In this study, 11 SMM were grouped and inoculated with differing doses
of SMM-origin Mycobacterium leprae (ML) between 4.5 x 10(8) and 1 x 1
0(9) by either combined IV/IC routes or by IV or IC route alone. The c
ombined route was the most effective in eliciting progressive, dissemi
nated LL leprosy. In all, 6 of 7 SMM inoculated by the combined routes
developed leprosy requiring treatment at some point. Only 1 of 4 inoc
ulated by a single route developed persisting leprosy requiring chemot
herapy. Either no disease or spontaneous regression of initial disease
occurred in the other 3 animals inoculated by a single route. Doses i
n excess of 1 x 10(9) ML were more effective than lesser doses. An ass
ociation was observed between the development of IgG anti-PGL-I ELISA
OD values and resistance to leprosy and between IgM anti-PGL-I and lep
rosy progression or susceptibility. Serum PGL-I antigen levels, determ
ined by dot ELISA, paralleled disease severity longitudinally. High po
sitive OD values of anti-LAM IgG prior to ML inoculation were observed
in the majority of leprosy-susceptible SMM in contrast to negative le
vels in more resistant animals. Anti-LAM IgG OD values exceeded the po
sitive cut-off point after inoculation in 5 of 11 SMM; 3 of these 5 ha
d concurrent detectable serum levels of PGL-I antigen.