Evidence map›Paper›PMID 34462410›Full record

ArticleAntibodies (Basel, Switzerland)2021

Immunochemistry-Based Diagnosis of Extrapulmonary Tuberculosis: A Strategy for Large-Scale Production of MPT64-Antibodies for Use in the MPT64 Antigen Detection Test.

Ida Marie Hoel, Iman A Mohammed Ali, Sheeba Ishtiaq, Lisbet Sviland, Harald Wiker, Tehmina Mustafa

Open access · goldAbstract read
In one paragraph

Article in Antibodies (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ida Marie HoelCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway.
Iman A Mohammed AliCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway.
Sheeba IshtiaqDepartment of Histopathology, Gulab Devi Chest Hospital Lahore, Lahore 54000, Pakistan.
Lisbet SvilandDepartment of Clinical Medicine, University of Bergen, 5020 Bergen, Norway.
Harald WikerDepartment of Clinical Science, University of Bergen, 5020 Bergen, Norway.
Tehmina MustafaCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway.
University of Bergen · NOHaukeland University Hospital · NO

Funding

Blakstad og Marschalk tuberkulosefond B&M\Br. Hoel-tild.-15The Research Council of Norway 234457
6 · The paper itself

Abstract

Tuberculosis (TB) is a global health problem. The immunohistochemistry (IHC)-based MPT64 antigen detection test has shown promising results for diagnosing extrapulmonary TB in previous studies. However, the anti-MPT64 antibody currently used in the test is in limited supply, and reproduction of a functional antibody is a prerequisite for further large-scale use. Various antigen-adjuvant combinations and immunisation protocols were tested in mice and rabbits to generate monoclonal and polyclonal antibodies. Antibodies were screened in IHC, and the final new antibody was validated on clinical human specimens. We were not able to generate monoclonal antibodies that were functional in IHC, but we obtained multiple functional polyclonal antibodies through careful selection of antigen-adjuvant and comprehensive screening in IHC of both pre-immune sera and antisera. To overcome the limitation of batch-to-batch variability with polyclonal antibodies, the best performing individual polyclonal antibodies were pooled to one final large-volume new anti-MPT64 antibody. The sensitivity of the new antibody was in the same range as the reference antibody, while the specificity was somewhat reduced. Our results suggest that it possible to reproduce a large-volume functional polyclonal antibody with stable performance, thereby securing stable supplies and reproducibility of the MPT64 test, albeit further validation remains to be done.

Indexed as

antigen detectiondiagnosticsextrapulmonary tuberculosisimmunohistochemistrymonoclonal antibodyMPT64polyclonal antibody

Identifiers

PMID34462410
PMCPMC8406093
OpenAlexW3198399653

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.