Use of a monoclonal antibody in a dot immunobinding assay for detection of a circulating mannoprotein of Candida spp. in neutropenic patients with invasive candidiasis

J Clin Microbiol. 1993 Dec;31(12):3142-6. doi: 10.1128/jcm.31.12.3142-3146.1993.

Abstract

A dot immunobinding assay for the detection of a circulating mannoprotein (MP) antigen of Candida species in the sera of neutropenic patients in a hematological setting is described. The technique is based on the use of a monoclonal antibody which recognizes an oligomannoside epitope shared by distinct MP of pathogenic Candida species. The sensitivity of the assay for antigen detection in serum was between 2 and 5 ng/ml, and MPs from Candida albicans, Candida tropicalis, Torulopsis glabrata, and Candida parapsilosis, but not Candida krusei, could be detected. A retrospective analysis of sera from patients with proven invasive candidiasis versus sera from controls (Candida-colonized and noncolonized subjects) revealed that the novel assay has sufficient sensitivity, specificity, and predictive values to be of potential diagnostic significance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal
  • Antigens, Fungal / blood
  • Candida albicans / immunology*
  • Candidiasis / blood
  • Candidiasis / diagnosis*
  • Candidiasis / microbiology
  • Evaluation Studies as Topic
  • Humans
  • Immunoblotting / methods*
  • Immunoblotting / statistics & numerical data
  • Membrane Glycoproteins / blood*
  • Membrane Glycoproteins / immunology
  • Neutropenia / blood
  • Neutropenia / microbiology
  • Sensitivity and Specificity
  • Serologic Tests / methods
  • Serologic Tests / statistics & numerical data

Substances

  • Antibodies, Monoclonal
  • Antigens, Fungal
  • Membrane Glycoproteins
  • mannoproteins