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Veterinary Immunology and Immunopathology 231 (2021) 110161

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Veterinary Immunology and Immunopathology


journal homepage: www.elsevier.com/locate/vetimm

Strong antibody responses to Mycobacterium bovis infection in domestic pigs


and potential for reliable serodiagnostics
Archana A. Sridhara a, Ashley Johnathan-Lee a, Rubyat Elahi a, Maria A. Risalde b, c,
Christian Gortazar b, W. Ray Waters d, Konstantin P. Lyashchenko a, Michele A. Miller e, *
a
Chembio Diagnostic Systems, Inc., 3661 Horseblock Road, Medford, NY 11763, USA
b
SaBio Instituto de Investigación en Recursos Cinegéticos IREC (CSIC-UCLM-JCCM), Ronda de Toledo 12, 13005 Ciudad Real, Spain
c
Dpto. de Anatomía y Anatomía Patológica Comparadas, Facultad de Veterinaria, Universidad de Córdoba, Agrifood Excellence International Campus (ceiA3), 14071,
Córdoba, Spain
d
National Animal Disease Center, 1920 Dayton Avenue, Ames, IA 50010, USA
e
Department of Science and Innovation-National Research Foundation Centre of Excellence for Biomedical TB Research, South African Medical Research Council Centre
for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town
8000, South Africa

A R T I C L E I N F O A B S T R A C T

Keywords: Mycobacterium bovis (M. bovis), the main cause of animal tuberculosis (TB), can infect a wide variety of domestic
DPP and wild animal species, including suids. Suids may serve as reservoir hosts or disease sentinels in different
MAPIA scenarios. Accurate detection of M. bovis infection in pigs is important for TB control programs. Although pre­
MPB83
vious studies have shown the value of serological assays for screening animal populations, the diagnostic ac­
Serological assays
Suids
curacy was considered suboptimal. In this study, we used Dual Path Platform (DPP) technology and multi-
antigen print immunoassay (MAPIA) to characterize antigen recognition profiles and temporal antibody re­
sponses. Four M. bovis experimentally infected pigs developed an early antibody response to antigen MPB83,
with a peak in IgG levels starting around 4–6 weeks post-inoculation, although none of the pigs developed an­
tibodies to fusion protein CFP10/ESAT6 within 16 weeks of the experiment. Three of four experimentally
infected pigs developed antibody responses before detectable antigen-specific interferon gamma responses.
Naturally infected pigs with gross lesions containing viable M. bovis showed IgM (19/40 infected animals) and
IgG (39/40) antibody responses to both MPB70/MPB83 (39/40) and CFP10/ESAT6 (34/40). Using MPB70/
MPB83 antigen alone to measure IgG antibody levels by DPP assay, an estimated test sensitivity was 97.5 % (95
% CI: 85.3− 99.9 %). None of the 57 negative control samples had detectable IgM or IgG antibodies to either of
the two test antigens in DPP assay, suggesting an estimated specificity of 100 % (95 % CI: 92.1–100.0 %) in pigs.
MAPIA showed robust IgG reactivity to multiple protein antigens of M. bovis in the naturally infected pigs. The
results demonstrate that serological assays which detect IgG antibodies to MPB83 have high sensitivity and
specificity for accurate detection of M. bovis infection in pigs. Further investigations should be done to validate
anti-MPB70/MPB83 antibodies as a reliable serodiagnostic biomarker for TB diagnosis in pigs.

Abbreviations: A-PPD, Mycobacterium avium purified protein derivative; B-PPD, Mycobacterium bovis purified protein derivative; CFP10, culture filtrate protein 10
kD; CI, confidence interval; CFU, colony forming units; DPP, dual path platform; ELISA, enzyme-linked immunosorbent assay; ESAT6, early secretory antigen target 6
kD; IFNγ, interferon gamma; IgM, immunoglobulin M; IgG, immunoglobulin G; IGRA, interferon gamma release assay; M. bovis, Mycobacterium bovis; MAPIA, multi-
antigen print immunoassay; MTC, Mycobacterium tuberculosis complex; PBS, phosphate buffered saline; PCR, polymerase chain reaction; RLU, relative light units; TB,
tuberculosis; TBL, TB compatible lesions.
* Corresponding author at: DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis
Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town 8000, South
Africa.
E-mail address: miller@sun.ac.za (M.A. Miller).

https://doi.org/10.1016/j.vetimm.2020.110161
Received 17 January 2020; Received in revised form 11 November 2020; Accepted 14 November 2020
Available online 19 November 2020
0165-2427/© 2020 Elsevier B.V. All rights reserved.
A.A. Sridhara et al. Veterinary Immunology and Immunopathology 231 (2021) 110161

1. Introduction Carros, France) and euthanized by captive bolt, followed by a


post-mortem examination in order to assess the presence or absence of
Mycobacterium bovis (M. bovis), the primary etiologic agent of animal TB compatible lesions (TBL) and perform microbiological culture.
tuberculosis (TB), can infect a wide variety of domestic and wild animal The group of pigs with naturally acquired M. bovis infection was
species, including suids. Suids have been previously considered to be comprised of 40 Iberian pigs that had gross TBL, from which M. bovis
dead-end hosts of M. bovis, however, more recent studies suggest that in was isolated as previously described (Thomas et al., 2019). The negative
certain scenarios, they can serve as maintenance hosts. Wild boar (Sus control group included 57 white pigs in which infection was ruled out
scrofa) are a TB reservoir host in Spain (Naranjo et al., 2008) and based on the absence of gross TBL and negative culture results for
extensively reared black pigs in Italy (Di Marco et al., 2012) and Spain members of the M. tuberculosis complex (MTC).
(Cano-Terriza et al., 2018). It has been shown that inter-species in­
teractions with infected suids are significant risk factors for disease 2.2. Mycobacterial culture and speciation
transmission (Barasona et al., 2014). Even in situations where it does not
appear that pigs play a role in transmission, they may serve as useful All tissues with present or suspicious TBL were cultured for MTC.
sentinels for TB in livestock and wildlife (Bailey et al., 2013; Nugent When TBL were not observed, a pool of mandibular, tracheobronchial
et al., 2015). Therefore, accurate detection of M. bovis infection in pigs is and mediastinal lymph nodes (LNs) from each animal was also cultured.
important for TB control programs. The tissue samples were placed in a sterile container and stored at − 80
Previous studies report that serological assays can be useful for bTB ◦
C until bacteriological culture. The samples were inoculated into
detection in suid populations (Cardoso-Toset et al., 2017; Roos et al., Coletsos and 0.2 % (w/v) pyruvate-enriched Löwenstein-Jensen media
2018; Thomas et al., 2019). However, in order to optimize performance (Difco, Madrid, Spain) after decontamination with a final concentration
of serological tests, it is essential to understand the host-determined of 0.37 % hexadecylpyridinium chloride (Corner and Trajstman, 1988).
characteristics of antibody responses to M. bovis, as well as identify Isolates were identified by means of PCR (Wilton and Cousins, 1992) and
immunodominant antigens for the target species. Studies in experi­ spoligotyping (Kamerbeek et al., 1997).
mentally infected cattle and white-tailed deer (Odocoileus virginianus)
have shown that the kinetics of the humoral response vary between 2.3. Interferon-gamma release assay (IGRA)
individuals as well as antigen recognition profiles (Lyashchenko et al.,
1998; Waters et al., 2004). Blood samples were collected from experimental pigs into tubes with
The humoral response to MPB70 and MPB83 proteins is reportedly lithium heparin and transferred to the laboratory in the same facility at
consistent in M. bovis-infected livestock and wildlife species (Waters room temperature. Stimulation of whole blood with PBS (nil control),
et al., 2004, 2006; Lyashchenko et al., 2008; Cardoso-Toset et al., 2017; and avian and bovine tuberculin purified protein derivative (avian PPD
Infantes-Lorenzo et al., 2017). However, there are variable antibody and bovine PPD, respectively; 20 μg/mL; CZ Veterinaria, Porriño, Spain)
responses to other antigens, such as ESAT6 or CFP10. Serological assays was performed within 8 h of collection. Pokeweed mitogen (PWM; 20
which include complex antigens, such as bovine purified protein de­ μg/mL; Sigma-Aldrich, Spain) was used as a positive control. Blood
rivative (B-PPD), may increase diagnostic sensitivity, although assays cultures were incubated for 24 h at 37 ◦ C in a humidified incubator (5 %
that use combinations of specific antigens may have higher test sensi­ CO2). Plasma was harvested after 24 h and stored at − 20 ◦ C until
tivity and specificity (Cardoso-Toset et al., 2017). Since IgM responses assayed. Detection of IFNγ in the supernatant was performed using a
usually precede IgG, detection of both antibody classes may improve quantitative ELISA (PIERCE Endogen, Rockford, IL, USA), following
identification of infected animals. For example, assays that measured manufacturer’s recommendations. An animal was considered IGRA
both IgM and IgG antibodies to MPB83 in M. bovis experimentally positive when the optical density (OD) of the sample stimulated with
infected cattle had increased sensitivity as compared to measurement of bovine PPD minus the OD of the nil was ≥ 0.05 and greater than the OD
responses by either isotype alone (Waters et al., 2006). In wild boar, a of the sample stimulated with avian PPD minus the nil.
MPB83-based lateral flow assay (INgezim TB CROM Ab; Ingenasa,
Madrid, Spain) yielded sensitivity and specificity values of 83 % and 97 2.4. Multi-antigen print immunoassay (MAPIA)
%, respectively (Fresco-Taboada et al., 2019). Therefore, aims of this
study were to investigate temporal development of antibody responses Serum IgG antibodies to a panel of selected M. bovis proteins were
in experimentally infected pigs and characterize IgM and IgG responses detected by MAPIA, performed as previously described (Lyashchenko
to CFP10/ESAT6 and MPB70/MPB83 in naturally infected pigs. et al., 2017). The antigen panel included four recombinant proteins
(ESAT6, CFP10, MPB70, and MPB83), three hybrid proteins
2. Materials and methods (CFP10/ESAT6, MPB70/MPB83, and CFP10/MPB83), and one native
antigen (B-PPD). Swine IgG antibodies were detected in serum samples
2.1. Animals by incubation on nitrocellulose strips impregnated with antigens, fol­
lowed by immunodetection with alkaline phosphatase-conjugated Pro­
To analyze antibody responses in pigs with M. bovis infection, two tein G (Rockland Immunochemicals Inc., Limerick, PA, USA). MAPIA
sets of serum samples were retrospectively tested in this study. The first bands were developed with 5-bromo-4-chloro-3-indoyl-phosphate/ni­
set of specimens was serially collected from experimentally infected troblue tetrazolium (Seracare Life Sciences, Milford, MA, USA).
pigs, whereas the second set was obtained from M. bovis-infected and MAPIA results were evaluated visually, with a band of any intensity
uninfected pigs identified in slaughterhouses via the TB surveillance considered as an antibody positive reaction.
program in Spain.
The experimentally infected cohort consisted of four domestic white 2.5. Dual path platform (DPP)
pigs inoculated with 2 mL of a suspension containing 105 CFU of a field
strain of M. bovis (spoligotype SB0295), administered by the oropha­ Serum antibody levels were measured by DPP assay employing re­
ryngeal route, following the protocol described by Ballesteros et al. combinant fusion proteins MPB70/MPB83 and CFP10/ESAT6 immobi­
(2009). A control group of four pigs was sham inoculated. Blood samples lized onto a strip membrane as two separate test lines. For independent
in lithium heparin and without additives were collected biweekly over IgM and IgG antibody detection, colloidal gold nanoparticles were
the 16-week study period for interferon-gamma release assay (IGRA) functionalized with goat anti-pig IgM (Bio-Rad, Hercules, CA, USA) and
and serological studies, respectively. Animals were anesthetized by Protein A/G (BioVision, Milpitas, CA, USA), respectively. The assay
intramuscular injection of Zoletil® (SBC Virbac Biotech Co., Ltd., required 5 μL sample and 20 min until results were read. Signal intensity

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A.A. Sridhara et al. Veterinary Immunology and Immunopathology 231 (2021) 110161

of test lines was measured by an optical reader in relative light units animal (D) produced only an IgG response. IgM seroconversion was
(RLU) as described (Lyashchenko et al., 2017). detectable as early as 2 weeks after M. bovis inoculation, followed by a
peak of IgM antibody at week 4 and rapid decline, although low levels of
IgM remained detectable for 16 weeks (pigs A, B, C). In contrast, more
2.6. Data analysis
robust and sustainable IgG responses developed in all infected pigs
starting at 4 weeks (animals B, C) or 6 weeks (animals A, D) after M. bovis
Prism 8 (GraphPad Software, Inc., La Jolla, CA, USA) was used for
inoculation (Table 1, Fig. 1). No antibody response to CFP10/ESAT6
statistical analyses. Species-specific cut-off values were calculated using
antigen was detected by the DPP assay in the experimentally infected
receiver operating characteristic curves to determine seroreactivity rates
group over the period of 16 weeks (data not shown).
for each test antigen and antibody isotype. Relative antibody levels were
In agreement with DPP results, MAPIA results using an extended
expressed as the ratios of test line intensity in RLU to the respective cut-
panel of mycobacterial antigens demonstrated predominant IgG reac­
off value. A signal-to-cut-off (s/co) ratio at ≥ 1.0 was used to distinguish
tivity to MPB83 and MPB70/MPB83, with a later weak response to
reactive and non-reactive results. Diagnostic sensitivity of the DPP assay
CPF10/MPB83 in three of the four M. bovis-infected pigs (Fig. 2). None
was assessed by calculating the proportion of samples containing IgM
of the four uninfected pigs in the negative control group showed
and/or IgG antibodies against either test antigen in the total number of
detectable antibodies to any of the antigens in MAPIA or DPP assay (data
samples from M. bovis-infected animals. Diagnostic specificity was
not shown).
determined by calculating the proportion of non-reactive samples in the
In contrast to the experimentally infected pigs, animals with natu­
control groups. Diagnostic accuracy was estimated by calculating the
rally acquired M. bovis infection developed strong humoral immune
proportion of all true results in the number of all tested samples. The test
responses to both MPB70/MPB83 and CFP10/ESAT6 antigens in the
performance characteristics and seroreactivity rates found for each in­
DPP assay (Fig. 3). The antibody responses included IgM and IgG pro­
dividual antigen used in the DPP assay were assessed at 95 % confidence
duced in 19/40 and 39/40 infected animals, respectively (Table 2). The
interval (CI).
IgG responses appeared more pronounced, while IgM responses were
relatively infrequent and of lower magnitude. The MPB70/MPB83
3. Results protein elicited IgM and IgG antibody responses more frequently (39/
40) than did CFP10/ESAT6 protein (34/40). The latter antigen, despite
Progressive disease in all experimental M. bovis-inoculated pigs was the high seroreactivity rate, showed no added value in serological
confirmed at necropsy by the presence of visible gross TBL where identification of M. bovis-infected pigs, as all serum samples reactive to
tuberculous granulomas were observed by histopathological evaluation CFP10/ESAT6 also recognized MPB70/MPB83 (Table 2). Combinatorial
(hematoxylin and eosin staining), as well as by isolation of the micro­ analyses revealed that the detection of IgG antibodies to MPB70/MPB83
organism through MTC culture. All isolates belonged to the same spo­ antigen was sufficient for optimal diagnostic accuracy. Using MPB70/
ligotype as the M. bovis strain used for challenge. None of the control MPB83 antigen alone to measure only IgG responses, estimated test
pigs had evidence of infection. sensitivity was 97.5 % (95 % CI: 85.3− 99.9 %). None of the 57 control
Ante-mortem monitoring of the cell-mediated immune response in samples had detectable IgM or IgG antibodies to any of the two test
experimental M. bovis-inoculated pigs was based on PPD IGRA results. antigens in DPP assay, suggesting an estimated specificity of 100 % (95
All pigs tested negative in the bovine PPD IGRA on day of inoculation, as % CI: 92.1–100.0 %) in pigs.
well as 2 weeks post-M. bovis inoculation, with 2 animals (A and D) MAPIA analyses of the serum samples collected from pigs with
becoming bovine PPD IGRA positive at 4 weeks post-inoculation. All 4 naturally acquired M. bovis infection (Fig. 4) revealed the following
pigs were bovine PPD IGRA positive from 6 weeks post-inoculation differences from the antibody responses found in the experimentally
onwards (Table 1). The stimulation of whole-blood cultures with PWM infected pigs (Fig. 2): 1) significantly more seroreactive antigens; 2)
led to responses of IFNγ in plasma that exceeded an OD of 0.5 at every generally stronger band intensity suggesting higher antibody levels; and
time point tested. 3) evident seroreactivity of MPB70 protein (among additional antigens
Pigs that were naturally M. bovis-infected were confirmed by the other than MPB83), which was not observed during the experimental
presence of gross TBL and the isolation of the microorganism through infection. These results suggest that early recognition of MPB83 by IgG
MTC culture. Animals found to be positive to either TBL only or culture antibodies in the experimentally infected pigs continued over the course
only were omitted from the study. Uninfected pigs from which samples of disease in the naturally infected animals. In addition, the MAPIA data
were collected at the abattoir did not present any gross lesions consistent shown in Fig. 4 clearly demonstrated the advantage of using recombi­
with TB, and the pool of mandibular, tracheobronchial and mediastinal nant multi-epitope polyproteins over B-PPD for more sensitive antibody
LNs from these animals assessed by mycobacterial culture was also MTC detection in M. bovis-infected pigs.
negative.
Antibody responses to fusion protein MPB70/MPB83, but not to
4. Discussion
CFP10/ESAT6, were detected by DPP assay in all four pigs inoculated
with M. bovis. As shown in Fig. 1, three experimentally infected pigs (A,
Results from the current study demonstrate that serological assays
B, C) developed both IgM and IgG antibody responses, whereas one
which detect antibodies to MPB83 have high sensitivity and specificity
for accurate detection of M. bovis infection in pigs that have been
Table 1 experimentally infected or have naturally acquired infection. The ki­
Initial detection of cell-mediated and humoral immune responses in pigs netics of the humoral response suggests that pigs will have detectable
experimentally infected with M. bovis.
antibodies to MPB70/MPB83 early in infection and maintain high levels
1
Test conversion time through progression to disease. This is similar to results in M. bovis
Animal
IFN-gamma IgM antibody IgG antibody experimentally infected cattle in which the earliest antibody responses
A 4 2 6
were detected to MPB83, with a peak in IgG response starting around 6
B 6 4 4 weeks (Waters et al., 2006). Although IgM responses to MPB70/MPB83
C 6 2 4 in the DPP assay peaked earlier than IgG in the majority of experi­
D 4 ND 2 6 mentally infected pigs, detection of IgM in naturally infected pigs did not
1
Results are shown as time (weeks) post-inoculation with M. bovis when first add to test sensitivity.
test positive results were obtained. The IgM/IgG responses were detected earlier than the IFN-gamma
2
Not detected. responses in 3 of the 4 experimentally infected pigs. In other species,

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A.A. Sridhara et al. Veterinary Immunology and Immunopathology 231 (2021) 110161

Fig. 1. Antibody responses during experimental M. bovis infection in pigs. Results are shown as reader-generated values for IgM (broken line) and IgG (solid line)
antibodies to MPB70/MPB83 detected by DPP assay in serum samples serially collected from M. bovis-inoculated animals A, B, C, and D.

Fig. 2. Antibody responses in pigs experimen­


tally infected with M. bovis. MAPIA was per­
formed as described in Materials and Methods.
Antigens printed onto nitrocellulose membrane
are shown on the right. Each strip represents
antibody result obtained from individual serum
sample collected at specified time over the
course of infection. Visible bands on the strips
indicate the presence of IgG antibody to corre­
sponding antigen(s), with band intensity
generally reflecting the antibody level.

the cell-mediated immune response tends to occur earlier than antibody despite the existence of largely cross-reactive epitopes on these two
detection. In experimentally infected cattle, a robust IFN-gamma M. bovis proteins (Lyashchenko et al., 2001). Collectively, the DPP and
response was detected by 2 weeks post-inoculation with antibody re­ MAPIA findings suggest more advanced stages of disease in the group of
sponses only starting to be detected at 3 weeks (Waters et al., 2010). In a naturally infected pigs than that achieved in the experimentally infected
separate study, although a weak MPB83-specific IgM was detected by 4 animals. The above differences in the antibody responses between these
weeks, the response was boosted after injection of PPDs for the skin test two groups of M. bovis-infected pigs may be attributed to the short
(Waters et al., 2006). In contrast, the infected pigs in the present study duration of the experimental study (16 weeks), differences in the
had an early robust antibody response, supporting use of serological M. bovis dose received between groups, or possible repeated exposure in
tests for M. bovis diagnosis in suids. the naturally infected pigs.
The MAPIA results in the naturally infected pigs showed heteroge­ Evaluation of rapid methods for TB detection in slaughtered pigs
neity in the IgG antibody responses to M. bovis infection in terms of showed that, unlike PCR and histopathology, antibody detection can be
antigen recognition patterns and confirmed the seroreactivity of the two used for monitoring herds (Cardoso-Toset et al., 2015). In a recent study
antigens, MPB70/MPB83 and CFP10/ESAT6, utilized in the DPP assay. using serum samples of 217 pigs with confirmed disease status from
Interestingly, recognition of MPB70 protein (among additional antigens known infected and uninfected free-ranging pig farms in southern Spain
other than MPB83) was not observed in the experimentally infected pigs to compare five serological assays (four ELISAs and one lateral-flow

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A.A. Sridhara et al. Veterinary Immunology and Immunopathology 231 (2021) 110161

species. However, it also depends upon the antigens selected and


immunoassay format utilized. A recent evaluation of serologic tests in
domestic pigs and wild boar with confirmed TB diagnosis (n = 227) and
disease-free status (n = 366) found a higher sensitivity for P22 ELISA (84
%) than for bPPD ELISA (77 %), and 100 % specificity for both assays,
suggesting the diagnostic potential of antibody detection in identifying
infected pigs (Thomas et al., 2019). Our earlier study using the DPP
VetTB assay to characterize IgG responses in M. bovis-infected animals of
three suid species demonstrated the highest serodiagnostic accuracy was
found in pigs (sensitivity 95 %, specificity 100 %), followed by wild boar
(sensitivity 80 %, specificity 97 %) and warthogs (sensitivity 83 %,
specificity 91 %), with the predominant seroreactivity to MPB83 protein
in all three species (Miller et al., 2019).
In Spain, Iberian pigs are raised using extensive management systems
where the free-ranging animals can share their habitat with other do­
mestic and wildlife species, such as wild boar, which serve as reservoirs
Fig. 3. Levels of serum antibodies detected by DPP assay in pigs with naturally
of M. bovis infection. In a recent epidemiological surveillance study,
acquired M. bovis infection. Results are shown as DPP reader-generated values
(in RLU) obtained for IgM (triangles) and IgG (circles) antibodies to MPB70/ seroprevalence estimated by P22 ELISA testing of 3622 Iberian pigs was
MPB83 and CFP10/ESAT6 antigens detected in 40 culture-positive (solid 2.3 %, whereas herd prevalence assessed in 129 herds was 24.8 %
symbols) and 57 control animals (open symbols). Horizontal broken lines (Cano-Terriza et al., 2018). These findings in combination with isolation
indicate threshold values discriminating antibody negative and antibody posi­ of 25 different spoligotypes identified in the same study have revealed
tive results. Violin plot (Graphpad Prism 8) was applied to analyze data dis­ extensive circulation of M. bovis among pig farms under extensive
tribution and highlight differences between the animal groups in antigen management.
recognition. The presence of M. bovis-infected pigs, especially in open systems,
increases the risk of spillover and spillback. Therefore, in order to
manage these risks through detection of infected animals, a highly
Table 2
sensitive yet specific test is needed that is cost-effective, simple to use
Seroreactivity rates (% and 95 % CI) obtained in DPP assays for detection of IgM
and can be performed with a single easily obtained sample (i.e. blood).
and IgG antibodies to MPB70/MPB83 and CFP10/ESAT6 antigens in pigs with
acquired M. bovis infection. The high sensitivity and specificity of the DPP assay, using the MPB70/
MPB83 IgG response, suggests that it can be used for individual live
Test antigen IgM IgG IgM and/or IgG
animal testing. In addition, post-mortem serum samples could be used to
MPB70/MPB83 35.0 % 97.5 % 97.5 % rapidly diagnose TB in abattoir pigs.
(21.1− 51.7) (85.3− 99.9) (85.3− 99.9)
Although the results strongly suggest that MPB83 is an immunodo­
CFP10/ESAT6 30.0 % 85.0 % 85.0 %
(17.1− 46.7) (69.5− 93.8) (69.5− 93.8) minant antigen for humoral responses in M. bovis-infected pigs, the
MPB70/MPB83 and/or 47.5 % 97.5 % 97.5 % number of antigens evaluated in the present study was limited. In
CFP10/ESAT6 (31.63.7) (85.3− 99.9) (85.3− 99.9) addition, testing of larger sample sizes of both known infected and un­
infected animals would increase confidence in the test performance.
In conclusion, results from both M. bovis experimentally infected and
naturally infected domestic pigs show that anti-MPB83 antibody
detection offers a potentially useful diagnostic tool for TB diagnosis in
pigs. Further investigation should be performed to confirm the accuracy
and utility of this assay.

Funding

The present work has benefited from the financial aid of research
funded by ‘Plan Nacional’ grant WildDriver CGL2017-89866 (MINECO,
Spain and EU FEDER) and Castilla-La Mancha and EU FEDER grant
MYCOTRAINING (SBPLY/19/180501/000174). Prof. Miller was funded
partially by the South African government through the South African
Medical Research Council and the National Research Foundation [grant
Fig. 4. Antibody reactivity patterns characterized by MAPIA in pigs with ac­ #86949]. The content is the sole responsibility of the authors and does
quired M. bovis infection. MAPIA was performed as described in Materials and not necessarily represent the official views of the funders.
Methods. Antigens printed onto nitrocellulose membrane are shown on the
right. Each strip represents individual antibody profile obtained with serum Ethical approval
sample collected from control or infected animal. Visible bands on the strips
indicate the presence of IgG antibody to corresponding antigen(s), with band
The protocol followed for the handling and sampling frequency
intensity generally reflecting the antibody level.
procedures in the experimental study was designed to reduce stress and
health risks for the subjects, according to European (Directive 86/609/
test), diagnostic sensitivity and specificity estimates ranged from 66 %– ECC) and Spanish legislation (R.D. 223/1988 and R.D. 1021/2005). This
78 % and 99 %–100 %, respectively (Cardoso-Toset et al., 2017). protocol was approved by the Committee on the Ethics of Animal Ex­
Therefore, due to insufficient test sensitivity, serodiagnosis has been periments of the Regional Agriculture Authority (Comunidad de Madrid,
proposed as a useful screening tool for pig herds but not for individual permit CM180112-01).
animals. In the case of pigs naturally infected with M. bovis, these were not
The diagnostic value of serology in TB detection varies among host intentionally killed for this study but were routinely slaughtered during
species, as antibody test sensitivity varies dramatically between host the period 2015− 16 from the southern and central Spain. No ethical

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approval was, therefore, deemed necessary for this part of the study. Epidemiological significance of the domestic black pig (Sus scrofa) in maintenance of
bovine tuberculosis in Sicily. J. Clin. Microbiol. 50 (4), 1209–1218.
Protocols, amendments and other resources were used according to the
Fresco-Taboada, A., Risalde, M.A., Gortázar, C., Tapia, I., González, I., Venteo, Á.,
guidelines approved by each autonomous government following the R. Sanz, A., Rueda, P., 2019. A lateral flow assay for the rapid diagnosis of
D. 1201/2005 of the Spanish Ministry of Presidency. Blood and tissue Mycobacterium bovis infection in wild boar. Transb. Emerg. Dis. 66, 2175–2179.
samples were collected by veterinarians in compliance with the Ethical Infantes-Lorenzo, J.A., Moreno, I., Risalde, M.A., Roy, Á., Villar, M., Romero, B.,
Ibarrola, N., de la Fuente, J., Puentes, E., de Juan, L., Gortázar, C., 2017. Proteomic
Principles in Animal Research. characterisation of bovine and avian purified protein derivatives and identification
of specific antigens for serodiagnosis of bovine tuberculosis. Clin. Proteom.
Bioinform. 14, 36.
Declaration of Competing Interest Kamerbeek, J., Schouls, L.E.O., Kolk, A., Van Agterveld, M., Van Soolingen, D.,
Kuijper, S., Bunschoten, A., Molhuizen, H., Shaw, R., Goyal, M., Van Embden, J.,
1997. Simultaneous detection and strain differentiation of Mycobacterium tuberculosis
All authors declare no conflict of intertest. for diagnosis and epidemiology. J. Clin. Microbiol. 35, 907–914.
Lyashchenko, K.P., Pollock, J.M., Colangeli, R., Gennaro, M.L., 1998. Diversity of antigen
Acknowledgements recognition by serum antibodies in experimental bovine tuberculosis. Infect. Immun.
66 (11), 5344–5349.
Lyashchenko, K.P., Wiker, H.G., Harboe, M., McNair, J., Komissarenko, S.V., Pollock, J.
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Wildlife Research (IREC), Health Surveillance Centre (VISAVET) and bovis. Scand. J. Immunol. 53, 498–502.
Lyashchenko, K.P., Greenwald, R., Esfandiari, J., Chambers, M.A., Vincente, J.,
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Esfandiari, J., Ireton, G.C., Vallur, A., Reed, S.G., Jones, G., Vordermeier, H.M.,
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antigens recognized by serum antibodies in bovine tuberculosis. Clin. Vaccine
online version, at doi:https://doi.org/10.1016/j.vetimm.2020.110161. Immunol. 24, e00259–17.
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