title: Bifidobacterial lipoglycan as a new cause for false-positive platelia Aspergillus enzyme-linked immunosorbent assay reactivity.
abstract: We previously hypothesized that a lipoglycan of Bifidobacterium bifidum subsp. pennsylvanicum cross-reacts with the Platelia Aspergillus (PA) enzyme-linked immunosorbent assay (ELISA) based on the presence of galactofuranosyl epitopes in the cell wall (M. A. S. H. Mennink-Kersten, R. R. Klont, A. Warris, H. J. M. Op den Camp, and P. E. Verweij, Lancet 363:325-327, 2004). We tested this hypothesis by testing bacterial suspensions of different bifidobacterial species and other gram-positive and -negative bacteria with the PA ELISA, which is used to detect circulating galactomannan for the serodiagnosis of invasive aspergillosis. Furthermore, neonatal fecal samples were enumerated for bifidobacteria by fluorescence in situ hybridization (FISH) and tested for PA ELISA reactivity. All bifidobacteria, except B. infantis and B. adolescentis, showed reactivity 6- to 600-fold higher compared to the controls (i.e., Micrococcus luteus and Propionibacterium freudenreichii, which contain a cell wall lipomannan). Eggerthella lenta showed a 25-fold-higher reactivity. ELISA reactivity was clearly shown to be associated with bacterial lipoglycans containing a beta-1,5-galactofuranosyl chain. All neonatal feces showed PA ELISA reactivity and associated numbers of bifidobacteria. Since high concentrations of bifidobacteria are present in the human gut, these bacteria or excreted lipoglycan may cause false serum PA ELISA reactivity in selected patient groups, especially neonates.
authors.affiliation: Department of Medical Microbiology, Radboud University Nijmegen Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. m.mennink@mmb.umcn.nl
authors.forename: Monique A S H
authors.initials: MA
authors.lastname: Mennink-Kersten
authors.forename: Dorien
authors.initials: D
authors.lastname: Ruegebrink
authors.forename: Rocus R
authors.initials: RR
authors.lastname: Klont
authors.forename: Adilia
authors.initials: A
authors.lastname: Warris
authors.forename: Françoise
authors.initials: F
authors.lastname: Gavini
authors.forename: Huub J M
authors.initials: HJ
authors.lastname: Op den Camp
authors.forename: Paul E
authors.initials: PE
authors.lastname: Verweij
mesh_terms: D000946:Antigens, Fungal / Q000032:analysis*; D001228:Aspergillosis / Q000175:diagnosis*; D001230:Aspergillus / Q000276:immunology*; D001644:Bifidobacterium / Q000276:immunology*; D003429:Cross Reactions; D004797:Enzyme-Linked Immunosorbent Assay; D005189:False Positive Reactions; D006801:Humans; D007231:Infant, Newborn; D008070:Lipopolysaccharides / Q000276:immunology*
chemical_list: D000946:Antigens, Fungal; D008070:Lipopolysaccharides