid0810.020380
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发表时间:
2002-10
影响因子:
11.8
通讯作者:
Perkins BA
Perkins BA
中科院分区:
医学2区
文献类型:
--
作者:
Quinn CP;Semenova VA;Elie CM;Romero-Steiner S;Greene C;Li H;Stamey K;Steward-Clark E;Schmidt DS;Mothershed E;Pruckler J;Schwartz S;Benson RF;Helsel LO;Holder PF;Johnson SE;Kellum M;Messmer T;Thacker WL;Besser L;Plikaytis BD;Taylor TH Jr;Freeman AE;Wallace KJ;Dull P;Sejvar J;Bruce E;Moreno R;Schuchat A;Lingappa JR;Martin SK;Walls J;Bronsdon M;Carlone GM;Bajani-Ari M;Ashford DA;Stephens DS;Perkins BA

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The bioterrorism-associated human anthrax epidemic in the fall of 2001 highlighted the need for a sensitive, reproducible, and specific laboratory test for the confirmatory diagnosis of human anthrax. The Centers for Disease Control and Prevention developed, optimized, and rapidly qualified an enzyme-linked immunosorbent assay (ELISA) for immunoglobulin G (IgG) antibodies to Bacillus anthracis protective antigen (PA) in human serum. The qualified ELISA had a minimum detection limit of 0.06 µg/mL, a reliable lower limit of detection of 0.09 µg/mL, and a lower limit of quantification in undiluted serum specimens of 3.0 µg/mL anti-PA IgG. The diagnostic sensitivity of the assay was 97.8%, and the diagnostic specificity was 94.2%. A competitive inhibition anti-PA IgG ELISA was also developed to enhance diagnostic specificity to 100%. The anti-PA ELISAs proved valuable for the confirmation of cases of cutaneous and inhalational anthrax and evaluation of patients in whom the diagnosis of anthrax was being considered.
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