# Search forMycobacterium avium Subspecies paratuberculosis Antigens for the Diagnosis of Paratuberculosis

Authors: María Laura Mon; Mariana Viale; Guido Baschetti; Fiorella Alvarado Pinedo; Andrea Gioffre; Gabriel Travería; Peter Willemsen; Douwe Bakker; María Isabel Romano
Journal: Veterinary Medicine International
 (2012)

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## Abstract

The aim of this study was to evaluate a wide panel of antigens ofMycobacterium avium subsp. paratuberculosis (MAP) to select candidates for the diagnosis of paratuberculosis (PTB). A total of 54 recombinant proteins were spotted onto nitrocellulose membranes and exposed to sera from animals with PTB (n=25), healthy animals (n=10), and animals experimentally infected with M. bovis (n=8). This initial screening allowed us to select seven antigens: MAP 2513, MAP 1693, MAP 2020, MAP 0038, MAP 1272, MAP 0209c, and MAP 0210c, which reacted with sera from animals with PTB and showed little cross-reactivity with sera from healthy animals and animals experimentally infected with M. bovis. The second step was to evaluate the antigen cocktail of these seven antigens by ELISA. For this evaluation, we used sera from animals with PTB (n=25), healthy animals (n=26), and animals experimentally infected with M. bovis (n=17). Using ELISA, the cocktail of the seven selected MAP antigens reacted with sera from 18 of the 25 animals with PTB and did not exhibit cross-reactivity with healthy animals and only low reactivity with animals with bovine tuberculosis. The combined application of these antigens could form part of a test which may help in the diagnosis of PTB.


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## Body

## 1. Introduction

PTB is a prevalent and economically important disease that affects cattle and thus impacts on the cattle industry. It is caused by MAP.Clinical PTB is characterized by chronic granulomatous enteritis with clinical signs of diarrhea, weight loss, decreased milk production, and mortality. However, most infected cattle show no clinical signs during the prolonged incubation stage of infection [1].On the other hand, a number of theories have proposed that the principal infective agent of Crohn’s disease, a chronic enteropathy in humans, is MAP [2–4]. The economic impact and possible link to Crohn's disease highlights the importance of the development of control programs at the herd level. To this end, it is necessary to improve the diagnostic methods of PTB.Cattle are most often infected as young calves, before 6 month of age, but some studies have shown that infection may also occur in adult cattle. Fecal shedding of MAP generally starts after 2 years, and clinical symptoms appear after an incubation period of 2–10 years. In addition, the elimination of the agent through the stool is very variable [5].Cell-mediated immune response wanes with progression of the disease and when this occurs, a humoral immune response becomes measurable. It has been shown that cattle are more likely to have a combined antibody and cellular response rather than a switch from cellular to antibody response [6–8]. Among tests to detect serum antibody to MAP, ELISAs are the most widely used. Several commercial ELISA kits for bovine PTB are currently available, and multiple studies have compared their accuracy [9, 10]. Comparative studies of ELISAs with different antigens have shown discrepancies in the ability of these tests to identify all infected animals [11]. Some authors have suggested that this may be due to the lack of representation of the entire range of immunodominant antigens for MAP in a given ELISA test [12]. Then, one of the crucial components of this test is the antigen used for the preparation of the ELISA test. The antigen most widely used for the serological diagnosis of PTB is PPA-3, which is the M. avium strain 18 protoplasmic antigen. Currently, antigen-based tests to detect MAP with a mixture of proteins include whole-cell sonicated extract, parcel purified antigen, and protoplasmic antigens. These antigens show variability in potency and cross-reaction. This diagnostic method has drawbacks due to the cross-reaction with animals sensitized with this mycobacterium or other pathogens antigenically related to MAP [11]. Since the sequencing and analysis of the entire MAP genome was obtained [13], several specific proteins have been detected in the genome of MAP and the immunoreactivity of these proteins investigated [14]. Bannantine et al. [15] developed a spot protein array for initial antigen screening. Available diagnostic MAP antigens are reviewed in Mikkelsen et al. [16]. However, individual antigens are able to identify only a subset of PTB-infected animals. Then, a mix of antigens could be a good candidate for serological diagnosis.In the present work, MAP antigens were obtained after fractionating proteins from the whole cell or membrane or secreted fraction, resolved with two-dimensional gels, printed in line onto nitrocellulose membranes, and analyzed with sera from animals with PTB.MAP proteins recognized specifically by sera from PTB-infected animals were used to develop a cocktail of selected antigens to be evaluated by ELISA.


## 2. Material and Methods

### 2.1. Animals

Sera from a total of 43 animals from different groups (a) cattle coming from PTB-free herds and with MAP negative fecal cultures (negative control animals) (n=10), (b) cattle naturally infected, with MAP-positive fecal cultures or ELISA-positive tests (n=25), and (c) animals experimentally infected with M. bovis with lesions (n=8) were used to evaluate the 54 recombinant proteins of MAP.The final screening using a cocktail of seven selected antigens was carried out with sera from 68 cattle: 25 cows with MAP positive fecal culture or ELISA-positive tests, 26 cows from negative herds with no suspected cases of PTB and negative tests (fecal cultures, serology and INF-g), and 17 from animals experimentally infected withM. bovis and with lesion at the time of necropsy.


### 2.2. Selection of Antigens

With the aim of identifing and characterizing immunoreactive proteins for their possible use in diagnosis, we extracted proteins of MAP by treatment of cells with sodium dodecyl sulfate at 50°C [17]. The proteins were resolved by one- or two-dimensional SDS-PAGE, carried out in duplicate. Both duplicates were stained with colloidal Coomassie blue and the other was transferred to a nitrocellulose membrane (Amersham Hybond-ECL, GE Healthcare Life Sciences, Buckinghamshire, UK) to perform a Western blot with a PTB-positive bovine serum sample. Six proteins were immunoreactive with sera from animals with PTB and as nonimmunoreactive with sera from animals infected with M. avium. These proteins were cut from the gel and identified by MALDI TOF. This study identified these proteins as encoded by MAP 1962 (Glutamine synthetase), MAP 4143 (Elongation factor tu), MAP 0187c (SodA), MAP 3194, MAP 3205, and MAP 3206, as potential diagnostic antigens.The other 48 proteins here evaluated were from CIDC-Lelystad,Central Institute for Animal Disease Control Department Bacteriology, and TSEs, Lelystad, the Netherlands.


### 2.3. Recombinant Antigens

The 54 proteins were produced as recombinant. Briefly, they were cloned and purified essentially as described previously [18], where all proteins were PCR-cloned using 5′- and 3′-primers amplifying DNA fragments encoding the mature protein except for secreted proteins, which were cloned without the signal peptide. The DNA fragments were cloned into expression vectors. The antigens were cloned into the pET33b (Novagen Inc.,Madison, WI,USA) and pRSET (Invitrogen Corp., Carlsbad, CA, USA) vectors, and expression was induced by the production of T7 RNA polymerase in BL21 (DE3) E. coli. These cells also produce T7 lysozyme to reduce the basal expression of the target genes. The secreted antigens described in Willemsem et al. [18] (MAP 2609, MAP 2942c and MAP 0210c) were cloned in pQE80 (Qiagen, Germantown, MD, USA). Antigens were purified using their histidine-tagged N-terminal region and Nickel-affinity columns, (1 mL HisTrap HP columns) (GE Healthcare Life Sciences, UK). Before that, solubilization of the recombinant antigen was established by a buffer containing 6 M Guanidine, 20 mM Tris (pH 8.0), 0.5 M NaCl, or 50 mM Imidazol, 0.25% CHAPS, 1 mM DTT, 0.5 mM PMSF, and 1% iso-propanol to solve proteins from inclusion bodies (Guanidine), reduce nonspecific binding (Imidazol), and decrease the amount of LPS (iso-propanol) or 8 M Urea. After affinity-purification, the antigens were dialyzed (10 kDa cut-off, except for Map 4000c, for which a 1 kDa cut-off was used) against a buffer containing 0 to 6 M Urea, 10 mM Tris (pH 8.0), 25% glycerol, 1 mM DTT, 0.5 mM PMSF, 1% iso-propanol or 0 to 7 M Urea, 10 mM Tris (pH 8.0), 10% glycerol, 1 mM DTT, 0.5 mM PMSF, and 1% iso-propanol. The urea concentration was the minimal concentration needed to keep the proteins solubilized and determined empirically.The recombinant proteins were analyzed by Coomassie-stained SDS-PAGE to test purity.


### 2.4. Coomassie Blue Staining

A gel containing six of the recombinant purified proteins included in the cocktail is shown in Figure1. The protein encoded by MAP 0209c (of 56.5 kDa) is shown on the first lane but is not visible because it is very close to the front of the run. The proteins were run in a 15% polyacrylamide gel and then incubated in a Coomassie blue solution 0.05% (Coomassie brilliant blue R250 0.05%, methanol 50%, acid acetic 10%) for 1.5 hours with agitation. The Coomassie blue solution was then removed and bleached with bleaching solution (methanol 50%, acetic acid 10%).Figure 1
Recombinant proteins analyzed by coomassie-stained SDS-PAGE to test purity.


### 2.5. Evaluation of Humoral Response by a Line Print Immunoassay

The panel of 54 proteins was evaluated as follows: 20μL of each antigen was applied to a nitrocellulose membrane at a concentration of 100 μg/mL, using a semiautomatic aerosolizer (Camag Scientific Inc., Wilmington, Delaware). The membranes were blocked with 50 mL of blocking solution (5% milk TBS) for 1 h. The membranes were then placed in a “miniblotter” (Isogen BioSolutions, the Netherlands). This allowed parallel analysis of 45 sera. We evaluated serum dilutions of 1 : 100. After 1 h incubation, the serum samples were aspirated and washed three times for 10 min with TBS 1x. The membrane was then incubated for 1 h with protein G conjugated to peroxidase (1 : 1500). The membrane was washed three times for 10 min with TBS 1X and revealed by chemiluminescence (Pierce ECL western blotting, Thermo Scientific, USA).Line print immunoassay generated macroarrays of recombinant proteins which were evaluated with sera from animals with PTB. In order to identify potentially cross-reactive proteins, the macroarrays were also used to probe against sera from healthy animals and from animals experimentally infected withM. bovis. The macroarrays were subjected to densitometry analysis to provide quantification for reactivity at each spot, reported as spot intensities.


### 2.6. Bioinformatic and Statistical Análisis

The panel of 54 recombinant proteins included in the present study was characterizedin silico: molecular weight, location prediction, and homology with other mycobacterial proteins (Table 1). PSORTb analysis was used to predict protein localization based on a number of factors including transmembrane helices, signal peptide, motif search, and similarity to proteins with known subcellular location. (http://www.psort.org/psortb/). According to PSORTb prediction, the set of recombinant proteins contains 28 cytoplasmic proteins, 7 cytoplasmic and membrane proteins, 6 extracellular proteins, and 13 proteins with uncertain localization (Table 1).Table 1
Characterizationin silico of a panel of 54 recombinant proteins, included in the present study.
Antigen (ORF no.)
Predicted localization
Theoretical MW
Homology with other mycobacteria
MAP 0011
Cytoplasmic
19,196 kDa
Iron-regulated peptidyl-prolyl cis-trans isomerase A inMycobacterium tuberculosis H37Rv
MAP 0034
Cytoplasmic-Membrane
44 kDa
P44 protein inMycobacterium avium subsp. avium
MAP 0047c
Extracellular
41,1 kDa
Lpp-LpqN family conserved in Mycobacteriaceae
MAP  0038
Unknown
48,7 kDa
Hypothetical protein Mb0027 in
Mycobacterium bovis
AF2122/97
MAP 0187
Extracellular
23 kDa
Superoxide dismutase inMycobacterium bovis
MAP  0209c
Extracellular
56,5 kDa
Protein potentially involved in peptidoglycan biosynthesis in
Mycobacterium avium
subsp.
avium
MAP  0210c
Cytoplasmic-Membrane
30,7 kDa
Secreted antigen P36/P34 precursor in
Mycobacterium bovis
, maxima ident 60%
MAP 0211
Cytoplasmic
46 kDa
UDP-galactopyranose mutase glf inMycobacterium tuberculosis
MAP 0297
Cytoplasmic
55,23 kDa
Hypothetical protein Mb1161Mycobacterium bovis AF2122/97
MAP 0334
Unknown
34,386 kDa
Oxidoreductase inMycobacterium bovis AF2122/97
MAP 0900
Cytoplasmic-Membrane
29,6–34 kDa
Antigen 34 kDa inMycobacterium tuberculosis CDC1551
MAP 0946c
Cytoplasmic-Membrane
33,5 kDa
Sigma factor inMycobacterium avium 104
MAP 1012c
Cytoplasmic
37,374 kDa
Hypothetical protein TMAG_01006  inMycobacterium tuberculosis
MAP 1050c
Cytoplasmic
33 kDa
Peptidyl-prolyl cis-trans isomerase, cyclophilin-type conserved in Mycobacterium
MAP 1272
Extracellular
33,4 kDa
NLP/P60 family protein in
Mycobacterium tuberculosis
CDC1551
MAP 1293
Unknown
49,24 kDa
Histidinol dehydrogenase his D inMycobacterium tuberculosis
MAP 1308
Unknown (This protein may have multiple localization sites.)
46 kDa
Prolipoprotein diacylglyceryl transferase lgt inMycobacterium tuberculosis
MAP 1564c
Unknown
23,01 kDa
Short chain dehydrogenase inMycobacterium bovis
MAP 1589c
Cytoplasmic
21,60 KDa
Alkyl hydroperoxide reductase subunit C  inMycobacterium tuberculosis
MAP 1653
Unknown
16,7–20 kDa
Thiol peroxidase tpx inMycobacterium tuberculosis T17
MAP 1693c
Unknown
18,30 kDa
Peptidyl-prolyl cis-trans isomerase domain-containing protein conserved in Mycobacterium
MAP 1754c
Cytoplasmic-Membrane
30,84 kDa
Hypothetical protein Rv2005c inMycobacterium tuberculosis H37Rv
MAP 1889c
Cytoplasmic
28 kDa
Wag31 protein inMycobacterium avium 104
MAP 1962
Cytoplasmic
53,68 kDa
Glutamine synthetase glnA1 inMycobacterium tuberculosis
MAP 2020
Unknown
26,90 kDa
Cutinase in
Mycobacterium bovis
AF2122/97
MAP 2167
Extracellular
17 kDa
Low molecular weight protein antigen cfp2 inMycobacterium tuberculosis
MAP 2182
Cytoplasmic-Membrane
16 kDa
Deazaflavin-dependent nitroreductase family protein  in Mycobacterium
MAP 2513
Cytoplasmic
36,50 kDa
Alkanal monooxygenase alpha chain inMycobacterium avium 104
MAP 2609
Cytoplasmic-Membrane
11,40 kDa
Low molecular weight T-cell antigen TB8.4 inMycobacterium tuberculosis
MAP 2676c
Cytoplasmic
13,89 kDa
Hypothetical protein MAV_1246 inMycobacterium avium 104
MAP 2685
Unknown
21,20 kDa
Hypothetical protein BCG_1169c inMycobacterium bovis BCG str. Pasteur 1173P2
MAP 2878c
Cytoplasmic
25,43 kDa
Dihydrodipicolinate reductase inMycobacterium bovis BCG str. Pasteur 1173P2
MAP 2942c
Extracellular
18,30 kDa
Soluble secreted antigen MPT53 inMycobacterium tuberculosis
MAP 2956
Cytoplasmic
30,02 kDa
30S ribosomal protein S2 inMycobacterium tuberculosis H37Rv
MAP 3175c
Cytoplasmic
41,38 kDa
Peptide chain release factor 2 inMycobacterium tuberculosis H37Rv
MAP 3194
Cytoplasmic
30,46 kDa
Pyruvate carboxyl transferase inMycobacterium avium
MAP 3205
Cytoplasmic
27 kDa
nuoE NADH dehydrogenase subunit E inMycobacterium avium 104
MAP 3206
Cytoplasmic
48-49 kDa
nuoF NADH-Quinone oxidoreductase subunit F inMycobacterium tuberculosis
Mb 3341c
Unknown
10,63 kDa
Equivalent to Rv3312A, len: 103 aa, fromMycobacterium tuberculosis strain H37Rv
MAP 3402
Cytoplasmic
33,28 kDa
Thiosulfate sulfurtransferase inMycobacteriumbovis AF2122/97
MAP 3457
Cytoplasmic
47,61 kDa
O-acetylhomoserine sulfhydrylase metC  inMycobacterium tuberculosis T92
MAP 3491
Cytoplasmic
28,16 kDa
Hydrolase inMycobacterium tuberculosis SUMu003
MAP 3527
Unknown
35,70 kDa
Serine protease PepA in Mycobacterium tuberculosis H37Rv
MAP 3627
Cytoplasmic
37,37 kDa
O-methyltransferase inMycobacterium tuberculosis H37Rv
MAP 3651
Cytoplasmic
44 kDa
Acyl-CoA dehydrogenase fadE3 inMycobacterium bovis BCG
MAP 3692
Cytoplasmic
47 kDa
fabG 3-ketoacyl-ACP reductase inMycobacterium tuberculosis H37Rv
MAP 3840
Cytoplasmic
67 kDa
Heat shock protein 70, molecular chaperone DnaK in Mycobacterium
MAP 3841
Unknown
23,57 kDa
Heat shock protein GrpE inMycobacterium bovis AF2122/97
MAP 3857
Cytoplasmic
18,73 kDa
Orotate phosphoribosyltransferase phosphoribosyltransferase inMycobacterium tuberculosis CDC1551
MAP 3936
Cytoplasmic
57 kDa
Heat shock protein 65, GroEL in Mycobacterium sp
MAP 4000c
Unknown
12 kDa
Esat-6 like protein esxF in Mycobacterium and hypothetical protein Mb3935c inMycobacterium bovis
MAP 4143
Cytoplasmic
43,77 kDa
Iron-regulated elongation factor tu inMycobacterium tuberculosis
MAP 4147
Cytoplasmic
42,09 kDa
Ferredoxin reductase  inMycobacterium tuberculosis H37Rv
MAP 4227c
Cytoplasmic
30,14 kDa
Hypothetical protein Rv3463 inMycobacterium tuberculosis H37RvBLAST similarity searches were performed locally on coding sequences by comparison with the GenBank nonredundant protein database (Table1).


### 2.7. Measurement of Spot Intensities

Quantitative spot intensities were obtained by performing a densitometric scan of the membrane. For the analysis of the results, the intensities of the points were measured with the ImageQuant TL Array Version 7.0 Software, (GE Healthcare, Pittsburgh, PA).This quantification software processes spot intensities on the array and determines the mean intensities of pixels within a spot as well as those of the background pixels around the spot. These local-background intensities are subtracted from the raw signals to obtain the local-background-corrected levels. The measured diameter that was selected for scans of different arrays was consistent for all the arrays in this study. Adjusted intensities were obtained following normalization of each spot. Five proteins (MAP 0038, MAP 1272, MAP 1693, MAP 0210c, and MAP 0209c) showed a stronger mean intensity with sera from MAP-infected animals than with sera from non-MAP-infected animals and were thus selected for a cocktail of antigens (Table2).Table 2
Spot intensities for protein macroarrays.
Antigen assayed
Mean spot intensity of proteins exposed to sera
control(n= 10)
PTB infected (n= 25)
TB infected (n= 8)
MAP 0011
112
135
0
MAP 0034
240
247
0
MAP 0038
141
860
0
MAP 0047
344
309
0
MAP 0187c
184
0
0
MAP 0209c
367
499
0
MAP 0210c
0
398
0
MAP 0211
0
572
0
MAP 0297
117
225
130
MAP 0334
108
167
1
MAP 0900
0
749
0
MAP 0946
218
900
295
MAP 1012
280
0
0
MAP 1050
268
275
0
MAP 1272
223
733
0
MAP 1293
585
481
396
MAP 1308
163
894
0
MAP 1564
259
344
0
MAP 1589c
323
682
466
MAP 1653
398
844
461
MAP 1693
226
967
209
MAP 1754
0
142
27
MAP 1889c
280
180
494
MAP1962
341
270
354
MAP 2020
0
150
228
MAP 2167
315
0
0
MAP 2182c
223
117
192
MAP 2513
41
164
291
MAP 2609
137
308
0
MAP 2676
201
138
0
MAP 2685
317
323
0
MAP 2878
307
323
0
MAP 2942
136
251
0
MAP 2956
345
119
424
MAP 3175
343
130
0
MAP 3194
0
100
0
MAP 3205
0
0
0
MAP 3206
100
200
0
Mb 3341
159
171
178
MAP 3402
205
178
250
MAP 3457
447
365
325
MAP3491
286
454
177
MAP 3527
528
414
635
MAP 3627
207
265
0
MAP 3651
1000
906
958
MAP 3692c
305
212
0
MAP 3840
0
198
712
MAP 3841
707
678
457
MAP 3857
373
267
265
MAP 3936
381
544
691
MAP 4000c
134
242
0
MAP4143
413
397
439
MAP 4147
1000
556
0
MAP 4227
138
101
0
PPDA
208
105
256
PPDB
346
531
1468
PPA-3
131
609
108
Cocktail
140
1460
0
Intensities were obtained using ImageQuant TL Array Version 7.0 Software, (GE Healthcare, Pittsburgh, PA). Antigens selected to evaluate as cocktail are shown in bold. PPA-3: Paratuberculosis protoplasmatic antigen (Allied Monitor, Inc. USA); PPDA and PPDB: avian- and bovine-derivative protein purified, respectively (Prionic Switzerland). Cocktail: mix of the 7 antigens shown in bold.MAP 2020 and MAP 2513 were also selected because although they did not show a strong intensity with sera from MAP-infected animals, they recognized nine and six animals with PTB, respectively (Table3), and because these proteins had not been previously evaluated or reported in the literature.Table 3
Reactivity of bovine sera to the panel of selected antigens from MAP.
Antigen assayed
No. of sera with positive recognition
control(n = 10)
PTB infected (n = 25)
TB infected (n = 8)
MAP 0011
0
5
4
MAP 0034
5
5
0
MAP 0038
3
8
0
MAP 0047
3
4
0
MAP 0187c
1
1
0
MAP 0209c
4
9
0
MAP 0210c
0
8
0
MAP 0211
0
6
0
MAP 0297
2
4
1
MAP 0334
2
15
1
MAP 0900
0
3
0
MAP 0946
1
8
0
MAP 1012
2
0
0
MAP 1050
4
9
0
MAP 1272
2
8
0
MAP 1293
10
13
1
MAP 1308
2
2
0
MAP 1564
5
1
0
MAP 1589c
2
9
2
MAP 1653
10
20
8
MAP 1693
3
12
2
MAP 1754
0
5
4
MAP 1889c
7
7
3
MAP 1962
3
16
5
MAP 2020
0
9
2
MAP 2167
3
0
0
MAP 2182c
5
1
2
MAP 2513
1
6
2
MAP 2609
2
4
0
MAP 2676
1
4
0
MAP 2685
10
2
0
MAP 2878
10
2
0
MAP 2942
2
7
0
MAP 2956
1
1
1
MAP 3175
4
4
4
MAP 3194
0
1
0
MAP 3205
0
0
0
MAP 3206
1
5
0
Mb 3341
4
6
3
MAP 3402
2
20
1
MAP 3457
10
8
4
MAP 3491
7
7
1
MAP 3527
6
25
8
MAP 3627
3
4
0
MAP 3651
10
14
8
MAP 3692c
5
8
0
MAP 3840
0
3
3
MAP 3841
10
14
1
MAP 3857
10
4
4
MAP 3936
5
8
4
MAP 4000c
3
5
0
MAP 4143
8
16
7
MAP 4147
1
3
0
MAP 4227
1
1
1
PPDA
6
1
4
PPDB
4
16
3
PPA-3
1
18
2
Cocktail
2
14
0
20 uL of antigens were applied to a nitrocellulose membrane (Amersham Hybond-ECL, GE Healthcare Life Sciences, UK) at a concentration of 100 ug/mL, using a semiautomatic aerolizer (Camag Scientific Inc., Wilmington, Delaware). Membranes were evaluated by immunoblotting using sera from healthy and infected animals. Numbers of sera with antibody response are indicated. Samples with intensities values higher than the media obtained with the control (PBS) were considered positive.  Antigens selected to evaluate as cocktail are shown in bold.  PPA-3:  Paratuberculosis protoplasmatic antigen (Allied Monitor, Inc. USA); PPDA and PPDB:  avian- and bovine-derivative protein purified (Prionic Switzerland ); Cocktail:  Mix of the 7 antigens shown in bold.


### 2.8. ELISA

The antigens used for the ELISA test were PPA-3 (Allied Monitor, Inc. USA) and a cocktail with the seven antigens selected (MAP 2513, MAP 1693, MAP 2020, MAP 0038, MAP 1272, MAP 0209c, and MAP 0210c). The cocktail was prepared with 30μg of each antigen for 1 mL of the mixture. The microtiter plates were coated at 4°C overnight with 100 μL of 40 μg/mL PPA-3 or 20 μg/mL of the cocktail in carbonate buffer (pH: 9.6). Then, the plates were saturated with 100 μL of PBS/0.5% w/v gelatin for 1 h at 37°C, then washed five times with PBS/0.1% Tween20 (PBS/T), and incubated for 1 h at 37°C with 100 μL of 100-fold dilution of sera in PBS/T containing 0.5% (w/v) gelatin. The plates were then washed five times with PBS/T and incubated for 30 min at 37°C with 100 μL of 1500-fold dilution of peroxidase-conjugated protein in PBS/T containing 0.5% (w/v) gelatin. Plates were washed five times with PBS/T, and 50 μL of peroxidase substrate was added. Optical density (OD) was measured at 405 nm.


## 2.1. Animals

Sera from a total of 43 animals from different groups (a) cattle coming from PTB-free herds and with MAP negative fecal cultures (negative control animals) (n=10), (b) cattle naturally infected, with MAP-positive fecal cultures or ELISA-positive tests (n=25), and (c) animals experimentally infected with M. bovis with lesions (n=8) were used to evaluate the 54 recombinant proteins of MAP.The final screening using a cocktail of seven selected antigens was carried out with sera from 68 cattle: 25 cows with MAP positive fecal culture or ELISA-positive tests, 26 cows from negative herds with no suspected cases of PTB and negative tests (fecal cultures, serology and INF-g), and 17 from animals experimentally infected withM. bovis and with lesion at the time of necropsy.


## 2.2. Selection of Antigens

With the aim of identifing and characterizing immunoreactive proteins for their possible use in diagnosis, we extracted proteins of MAP by treatment of cells with sodium dodecyl sulfate at 50°C [17]. The proteins were resolved by one- or two-dimensional SDS-PAGE, carried out in duplicate. Both duplicates were stained with colloidal Coomassie blue and the other was transferred to a nitrocellulose membrane (Amersham Hybond-ECL, GE Healthcare Life Sciences, Buckinghamshire, UK) to perform a Western blot with a PTB-positive bovine serum sample. Six proteins were immunoreactive with sera from animals with PTB and as nonimmunoreactive with sera from animals infected with M. avium. These proteins were cut from the gel and identified by MALDI TOF. This study identified these proteins as encoded by MAP 1962 (Glutamine synthetase), MAP 4143 (Elongation factor tu), MAP 0187c (SodA), MAP 3194, MAP 3205, and MAP 3206, as potential diagnostic antigens.The other 48 proteins here evaluated were from CIDC-Lelystad,Central Institute for Animal Disease Control Department Bacteriology, and TSEs, Lelystad, the Netherlands.


## 2.3. Recombinant Antigens

The 54 proteins were produced as recombinant. Briefly, they were cloned and purified essentially as described previously [18], where all proteins were PCR-cloned using 5′- and 3′-primers amplifying DNA fragments encoding the mature protein except for secreted proteins, which were cloned without the signal peptide. The DNA fragments were cloned into expression vectors. The antigens were cloned into the pET33b (Novagen Inc.,Madison, WI,USA) and pRSET (Invitrogen Corp., Carlsbad, CA, USA) vectors, and expression was induced by the production of T7 RNA polymerase in BL21 (DE3) E. coli. These cells also produce T7 lysozyme to reduce the basal expression of the target genes. The secreted antigens described in Willemsem et al. [18] (MAP 2609, MAP 2942c and MAP 0210c) were cloned in pQE80 (Qiagen, Germantown, MD, USA). Antigens were purified using their histidine-tagged N-terminal region and Nickel-affinity columns, (1 mL HisTrap HP columns) (GE Healthcare Life Sciences, UK). Before that, solubilization of the recombinant antigen was established by a buffer containing 6 M Guanidine, 20 mM Tris (pH 8.0), 0.5 M NaCl, or 50 mM Imidazol, 0.25% CHAPS, 1 mM DTT, 0.5 mM PMSF, and 1% iso-propanol to solve proteins from inclusion bodies (Guanidine), reduce nonspecific binding (Imidazol), and decrease the amount of LPS (iso-propanol) or 8 M Urea. After affinity-purification, the antigens were dialyzed (10 kDa cut-off, except for Map 4000c, for which a 1 kDa cut-off was used) against a buffer containing 0 to 6 M Urea, 10 mM Tris (pH 8.0), 25% glycerol, 1 mM DTT, 0.5 mM PMSF, 1% iso-propanol or 0 to 7 M Urea, 10 mM Tris (pH 8.0), 10% glycerol, 1 mM DTT, 0.5 mM PMSF, and 1% iso-propanol. The urea concentration was the minimal concentration needed to keep the proteins solubilized and determined empirically.The recombinant proteins were analyzed by Coomassie-stained SDS-PAGE to test purity.


## 2.4. Coomassie Blue Staining

A gel containing six of the recombinant purified proteins included in the cocktail is shown in Figure1. The protein encoded by MAP 0209c (of 56.5 kDa) is shown on the first lane but is not visible because it is very close to the front of the run. The proteins were run in a 15% polyacrylamide gel and then incubated in a Coomassie blue solution 0.05% (Coomassie brilliant blue R250 0.05%, methanol 50%, acid acetic 10%) for 1.5 hours with agitation. The Coomassie blue solution was then removed and bleached with bleaching solution (methanol 50%, acetic acid 10%).Figure 1
Recombinant proteins analyzed by coomassie-stained SDS-PAGE to test purity.


## 2.5. Evaluation of Humoral Response by a Line Print Immunoassay

The panel of 54 proteins was evaluated as follows: 20μL of each antigen was applied to a nitrocellulose membrane at a concentration of 100 μg/mL, using a semiautomatic aerosolizer (Camag Scientific Inc., Wilmington, Delaware). The membranes were blocked with 50 mL of blocking solution (5% milk TBS) for 1 h. The membranes were then placed in a “miniblotter” (Isogen BioSolutions, the Netherlands). This allowed parallel analysis of 45 sera. We evaluated serum dilutions of 1 : 100. After 1 h incubation, the serum samples were aspirated and washed three times for 10 min with TBS 1x. The membrane was then incubated for 1 h with protein G conjugated to peroxidase (1 : 1500). The membrane was washed three times for 10 min with TBS 1X and revealed by chemiluminescence (Pierce ECL western blotting, Thermo Scientific, USA).Line print immunoassay generated macroarrays of recombinant proteins which were evaluated with sera from animals with PTB. In order to identify potentially cross-reactive proteins, the macroarrays were also used to probe against sera from healthy animals and from animals experimentally infected withM. bovis. The macroarrays were subjected to densitometry analysis to provide quantification for reactivity at each spot, reported as spot intensities.


## 2.6. Bioinformatic and Statistical Análisis

The panel of 54 recombinant proteins included in the present study was characterizedin silico: molecular weight, location prediction, and homology with other mycobacterial proteins (Table 1). PSORTb analysis was used to predict protein localization based on a number of factors including transmembrane helices, signal peptide, motif search, and similarity to proteins with known subcellular location. (http://www.psort.org/psortb/). According to PSORTb prediction, the set of recombinant proteins contains 28 cytoplasmic proteins, 7 cytoplasmic and membrane proteins, 6 extracellular proteins, and 13 proteins with uncertain localization (Table 1).Table 1
Characterizationin silico of a panel of 54 recombinant proteins, included in the present study.
Antigen (ORF no.)
Predicted localization
Theoretical MW
Homology with other mycobacteria
MAP 0011
Cytoplasmic
19,196 kDa
Iron-regulated peptidyl-prolyl cis-trans isomerase A inMycobacterium tuberculosis H37Rv
MAP 0034
Cytoplasmic-Membrane
44 kDa
P44 protein inMycobacterium avium subsp. avium
MAP 0047c
Extracellular
41,1 kDa
Lpp-LpqN family conserved in Mycobacteriaceae
MAP  0038
Unknown
48,7 kDa
Hypothetical protein Mb0027 in
Mycobacterium bovis
AF2122/97
MAP 0187
Extracellular
23 kDa
Superoxide dismutase inMycobacterium bovis
MAP  0209c
Extracellular
56,5 kDa
Protein potentially involved in peptidoglycan biosynthesis in
Mycobacterium avium
subsp.
avium
MAP  0210c
Cytoplasmic-Membrane
30,7 kDa
Secreted antigen P36/P34 precursor in
Mycobacterium bovis
, maxima ident 60%
MAP 0211
Cytoplasmic
46 kDa
UDP-galactopyranose mutase glf inMycobacterium tuberculosis
MAP 0297
Cytoplasmic
55,23 kDa
Hypothetical protein Mb1161Mycobacterium bovis AF2122/97
MAP 0334
Unknown
34,386 kDa
Oxidoreductase inMycobacterium bovis AF2122/97
MAP 0900
Cytoplasmic-Membrane
29,6–34 kDa
Antigen 34 kDa inMycobacterium tuberculosis CDC1551
MAP 0946c
Cytoplasmic-Membrane
33,5 kDa
Sigma factor inMycobacterium avium 104
MAP 1012c
Cytoplasmic
37,374 kDa
Hypothetical protein TMAG_01006  inMycobacterium tuberculosis
MAP 1050c
Cytoplasmic
33 kDa
Peptidyl-prolyl cis-trans isomerase, cyclophilin-type conserved in Mycobacterium
MAP 1272
Extracellular
33,4 kDa
NLP/P60 family protein in
Mycobacterium tuberculosis
CDC1551
MAP 1293
Unknown
49,24 kDa
Histidinol dehydrogenase his D inMycobacterium tuberculosis
MAP 1308
Unknown (This protein may have multiple localization sites.)
46 kDa
Prolipoprotein diacylglyceryl transferase lgt inMycobacterium tuberculosis
MAP 1564c
Unknown
23,01 kDa
Short chain dehydrogenase inMycobacterium bovis
MAP 1589c
Cytoplasmic
21,60 KDa
Alkyl hydroperoxide reductase subunit C  inMycobacterium tuberculosis
MAP 1653
Unknown
16,7–20 kDa
Thiol peroxidase tpx inMycobacterium tuberculosis T17
MAP 1693c
Unknown
18,30 kDa
Peptidyl-prolyl cis-trans isomerase domain-containing protein conserved in Mycobacterium
MAP 1754c
Cytoplasmic-Membrane
30,84 kDa
Hypothetical protein Rv2005c inMycobacterium tuberculosis H37Rv
MAP 1889c
Cytoplasmic
28 kDa
Wag31 protein inMycobacterium avium 104
MAP 1962
Cytoplasmic
53,68 kDa
Glutamine synthetase glnA1 inMycobacterium tuberculosis
MAP 2020
Unknown
26,90 kDa
Cutinase in
Mycobacterium bovis
AF2122/97
MAP 2167
Extracellular
17 kDa
Low molecular weight protein antigen cfp2 inMycobacterium tuberculosis
MAP 2182
Cytoplasmic-Membrane
16 kDa
Deazaflavin-dependent nitroreductase family protein  in Mycobacterium
MAP 2513
Cytoplasmic
36,50 kDa
Alkanal monooxygenase alpha chain inMycobacterium avium 104
MAP 2609
Cytoplasmic-Membrane
11,40 kDa
Low molecular weight T-cell antigen TB8.4 inMycobacterium tuberculosis
MAP 2676c
Cytoplasmic
13,89 kDa
Hypothetical protein MAV_1246 inMycobacterium avium 104
MAP 2685
Unknown
21,20 kDa
Hypothetical protein BCG_1169c inMycobacterium bovis BCG str. Pasteur 1173P2
MAP 2878c
Cytoplasmic
25,43 kDa
Dihydrodipicolinate reductase inMycobacterium bovis BCG str. Pasteur 1173P2
MAP 2942c
Extracellular
18,30 kDa
Soluble secreted antigen MPT53 inMycobacterium tuberculosis
MAP 2956
Cytoplasmic
30,02 kDa
30S ribosomal protein S2 inMycobacterium tuberculosis H37Rv
MAP 3175c
Cytoplasmic
41,38 kDa
Peptide chain release factor 2 inMycobacterium tuberculosis H37Rv
MAP 3194
Cytoplasmic
30,46 kDa
Pyruvate carboxyl transferase inMycobacterium avium
MAP 3205
Cytoplasmic
27 kDa
nuoE NADH dehydrogenase subunit E inMycobacterium avium 104
MAP 3206
Cytoplasmic
48-49 kDa
nuoF NADH-Quinone oxidoreductase subunit F inMycobacterium tuberculosis
Mb 3341c
Unknown
10,63 kDa
Equivalent to Rv3312A, len: 103 aa, fromMycobacterium tuberculosis strain H37Rv
MAP 3402
Cytoplasmic
33,28 kDa
Thiosulfate sulfurtransferase inMycobacteriumbovis AF2122/97
MAP 3457
Cytoplasmic
47,61 kDa
O-acetylhomoserine sulfhydrylase metC  inMycobacterium tuberculosis T92
MAP 3491
Cytoplasmic
28,16 kDa
Hydrolase inMycobacterium tuberculosis SUMu003
MAP 3527
Unknown
35,70 kDa
Serine protease PepA in Mycobacterium tuberculosis H37Rv
MAP 3627
Cytoplasmic
37,37 kDa
O-methyltransferase inMycobacterium tuberculosis H37Rv
MAP 3651
Cytoplasmic
44 kDa
Acyl-CoA dehydrogenase fadE3 inMycobacterium bovis BCG
MAP 3692
Cytoplasmic
47 kDa
fabG 3-ketoacyl-ACP reductase inMycobacterium tuberculosis H37Rv
MAP 3840
Cytoplasmic
67 kDa
Heat shock protein 70, molecular chaperone DnaK in Mycobacterium
MAP 3841
Unknown
23,57 kDa
Heat shock protein GrpE inMycobacterium bovis AF2122/97
MAP 3857
Cytoplasmic
18,73 kDa
Orotate phosphoribosyltransferase phosphoribosyltransferase inMycobacterium tuberculosis CDC1551
MAP 3936
Cytoplasmic
57 kDa
Heat shock protein 65, GroEL in Mycobacterium sp
MAP 4000c
Unknown
12 kDa
Esat-6 like protein esxF in Mycobacterium and hypothetical protein Mb3935c inMycobacterium bovis
MAP 4143
Cytoplasmic
43,77 kDa
Iron-regulated elongation factor tu inMycobacterium tuberculosis
MAP 4147
Cytoplasmic
42,09 kDa
Ferredoxin reductase  inMycobacterium tuberculosis H37Rv
MAP 4227c
Cytoplasmic
30,14 kDa
Hypothetical protein Rv3463 inMycobacterium tuberculosis H37RvBLAST similarity searches were performed locally on coding sequences by comparison with the GenBank nonredundant protein database (Table1).


## 2.7. Measurement of Spot Intensities

Quantitative spot intensities were obtained by performing a densitometric scan of the membrane. For the analysis of the results, the intensities of the points were measured with the ImageQuant TL Array Version 7.0 Software, (GE Healthcare, Pittsburgh, PA).This quantification software processes spot intensities on the array and determines the mean intensities of pixels within a spot as well as those of the background pixels around the spot. These local-background intensities are subtracted from the raw signals to obtain the local-background-corrected levels. The measured diameter that was selected for scans of different arrays was consistent for all the arrays in this study. Adjusted intensities were obtained following normalization of each spot. Five proteins (MAP 0038, MAP 1272, MAP 1693, MAP 0210c, and MAP 0209c) showed a stronger mean intensity with sera from MAP-infected animals than with sera from non-MAP-infected animals and were thus selected for a cocktail of antigens (Table2).Table 2
Spot intensities for protein macroarrays.
Antigen assayed
Mean spot intensity of proteins exposed to sera
control(n= 10)
PTB infected (n= 25)
TB infected (n= 8)
MAP 0011
112
135
0
MAP 0034
240
247
0
MAP 0038
141
860
0
MAP 0047
344
309
0
MAP 0187c
184
0
0
MAP 0209c
367
499
0
MAP 0210c
0
398
0
MAP 0211
0
572
0
MAP 0297
117
225
130
MAP 0334
108
167
1
MAP 0900
0
749
0
MAP 0946
218
900
295
MAP 1012
280
0
0
MAP 1050
268
275
0
MAP 1272
223
733
0
MAP 1293
585
481
396
MAP 1308
163
894
0
MAP 1564
259
344
0
MAP 1589c
323
682
466
MAP 1653
398
844
461
MAP 1693
226
967
209
MAP 1754
0
142
27
MAP 1889c
280
180
494
MAP1962
341
270
354
MAP 2020
0
150
228
MAP 2167
315
0
0
MAP 2182c
223
117
192
MAP 2513
41
164
291
MAP 2609
137
308
0
MAP 2676
201
138
0
MAP 2685
317
323
0
MAP 2878
307
323
0
MAP 2942
136
251
0
MAP 2956
345
119
424
MAP 3175
343
130
0
MAP 3194
0
100
0
MAP 3205
0
0
0
MAP 3206
100
200
0
Mb 3341
159
171
178
MAP 3402
205
178
250
MAP 3457
447
365
325
MAP3491
286
454
177
MAP 3527
528
414
635
MAP 3627
207
265
0
MAP 3651
1000
906
958
MAP 3692c
305
212
0
MAP 3840
0
198
712
MAP 3841
707
678
457
MAP 3857
373
267
265
MAP 3936
381
544
691
MAP 4000c
134
242
0
MAP4143
413
397
439
MAP 4147
1000
556
0
MAP 4227
138
101
0
PPDA
208
105
256
PPDB
346
531
1468
PPA-3
131
609
108
Cocktail
140
1460
0
Intensities were obtained using ImageQuant TL Array Version 7.0 Software, (GE Healthcare, Pittsburgh, PA). Antigens selected to evaluate as cocktail are shown in bold. PPA-3: Paratuberculosis protoplasmatic antigen (Allied Monitor, Inc. USA); PPDA and PPDB: avian- and bovine-derivative protein purified, respectively (Prionic Switzerland). Cocktail: mix of the 7 antigens shown in bold.MAP 2020 and MAP 2513 were also selected because although they did not show a strong intensity with sera from MAP-infected animals, they recognized nine and six animals with PTB, respectively (Table3), and because these proteins had not been previously evaluated or reported in the literature.Table 3
Reactivity of bovine sera to the panel of selected antigens from MAP.
Antigen assayed
No. of sera with positive recognition
control(n = 10)
PTB infected (n = 25)
TB infected (n = 8)
MAP 0011
0
5
4
MAP 0034
5
5
0
MAP 0038
3
8
0
MAP 0047
3
4
0
MAP 0187c
1
1
0
MAP 0209c
4
9
0
MAP 0210c
0
8
0
MAP 0211
0
6
0
MAP 0297
2
4
1
MAP 0334
2
15
1
MAP 0900
0
3
0
MAP 0946
1
8
0
MAP 1012
2
0
0
MAP 1050
4
9
0
MAP 1272
2
8
0
MAP 1293
10
13
1
MAP 1308
2
2
0
MAP 1564
5
1
0
MAP 1589c
2
9
2
MAP 1653
10
20
8
MAP 1693
3
12
2
MAP 1754
0
5
4
MAP 1889c
7
7
3
MAP 1962
3
16
5
MAP 2020
0
9
2
MAP 2167
3
0
0
MAP 2182c
5
1
2
MAP 2513
1
6
2
MAP 2609
2
4
0
MAP 2676
1
4
0
MAP 2685
10
2
0
MAP 2878
10
2
0
MAP 2942
2
7
0
MAP 2956
1
1
1
MAP 3175
4
4
4
MAP 3194
0
1
0
MAP 3205
0
0
0
MAP 3206
1
5
0
Mb 3341
4
6
3
MAP 3402
2
20
1
MAP 3457
10
8
4
MAP 3491
7
7
1
MAP 3527
6
25
8
MAP 3627
3
4
0
MAP 3651
10
14
8
MAP 3692c
5
8
0
MAP 3840
0
3
3
MAP 3841
10
14
1
MAP 3857
10
4
4
MAP 3936
5
8
4
MAP 4000c
3
5
0
MAP 4143
8
16
7
MAP 4147
1
3
0
MAP 4227
1
1
1
PPDA
6
1
4
PPDB
4
16
3
PPA-3
1
18
2
Cocktail
2
14
0
20 uL of antigens were applied to a nitrocellulose membrane (Amersham Hybond-ECL, GE Healthcare Life Sciences, UK) at a concentration of 100 ug/mL, using a semiautomatic aerolizer (Camag Scientific Inc., Wilmington, Delaware). Membranes were evaluated by immunoblotting using sera from healthy and infected animals. Numbers of sera with antibody response are indicated. Samples with intensities values higher than the media obtained with the control (PBS) were considered positive.  Antigens selected to evaluate as cocktail are shown in bold.  PPA-3:  Paratuberculosis protoplasmatic antigen (Allied Monitor, Inc. USA); PPDA and PPDB:  avian- and bovine-derivative protein purified (Prionic Switzerland ); Cocktail:  Mix of the 7 antigens shown in bold.


## 2.8. ELISA

The antigens used for the ELISA test were PPA-3 (Allied Monitor, Inc. USA) and a cocktail with the seven antigens selected (MAP 2513, MAP 1693, MAP 2020, MAP 0038, MAP 1272, MAP 0209c, and MAP 0210c). The cocktail was prepared with 30μg of each antigen for 1 mL of the mixture. The microtiter plates were coated at 4°C overnight with 100 μL of 40 μg/mL PPA-3 or 20 μg/mL of the cocktail in carbonate buffer (pH: 9.6). Then, the plates were saturated with 100 μL of PBS/0.5% w/v gelatin for 1 h at 37°C, then washed five times with PBS/0.1% Tween20 (PBS/T), and incubated for 1 h at 37°C with 100 μL of 100-fold dilution of sera in PBS/T containing 0.5% (w/v) gelatin. The plates were then washed five times with PBS/T and incubated for 30 min at 37°C with 100 μL of 1500-fold dilution of peroxidase-conjugated protein in PBS/T containing 0.5% (w/v) gelatin. Plates were washed five times with PBS/T, and 50 μL of peroxidase substrate was added. Optical density (OD) was measured at 405 nm.


## 3. Results

54 proteins were evaluated by Line print immunoassay with sera from healthy animals, animals with PTB, and animals experimentally infected withM. bovis. The stronger mean intensity values are listed in Table 2. Serum samples with density values higher than the mean obtained with the control (PBS) were considered positive and the numbers of animals reactive with each protein are shown in Table 3.The antigens selected were those that showed stronger intensity with sera from MAP-infected animals than with sera from non-MAP-infected animals. These antigens were MAP 0038, MAP 0210c, MAP 1272, MAP 1693c, and MAP 0209, shown in bold in Tables2 and 3. In addition, we selected two antigens, MAP 2020 and MAP 2513, because they recognized nine and six animals with PTB (Table 3), respectively, and because they had not been previously evaluated or reported in the literature.These results contributed to the development of an antigen mixture with seven antigens (MAP 0038, MAP 0210c, MAP 1272, MAP 1693c, MAP 2020, MAP 2513, and MAP 0209c).The ORF of MAP 1272 codes for a protein that possesses an NLP/P60 domain of unknown function that is found in several lipoproteins. MAP 0210 codes for the P36/Erp protein ofM. bovis, which has been studied in our laboratory [19]. PSORTB analysis software predicted that MAP 2513 is localized in the cytoplasm, MAP 0210c in the cytoplasm-membrane, and that MAP 1272 and MAP 0209c are extracellular. The remaining proteins were of unknown localization. All seven of these proteins have not been previously evaluated or reported in the literature, except for MAP 0210c, which has been studied by Willemsen et al. [18].The cocktail of seven antigens was printed in the nitrocellulose membrane and evaluated by Line print immunoassay with sera from animals with PTB and healthy controls and animals experimentally infected withM. bovis (Figure 2). By line print immunoanalysis, 14 out of 25 of the sera from animals with PTB developed antibody response to the cocktail. This cocktail was not recognized with the sera from animals experimentally infected with M. bovis here evaluated and two serum samples from healthy animals gave a very weak signal (Figure 2).Figure 2
Evaluation of the cocktail by a Line print immunoassay. Result of the cocktail with seven antigens (MAP 0038, MAP 0210c, MAP 1272, MAP 1693, MAP 2020, MAP 0209c and MAP 2513) printed in a membrane of nitrocellulose and evaluated with the sera from healthy animals and animals infected with MAP andM. bovis.In addition, ELISAs with PPA-3 and with the cocktail with seven antigens were evaluated with sera from animals with PTB (n=25), healthy animals (n=26), and animals experimentally infected with M. bovis (n=17).The ELISA-PPA-3 test recognized 16 out of the 25 animals with PTB (64%) but also 12 of the 17 animals experimentally infected withM. bovis, while the ELISA-cocktail detected 18 of 25 animals with PTB (72%) and only 3 of the 17 animals experimentally infected with M. bovis (Figure 3). Both ELISAs did not have a reaction with sera from non-infected controls; however, when using sera from M. bovis-infected, ELISA-PPA-3 test recognized (12/17) 70,5% of these animals and ELISA-cocktail (3/17) 17,6% of these animals.Figure 3
Reactivity of bovine sera to the cocktail by ELISA. Comparison of the diagnostic performance of using PPA-3 (Allied monitor) and the antigen cocktail (MAP 0038, MAP 0210c, MAP 1272, MAP 1693, MAP 2020, MAP 0209c, and MAP 2513).This new ELISA for bovine PTB showed 72% of sensitivity and had higher specificity than the ELISA with PPA-3 as antigen, using animals experimentally infected withM. bovis.


## 4. Discussion

The early and specific diagnosis of PTB is still a challenge. It has generally been believed that the early immune response to infection with MAP consisted primarily of a cellular immune response characterized by interferon gamma production, and this response would later be replaced by antibody production. However, some studies have shown that antibodies appear much earlier and therefore ELISA could be used as an early diagnostic tool [6–8]. Then it is necessary to characterize MAP antigens to increase the sensitivity and specificity of the ELISA test for PTB diagnosis. The MAP genome sequencing represented a significant advance and will most likely contribute with new tools for diagnosis. The evaluation of a specific panel of antigens such as that studied in the present work is the first step in the selection of candidates to be studied at different herds with PTB of our country. This is an important area, since novel antigens that could improve the diagnosis of MAP-infected cattle are needed.The proteomic approach has been used to define specific antigens by 2D fraction of MAP proteins by several researchers [20–24]. Another approach to obtain specific antigens is to express recombinant proteins from cloned MAP-coding sequences and use them to construct a protein array [15]. Here we selected MAP proteins by 1D or 2D electrophoresis and developed macroarrays by line print of these proteins. These macroarrays were probed with sera from animals with PTB and healthy controls and animals experimentally infected with M. bovis.After evaluation of 54 proteins of MAP with sera from PTB-infected, experimentally infected withM. bovis and healthy animals, we selected seven proteins, which were incorporated in an ELISA to develop an antigen-based diagnostic test (ELISA-cocktail). This new ELISA for bovine PTB showed 72% of sensitivity and had higher specificity than the ELISA with PPA-3 as antigen (Figure 3). This sensitivity was based on 25 animals from MAP fecal culture-positive or ELISA-positive cattle, because naturally infected cattle may represent various stages of MAP infection and serum samples only from culture-positive animals can express differentiated antigen patterns [25]. In addition, the use of only culture-positive animals to estimate the sensitivity of ELISA may increase the values of the test because most culture-positive animals are also ELISA-positive [11].The results presented here suggest that several specific antigens can improve the detection of MAP infection. In fact, the profiles of antibody response varied considerably and then the antibody response to single antigens was not prominent, while simultaneous usage of several recombinant antigens is able to recognize the ongoing antibody response over time in the course of infection.In summary, here we identified novel antigens of MAP by using multiple antigen print immunoassay. Based on this knowledge, we developed an antigen cocktail, which increased the correct diagnosis of MAP-infected animals in comparison with the results of ELISA-PPA-3. The study presents an antigen cocktail, which could be of diagnostic significance for further researches. However, the cocktail needs to be evaluated by larger sample sizes in order to estimate its sensitivity and specificity. In addition, the results here shown with the 54 proteins, indicated that other proteins not included were also good candidates. Then, new cocktails should be incorporated and evaluated to increase the sensitivity and specificity of the ELISA test for diagnosis of PTB.



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*Source: 860362-2012-06-24.xml*