CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE

There are currently no accepted criteria for positive Western blots in Russian patients with Lyme borreliosis. The purpose of the current study was to develop criteria for a positive IgG westem-blot to aid particularly in the diagnosis of patients with joint manifestation of the disorder. Patients:...

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Main Authors: V G Barskova, L P Ananieva, V A Nassonova, A. S. Steere
Format: Article
Language:Russian
Published: IMA PRESS LLC 2001-10-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/604
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author V G Barskova
L P Ananieva
V A Nassonova
A. S. Steere
author_facet V G Barskova
L P Ananieva
V A Nassonova
A. S. Steere
author_sort V G Barskova
collection DOAJ
description There are currently no accepted criteria for positive Western blots in Russian patients with Lyme borreliosis. The purpose of the current study was to develop criteria for a positive IgG westem-blot to aid particularly in the diagnosis of patients with joint manifestation of the disorder. Patients: 97 with Lyme disease, 145 - control subjects. IgG antibody responses were determined to 3 species ofB.burgdorferi sensu lato by Western blotting, using blots prepared by manufacturer. The best discriminatory ability of test criteria was chained by requiring any 3 of 11 IgG bands, a definition that could be used with B. burgdorferi sensu stricto, B.garinii and B.afzelii strains. With these 3 antigen preparation, positive IgG blots were found in 0 to 18% of patients with localized erythema migrans of < 4 weeks duration, 23 to 39% of those with disseminated infection < 20 weeks duration, and in 39 to 46% of those with late arthritis/arthralgia of >6 months duration the specificity was 93 to 99%. Thus, IgG Western blotting may bring greater specificity to serologic testing in Lyme borreliosis, but the sensitivity is limited.
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1995-4492
language Russian
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publisher IMA PRESS LLC
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series Научно-практическая ревматология
spelling doaj-art-b83af4b9b9c34e898d94c9dbdf4e26f02025-08-04T17:03:45ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922001-10-01395192310.14412/1995-4484-2001-466544CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASEV G BarskovaL P AnanievaV A NassonovaA. S. SteereThere are currently no accepted criteria for positive Western blots in Russian patients with Lyme borreliosis. The purpose of the current study was to develop criteria for a positive IgG westem-blot to aid particularly in the diagnosis of patients with joint manifestation of the disorder. Patients: 97 with Lyme disease, 145 - control subjects. IgG antibody responses were determined to 3 species ofB.burgdorferi sensu lato by Western blotting, using blots prepared by manufacturer. The best discriminatory ability of test criteria was chained by requiring any 3 of 11 IgG bands, a definition that could be used with B. burgdorferi sensu stricto, B.garinii and B.afzelii strains. With these 3 antigen preparation, positive IgG blots were found in 0 to 18% of patients with localized erythema migrans of < 4 weeks duration, 23 to 39% of those with disseminated infection < 20 weeks duration, and in 39 to 46% of those with late arthritis/arthralgia of >6 months duration the specificity was 93 to 99%. Thus, IgG Western blotting may bring greater specificity to serologic testing in Lyme borreliosis, but the sensitivity is limited.https://rsp.mediar-press.net/rsp/article/view/604western-blotsarthritislvme disease
spellingShingle V G Barskova
L P Ananieva
V A Nassonova
A. S. Steere
CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
Научно-практическая ревматология
western-blots
arthritis
lvme disease
title CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
title_full CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
title_fullStr CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
title_full_unstemmed CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
title_short CRITERIA OF POSITIVITY FOR Ig ANTIBODIES IN THE METHOD OF IMMUNE BLOTTING OF LYME DISEASE
title_sort criteria of positivity for ig antibodies in the method of immune blotting of lyme disease
topic western-blots
arthritis
lvme disease
url https://rsp.mediar-press.net/rsp/article/view/604
work_keys_str_mv AT vgbarskova criteriaofpositivityforigantibodiesinthemethodofimmuneblottingoflymedisease
AT lpananieva criteriaofpositivityforigantibodiesinthemethodofimmuneblottingoflymedisease
AT vanassonova criteriaofpositivityforigantibodiesinthemethodofimmuneblottingoflymedisease
AT assteere criteriaofpositivityforigantibodiesinthemethodofimmuneblottingoflymedisease