Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array

Current diagnostic tests for typhoid fever, the disease caused by Salmonella Typhi, are poor. We aimed to identify serodiagnostic signatures of typhoid fever by assessing microarray signals to 4,445 S. Typhi antigens in sera from 41 participants challenged with oral S. Typhi. We found broad, heterog...

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Main Authors: Darton, T, Baker, S, Randall, A, Dongol, S, Karkey, A, Voysey, M, Carter, M, Jones, C, Trappl, K, Pablo, J, Hung, C, Teng, A, Shandling, A, Le, T, Walker, C, Molina, D, Andrews, J, Arjyal, A, Basnyat, B, Pollard, A, Blohmke, C
Format: Journal article
Published: Frontiers Media 2017
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author Darton, T
Baker, S
Randall, A
Dongol, S
Karkey, A
Voysey, M
Carter, M
Jones, C
Trappl, K
Pablo, J
Hung, C
Teng, A
Shandling, A
Le, T
Walker, C
Molina, D
Andrews, J
Arjyal, A
Basnyat, B
Pollard, A
Blohmke, C
author_facet Darton, T
Baker, S
Randall, A
Dongol, S
Karkey, A
Voysey, M
Carter, M
Jones, C
Trappl, K
Pablo, J
Hung, C
Teng, A
Shandling, A
Le, T
Walker, C
Molina, D
Andrews, J
Arjyal, A
Basnyat, B
Pollard, A
Blohmke, C
author_sort Darton, T
collection OXFORD
description Current diagnostic tests for typhoid fever, the disease caused by Salmonella Typhi, are poor. We aimed to identify serodiagnostic signatures of typhoid fever by assessing microarray signals to 4,445 S. Typhi antigens in sera from 41 participants challenged with oral S. Typhi. We found broad, heterogeneous antibody responses with increasing IgM/IgA signals at diagnosis. In down-selected 250-antigen arrays we validated responses in a second challenge cohort (n = 30), and selected diagnostic signatures using machine learning and multivariable modeling. In four models containing responses to antigens including flagellin, OmpA, HlyE, sipC, and LPS, multi-antigen signatures discriminated typhoid (n = 100) from other febrile bacteremia (n = 52) in Nepal. These models contained combinatorial IgM, IgA, and IgG responses to 5 antigens (ROC AUC, 0.67 and 0.71) or 3 antigens (0.87), although IgA responses to LPS also performed well (0.88). Using a novel systematic approach we have identified and validated optimal serological diagnostic signatures of typhoid fever.
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spelling oxford-uuid:c707a9b4-d499-4a0a-9f48-3ac8eeb9e2042022-03-27T06:42:16ZIdentification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome arrayJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c707a9b4-d499-4a0a-9f48-3ac8eeb9e204Symplectic Elements at OxfordFrontiers Media2017Darton, TBaker, SRandall, ADongol, SKarkey, AVoysey, MCarter, MJones, CTrappl, KPablo, JHung, CTeng, AShandling, ALe, TWalker, CMolina, DAndrews, JArjyal, ABasnyat, BPollard, ABlohmke, CCurrent diagnostic tests for typhoid fever, the disease caused by Salmonella Typhi, are poor. We aimed to identify serodiagnostic signatures of typhoid fever by assessing microarray signals to 4,445 S. Typhi antigens in sera from 41 participants challenged with oral S. Typhi. We found broad, heterogeneous antibody responses with increasing IgM/IgA signals at diagnosis. In down-selected 250-antigen arrays we validated responses in a second challenge cohort (n = 30), and selected diagnostic signatures using machine learning and multivariable modeling. In four models containing responses to antigens including flagellin, OmpA, HlyE, sipC, and LPS, multi-antigen signatures discriminated typhoid (n = 100) from other febrile bacteremia (n = 52) in Nepal. These models contained combinatorial IgM, IgA, and IgG responses to 5 antigens (ROC AUC, 0.67 and 0.71) or 3 antigens (0.87), although IgA responses to LPS also performed well (0.88). Using a novel systematic approach we have identified and validated optimal serological diagnostic signatures of typhoid fever.
spellingShingle Darton, T
Baker, S
Randall, A
Dongol, S
Karkey, A
Voysey, M
Carter, M
Jones, C
Trappl, K
Pablo, J
Hung, C
Teng, A
Shandling, A
Le, T
Walker, C
Molina, D
Andrews, J
Arjyal, A
Basnyat, B
Pollard, A
Blohmke, C
Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title_full Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title_fullStr Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title_full_unstemmed Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title_short Identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
title_sort identification of novel serodiagnostic signatures of typhoid fever using a salmonella proteome array
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