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» LymeNet Flash » Questions and Discussion » Medical Questions » Immunosciences new MultiPeptide ELISA test

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Author Topic: Immunosciences new MultiPeptide ELISA test
mtnwoman
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Immunosciences Lab recently came out with a highly touted new & improved MultiPeptide ELISA assay -- an in vivo induced antigen technology.

They claim multiple advantages over Western Blot testing of Lyme. "Based on 200 specimens from patients with Lyme disease and more thatn 200 samples of healthy controls, the sensitivity of the MultiPeptide ELISA assay was found to be more than 80%, with a specificity > 95%."

I was diagnosed CDC positive via Igenex Western Blot testing in Nov 2005. I have done about 5 three week courses of antibiotics since the diagnosis. I feel better, esp when I'm on antibiotics but I don't feel cured in any way.

I did the "Cadillac" version of Immunosciences MultiPeptide ELISA: the Immunoserology and Cellular Immunology of Lyme Disease, panel C.

This panel tests about 43 different values including: IgM and IgG of six viruses; IgM and IgG of different Borrelia strains, different amtigens of Borrelia, and Babesia, Erlichia, Bartonella.

Everything was negative except 4 values:
Lyme TNF A Medium = 1703, nl=0 to 1000
TNF A Lyme Antigen A+B =>5000, nl=0 to 1000
IL 10 Lyme Antigen A+B = 2182, nl= 0 to 1500
IgG Epstein- Barr VCA = 391, nl = <100.I had mono in college.

I will try and call the lab to discuss the results but at first glance, I am not so impressed with their multi-peptide ELISA testing.

Does anyone have any expericence with this test? Did you have similar negative results? Can you give any insight why they didn't pick up my lyme --except via the cellular immunology portion?

My preliminary research tells me that nettle leaf and quercitin will lower TNF A. But do I want to lower them? Esp if I have minimal pain? Don't the elevated levels indicate my immune response to the infection?

I'd appreciate anyone's words of wisdom?

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TerryK
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I just had the same test recently - panel A -. Sorry I don't have any words of wisdom but you may want to look at Scott's info from the ACAM conference - search for immunosciences:
http://www.betterhealthguy.com/images/stories/pdf/ACAM_2006.pdf

Discussion regarding my test:
http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=044117#000000

Look on immunosciences website for more info.
http://www.immuno-sci-lab.com/The%20Immunoserology%20of%20Lyme.pdf

I was surprised at the way that my doctor interpreted my test results and I think my doctor is very knowledgable. Perhaps your doctor can shed more light on your test results.

Sorry I can't be more helpful. Hopefully we'll hear more about this test in the future.
Terry

[ 13. June 2006, 02:03 AM: Message edited by: TerryK ]

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seibertneurolyme
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Hubby is going to have this test done by his PCP on 6/20. Will share results later.

It is my understanding that the TNF is an inflammatory marker and needs to be lowered. I could be wrong though.

Mtnwoman,

Could you share with us the other things this test measured that were reported as normal for you. The website did not show a sample test and I am not exactly sure what different tests are available.

Thanks.

Bea Seibert

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lou
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Having heard of a number of tests promoted in the past as great improvements, which subsequently turned out not to be any better, I am inclined to take a wait and see attitude on this one also. Will be interesting to see what kind of results people are getting.

Not clear how this one will cope any better with changing antigenic profile, cyst form, or immune system not producing antibodies anymore.

Also, read snowflakes recent post on inflammation and CNS; looks to me like it is not obvious whether fooling around with cytokines will help or hinder when it comes to infectious diseases.

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mtnwoman
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It tested:

Lyme Antibodies Peptides:
IgG and IgM Unrelated Spirochete
IgG and IgM B.b lysate
IgG and IgM OSP -A
IgG and IgM OSP -E
IgG and IgM LFA Antigen
IgG and IgM Immunodominant Protein
IgG and IgM Variable Major Protein
IgG and IgM Borrelia Sensu Strict.
IgG

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mtnwoman
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It tested:

Lyme Antibodies Peptides:
IgG and IgM Unrelated Spirochete
IgG and IgM B.b lysate
IgG and IgM OSP -A
IgG and IgM OSP -E
IgG and IgM LFA Antigen
IgG and IgM Immunodominant Protein
IgG and IgM Variable Major Protein
IgG and IgM Borrelia Sensu Strict.
IgG and Igm B. Garinii Decorin BP
IgG and IgM B. Afzelii Decorin BP
IgG and IgM Babesia Peptide
IgG and IgM Erlichia Peptide
IgG and IgM Bartonella Peptide

Viral Screen:
IgG and IgM Epstein Barr VCA
IgG and IgM Cytomegalovirus
IgG and IgM 1 Herpes Virus
IgG and IgM 2 Herpes Virus
IgG and IgM HHV-6
IgG Varicella Virus

MELIFA Test for Lyme:
CD4+ Cell to Antigen A and to Antigen B


Lyme-Induce Cytokine Pro:
Lyme TNF-A Medium
TNF-A Lyme Antigen A+B
Lyme IL-10 Medium
IL-10 Lyme Antigen A+B

That's what Panel C tests.

Altho in Nov '05 I was CDC positive Igenex IgM WB, I was negative all the above EXCEPT for LymeTNF-A, TNF-A Lyme .

Some research last night told me that IL-10 is an anti-inflammatory cytokine, whereas the TNF-A is pro-inflammatory.

Odd that Lyme only showed up on the Cellular Immunology portion. Perhaps this could be a "back-door" way to test for Lyme if folks others tests are normal?

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Truthfinder
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What the heck is "Varicella virus"?

I think I will take Lou's position.

The old original Immunosciences "new" ELISA test was supposed to be so wonderful and didn't pan out that way at all.

Tracy

--------------------
Tracy
.... Prayers for the Lyme Community - every day at 6 p.m. Pacific Time and 9 p.m. Eastern Time � just take a few moments to say a prayer wherever you are�.

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mtnwoman
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Varicella virus is chickenpox or shingles, or post-herpetic neuralgia.

Odd that wasn't positive for me since I had chickenpox as a kid.

They did pick up the EBV I had in college.

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tjtighe
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Hi Robi. Check your PM from me.

--------------------
tj

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Truthfinder
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Thanks, mtnwoman...

I wonder if your EBV titers indicate a "chronic or reactivated" EBV infection, and anything below the 100 level would include exposure? Hard to tell. I have never had an EBV test that just measured one type of titer.

I have been tested for EBV twice, and got the "chronic/ reactivated infection" indication both times. And I never had momo.

Tracy

--------------------
Tracy
.... Prayers for the Lyme Community - every day at 6 p.m. Pacific Time and 9 p.m. Eastern Time � just take a few moments to say a prayer wherever you are�.

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