A rabbit monoclonal antibody-mediated lateral flow immunoassay for rapid detection of CTX-M extended-spectrum β-lactamase-producing Enterobacterales

Autor: Chiaki Sakuma, Taiji Furukawa, Takashi Shibata, Shinobu Ishigaki, Yasunori Kurosawa, Miwa Asahara, Nami Hatayama, Yasuo Ono, C.J. Okumura, Masataka Nakagawa, Yoshinori Sato, Satoshi Nishida, Hisayo Shimizu, Toshiaki Maruyama, Teruo Akuta, Yuki Ouchi, Yu Nakajima
Rok vydání: 2021
Předmět:
Zdroj: International journal of biological macromolecules. 185
ISSN: 1879-0003
Popis: Infections of CTX-M extended-spectrum β-lactamase-producing Enterobacterales are a severe threat in clinical settings. CTX-M genes on plasmids have been transferred to many Enterobacterales species, and these species have spread, leading to the global problem of antimicrobial resistance. Here, we developed a lateral flow immunoassay (LFIA) based on an anti-CTX-M rabbit monoclonal antibody. This antibody detected CTX-M variants from the CTX-M-9, CTX-M-2, and CTX-M-1 groups expressed in clinical isolates. The LFIA showed 100% sensitivity and specificity with clinical isolates on agar plates, and its limit of detection was 0.8 ng/mL recombinant CTX-M-14. The rabbit monoclonal antibody did not cross-react with bacteria producing other class A β-lactamases, including SHV. In conclusion, we developed a highly sensitive and specific LFIA capable of detecting CTX-M enzyme production in Enterobacterales. We anticipate that our LFIA will become a point-of-care test enabling rapid detection of CTX-M in hospital and community settings as well as a rapid environmental test.
Databáze: OpenAIRE