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Lyme Disease symptoms vary from person to person. (lymes disease lyme's disease lime disease limes disease)
The data and information presented in this web site are presented in good faith and believed to be accurate regarding Lyme disease (commonly misspelled lymes disease lyme's disease lime disease limes disease) and other related diseases. Any and all liability for the content or any omissions including any inaccuracies, errors, or misstatements in such data or information is expressly disclaimed. The web site is compiled for the sole purpose of informing community members of resources and information pertaining to Lyme Borreliosis Disease and its coinfections. Lyme disease symptoms may vary from person to person.
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Consult a qualified Lyme ( Borreliosis ) Disease literate doctor for medical advice if Lyme Disease is suspect to discuss your Lyme Disease Symptoms.
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1: J Clin Microbiol. 2005 Aug;43(8):3602-9.
Improvement of Lyme Borreliosis Serodiagnosis by a Newly Developed
Recombinant Immunoglobulin G (IgG) and IgM Line Immunoblot Assay and
Addition of VlsE and DbpA Homologues.
Goettner G, Schulte-Spechtel U, Hillermann R, Liegl G, Wilske B,
Fingerle V.
Max von Pettenkofer-Institut fur Hygiene und Medizinische
Mikrobiologie, Ludwig-Maximilians-Universitat Munchen,
Pettenkoferstr. 9a, D-80336 Munich, Germany.
fingerle@m3401.mpk.med.uni-muenchen.de
We developed and evaluated a recombinant Borrelia line immunoblot
assay based on 18 homologues of seven different antigens, i.e.,
p100, p58, p41i, BmpA, VlsE, OspC, and DbpA. Each recombinant
antigen can be detected separately and is distinct even from
homologues with identical molecular weights. This blot was compared
to the recently described recombinant Borrelia Western immunoblot
assay (U. Schulte-Spechtel, G. Lehnert, G. Liegl, V. Fingerle, C.
Heimerl, B. J. Johnson, and B. Wilske, J. Clin. Microbiol. 41:1299-
1303, 2003). To verify sensitivity and specificity, both blots were
evaluated for reactivity with Borrelia-specific immunoglobulin G
(IgG) and IgM antibodies with 85 sera from patients with different
manifestations of Lyme borreliosis and 110 controls. According to
European interpretation criteria for Borrelia Western blots, which
define a serum as positive when it recognizes at least two bands,
sensitivity increased significantly from 70.6% (Western blot) to
84.7% (line blot) for IgG (P = 0.042) and from 40.0% (Western blot)
to 73.8% (line blot) for IgM (P < 0.005).
The increased sensitivity
for IgG detection is due to the new line blot technique, whereas the
improvement in detection of IgM is mainly achieved through
incorporation of the additional antigens. Notably, the recombinant
VlsE of Borrelia garinii strain PBi displayed the highest
sensitivity of all antigens tested for IgG detection and is also one
of the most useful antigens for IgM.
Due to its excellent
sensitivity and specificity combined with ease of evaluation, this
line immunoblot assay offers a useful improvement in serodiagnosis
of Lyme borreliosis.
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