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Mycobacterium 1-S2.0-S0165242720301872-Main
Mycobacterium 1-S2.0-S0165242720301872-Main
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
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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.
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
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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A.A. Sridhara et al. Veterinary Immunology and Immunopathology 231 (2021) 110161
approval was, therefore, deemed necessary for this part of the study. Epidemiological significance of the domestic black pig (Sus scrofa) in maintenance of
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guidelines approved by each autonomous government following the R. Sanz, A., Rueda, P., 2019. A lateral flow assay for the rapid diagnosis of
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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
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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.
We are grateful to many colleagues at the Institute for Game and M., 2001. Novel monoclonal antibodies against major antigens of Mycobacterium
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.,
University of Cordoba (UCO) for technical support and their help in the Gortazar, C., Santos, N., Correia-Neves, M., Buddle, B.M., Jackson, R., O’Brien, D.J.,
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Appendix A. Supplementary data Lyashchenko, K.P., Grandison, A., Keskinen, K., Sikar-Gang, A., Lambotte, P.,
Esfandiari, J., Ireton, G.C., Vallur, A., Reed, S.G., Jones, G., Vordermeier, H.M.,
Supplementary material related to this article can be found, in the Stabel, J.R., Thacker, T.C., Palmer, M.V., Waters, W.R., 2017. Identification of novel
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.
Miller, M.A., Gortazar, C., Roos, E.O., Risalde, M.A., Johnathan-Lee, A., Sridhara, A.A.,
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