title: Recombinant chimeric Borrelia proteins for diagnosis of Lyme disease.
abstract: Current serologic Lyme disease tests use whole borrelia cells as the source of antigen. These assays are difficult to standardize and to optimize for sensitivity and specificity. To help solve these problems, we constructed a library of recombinant chimeric proteins composed of portions of key antigens of Borrelia burgdorferi. These proteins were then used to develop an enzyme-linked immunosorbent assay. We compared our assay with the most sensitive of three whole-cell borrelia assays. We found that the recombinant assay could detect antibodies significantly better from early Lyme disease sera (P<0.05), and had the same sensitivity for late Lyme disease sera, as the most sensitive whole-cell borrelia assay. On potentially cross-reactive sera, the recombinant assay was more specific, but not significantly so, than the best whole-cell borrelia assay. Optimization of the recombinant assay offers the potential for a significant improvement in both sensitivity and specificity.
authors.affiliation: Brook Biotechnologies, Inc., Long Island High Technology Incubator, Stony Brook, New York 11790, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Gomes-Solecki
authors.forename: J J
authors.initials: JJ
authors.lastname: Dunn
authors.forename: B J
authors.initials: BJ
authors.lastname: Luft
authors.forename: J
authors.initials: J
authors.lastname: Castillo
authors.forename: D E
authors.initials: DE
authors.lastname: Dykhuizen
authors.forename: X
authors.initials: X
authors.lastname: Yang
authors.forename: J D
authors.initials: JD
authors.lastname: Glass
authors.forename: R J
authors.initials: RJ
authors.lastname: Dattwyler
mesh_terms: D000907:Antibodies, Bacterial / Q000097:blood*; D000942:Antigens, Bacterial / Q000235:genetics / Q000276:immunology* / Q000378:metabolism; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics / Q000276:immunology / Q000378:metabolism; D015748:Borrelia burgdorferi Group / Q000276:immunology*; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods*; D005408:Flagellin / Q000235:genetics / Q000276:immunology / Q000378:metabolism; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis* / Q000382:microbiology; D011933:Reagent Kits, Diagnostic; D011993:Recombinant Fusion Proteins / Q000235:genetics / Q000276:immunology* / Q000378:metabolism; D012680:Sensitivity and Specificity
chemical_list: D000907:Antibodies, Bacterial; D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins; D011933:Reagent Kits, Diagnostic; D011993:Recombinant Fusion Proteins; C075511:flagellin p41; D005408:Flagellin