title: Synthetic peptide issued from Hap1/LipL32 for new early serodiagnosis of human leptospirosis.
abstract: Leptospirosis is a worldwide zoonosis. Today, serological diagnosis is generally assessed by MAT. We performed ELISA with a synthetic peptide derived from Hap1/lipL32 which is a protein expressed only by pathogenic Leptospira. Repeatability and thresholds were defined with 85 controls sera and 119 hospitalized leptospirosis. The PP-ELISA repeatability and IgM/IgG cut-off values were based on control sera. For these cut-off values, we observed the IgM-PP-ELISA specificity of 89%, whereas it was 100% for the IgG. Then, we compared PP-ELISA and standard MAT results for leptospirosis patients. The concordance rate for IgM-PP-ELISA and MAT was low (43%), whereas it was 85% for IgG-PP-ELISA and MAT. During the first 5 days after hospitalization, PP-ELISA gave positive results in 13 out of 16 patients (81%) whereas 8 out of 14 patients (57%) were positive to MAT. ELISA using Hap1/lipL 32-derived synthetic peptide PP is an earlier serological diagnosis of human leptospirosis than MAT.
authors.affiliation: Unité de Bactériologie Médicale et Moléculaire des Leptospires, Ecole Nationale Vétérinaire de Nantes, BP 40 706, 44 307 Nantes Cedex 03, France. florence_aviat@yahoo.fr
authors.forename: F
authors.initials: F
authors.lastname: Aviat
authors.forename: S
authors.initials: S
authors.lastname: Rochereau-Roulet
authors.forename: C
authors.initials: C
authors.lastname: Branger
authors.forename: J M
authors.initials: JM
authors.lastname: Estavoyer
authors.forename: B
authors.initials: B
authors.lastname: Chatrenet
authors.forename: J L
authors.initials: JL
authors.lastname: Orsonneau
authors.forename: C
authors.initials: C
authors.lastname: Thorin
authors.forename: G
authors.initials: G
authors.lastname: Andre-Fontaine
mesh_terms: D000907:Antibodies, Bacterial / Q000097:blood; D000942:Antigens, Bacterial / Q000235:genetics; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics / Q000276:immunology*; D016022:Case-Control Studies; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D007919:Leptospira / Q000235:genetics / Q000276:immunology*; D007922:Leptospirosis / Q000175:diagnosis* / Q000276:immunology / Q000382:microbiology; D008074:Lipoproteins / Q000235:genetics / Q000276:immunology*; D010455:Peptides / Q000235:genetics / Q000276:immunology; D015203:Reproducibility of Results; D012698:Serologic Tests / Q000379:methods* / Q000706:statistics & numerical data
chemical_list: D000907:Antibodies, Bacterial; D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins; D007074:Immunoglobulin G; D007075:Immunoglobulin M; C406589:LipL32 protein, Leptospira; D008074:Lipoproteins; D010455:Peptides