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Published in: European Journal of Clinical Microbiology & Infectious Diseases 1/2022

01-01-2022 | Tick-Borne Encephalitis | Brief Report

CXCL13 in laboratory diagnosis of Lyme neuroborreliosis—the performance of the recomBead and ReaScan CXCL13 assays in human cerebrospinal fluid samples

Authors: Sofie Haglund, Malin Lager, Paula Gyllemark, Gärda Andersson, Oskar Ekelund, Martin Sundqvist, Anna J. Henningsson

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 1/2022

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Abstract

The chemokine CXCL13 is used as complement to serology in the diagnostics of Lyme neuroborreliosis (LNB). We evaluated and compared the semi-quantitative, cassette-based ReaScan CXCL13 assay with the quantitative recomBead CXCL13 assay using a collection of 209 cerebrospinal fluid samples. The categorical agreement between results interpreted as negative, grey zone, and positive by the two methods was 87%. The diagnostic sensitivity was higher using the recomBead assay, whereas specificity was higher using ReaScan. Few manual steps, and a short turn-around time with no batching of samples makes the ReaScan CXCL13 assay an attractive complement to serology in the diagnostics of LNB.
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Literature
1.
go back to reference Cimmino MA (1998) Relative frequency of Lyme borreliosis and of its clinical manifestations in Europe. European Community Concerted Action on Risk Assessment in Lyme Borreliosis. Infection 26(5):298–300CrossRef Cimmino MA (1998) Relative frequency of Lyme borreliosis and of its clinical manifestations in Europe. European Community Concerted Action on Risk Assessment in Lyme Borreliosis. Infection 26(5):298–300CrossRef
2.
go back to reference Stanek G, Strle F (2009) Lyme borreliosis: a European perspective on diagnosis and clinical management. Curr Opin Infect Dis 22(5):450–454CrossRef Stanek G, Strle F (2009) Lyme borreliosis: a European perspective on diagnosis and clinical management. Curr Opin Infect Dis 22(5):450–454CrossRef
3.
go back to reference Mygland A, Ljostad U, Fingerle V, Rupprecht T, Schmutzhard E, Steiner I, European Federation of Neurological S (2010) EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis. Eur J Neurol 17(1):8–16 (e11-14)CrossRef Mygland A, Ljostad U, Fingerle V, Rupprecht T, Schmutzhard E, Steiner I, European Federation of Neurological S (2010) EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis. Eur J Neurol 17(1):8–16 (e11-14)CrossRef
4.
go back to reference Ljostad U, Skarpaas T, Mygland A (2007) Clinical usefulness of intrathecal antibody testing in acute Lyme neuroborreliosis. Eur J Neurol 14(8):873–876CrossRef Ljostad U, Skarpaas T, Mygland A (2007) Clinical usefulness of intrathecal antibody testing in acute Lyme neuroborreliosis. Eur J Neurol 14(8):873–876CrossRef
5.
go back to reference Rupprecht TA, Pfister HW, Angele B, Kastenbauer S, Wilske B, Koedel U (2005) The chemokine CXCL13 (BLC): a putative diagnostic marker for neuroborreliosis. Neurology 65(3):448–450CrossRef Rupprecht TA, Pfister HW, Angele B, Kastenbauer S, Wilske B, Koedel U (2005) The chemokine CXCL13 (BLC): a putative diagnostic marker for neuroborreliosis. Neurology 65(3):448–450CrossRef
6.
go back to reference Sillanpaa H, Skogman BH, Sarvas H, Seppala IJ, Lahdenne P (2013) Cerebrospinal fluid chemokine CXCL13 in the diagnosis of neuroborreliosis in children. Scand J Infect Dis 45(7):526–530CrossRef Sillanpaa H, Skogman BH, Sarvas H, Seppala IJ, Lahdenne P (2013) Cerebrospinal fluid chemokine CXCL13 in the diagnosis of neuroborreliosis in children. Scand J Infect Dis 45(7):526–530CrossRef
7.
go back to reference Bremell D, Mattsson N, Edsbagge M, Blennow K, Andreasson U, Wikkelso C, Zetterberg H, Hagberg L (2013) Cerebrospinal fluid CXCL13 in Lyme neuroborreliosis and asymptomatic HIV infection. BMC Neurol 13:2CrossRef Bremell D, Mattsson N, Edsbagge M, Blennow K, Andreasson U, Wikkelso C, Zetterberg H, Hagberg L (2013) Cerebrospinal fluid CXCL13 in Lyme neuroborreliosis and asymptomatic HIV infection. BMC Neurol 13:2CrossRef
8.
go back to reference Schmidt C, Plate A, Angele B, Pfister HW, Wick M, Koedel U, Rupprecht TA (2011) A prospective study on the role of CXCL13 in Lyme neuroborreliosis. Neurology 76(12):1051–1058CrossRef Schmidt C, Plate A, Angele B, Pfister HW, Wick M, Koedel U, Rupprecht TA (2011) A prospective study on the role of CXCL13 in Lyme neuroborreliosis. Neurology 76(12):1051–1058CrossRef
9.
go back to reference van Burgel ND, Bakels F, Kroes AC, van Dam AP (2011) Discriminating Lyme neuroborreliosis from other neuroinflammatory diseases by levels of CXCL13 in cerebrospinal fluid. J Clin Microbiol 49(5):2027–2030CrossRef van Burgel ND, Bakels F, Kroes AC, van Dam AP (2011) Discriminating Lyme neuroborreliosis from other neuroinflammatory diseases by levels of CXCL13 in cerebrospinal fluid. J Clin Microbiol 49(5):2027–2030CrossRef
10.
go back to reference Hytonen J, Kortela E, Waris M, Puustinen J, Salo J, Oksi J (2014) CXCL13 and neopterin concentrations in cerebrospinal fluid of patients with Lyme neuroborreliosis and other diseases that cause neuroinflammation. J Neuroinflammation 11:103CrossRef Hytonen J, Kortela E, Waris M, Puustinen J, Salo J, Oksi J (2014) CXCL13 and neopterin concentrations in cerebrospinal fluid of patients with Lyme neuroborreliosis and other diseases that cause neuroinflammation. J Neuroinflammation 11:103CrossRef
11.
go back to reference Senel M, Rupprecht TA, Tumani H, Pfister HW, Ludolph AC, Brettschneider J (2010) The chemokine CXCL13 in acute neuroborreliosis. J Neurol Neurosurg Psychiatry 81(8):929–933CrossRef Senel M, Rupprecht TA, Tumani H, Pfister HW, Ludolph AC, Brettschneider J (2010) The chemokine CXCL13 in acute neuroborreliosis. J Neurol Neurosurg Psychiatry 81(8):929–933CrossRef
12.
go back to reference Tjernberg I, Henningsson AJ, Eliasson I, Forsberg P, Ernerudh J (2011) Diagnostic performance of cerebrospinal fluid chemokine CXCL13 and antibodies to the C6-peptide in Lyme neuroborreliosis. J Infect 62(2):149–158CrossRef Tjernberg I, Henningsson AJ, Eliasson I, Forsberg P, Ernerudh J (2011) Diagnostic performance of cerebrospinal fluid chemokine CXCL13 and antibodies to the C6-peptide in Lyme neuroborreliosis. J Infect 62(2):149–158CrossRef
13.
go back to reference Cerar T, Ogrinc K, Lotric-Furlan S, Kobal J, Levicnik-Stezinar S, Strle F, Ruzic-Sabljic E (2013) Diagnostic value of cytokines and chemokines in Lyme neuroborreliosis. Clin Vaccine Immunol 20(10):1578–1584CrossRef Cerar T, Ogrinc K, Lotric-Furlan S, Kobal J, Levicnik-Stezinar S, Strle F, Ruzic-Sabljic E (2013) Diagnostic value of cytokines and chemokines in Lyme neuroborreliosis. Clin Vaccine Immunol 20(10):1578–1584CrossRef
14.
go back to reference Rupprecht TA, Manz KM, Fingerle V, Lechner C, Klein M, Pfirrmann M, Koedel U (2018) Diagnostic value of cerebrospinal fluid CXCL13 for acute Lyme neuroborreliosis. A systematic review and meta-analysis. Clin Microbiol Infect 24(12):1234–1240CrossRef Rupprecht TA, Manz KM, Fingerle V, Lechner C, Klein M, Pfirrmann M, Koedel U (2018) Diagnostic value of cerebrospinal fluid CXCL13 for acute Lyme neuroborreliosis. A systematic review and meta-analysis. Clin Microbiol Infect 24(12):1234–1240CrossRef
15.
go back to reference Skogman BH, Lager M, Henningsson AJ, Tjernberg I (2017) The recomBead Borrelia antibody index, CXCL13 and total IgM index for laboratory diagnosis of Lyme neuroborreliosis in children. Eur J Clin Microbiol Infect Dis 36(11):2221–2229CrossRef Skogman BH, Lager M, Henningsson AJ, Tjernberg I (2017) The recomBead Borrelia antibody index, CXCL13 and total IgM index for laboratory diagnosis of Lyme neuroborreliosis in children. Eur J Clin Microbiol Infect Dis 36(11):2221–2229CrossRef
16.
go back to reference Henningsson AJ, Lager M, Brannstrom R, Tjernberg I, Skogman BH (2018) The chemokine CXCL13 in cerebrospinal fluid in children with Lyme neuroborreliosis. Eur J Clin Microbiol Infect Dis 37(10):1983–1991CrossRef Henningsson AJ, Lager M, Brannstrom R, Tjernberg I, Skogman BH (2018) The chemokine CXCL13 in cerebrospinal fluid in children with Lyme neuroborreliosis. Eur J Clin Microbiol Infect Dis 37(10):1983–1991CrossRef
17.
go back to reference Henningsson AJ, Gyllemark P, Lager M, Skogman BH, Tjernberg I (2016) Evaluation of two assays for CXCL13 analysis in cerebrospinal fluid for laboratory diagnosis of Lyme neuroborreliosis. APMIS 124(11):985–990CrossRef Henningsson AJ, Gyllemark P, Lager M, Skogman BH, Tjernberg I (2016) Evaluation of two assays for CXCL13 analysis in cerebrospinal fluid for laboratory diagnosis of Lyme neuroborreliosis. APMIS 124(11):985–990CrossRef
18.
go back to reference Pietikainen A, Oksi J, Hytonen J (2018) Point-of-care testing for CXCL13 in Lyme neuroborreliosis. Diagn Microbiol Infect Dis 91(3):226–228CrossRef Pietikainen A, Oksi J, Hytonen J (2018) Point-of-care testing for CXCL13 in Lyme neuroborreliosis. Diagn Microbiol Infect Dis 91(3):226–228CrossRef
19.
go back to reference Ziegler K, Rath A, Schoerner C, Meyer R, Bertsch T, Erbguth F, Bogdan C, Steinmann J, Held J (2020) Comparative analysis of the Euroimmun CXCL13 enzyme-linked immunosorbent assay and the ReaScan lateral flow immunoassay for diagnosis of Lyme neuroborreliosis. J Clin Microbiol 58(9):e00207-20CrossRef Ziegler K, Rath A, Schoerner C, Meyer R, Bertsch T, Erbguth F, Bogdan C, Steinmann J, Held J (2020) Comparative analysis of the Euroimmun CXCL13 enzyme-linked immunosorbent assay and the ReaScan lateral flow immunoassay for diagnosis of Lyme neuroborreliosis. J Clin Microbiol 58(9):e00207-20CrossRef
20.
go back to reference Labaere D, Smismans A, Van Olmen A, Christiaens P, D’Haens G, Moons V, Cuyle PJ, Frans J, Bossuyt P (2014) Comparison of six different calprotectin assays for the assessment of inflammatory bowel disease. United European Gastroenterol J 2(1):30–37CrossRef Labaere D, Smismans A, Van Olmen A, Christiaens P, D’Haens G, Moons V, Cuyle PJ, Frans J, Bossuyt P (2014) Comparison of six different calprotectin assays for the assessment of inflammatory bowel disease. United European Gastroenterol J 2(1):30–37CrossRef
21.
go back to reference Lager M, Dessau RB, Wilhelmsson P, Nyman D, Jensen GF, Matussek A, Lindgren PE, Henningsson AJ, ScandTick Biobank Study G, Baqir H, Serrander L, Johansson M, Tjernberg I, Skarstein I, Ulvestad E, Grude N, Pedersen AB, Bredberg A, Veflingstad R, Wass L, Aleke J, Nordberg M, Nyberg C, Perander L, Bojesson C, Sjoberg E, Lorentzen AR, Eikeland R, Noraas S, Henriksson GA (1933) Petranyi G 2019 Serological diagnostics of Lyme borreliosis: comparison of assays in twelve clinical laboratories in Northern Europe. Eur J Clin Microbiol Infect Dis 38(10):1945 Lager M, Dessau RB, Wilhelmsson P, Nyman D, Jensen GF, Matussek A, Lindgren PE, Henningsson AJ, ScandTick Biobank Study G, Baqir H, Serrander L, Johansson M, Tjernberg I, Skarstein I, Ulvestad E, Grude N, Pedersen AB, Bredberg A, Veflingstad R, Wass L, Aleke J, Nordberg M, Nyberg C, Perander L, Bojesson C, Sjoberg E, Lorentzen AR, Eikeland R, Noraas S, Henriksson GA (1933) Petranyi G 2019 Serological diagnostics of Lyme borreliosis: comparison of assays in twelve clinical laboratories in Northern Europe. Eur J Clin Microbiol Infect Dis 38(10):1945
22.
go back to reference Khoury DS, Wheatley AK, Ramuta MD, Reynaldi A, Cromer D, Subbarao K, O’Connor DH, Kent SJ, Davenport MP (2020) Measuring immunity to SARS-CoV-2 infection: comparing assays and animal models. Nat Rev Immunol 20(12):727–738CrossRef Khoury DS, Wheatley AK, Ramuta MD, Reynaldi A, Cromer D, Subbarao K, O’Connor DH, Kent SJ, Davenport MP (2020) Measuring immunity to SARS-CoV-2 infection: comparing assays and animal models. Nat Rev Immunol 20(12):727–738CrossRef
Metadata
Title
CXCL13 in laboratory diagnosis of Lyme neuroborreliosis—the performance of the recomBead and ReaScan CXCL13 assays in human cerebrospinal fluid samples
Authors
Sofie Haglund
Malin Lager
Paula Gyllemark
Gärda Andersson
Oskar Ekelund
Martin Sundqvist
Anna J. Henningsson
Publication date
01-01-2022
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 1/2022
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-021-04350-y

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