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J Infect Dis. 1997 May;175(5):1251-4.

The potential of the ESAT-6 antigen secreted by virulent mycobacteria for specific diagnosis of tuberculosis.

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1
Department of Agriculture for Northern Ireland, Belfast, United Kingdom.

Abstract

Tuberculosis (TB) remains a global health problem in humans and animals, and improved diagnostic methods are needed urgently. This study examined the potential of an interferon-gamma blood test based on a recently identified low-molecular-mass secreted protein antigen, ESAT-6, for early detection of bovine TB. It was found that field cases of bovine TB and experimentally infected cattle exhibited strong in vitro interferon-y responses directed toward this antigen. Of importance, ESAT-6 reactivity was found to discriminate between cattle infected with TB and cattle sensitized by environmental mycobacteria, and the gene encoding this molecule was demonstrated to be absent from >90% of the nontuberculous mycobacterial strains isolated from healthy sensitized cattle. These results demonstrate the feasibility of using single defined antigens for the highly specific diagnosis of TB.

PMID:
9129098
DOI:
10.1086/593686
[Indexed for MEDLINE]

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