Comparative Analysis of the Euroimmun CXCL13 Enzyme-Linked Immunosorbent Assay and the ReaScan Lateral Flow Immunoassay for Diagnosis of Lyme Neuroborreliosis

Author:

Ziegler Katharina1,Rath Anca2,Schoerner Christoph2,Meyer Renate2,Bertsch Thomas3,Erbguth Frank4,Bogdan Christian25,Steinmann Jörg1,Held Jürgen2

Affiliation:

1. Institute of Clinical Hygiene, Medical Microbiology and Infectiology, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany

2. Mikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany

3. Institute of Clinical Chemistry, Laboratory Medicine and Transfusion Medicine, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany

4. Clinic of Neurology, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany

5. Medical Immunology Campus Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany

Abstract

Diagnosis of Lyme neuroborreliosis (LNB) is challenging, as long as Borrelia -specific intrathecal antibodies are not yet detectable. The chemokine CXCL13 is elevated in the cerebrospinal fluid (CSF) of LNB patients. Here, we compared the performances of the Euroimmun CXCL13 enzyme-linked immunosorbent assay (CXCL13 ELISA) and the ReaScan CXCL13 lateral flow immunoassay (CXCL13 LFA), a rapid point-of-care test, to support the diagnosis of LNB. In a dual-center case-control study, CSF samples from 90 patients (34 with definite LNB, 10 with possible LNB, and 46 with other central nervous system [CNS] diseases [non-LNB group]) were analyzed with the CXCL13 ELISA and the CXCL13 LFA.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference32 articles.

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2. Rauer S Kastenbauer S. 2018. Neuroborreliose S3 Leitlinie. Deutsche Gesellschaft für Neurologie Leitlinien für Diagnostik und Therapie in der Neurologie. https://www.dgn.org/leitlinien. Accessed 19 June 2019.

3. Aguero-Rosenfeld M, Stanek G. 2019. Borrelia, p 1066–1078. In Caroll KC, Pfaller MA, Landry ML, McAdam AJ, Patel R, Richter SS, Warnock DW (ed), Manual of clinical microbiology, 12th ed, vol 1. ASM Press, Washington, DC.

4. Borrelia garinii Induces CXCL13 Production in Human Monocytes through Toll-Like Receptor 2

5. Editorial Commentary: Toward a Better Understanding of European Lyme Neuroborreliosis

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