M. Weig et al., Use of recombinant mitogillin for improved serodiagnosis of Aspergillus fumigatus-associated diseases, J CLIN MICR, 39(5), 2001, pp. 1721-1730
During human infection, Aspergillus fumigatus secretes a 18-kDa protein tha
t can be detected as an immunodominant antigen in the urine of infected pat
ients. Recently, this protein was shown to be mitogillin, a ribotoxin that
cleaves a single phosphodiester bond of the 29S rRNA of eukaryotic ribosome
s. We proved the immunogenic capacity of mitogillin in a rabbit animal mode
l, indicating its usefulness as an antigen for serological diagnosis of inv
asive aspergillosis. The mitogillin gene from A. fumigatus was transferred
from plasmid pMIT+ to expression vector pQE30 and expressed in Escherichia
coil as a fusion protein. Purified recombinant mitogillin was recognized by
serum immunoglobulin G (IgG) of polyclonal rabbit sera that were obtained
by immunization with purified native mitogillin. Consequently, we developed
an enzyme-linked immunosorbent assay for detection of IgG, IgM, and IgA an
tibodies to recombinant mitogillin. In serum samples of patients suffering
from aspergilloma (AO; n = 32), invasive pulmonary aspergillosis (IPA; n =
42), or invasive disseminated aspergillosis (IDA; n = 40), a good correlati
on of production of IgG antibody against mitogillin and clinical disease wa
s observed (for patients with AO, 100% [32 of 32] were positive; for patien
ts,vith IPA, 64% 1:31 of 42] were positive; for patients with IDA, 60% [24
of 40] were positive). In contrast, positive titers for serum IgG and IgM a
ntibodies against mitogillin were found in only 1.3% of the serum samples o
f healthy volunteers and positive titers for IgA antibody were found in onl
y 1.0% of the serum samples of healthy volunteers (n = 307; specificity = 9
5.4%). These results indicate that recombinant mitogillin expressed in E. c
oli can be used for improvement of the serodiagnosis of A. fumigatus associ
ated diseases.