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pubmed-article:7929767pubmed:abstractTextInfection with Borrelia burgdorferi, the etiologic agent of Lyme disease, is associated with an early and dominant humoral response to the spirochete's 23-kDa outer surface protein C (OspC). We have cloned and expressed OspC as a fusion protein in Escherichia coli and have shown that patient serum samples react with it in an enzyme-linked immunosorbent assay (ELISA) (S. J. Padula, A. Sampieri, F. Dias, A. Szczepanski, and R. W. Ryan, Infect. Immun. 61:5097-5105, 1993). Now we have compared the detection of B. burgdorferi-specific immunoglobulin M antibodies in 74 individuals with culture-positive erythema migrans by a whole-cell ELISA, immunoblot, and the recombinant OspC (rOspC) ELISA. Seventy-six negative controls were also studied. With all of the tests, there was a statistically significant association between the duration of disease and the frequency of a positive result. With the rOspC ELISA, the predictive value of a positive test was 100% and the predictive value of a negative test was 74%. Similar results were obtained with the whole-cell ELISA and with the immunoblot using as the source of test antigen a strain of B. burgdorferi which expresses abundant levels of OspC. We conclude that the use of rOspC in an ELISA is a convenient, readily automated, and easily standardized test for the serodiagnosis of early Lyme disease.lld:pubmed
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pubmed-article:7929767pubmed:articleTitleUse of recombinant OspC from Borrelia burgdorferi for serodiagnosis of early Lyme disease.lld:pubmed
pubmed-article:7929767pubmed:affiliationDepartment of Medicine, University of Connecticut Health Center, Farmington 06030.lld:pubmed
pubmed-article:7929767pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:7929767pubmed:publicationTypeComparative Studylld:pubmed
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