Detection of Clostridium difficile toxin A by reversed passive latex agglutination.

Abstract:

:A reversed passive latex agglutination (RPLA) assay for detecting Clostridium difficile toxin A is presented. Purified monoclonal antibody (mAb 37B5) was used for latex sensitization. The culture supernatants of 93 strains of C. difficile were tested by RPLA assay and the results compared with those of a commercially available latex agglutination test, PCR and cytotoxin assay with Vero cells. There was agreement between RPLA, cytotoxicity and PCR assays, but 29 strains were positive in the RPLA assay while 35 were positive in the cytotoxicity test and PCR using primer pair NK3-NK2 directed to the nonrepeating portion of the C. difficile toxin A gene. The 6 cytotoxic but RPLA-negative strains were demonstrated to be toxin A-negative/toxin B-positive strains in the PCR assay by using primer pair NK11-NK9 directed to the repeating portion of the C. difficile toxin A gene. There were no cross-reactions with culture supernatants of the other clostridial strains except for two strains of C. sordelli that produced hemorrhagic toxin (which is immunologically related to C. difficile toxin A).

journal_name

Microbiol Immunol

authors

Toma C,Nakamura S,Kamiya S,Nakasone N,Iwanaga M

doi

10.1111/j.1348-0421.1999.tb02464.x

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

737-42

issue

8

eissn

0385-5600

issn

1348-0421

journal_volume

43

pub_type

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