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Proceedings of the 10th International Colloquium on Paratuberculosis

Proceedings of the 10th International Colloquium on Paratuberculosis

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#191<br />

Potentiating day-old blood samples for detecti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> interfer<strong>on</strong>-gamma<br />

resp<strong>on</strong>ses following infecti<strong>on</strong> with Mycobacterium avium subsp.<br />

paratuberculosis<br />

Heidi Mikkelsen 1,2 , Søren Saxmose Nielsen 2 , Gregers Jungersen 1<br />

1 Nati<strong>on</strong>al Veterinary Institute, Technical University <str<strong>on</strong>g>of</str<strong>on</strong>g> Denmark, Copenhagen, Denmark;<br />

2 Faculty <str<strong>on</strong>g>of</str<strong>on</strong>g> Life Sciences, University <str<strong>on</strong>g>of</str<strong>on</strong>g> Copenhagen, Frederiksberg, Denmark,<br />

ABSTRACT<br />

The interfer<strong>on</strong> gamma (IFN-�) test measuring specific cell-mediated immune resp<strong>on</strong>ses in<br />

whole blood can be used for diagnosis at an early stage <str<strong>on</strong>g>of</str<strong>on</strong>g> Mycobacterium avium subsp.<br />

paratuberculosis (MAP) infecti<strong>on</strong>. A major obstacle for <str<strong>on</strong>g>the</str<strong>on</strong>g> practical use <str<strong>on</strong>g>of</str<strong>on</strong>g> IFN-� testing is <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

recommended maximum 8 hour time interval from blood sampling to culture.<br />

The objective <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> study was to assess opti<strong>on</strong>s for use <str<strong>on</strong>g>of</str<strong>on</strong>g> day-old blood samples for early-stage<br />

diagnosis <str<strong>on</strong>g>of</str<strong>on</strong>g> MAP infecti<strong>on</strong>s. Bovine interleukin 12 (IL-12) can induce, and IL-10 reduce, IFN-�<br />

producti<strong>on</strong>. Therefore, additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> recombinant IL-12 and anti-IL-10 antibodies could result in<br />

enhanced producti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> IFN-� in samples exposed to MAP antigens.<br />

Whole blood samples were collected from heifers in a Danish dairy herd known to be<br />

infected with MAP. The samples were collected <strong>on</strong> three sample dates. On each date <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

blood samples were stimulated with johnin purified protein derivative (PPDj) and recombinant<br />

antigens as fresh samples, as day-old samples potentiated with bovine IL-12, and as day-old<br />

samples treated with anti-bovine IL-10 antibody. The correlati<strong>on</strong>s between IFN-� resp<strong>on</strong>ses in<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> three types <str<strong>on</strong>g>of</str<strong>on</strong>g> samples and <strong>on</strong> different sampling dates were <str<strong>on</strong>g>the</str<strong>on</strong>g>n investigated. The highest<br />

correlati<strong>on</strong>s were seen between fresh samples and day-old samples added anti-IL-10 antibodies.<br />

There was little difference between additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> IL-12 and anti-IL-10 antibodies. However,<br />

between-sample day variati<strong>on</strong> was high for both types <str<strong>on</strong>g>of</str<strong>on</strong>g> day-old samples, irrespective <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

treatment type. Optimisati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> IFN-� test <strong>on</strong> day-old samples for diagnosing MAP<br />

infected herds would facilitate <str<strong>on</strong>g>the</str<strong>on</strong>g> large scale use <str<strong>on</strong>g>of</str<strong>on</strong>g> this diagnostic test.<br />

INTRODUCTION<br />

Early MAP diagnosis can be achieved by measurement <str<strong>on</strong>g>of</str<strong>on</strong>g> specific cell-mediated immune resp<strong>on</strong>ses<br />

to MAP antigens by <str<strong>on</strong>g>the</str<strong>on</strong>g> IFN-� test. The IFN-� test is a proliferati<strong>on</strong> assay in which whole blood<br />

samples are cultured with MAP antigens and released IFN-� is measured in <str<strong>on</strong>g>the</str<strong>on</strong>g> supernatant by<br />

enzyme linked immunosorbent assay (ELISA) (Wood et al., 1989). The large scale use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

IFN-� test for routine diagnostics is limited by <str<strong>on</strong>g>the</str<strong>on</strong>g> short timeframe recommended <str<strong>on</strong>g>of</str<strong>on</strong>g> less than<br />

8 hours from blood sampling at <str<strong>on</strong>g>the</str<strong>on</strong>g> farm to culture with antigens in <str<strong>on</strong>g>the</str<strong>on</strong>g> laboratory. To<br />

circumvent this short time frame, <str<strong>on</strong>g>the</str<strong>on</strong>g> use <str<strong>on</strong>g>of</str<strong>on</strong>g> day-old blood samples potentiated with<br />

recombinant bovine IL-12 have previously been investigated (Jungersen et al., 2005).<br />

Potentiati<strong>on</strong> with IL-12 dem<strong>on</strong>strated to rescue antigen specific IFN-� resp<strong>on</strong>ses <str<strong>on</strong>g>of</str<strong>on</strong>g> day-old<br />

samples. Ano<str<strong>on</strong>g>the</str<strong>on</strong>g>r study dem<strong>on</strong>strated that <str<strong>on</strong>g>the</str<strong>on</strong>g> IFN-� resp<strong>on</strong>se can be enhanced by adding anti-IL-<br />

10 antibodies to whole blood samples stimulated with PPDj (Buza et al., 2004). Here, we fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r<br />

explored <str<strong>on</strong>g>the</str<strong>on</strong>g> use <str<strong>on</strong>g>of</str<strong>on</strong>g> day-old blood samples in <str<strong>on</strong>g>the</str<strong>on</strong>g> IFN-� test and additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r <str<strong>on</strong>g>of</str<strong>on</strong>g> IL-10<br />

antibodies or recombinant bovine IL-12.<br />

MATERIALS AND METHODS<br />

Blood samples were collected 3 times with 4 and 5 week intervals from <str<strong>on</strong>g>the</str<strong>on</strong>g> same 30 heifers<br />

15-24 m<strong>on</strong>ths <str<strong>on</strong>g>of</str<strong>on</strong>g> age in a Danish dairy herd known to be infected with MAP. On each sample<br />

date <str<strong>on</strong>g>the</str<strong>on</strong>g> whole blood samples incubated for 20-22 hours at 37ºC in 5% CO2 with PPDj, a<br />

negative (PBS) and a positive c<strong>on</strong>trol (Staphylococcal enterotoxin B; SEB). All samples were<br />

incubated with antigens as fresh samples, as day-old samples potentiated with recombinant<br />

bovine IL-12, and as day-old samples treated with anti-bovine IL-10 antibody (MCA2110,<br />

AbD Serotec, UK). The day-old samples were stored overnight at 4ºC from <str<strong>on</strong>g>the</str<strong>on</strong>g> day <str<strong>on</strong>g>of</str<strong>on</strong>g> blood<br />

collecti<strong>on</strong>, but o<str<strong>on</strong>g>the</str<strong>on</strong>g>rwise followed <str<strong>on</strong>g>the</str<strong>on</strong>g> same protocol as <str<strong>on</strong>g>the</str<strong>on</strong>g> fresh samples. Following<br />

overnight culture, <str<strong>on</strong>g>the</str<strong>on</strong>g> culture plates were centrifuged and <str<strong>on</strong>g>the</str<strong>on</strong>g> supernatants collected and<br />

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