1. Mannose-binding lectin: comparison of two assays for the quantification of MBL in the serum of pediatric patients
- Author
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Lejla Cokoja, Othmar Förster, Wolfgang Maurer, and Elisabeth Förster-Waldl
- Subjects
education.field_of_study ,Immunology ,Population ,Mannose ,Lectin ,Enzyme-Linked Immunosorbent Assay ,chemical and pharmacologic phenomena ,Biology ,Gene mutation ,Infections ,bacterial infections and mycoses ,Serum samples ,Mannose-Binding Lectin ,chemistry.chemical_compound ,Increased risk ,chemistry ,Nephelometry and Turbidimetry ,biology.protein ,Humans ,Immunology and Allergy ,Child ,education ,Nephelometry ,Mannan-binding lectin - Abstract
Individuals with mannose-binding lectin (MBL)-deficiency are at an increased risk from infections with mannose-bearing microorganisms. We have investigated two quantitative research assays for measuring MBL protein in serum for routine diagnosis. The evaluation of 817 serum samples with a nephelometric assay revealed two deficiencies, a number far below the postulated 5-10% of the population. Reevaluation of 102 serum samples with an MBL-ELISA detected low levels in 27 cases (26.4%) and clear deficiencies in 21 samples (20.4%). In our hands, the MBL-ELISA permitted the detection of decreased levels of MBL in serum, as occurs in individuals with homozygous or heterozygous MBL gene mutations; in contrast, the nephelometric assay appeared to be unsuitable for the detection of MBL deficiencies. We support the routine measurement of MBL in serum, especially in children with frequent infections.
- Published
- 2003