P. Wongprompitak et al., Burkholderia pseudomallei-specific recombinant protein and its potential in the diagnosis of melioidosis, A P J ALLER, 19(1), 2001, pp. 37-41
Melioidosis is an important public health problem in Southeast Asia and Nor
thern Australia. This disease is caused by the gram-negative bacilli, Burkh
olderia pseodomallei. Wide spectra of clinical manifestations are observed
in melioidosis ranging from asymptomatic to septicemic infection. Although
serodiagnostic methods of melioidosis have been improved significantly in r
ecent years, a highly specific diagnostic test that can differentiate asymp
tomatic seropositive individuals and melioidosis patients remains to be the
subject of current investigations. In this study, a B. pseudomallei-specif
ic gene, pBps-1, expressing a novel 18.7 kDa recombinant protein was select
ed from genomic libraries of two a. pseudomallei virulent isolates by using
pooled sera from septicemic melioidosis patients. Nucleotide sequence anal
ysis demonstrated that this gene is unique and does not show substantial si
milarity with any known genes in the Genbank database. The Bps-1 recombinan
t protein was evaluated for its potential in serodiagnosis of melioidosis b
y Western blot analysis. A high degree of specificity was demonstrated usin
g sera from healthy individuals in the endemic (98.5%) and non-endemic area
s (100%), with moderate sensitivity (69.7%) in melioidosis patients. The st
udy demonstrated that this approach can be used to obtain highly specific r
ecombinant antigens such as that described in the present report. A combina
tion of such antigens should provide materials for successful serodiagnosis
of melioidosis in the endemic areas.