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A molecular assay for sensitive detection of pathogen-specific T-cells
Authors:Kasprowicz Victoria O  Mitchell Jessica E  Chetty Shivan  Govender Pamla  Huang Kuan-Hsiang Gary  Fletcher Helen A  Webster Daniel P  Brown Sebastian  Kasmar Anne  Millington Kerry  Day Cheryl L  Mkhwanazi Nompumelelo  McClurg Cheryl  Chonco Fundisiwe  Lalvani Ajit  Walker Bruce D  Ndung'u Thumbi  Klenerman Paul
Institution:Ragon Institute of MGH, MIT and Harvard, Harvard Medical School, Boston, Massachusetts, United States of America. vkasprowicz@partners.org
Abstract:Here we describe the development and validation of a highly sensitive assay of antigen-specific IFN-γ production using real time quantitative PCR (qPCR) for two reporters--monokine-induced by IFN-γ (MIG) and the IFN-γ inducible protein-10 (IP10). We developed and validated the assay and applied it to the detection of CMV, HIV and Mycobacterium tuberculosis (MTB) specific responses, in a cohort of HIV co-infected patients. We compared the sensitivity of this assay to that of the ex vivo RD1 (ESAT-6 and CFP-10)-specific IFN-γ Elispot assay. We observed a clear quantitative correlation between the two assays (P<0.001). Our assay proved to be a sensitive assay for the detection of MTB-specific T cells, could be performed on whole blood samples of fingerprick (50 uL) volumes, and was not affected by HIV-mediated immunosuppression. This assay platform is potentially of utility in diagnosis of infection in this and other clinical settings.
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