Four immunoreactive proteins, B.4, B.6, B.10, and B.M, with molecular weigh
ts ranging from 16,000 to 58,000, were observed from immunoblots of Mycobac
terium tuberculosis total lysates screened with sera from individuals with
active tuberculosis. These proteins were identified from microsequence anal
yses, and genes of proteins with the highest homology were PCR amplified an
d cloned into the pQE30 vector for expression studies. In addition, a 37.5-
kDa protein, designated C17, was identified from a phage expression library
of M. tuberculosis genomic DNA. Preliminary immunoblot assays indicated th
at these five resultant recombinant proteins could detect antibodies in ind
ividuals with active pulmonary and extrapulmonary tuberculosis. The overall
ranges of sensitivities, specificities, positive predictive values, and ne
gative predictive values for the recombinant antigens were 20 to 58, 88 to
100, 69 to 100, and 56 to 71%, respectively. The B.6 antigen showed prefere
ntial reactivity to antibodies in pulmonary compared to nonpulmonary tuberc
ulosis serum specimens. All of these recombinant antigens demonstrated pote
ntial for serodiagnosis of tuberculosis.