Clinical evaluation of a peptide-ELISA based upon N-terminal B-cell epitope of the VapA protein for diagnosis of Rhodococcus equi pneumonia in foals

J Vet Med B Infect Dis Vet Public Health. 2006 Apr;53(3):126-32. doi: 10.1111/j.1439-0450.2006.00929.x.

Abstract

A total of 227 field samples from naturally exposed foals aged between 3 weeks and 6 months were used in an evaluation of a peptide-based enzyme-linked immunosorbent assay (ELISA) for diagnosis of Rhodococcus equi infection. A biotinylated peptide derived from the virulence-associated protein A (VapA) of R. equi, a horse pathogen, was synthesized and designated as PN11-14. The peptide corresponds to the N-terminal B-cell epitope TSLNLQKDEPNGRASDTAGQ of the VapA protein. Based upon a serum immunoglobulin (Ig)G titre of 512 as a positive cut-off value for the R. equi infection, the ELISA provided the overall sensitivity of 47.62%, specificity of 69.67% and an accuracy of 59.47% with a positive predictive value of 57.47% for true R. equi pneumonia. The assay was improved by detecting VapA-specific IgGb antibodies against N-terminal B-cell epitope of the VapA protein rather than IgG antibodies. The VapA-IgGb ELISA showed the overall sensitivity of 70.47%, specificity of 72.13% and accuracy of 71.36% with a positive predictive value of 68.52%. Diagnosis of R. equi disease in 6-week-old foals showed that the VapA-IgGb ELISA provided an increasing trend (P=0.0572) in sensitivity of 82.4% in comparison with the VapA-IgG ELISA which showed the sensitivity of 58.8%. However, differences in specificity of both tests were statistically insignificant (P=0.357) as analysed by the McNemar test. These results indicated that detection of VapA-specific IgGb antibodies may be a better predictor of R. equi disease in foals.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actinomycetales Infections / diagnosis
  • Actinomycetales Infections / veterinary*
  • Animals
  • Animals, Newborn
  • Antibodies, Bacterial / analysis
  • Bacterial Proteins / immunology
  • Enzyme-Linked Immunosorbent Assay / veterinary*
  • Epitopes, B-Lymphocyte / immunology
  • Horse Diseases / blood
  • Horse Diseases / diagnosis*
  • Horse Diseases / microbiology
  • Horses
  • Immunoglobulin G
  • Pneumonia, Bacterial / diagnosis
  • Pneumonia, Bacterial / veterinary*
  • Predictive Value of Tests
  • Rhodococcus equi / immunology*
  • Rhodococcus equi / isolation & purification
  • Sensitivity and Specificity

Substances

  • Antibodies, Bacterial
  • Bacterial Proteins
  • Epitopes, B-Lymphocyte
  • Immunoglobulin G