Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1997 Dec;35(12):3147–3149. doi: 10.1128/jcm.35.12.3147-3149.1997

Reversed passive latex agglutination assay for detection of toxigenic Corynebacterium diphtheriae.

C Toma 1, L Sisavath 1, M Iwanaga 1
PMCID: PMC230138  PMID: 9399510

Abstract

A reversed passive latex agglutination (RPLA) assay for determining the toxigenicity of Corynebacterium diphtheriae is presented. Rabbit antitoxin antiserum was raised by using commercially available diphtheria toxoid. This antiserum reacted with the diphtheria toxin when the culture supernatant was assayed by Western blotting, and it did not cross-react with other extracellular antigens. Affinity-purified antibodies for latex sensitization were obtained by using a Hi Trap N-hydroxysuccinimide-activated column. Demonstration of toxin in five of seven clinical isolates was in accordance with the PCR assay and the Vero cell cytotoxicity test. Culture of the bacteria for 6 h was sufficient for toxin production, and an additional 6 h was needed to observe latex agglutination. Therefore, diphtheria toxin can be detected in 12 h by this method. The lowest concentration of diphtheria toxin detectable by the RPLA assay was about 5 ng/ml. The RPLA assay can provide a convenient and reliable method for laboratories involved in the identification of toxinogenic corynebacteria.

Full Text

The Full Text of this article is available as a PDF (338.5 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aravena-Román M., Bowman R., O'Neill G. Polymerase chain reaction for the detection of toxigenic Corynebacterium diphtheriae. Pathology. 1995 Jan;27(1):71–73. doi: 10.1080/00313029500169512. [DOI] [PubMed] [Google Scholar]
  2. Barile M. F., Kolb R. W., Pittman M. United States standard diphtheria toxin for the Schick text and the erythema potency assay for the Schick text dose. Infect Immun. 1971 Sep;4(3):295–306. doi: 10.1128/iai.4.3.295-306.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bickham S. T., Jones W. L. Problems in the use of the in vitro toxigenicity test for Corynebacterium diphtheriae. Am J Clin Pathol. 1972 Feb;57(2):244–246. doi: 10.1093/ajcp/57.2.244. [DOI] [PubMed] [Google Scholar]
  4. Colman G., Weaver E., Efstratiou A. Screening tests for pathogenic corynebacteria. J Clin Pathol. 1992 Jan;45(1):46–48. doi: 10.1136/jcp.45.1.46. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Engler K. H., Glushkevich T., Mazurova I. K., George R. C., Efstratiou A. A modified Elek test for detection of toxigenic corynebacteria in the diagnostic laboratory. J Clin Microbiol. 1997 Feb;35(2):495–498. doi: 10.1128/jcm.35.2.495-498.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gill D. M., Pappenheimer A. M., Jr Structure-activity relationships in diphtheria toxin. J Biol Chem. 1971 Mar 10;246(5):1492–1495. [PubMed] [Google Scholar]
  7. Hauser D., Popoff M. R., Kiredjian M., Boquet P., Bimet F. Polymerase chain reaction assay for diagnosis of potentially toxinogenic Corynebacterium diphtheriae strains: correlation with ADP-ribosylation activity assay. J Clin Microbiol. 1993 Oct;31(10):2720–2723. doi: 10.1128/jcm.31.10.2720-2723.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Holmes R. K., Perlow R. B. Quantitative assay of diphtherial toxin and of immunologically cross-reacting proteins by reversed passive hemagglutination. Infect Immun. 1975 Dec;12(6):1392–1400. doi: 10.1128/iai.12.6.1392-1400.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Inward C. D., Williams J., Chant I., Crocker J., Milford D. V., Rose P. E., Taylor C. M. Verocytotoxin-1 induces apoptosis in vero cells. J Infect. 1995 May;30(3):213–218. doi: 10.1016/s0163-4453(95)90693-2. [DOI] [PubMed] [Google Scholar]
  10. Iwanaga M., Yamamoto K. New medium for the production of cholera toxin by Vibrio cholerae O1 biotype El Tor. J Clin Microbiol. 1985 Sep;22(3):405–408. doi: 10.1128/jcm.22.3.405-408.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Jalgaonkar S. V., Saoji A. M. Coagglutination for rapid testing of toxin producing Corynebacterium diphtheriae. Indian J Med Res. 1993 Jan;97:35–36. [PubMed] [Google Scholar]
  12. Karmali M. A., Petric M., Lim C., Fleming P. C., Arbus G. S., Lior H. The association between idiopathic hemolytic uremic syndrome and infection by verotoxin-producing Escherichia coli. J Infect Dis. 1985 May;151(5):775–782. doi: 10.1093/infdis/151.5.775. [DOI] [PubMed] [Google Scholar]
  13. Konowalchuk J., Speirs J. I., Stavric S. Vero response to a cytotoxin of Escherichia coli. Infect Immun. 1977 Dec;18(3):775–779. doi: 10.1128/iai.18.3.775-779.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Laemmli U. K. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970 Aug 15;227(5259):680–685. doi: 10.1038/227680a0. [DOI] [PubMed] [Google Scholar]
  15. Laird W., Groman N. Rapid, direct tissue culture test for toxigenicity of Corynebacterium diphtheriae. Appl Microbiol. 1973 May;25(5):709–712. doi: 10.1128/am.25.5.709-712.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Mikhailovich V. M., Melnikov V. G., Mazurova I. K., Wachsmuth I. K., Wenger J. D., Wharton M., Nakao H., Popovic T. Application of PCR for detection of toxigenic Corynebacterium diphtheriae strains isolated during the Russian diphtheria epidemic, 1990 through 1994. J Clin Microbiol. 1995 Nov;33(11):3061–3063. doi: 10.1128/jcm.33.11.3061-3063.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Nakao H., Popovic T. Development of a direct PCR assay for detection of the diphtheria toxin gene. J Clin Microbiol. 1997 Jul;35(7):1651–1655. doi: 10.1128/jcm.35.7.1651-1655.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Nielsen P. B., Koch C., Friis H., Heron I., Prag J., Schmidt J. Double-antibody sandwich enzyme-linked immunosorbent assay for rapid detection of toxin-producing Corynebacterium diphtheriae. J Clin Microbiol. 1987 Jul;25(7):1280–1284. doi: 10.1128/jcm.25.7.1280-1284.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Pallen M. J., Hay A. J., Puckey L. H., Efstratiou A. Polymerase chain reaction for screening clinical isolates of corynebacteria for the production of diphtheria toxin. J Clin Pathol. 1994 Apr;47(4):353–356. doi: 10.1136/jcp.47.4.353. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Pietrzak J., Muehlestein S., Gasser M. Sandwich-dot immunobinding assay (Sandwich-DIA), a new immunological method for the detection of diphtheria toxin. Zentralbl Bakteriol. 1990 Oct;274(1):61–69. doi: 10.1016/s0934-8840(11)80975-8. [DOI] [PubMed] [Google Scholar]
  21. Sandvig K., van Deurs B. Toxin-induced cell lysis: protection by 3-methyladenine and cycloheximide. Exp Cell Res. 1992 Jun;200(2):253–262. doi: 10.1016/0014-4827(92)90171-4. [DOI] [PubMed] [Google Scholar]
  22. Snell J. J., Demello J. V., Gardner P. S., Kwantes W., Brooks R. Detection of toxin production by Corynebacterium diphtheriae: results of a trial organised as part of the United Kingdom National External Microbiological Quality Assessment Scheme. J Clin Pathol. 1984 Jul;37(7):796–799. doi: 10.1136/jcp.37.7.796. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Towbin H., Staehelin T., Gordon J. Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. Proc Natl Acad Sci U S A. 1979 Sep;76(9):4350–4354. doi: 10.1073/pnas.76.9.4350. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES