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Clinical and Diagnostic Laboratory Immunology, November 1998, p. 823-825, Vol. 5, No. 6
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Improved Immunodiagnosis of Human Candidiasis by an Enzyme-Linked Immunosorbent Assay Using a Candida albicans 52-Kilodalton Metallopeptidase

Brahim El Moudni,* Marie-Helene Rodier, Gyslaine Daniault, and Jean Louis Jacquemin

Laboratoire de Parasitologie et Mycologie Médicales, C.H.U. La Milétrie, BP 577, 86021 Poitiers Cedex, France

Received 3 June 1998/Returned for modification 10 July 1998/Accepted 17 August 1998

An immunogenic aminopeptidase of Candida albicans was purified by high-performance liquid chromatography. It was then used for the development of an enzyme-linked immunosorbent assay to detect antibodies directed against this antigen in sera from patients with candidiasis. This enzyme specifically cleaves the L-Arg-7-amino-4-methyl-coumarin substrate at pH 7.4 and was detected in the crude extract of different C. albicans isolates. Sera used for this study were obtained from healthy blood donors or from patients with one of the following: systemic candidiasis, aspergillosis, cryptococcosis, toxoplasmosis, or malaria. The statistical analysis demonstrates significant differences between absorbency values obtained with sera from patients with candidiasis and with sera from the other groups (P = 0.000001). Diagnostic parameters show high diagnostic specificity of 97% and a sensitivity of 83% at a cutoff value of 0.425 and suggest the usefulness of this aminopeptidase for the diagnosis of systemic candidiasis.


* Corresponding author. Mailing address: EA 1720, Laboratoire de Parasitologie et Mycologie Médicales, C.H.U. La Milétrie, BP 577, 86021 Poitiers Cedex, France. Phone: (33) 05 49 44 39 59. Fax: (33) 05 49 44 39 08. E-mail: parasitologie{at}chu.univ-poitiers.fr.


Clinical and Diagnostic Laboratory Immunology, November 1998, p. 823-825, Vol. 5, No. 6
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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Copyright © 1998 by the American Society for Microbiology. All rights reserved.