Detection of Murine Typhus Infected Fleas with an Enzyme-Linked Immunosorbent Assay

Michael E. Dobson Rickettsial Diseases Division, Naval Medical Research Institute, Bethesda, Maryland; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland; and Board on Science and Technology for International Development, National Research Council, National Academy of Sciences, Washington, DC

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Abdu F. Azad Rickettsial Diseases Division, Naval Medical Research Institute, Bethesda, Maryland; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland; and Board on Science and Technology for International Development, National Research Council, National Academy of Sciences, Washington, DC

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Gregory A. Dasch Rickettsial Diseases Division, Naval Medical Research Institute, Bethesda, Maryland; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland; and Board on Science and Technology for International Development, National Research Council, National Academy of Sciences, Washington, DC

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Laura Webb Rickettsial Diseases Division, Naval Medical Research Institute, Bethesda, Maryland; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland; and Board on Science and Technology for International Development, National Research Council, National Academy of Sciences, Washington, DC

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James G. Olson Rickettsial Diseases Division, Naval Medical Research Institute, Bethesda, Maryland; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland; and Board on Science and Technology for International Development, National Research Council, National Academy of Sciences, Washington, DC

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An enzyme-linked immunosorbent assay (ELISA) for the detection of Rickettsia typhi antigen in homogenates of pooled or individual laboratory infected fleas is described. The assay uses a double sandwich technique, employing a pool of monoclonal antibodies to capture the antigen and a hyperimmune rabbit serum for antigen detection. Using pools of R. typhi infected Xenopsylla cheopis, Ctenocephalides felis, and Leptopsylla segnis, the sensitivity of the ELISA was compared with direct fluorescent antibody examination of individual fleas for rickettsiae and with rickettsial titers determined by plaque enumeration on primary chicken embryo fibroblasts (PFU). Pooled samples with <4 PFU of viable rickettsiae gave ELISA results which were not significantly above background. Both ELISA OD and ELISA titer (last dilution giving an OD that was 2 SD above the control) of a 1:10 dilution of homogenate (4 fleas/ml) were linearly related to rickettsial titer up to 106,8 PFU/sample. Multiple freeze-thaws of pools of infected fleas led to a rapid loss of ELISA sensitivity. ELISA assays on single fleas demonstrated large individual variability in rickettsial content. This was independent of the number of days postinfectious feeding or the mean number of PFU/flea (101.7–6.9) found for pooled fleas in the same cohort. The sensitivity and ease of performance of ELISA should make it usable under field conditions.

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