{"title":"增强结核病诊断:提高靶向PPE17表位的scFv抗体的特异性","authors":"Kamran Heidarnejad , Mehrzad Bahtouee , Seyed Nooreddin Faraji , Setareh Moazen , Farhad Abbasi , Amirhossein Sahebkar , Foroogh Nejatollahi","doi":"10.1016/j.tice.2025.102933","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Serological assays have demonstrated enhanced simplicity, accuracy, and effectiveness in detecting Mycobacterium Tuberculosis (Mtb) antigens. The proline-proline-glutamic acid 17 (PPE17) antigen, specifically localized on the surface of Mtb, has been identified as unique to the Mtb species. The unique properties of single-chain antibodies make them well-suited for accurate diagnostic applications. In this study, specialized single-chain antibodies (scFvs) targeting PPE17 were employed to create a precise indirect immunofluorescent assay for diagnosing pulmonary tuberculosis (TB).</div></div><div><h3>Methods</h3><div>To select an immunodominant epitope of PPE17 in silico analysis was applied. The sequence was evaluated using the BLAST algorithm. A phage antibody display library of scFv was applied and two scFvs were isolated against the epitope by panning process. Specific clones were distinguished through PCR and DNA fingerprinting techniques. The reactivity of the chosen scFvs towards the selected epitope was assessed by ELISA. An Indirect Immunofluorescence Assay (IFA) was performed on 50 positive and 50 negative TB sputum smears, which were confirmed through both culture and genotype methods, to evaluate the performance of anti-PPE17 scFvs in accurately and rapidly detecting TB-positive smears, and TB-negative and Nocardia smears serving as negative controls for comparison.</div></div><div><h3>Results</h3><div>An immunodominant epitope of the PPE17 antigen consisting of amino acids 27–39, was identified. Two specific anti-PPE17-scFvs with frequencies of 25 % and 20 % were selected. ELISA results confirmed the reactivity of the scFvs against the epitope. Immunofluorescence assays demonstrated positive results for both antibodies when tested against positive TB sputum smears, whereas no positive results were obtained in tests against TB-negative and Nocardia smears.</div></div><div><h3>Conclusion</h3><div>A fast and accurate indirect immunofluorescence assay was developed to identify Mtb bacteria in TB sputum smears using specific anti-PPE17 scFvs. The results illustrated the capability of both scFvs in detecting Mtb in TB samples and differentiating Mtb from Nocardia smears. This suggests the potential for a novel diagnostic test that ensures precise TB detection in sputum samples, thereby preventing any potential misdiagnosis of tuberculosis.</div></div>","PeriodicalId":23201,"journal":{"name":"Tissue & cell","volume":"96 ","pages":"Article 102933"},"PeriodicalIF":2.5000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing TB diagnosis: Improving specificity with scFv antibodies targeting the PPE17 epitope\",\"authors\":\"Kamran Heidarnejad , Mehrzad Bahtouee , Seyed Nooreddin Faraji , Setareh Moazen , Farhad Abbasi , Amirhossein Sahebkar , Foroogh Nejatollahi\",\"doi\":\"10.1016/j.tice.2025.102933\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Serological assays have demonstrated enhanced simplicity, accuracy, and effectiveness in detecting Mycobacterium Tuberculosis (Mtb) antigens. The proline-proline-glutamic acid 17 (PPE17) antigen, specifically localized on the surface of Mtb, has been identified as unique to the Mtb species. The unique properties of single-chain antibodies make them well-suited for accurate diagnostic applications. In this study, specialized single-chain antibodies (scFvs) targeting PPE17 were employed to create a precise indirect immunofluorescent assay for diagnosing pulmonary tuberculosis (TB).</div></div><div><h3>Methods</h3><div>To select an immunodominant epitope of PPE17 in silico analysis was applied. The sequence was evaluated using the BLAST algorithm. A phage antibody display library of scFv was applied and two scFvs were isolated against the epitope by panning process. Specific clones were distinguished through PCR and DNA fingerprinting techniques. The reactivity of the chosen scFvs towards the selected epitope was assessed by ELISA. An Indirect Immunofluorescence Assay (IFA) was performed on 50 positive and 50 negative TB sputum smears, which were confirmed through both culture and genotype methods, to evaluate the performance of anti-PPE17 scFvs in accurately and rapidly detecting TB-positive smears, and TB-negative and Nocardia smears serving as negative controls for comparison.</div></div><div><h3>Results</h3><div>An immunodominant epitope of the PPE17 antigen consisting of amino acids 27–39, was identified. Two specific anti-PPE17-scFvs with frequencies of 25 % and 20 % were selected. ELISA results confirmed the reactivity of the scFvs against the epitope. Immunofluorescence assays demonstrated positive results for both antibodies when tested against positive TB sputum smears, whereas no positive results were obtained in tests against TB-negative and Nocardia smears.</div></div><div><h3>Conclusion</h3><div>A fast and accurate indirect immunofluorescence assay was developed to identify Mtb bacteria in TB sputum smears using specific anti-PPE17 scFvs. The results illustrated the capability of both scFvs in detecting Mtb in TB samples and differentiating Mtb from Nocardia smears. This suggests the potential for a novel diagnostic test that ensures precise TB detection in sputum samples, thereby preventing any potential misdiagnosis of tuberculosis.</div></div>\",\"PeriodicalId\":23201,\"journal\":{\"name\":\"Tissue & cell\",\"volume\":\"96 \",\"pages\":\"Article 102933\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tissue & cell\",\"FirstCategoryId\":\"99\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0040816625002137\",\"RegionNum\":4,\"RegionCategory\":\"生物学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANATOMY & MORPHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tissue & cell","FirstCategoryId":"99","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0040816625002137","RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANATOMY & MORPHOLOGY","Score":null,"Total":0}
Enhancing TB diagnosis: Improving specificity with scFv antibodies targeting the PPE17 epitope
Background
Serological assays have demonstrated enhanced simplicity, accuracy, and effectiveness in detecting Mycobacterium Tuberculosis (Mtb) antigens. The proline-proline-glutamic acid 17 (PPE17) antigen, specifically localized on the surface of Mtb, has been identified as unique to the Mtb species. The unique properties of single-chain antibodies make them well-suited for accurate diagnostic applications. In this study, specialized single-chain antibodies (scFvs) targeting PPE17 were employed to create a precise indirect immunofluorescent assay for diagnosing pulmonary tuberculosis (TB).
Methods
To select an immunodominant epitope of PPE17 in silico analysis was applied. The sequence was evaluated using the BLAST algorithm. A phage antibody display library of scFv was applied and two scFvs were isolated against the epitope by panning process. Specific clones were distinguished through PCR and DNA fingerprinting techniques. The reactivity of the chosen scFvs towards the selected epitope was assessed by ELISA. An Indirect Immunofluorescence Assay (IFA) was performed on 50 positive and 50 negative TB sputum smears, which were confirmed through both culture and genotype methods, to evaluate the performance of anti-PPE17 scFvs in accurately and rapidly detecting TB-positive smears, and TB-negative and Nocardia smears serving as negative controls for comparison.
Results
An immunodominant epitope of the PPE17 antigen consisting of amino acids 27–39, was identified. Two specific anti-PPE17-scFvs with frequencies of 25 % and 20 % were selected. ELISA results confirmed the reactivity of the scFvs against the epitope. Immunofluorescence assays demonstrated positive results for both antibodies when tested against positive TB sputum smears, whereas no positive results were obtained in tests against TB-negative and Nocardia smears.
Conclusion
A fast and accurate indirect immunofluorescence assay was developed to identify Mtb bacteria in TB sputum smears using specific anti-PPE17 scFvs. The results illustrated the capability of both scFvs in detecting Mtb in TB samples and differentiating Mtb from Nocardia smears. This suggests the potential for a novel diagnostic test that ensures precise TB detection in sputum samples, thereby preventing any potential misdiagnosis of tuberculosis.
期刊介绍:
Tissue and Cell is devoted to original research on the organization of cells, subcellular and extracellular components at all levels, including the grouping and interrelations of cells in tissues and organs. The journal encourages submission of ultrastructural studies that provide novel insights into structure, function and physiology of cells and tissues, in health and disease. Bioengineering and stem cells studies focused on the description of morphological and/or histological data are also welcomed.
Studies investigating the effect of compounds and/or substances on structure of cells and tissues are generally outside the scope of this journal. For consideration, studies should contain a clear rationale on the use of (a) given substance(s), have a compelling morphological and structural focus and present novel incremental findings from previous literature.