Abstract
Serial urine samples were collected from 33 neutropenic patients, 10 of whom developed invasive aspergillosis (IA) while undergoing bone marrow transplantation or remission induction therapy for leukemia. Concentrated urine samples from the infected patients were subjected to polyacrylamide gel electrophoresis, blotted, and then incubated with antiserum raised to a cell wall extract of Aspergillus fumigatus (anti-CW) or an immunoglobulin G monoclonal antibody to A. fumigatus galactomannan (EBA1). When IA patient urine blots were probed with anti-CW, major bands at 11 and 18 kilodaltons (kDa); intermediate bands at 13, 14, and 29 kDa; and minor bands at 38 and 44 kDa were seen. In contrast, EBA1 showed diffuse staining at molecular masses larger than 45 kDa and a single weak band at 21 kDa. Urine samples from the 23 patients with no evidence of IA were unreactive with both anti-CW and EBA1. These antigen bands are likely to represent immunodominant antigens which are excreted during IA and should play a valuable role in the development of rapid diagnostic tests for aspergillosis.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Andrews C. P., Weiner M. H. Immunodiagnosis of invasive pulmonary aspergillosis in rabbits. Fungal antigen detected by radioimmunoassay in bronchoalveolar lavage fluid. Am Rev Respir Dis. 1981 Jul;124(1):60–64. doi: 10.1164/arrd.1981.124.1.60. [DOI] [PubMed] [Google Scholar]
- Barnes R. A., Rogers T. R. Response rates to a staged antibiotic regimen in febrile neutropenic patients. J Antimicrob Chemother. 1988 Nov;22(5):759–763. doi: 10.1093/jac/22.5.759. [DOI] [PubMed] [Google Scholar]
- Bennett J. E., Bhattacharjee A. K., Glaudemans C. P. Galactofuranosyl groups are immunodominant in Aspergillus fumigatus galactomannan. Mol Immunol. 1985 Mar;22(3):251–254. doi: 10.1016/0161-5890(85)90158-0. [DOI] [PubMed] [Google Scholar]
- Burch P. A., Karp J. E., Merz W. G., Kuhlman J. E., Fishman E. K. Favorable outcome of invasive aspergillosis in patients with acute leukemia. J Clin Oncol. 1987 Dec;5(12):1985–1993. doi: 10.1200/JCO.1987.5.12.1985. [DOI] [PubMed] [Google Scholar]
- Cherniak R., Reiss E., Slodki M. E., Plattner R. D., Blumer S. O. Structure and antigenic activity of the capsular polysaccharide of Cryptococcus neoformans serotype A. Mol Immunol. 1980 Aug;17(8):1025–1032. doi: 10.1016/0161-5890(80)90096-6. [DOI] [PubMed] [Google Scholar]
- Dupont B., Huber M., Kim S. J., Bennett J. E. Galactomannan antigenemia and antigenuria in aspergillosis: studies in patients and experimentally infected rabbits. J Infect Dis. 1987 Jan;155(1):1–11. doi: 10.1093/infdis/155.1.1. [DOI] [PubMed] [Google Scholar]
- Fujita S., Matsubara F., Matsuda T. Demonstration of antigenemia in patients with invasive aspergillosis by biotin-streptavidin enzyme-linked immunosorbent assay. J Lab Clin Med. 1988 Oct;112(4):464–470. [PubMed] [Google Scholar]
- Hearn V. M., Mackenzie D. W. The preparation and chemical composition of fractions from Aspergillus fumigatus wall and protoplasts possessing antigenic activity. J Gen Microbiol. 1979 May;112(1):35–44. doi: 10.1099/00221287-112-1-35. [DOI] [PubMed] [Google Scholar]
- Kahn F. W., Jones J. M. Latex agglutination tests for detection of Candida antigens in sera of patients with invasive candidiasis. J Infect Dis. 1986 Mar;153(3):579–585. doi: 10.1093/infdis/153.3.579. [DOI] [PubMed] [Google Scholar]
- 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]
- Lehmann P. F., Reiss E. Invasive aspergillosis: antiserum for circulating antigen produced after immunization with serum from infected rabbits. Infect Immun. 1978 May;20(2):570–572. doi: 10.1128/iai.20.2.570-572.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Matthews R., Burnie J. Diagnosis of systemic candidiasis by an enzyme-linked dot immunobinding assay for a circulating immunodominant 47-kilodalton antigen. J Clin Microbiol. 1988 Mar;26(3):459–463. doi: 10.1128/jcm.26.3.459-463.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meyer R. D., Young L. S., Armstrong D., Yu B. Aspergillosis complicating neoplastic disease. Am J Med. 1973 Jan;54(1):6–15. doi: 10.1016/0002-9343(73)90077-6. [DOI] [PubMed] [Google Scholar]
- NEILL J. M., SUGG J. Y., McCAULEY D. W. Serologically reactive material in spinal fluid, blood, and urine from a human case of cryptococcosis (torulosis). Proc Soc Exp Biol Med. 1951 Aug;77(4):775–778. doi: 10.3181/00379727-77-18924. [DOI] [PubMed] [Google Scholar]
- Phillips P., Radigan G. Antigenemia in a rabbit model of invasive aspergillosis. J Infect Dis. 1989 Jun;159(6):1147–1150. doi: 10.1093/infdis/159.6.1147. [DOI] [PubMed] [Google Scholar]
- Reiss E., Lehmann P. F. Galactomannan antigenemia in invasive aspergillosis. Infect Immun. 1979 Jul;25(1):357–365. doi: 10.1128/iai.25.1.357-365.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rinaldi M. G. Invasive aspergillosis. Rev Infect Dis. 1983 Nov-Dec;5(6):1061–1077. doi: 10.1093/clinids/5.6.1061. [DOI] [PubMed] [Google Scholar]
- Sabetta J. R., Miniter P., Andriole V. T. The diagnosis of invasive aspergillosis by an enzyme-linked immunosorbent assay for circulating antigen. J Infect Dis. 1985 Nov;152(5):946–953. doi: 10.1093/infdis/152.5.946. [DOI] [PubMed] [Google Scholar]
- Shaffer P. J., Medoff G., Kobayashi G. S. Demonstration of antigenemia by radioimmunoassay in rabbits experimentally infected with Aspergillus. J Infect Dis. 1979 Mar;139(3):313–319. doi: 10.1093/infdis/139.3.313. [DOI] [PubMed] [Google Scholar]
- Talbot G. H., Weiner M. H., Gerson S. L., Provencher M., Hurwitz S. Serodiagnosis of invasive aspergillosis in patients with hematologic malignancy: validation of the Aspergillus fumigatus antigen radioimmunoassay. J Infect Dis. 1987 Jan;155(1):12–27. doi: 10.1093/infdis/155.1.12. [DOI] [PubMed] [Google Scholar]
- Weiner M. H. Antigenemia detected by radioimmunoassay in systemic aspergillosis. Ann Intern Med. 1980 Jun;92(6):793–796. doi: 10.7326/0003-4819-92-6-793. [DOI] [PubMed] [Google Scholar]
- Weiner M. H., Coats-Stephen M. Immunodiagnosis of systemic aspergillosis. I. Antigenemia detected by radioimmunoassay in experimental infection. J Lab Clin Med. 1979 Jan;93(1):111–119. [PubMed] [Google Scholar]
- Weiner M. H., Talbot G. H., Gerson S. L., Filice G., Cassileth P. A. Antigen detection in the diagnosis of invasive aspergillosis. Utility in controlled, blinded trials. Ann Intern Med. 1983 Dec;99(6):777–782. doi: 10.7326/0003-4819-99-6-777. [DOI] [PubMed] [Google Scholar]
- Wilson E. V., Hearn V. M., Mackenzie D. W. Evaluation of a test to detect circulating Aspergillus fumigatus antigen in a survey of immunocompromised patients with proven or suspected invasive disease. J Med Vet Mycol. 1987 Dec;25(6):365–375. [PubMed] [Google Scholar]
- Wilson E. V., Hearn V. M. Use of Aspergillus fumigatus mycelial antigens in enzyme-linked immunosorbent assay and counter-immunoelectrophoresis. J Med Microbiol. 1983 Feb;16(1):97–105. doi: 10.1099/00222615-16-1-97. [DOI] [PubMed] [Google Scholar]
- Young R. C., Bennett J. E., Geelhoed G. W., Levine A. S. Fungemia with compromised host resistance. A study of 70 cases. Ann Intern Med. 1974 May;80(5):605–612. doi: 10.7326/0003-4819-80-5-605. [DOI] [PubMed] [Google Scholar]
- Young R. C., Bennett J. E. Invasive aspergillosis. Absence of detectable antibody response. Am Rev Respir Dis. 1971 Nov;104(5):710–716. doi: 10.1164/arrd.1971.104.5.710. [DOI] [PubMed] [Google Scholar]
- Young R. C., Bennett J. E., Vogel C. L., Carbone P. P., DeVita V. T. Aspergillosis. The spectrum of the disease in 98 patients. Medicine (Baltimore) 1970 Mar;49(2):147–173. doi: 10.1097/00005792-197003000-00002. [DOI] [PubMed] [Google Scholar]
- de Repentigny L., Boushira M., Ste-Marie L., Bosisio G. Detection of galactomannan antigenemia by enzyme immunoassay in experimental invasive aspergillosis. J Clin Microbiol. 1987 May;25(5):863–867. doi: 10.1128/jcm.25.5.863-867.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]