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Chinese Journal of Antituberculosis ›› 2011, Vol. 33 ›› Issue (3): 149-152.

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Extraction of lipoarabinomanan and its diagnosis value for pulmonary tuberculosis

Peng Rong,Yue Jun,Jin Ruiliang,Jing Lingjie,Han Min   

  1. Clinical Laboratory of Shanghai Pulmonary Hospital Affiliated to Tongji University/Shanghai Key Laboratory of Tuberculosis, Shanghai 200433
  • Received:2010-08-15 Online:2011-03-20 Published:2012-03-16
  • Contact: Yue Jun E-mail:yuejunnan@yahoo.com.cn

Abstract: Objective To develop a method for extracting lipoarabinomanan(LAM)fromMycobacterium tuberculosis , and to evaluate serodiagnosis value of LAM for pulmonary tuberculosis.   Methods Mycobacterium tuberculosiswas sonicated in ice and then refluxed with ethanol; treated with DNase I and RNase; removed proteins with phenol; removed phenol and lipide with chloroform/methanol. The crude lipopolysaccharide (LPS) was prepared. LPS was purified with Sephacryl-100 gel filtration, and LAM were obtained. LAM was used as antigen to detect anti-LAM IgG in serum by dot immunogold filtration assay.  Results The relative molecular weight of LAM was approximately 37 kDa, consistent with the reference. The sensitivity, specificity, positive predictive value, negative predictive value and coincidence with smear were 91.7%, 87.8%, 92.7%, 86.2% and 90.2%, respectively.  Conclusions LAM was obtained successfully. LAM used as antigen to detect anti-TB antibody in serum showed good specificity and sensitivity, and might be one of canditate antigens for the serodiagnosis of TB serology.

Key words: Tuberculosis, pulmonary/diagnosis, Mycobacterium tuberculosis, lipopolysaccharides