Evaluation of recomWell Treponema, a novel recombinant antigen-based enzyme-linked immunosorbent assay for the diagnosis of syphilis
Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized. Methods A total of 782 human serum specimens, belonging to four different categories (blood dono...
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Published in | Clinical microbiology and infection Vol. 7; no. 4; pp. 200 - 205 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Oxford, UK
Elsevier Ltd
01.04.2001
Blackwell Science Ltd Blackwell Elsevier Limited |
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Abstract | Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized.
Methods A total of 782 human serum specimens, belonging to four different categories (blood donors, n = 200; routine laboratory screening for syphilis, n = 400; syphilis patients, n = 122; potential cross-reactors, n = 60), were evaluated to compare the sensitivity and specificity of the recomWell Treponema kit with a standard whole Treponema pallidum cell lysate antigen-based ELISA (Syphilis Screening) and with micro-haemagglutination (MHA-TP).
Results The overall specificity and sensitivity of the recomWell Treponema IgG was 98.9% and 98.3%, respectively. The specificity and sensitivity of Syphilis Screening ELISA was 98.7% and 98.3%, respectively. The agreement between recomWell Treponema and Syphilis Screening was 100%, 97.8%, 95.9% and 95% among the blood donor specimens, screening samples, syphilis specimens and the potential cross-reactors, respectively. Values of concordance varying from 96.7% to 98.3% were found in the different groups of sera between recomWell Treponema and MHA-TP. In addition, recomWell Treponema demonstrated a good diagnostic performance when used to detect the IgM to T pallidum. No false-positive sera were identified and, in 17/19 samples from primary infection, an IgM immune response was found.
Conclusions recomWell Treponema was shown to be a highly specific and sensitive method in all stages of syphilis screening and it can be considered as alternative to other ELISA tests based on native antigen preparations. |
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AbstractList | Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized.
Methods A total of 782 human serum specimens, belonging to four different categories (blood donors, n = 200; routine laboratory screening for syphilis, n = 400; syphilis patients, n = 122; potential cross‐reactors, n = 60), were evaluated to compare the sensitivity and specificity of the recomWell Treponema kit with a standard whole Treponema pallidum cell lysate antigen‐based ELISA (Syphilis Screening) and with micro‐haemagglutination (MHA‐TP).
Results The overall specificity and sensitivity of the recomWell Treponema IgG was 98.9% and 98.3%, respectively. The specificity and sensitivity of Syphilis Screening ELISA was 98.7% and 98.3%, respectively. The agreement between recomWell Treponema and Syphilis Screening was 100%, 97.8%, 95.9% and 95% among the blood donor specimens, screening samples, syphilis specimens and the potential cross‐reactors, respectively. Values of concordance varying from 96.7% to 98.3% were found in the different groups of sera between recomWell Treponema and MHA‐TP. In addition, recomWell Treponema demonstrated a good diagnostic performance when used to detect the IgM to T. pallidum. No false‐positive sera were identified and, in 17/19 samples from primary infection, an IgM immune response was found.
Conclusions recomWell Treponema was shown to be a highly specific and sensitive method in all stages of syphilis screening and it can be considered as alternative to other ELISA tests based on native antigen preparations. OBJECTIVETo evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized.METHODSA total of 782 human serum specimens, belonging to four different categories (blood donors, n = 200; routine laboratory screening for syphilis, n = 400; syphilis patients, n = 122; potential cross-reactors, n = 60), were evaluated to compare the sensitivity and specificity of the recomWell Treponema kit with a standard whole Treponema pallidum cell lysate antigen-based ELISA (Syphilis Screening) and with micro-haemagglutination (MHA-TP).RESULTSThe overall specificity and sensitivity of the recomWell Treponema IgG was 98.9% and 98.3%, respectively. The specificity and sensitivity of Syphilis Screening ELISA was 98.7% and 98.3%, respectively. The agreement between recomWell Treponema and Syphilis Screening was 100%, 97.8%, 95.9% and 95% among the blood donor specimens, screening samples, syphilis specimens and the potential cross-reactors, respectively. Values of concordance varying from 96.7% to 98.3% were found in the different groups of sera between recomWell Treponema and MHA-TP. In addition, recomWell Treponema demonstrated a good diagnostic performance when used to detect the IgM to T. pallidum. No false-positive sera were identified and, in 17/19 samples from primary infection, an IgM immune response was found.CONCLUSIONSrecomWell Treponema was shown to be a highly specific and sensitive method in all stages of syphilis screening and it can be considered as alternative to other ELISA tests based on native antigen preparations. To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized. A total of 782 human serum specimens, belonging to four different categories (blood donors, n = 200; routine laboratory screening for syphilis, n = 400; syphilis patients, n = 122; potential cross-reactors, n = 60), were evaluated to compare the sensitivity and specificity of the recomWell Treponema kit with a standard whole Treponema pallidum cell lysate antigen-based ELISA (Syphilis Screening) and with micro-haemagglutination (MHA-TP). The overall specificity and sensitivity of the recomWell Treponema IgG was 98.9% and 98.3%, respectively. The specificity and sensitivity of Syphilis Screening ELISA was 98.7% and 98.3%, respectively. The agreement between recomWell Treponema and Syphilis Screening was 100%, 97.8%, 95.9% and 95% among the blood donor specimens, screening samples, syphilis specimens and the potential cross-reactors, respectively. Values of concordance varying from 96.7% to 98.3% were found in the different groups of sera between recomWell Treponema and MHA-TP. In addition, recomWell Treponema demonstrated a good diagnostic performance when used to detect the IgM to T. pallidum. No false-positive sera were identified and, in 17/19 samples from primary infection, an IgM immune response was found. recomWell Treponema was shown to be a highly specific and sensitive method in all stages of syphilis screening and it can be considered as alternative to other ELISA tests based on native antigen preparations. Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens Tpn47, TpN17 and TpN15 were utilized. Methods A total of 782 human serum specimens, belonging to four different categories (blood donors, n=200; routine laboratory screening for syphilis, n=400; syphilis patients, n=122; potential cross-reactors, n=60), were evaluated to compare the sensitivity and specificity of the recomWell Treponema kit with a standard whole Treponema pallidum cell lysate antigen-based ELISA (Syphilis Screening) and with micro-haemagglutination (MHA-TP). Results The overall specificity and sensitivity of the recomWell Treponema IgG was 98.9% and 98.3%, respectively. The specificity and sensitivity of Syphilis Screening ELISA was 98.7% and 98.3%, respectively. The agreement between recomWell Treponema and Syphilis Screening was 100%, 97.8%, 95.9% and 95% among the blood donor specimens, screening samples, syphilis specimens and the potential cross-reactors, respectively. Values of concordance varying from 96.7% to 98.3% were found in the different groups of sera between recomWell Treponema and MHA-TP. In addition, recomWell Treponema demonstrated a good diagnostic performance when used to detect the IgM to T. pallidum. No false-positive sera were identified and, in 17/19 samples from primary infection, an IgM immune response was found. Conclusions recomWell Treponema was shown to be a highly specific and sensitive method in all stages of syphilis screening and it can be considered as alternative to other ELISA tests based on native antigen preparations. |
Author | Simone, M.A. Negosanti, M. Sambri, V. D'Antuono, A. Cevenini, R. Marangoni, A. |
Author_xml | – sequence: 1 givenname: V. surname: Sambri fullname: Sambri, V. organization: Department of Microbiology, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy – sequence: 2 givenname: A. surname: Marangoni fullname: Marangoni, A. organization: Department of Microbiology, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy – sequence: 3 givenname: M.A. surname: Simone fullname: Simone, M.A. organization: Department of Microbiology, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy – sequence: 4 givenname: A. surname: D'Antuono fullname: D'Antuono, A. organization: Department of Dermatology, DMCSS, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy – sequence: 5 givenname: M. surname: Negosanti fullname: Negosanti, M. organization: Department of Dermatology, DMCSS, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy – sequence: 6 givenname: R. surname: Cevenini fullname: Cevenini, R. email: cevenini@med.unibo.it organization: Department of Microbiology, University of Bologna, St Orsola Hospital, via Massarenti 9, 40138 Bologna, Italy |
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Copyright | 2001 European Society of Clinical Infectious Diseases 2001 INIST-CNRS Copyright Decker Periodicals, Inc. Apr 2001 |
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Keywords | syphilis recombinant antigens serology Treponema pallidum ELISA Performance evaluation Human Spirochaetales Serology Method Treponematosis Infection Antigen Sensitivity Specificity Sexually transmitted disease Syphilis Bacteriosis Bacteria Serum Diagnosis Treponemataceae ELISA assay Spirachaetosis |
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Snippet | Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant... Objective To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant... To evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant antigens... OBJECTIVETo evaluate the diagnostic performance of an enzyme immunosorbent assay (recomWell Treponema) for the diagnosis of syphilis. The novel recombinant... |
SourceID | proquest crossref pubmed pascalfrancis wiley elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 200 |
SubjectTerms | Antibodies, Bacterial - blood Antigens, Bacterial - immunology Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences ELISA Enzyme-Linked Immunosorbent Assay - methods Enzyme-Linked Immunosorbent Assay - standards Human bacterial diseases Humans Immunoglobulin G - blood Immunoglobulin M - blood Infectious diseases Medical sciences Reagent Kits, Diagnostic recombinant antigens Recombinant Proteins - immunology Sensitivity and Specificity serology syphilis Syphilis - blood Syphilis - diagnosis Syphilis Serodiagnosis - methods Syphilis Serodiagnosis - standards Treponema Treponema pallidum Treponema pallidum - immunology |
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Title | Evaluation of recomWell Treponema, a novel recombinant antigen-based enzyme-linked immunosorbent assay for the diagnosis of syphilis |
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