PMID- 16081932 OWN - NLM STAT- MEDLINE DCOM- 20050915 LR - 20181113 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 43 IP - 8 DP - 2005 Aug TI - Bifidobacterial lipoglycan as a new cause for false-positive platelia Aspergillus enzyme-linked immunosorbent assay reactivity. PG - 3925-31 AB - We previously hypothesized that a lipoglycan of Bifidobacterium bifidum subsp. pennsylvanicum cross-reacts with the Platelia Aspergillus (PA) enzyme-linked immunosorbent assay (ELISA) based on the presence of galactofuranosyl epitopes in the cell wall (M. A. S. H. Mennink-Kersten, R. R. Klont, A. Warris, H. J. M. Op den Camp, and P. E. Verweij, Lancet 363:325-327, 2004). We tested this hypothesis by testing bacterial suspensions of different bifidobacterial species and other gram-positive and -negative bacteria with the PA ELISA, which is used to detect circulating galactomannan for the serodiagnosis of invasive aspergillosis. Furthermore, neonatal fecal samples were enumerated for bifidobacteria by fluorescence in situ hybridization (FISH) and tested for PA ELISA reactivity. All bifidobacteria, except B. infantis and B. adolescentis, showed reactivity 6- to 600-fold higher compared to the controls (i.e., Micrococcus luteus and Propionibacterium freudenreichii, which contain a cell wall lipomannan). Eggerthella lenta showed a 25-fold-higher reactivity. ELISA reactivity was clearly shown to be associated with bacterial lipoglycans containing a beta-1,5-galactofuranosyl chain. All neonatal feces showed PA ELISA reactivity and associated numbers of bifidobacteria. Since high concentrations of bifidobacteria are present in the human gut, these bacteria or excreted lipoglycan may cause false serum PA ELISA reactivity in selected patient groups, especially neonates. FAU - Mennink-Kersten, Monique A S H AU - Mennink-Kersten MA AD - Department of Medical Microbiology, Radboud University Nijmegen Medical Center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. m.mennink@mmb.umcn.nl FAU - Ruegebrink, Dorien AU - Ruegebrink D FAU - Klont, Rocus R AU - Klont RR FAU - Warris, Adilia AU - Warris A FAU - Gavini, Francoise AU - Gavini F FAU - Op den Camp, Huub J M AU - Op den Camp HJ FAU - Verweij, Paul E AU - Verweij PE LA - eng PT - Journal Article PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antigens, Fungal) RN - 0 (Lipopolysaccharides) SB - IM MH - Antigens, Fungal/*analysis MH - Aspergillosis/*diagnosis MH - Aspergillus/*immunology MH - Bifidobacterium/*immunology MH - Cross Reactions MH - Enzyme-Linked Immunosorbent Assay MH - False Positive Reactions MH - Humans MH - Infant, Newborn MH - Lipopolysaccharides/*immunology PMC - PMC1233979 EDAT- 2005/08/06 09:00 MHDA- 2005/09/16 09:00 PMCR- 2006/02/01 CRDT- 2005/08/06 09:00 PHST- 2005/08/06 09:00 [pubmed] PHST- 2005/09/16 09:00 [medline] PHST- 2005/08/06 09:00 [entrez] PHST- 2006/02/01 00:00 [pmc-release] AID - 43/8/3925 [pii] AID - 2080-04 [pii] AID - 10.1128/JCM.43.8.3925-3931.2005 [doi] PST - ppublish SO - J Clin Microbiol. 2005 Aug;43(8):3925-31. doi: 10.1128/JCM.43.8.3925-3931.2005.