More specific bands in the IgG western blot in sera from Scottish patients with suspected Lyme borreliosis

J Clin Pathol. 2010 Aug;63(8):719-21. doi: 10.1136/jcp.2010.076307. Epub 2010 Jun 30.

Abstract

Aims: To identify further Western blot bands that may be specific in the diagnosis of Lyme borreliosis.

Methods: The Borrelia burgdorferi antibody profiles of 270 western blot positive patients and 241 western blot negative patients from 2008 were examined.

Results: 27 different non-specific bands were detected in both groups. Six of 27 (22%) of the non-specific bands were detected significantly more in the western blot positive patients compared to the western blot negative patients (20 kDa, p<0.0001; 28 kDa, p<0.002; 36 kDa, p<0.002; 37 kDa, p<0.007; 48 kDa, p<0.023; 56 kDa, p<0.028; two-tailed F test).

Conclusion: Results suggest that the 20, 28 and 48 kDa bands should be regarded as specific.

Publication types

  • Review

MeSH terms

  • Antibodies, Bacterial / blood*
  • Antigens, Bacterial / immunology
  • Blotting, Western / methods
  • Borrelia burgdorferi / immunology*
  • Enzyme-Linked Immunosorbent Assay / methods
  • Humans
  • Immunoglobulin G / blood*
  • Lyme Disease / diagnosis*
  • Scotland
  • Sensitivity and Specificity
  • Serologic Tests / methods

Substances

  • Antibodies, Bacterial
  • Antigens, Bacterial
  • Immunoglobulin G