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Boston Biomedica, Inc. Announces New
Lyme Disease Test
A recent discovery
has resulted in a promising new Lyme disease test. The C6 Lyme
Peptide ELISA (C6 LPE), recently made available by BBI Clinical
Laboratories of New Britain, CT identifies antibodies to a newly
discovered consistent surface protein that is present on every
known strain of the Lyme disease bacteria, Borrelia burgdorferi
(Bb).
Researchers
believe part of the reason Bb is able to evade immune system
response is its ability to use "antigenic variation."
This process allows the bacteria to change its genetic composition
to evade an immune system response from its hosts. One study
(Zhang, Norris,) found that the organisms' Variable major proteins
sequence (VMP) changes on days 4,7,14,21,28, and 7 and 12 months
post infection of mammalian hosts.
In a significant
scientific breakthrough, scientists recently discovered 6 surface
proteins on the bacteria that remain constant. Scientists call
these "invariable regions" (IR), which are termed IR1-6.
One IR, IR6 is found in all strains of the Lyme disease pathogen
and induces a strong immune response in infected patients. The
C6 LPE detects antibodies to the IR6 in infected patients.
"I am
very excited. This test may identify many cases of Lyme that
current tests often miss," said Lyme Disease Foundation
chair Karen Vanderhoof-Forschner. "It may have the potential
to become the standard test for Lyme disease."
Diagnosis
of Lyme disease has been hampered by tests that have not been
standardized, are not reproducible, and are neither sensitive
nor specific for this often difficult to diagnose tickborne disease.
The recent Lyme disease vaccine, which has been given to thousands
of people over the past year makes current tests for Lyme disease
virtually useless. The C6 LPE has several features that ensure
its accuracy and reproducibility in a wide range of patients.
Such patients
include:
a. Patients
that have received the Lyme disease vaccine. Unlike the ELISA
and Western blot, the C6 LPE will not cross-react with antibodies
to the active ingredient of the vaccine, Outer surface protein
A (OspA).
b. Ability
to detect antibodies to all US and European strains of B. burgdorferi,
because this protein is common to all presently known strains
of the bacteria.
c. Patients
with autoimmune diseases (e.g. non-Lyme arthritis, lupus erythematosis),
other spirochetal diseases (syphilis, relapsing fever), neurologic
conditions, and infectious diseases. Because the C6 LPE is highly
specific, people with autoimmune diseases do not yield false
positive results as they often do with current Lyme tests.
d. Since IR6
antibodies begin to be produced in early infection and are produced
throughout the course of infection, the C6LPE is more sensitive
for diagnosing all stages of Lyme disease, including those patients
with late stage Lyme disease.
BBI Clinical
Laboratories offers a comprehensive range of carefully validated
tests for tickborne pathogens including confirmatory tests for
Lyme disease, tests for human ehrlichiosis, and another tickborne
pathogen, Babesia microti.
BBI Clinical
Laboratories specializes in testing for a broad range of infectious
agents including HIV and Hepatitis viruses, offering services
in itís Immunology, Microbiology, and Molecular Diagnostics
laboratories to physicians, hospitals, clinics, and other reference
laboratories.
This
was first announced at the 13th International Conference, March
2000.
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