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. 2005 Apr;43(4):1944-6.
doi: 10.1128/JCM.43.4.1944-1946.2005.

Improvement of the specificity of an enzyme-linked immunosorbent assay for diagnosis of paracoccidioidomycosis

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Improvement of the specificity of an enzyme-linked immunosorbent assay for diagnosis of paracoccidioidomycosis

C F Albuquerque et al. J Clin Microbiol. 2005 Apr.

Abstract

In an attempt to improve the specificity of an enzyme-linked immunosorbent assay (ELISA) for the diagnosis of paracoccidioidomycosis (PCM), sera from patients with PCM were tested using various approaches, such as sodium metaperiodate antigen (gp43) treatment, a serum absorption process with Candida albicans or Histoplasma capsulatum antigens, and dilution of serum in galactose, the main common epitope among pathogenic fungi. The maximum specificity found in this ELISA was 84%. All of these procedures proved inefficient for eliminating all cross-reacting antibodies and obtaining an ELISA specific for PCM diagnosis.

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Figures

FIG. 1.
FIG. 1.
Results of ELISAs using PCM and histoplasmosis sera, before and after absorption processes. A and B, sera from both groups of patients reacting with gp43, before and after treatment with 40 mM sodium metaperiodate; C, patient sera absorbed with C. albicans; D, patient sera absorbed with H. capsulatum; E, patient sera diluted with galactose; F, patient sera absorbed with C. albicans and H. capsulatum antigens and diluted in galactose.

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