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Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/147228
Improved Alere Determine Lipoarabinomannan Antigen Detection Test for the Diagnosis of Human and Bovine Tuberculosis by Manipulating Urine and Milk
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Abstract
Tuberculosis (TB) disease still kills 1-person every
21-seconds. Few TB diagnostic tests are considered truly
appropriate for point of care settings. The WHO-endorsed
immunodiagnostic Alere Determine Lipoarabinomannan Ag-test
(LAM-test) detects Mycobacterium tuberculosis complex LAM in
urine, and its use is recommended for TB diagnosis among HIV
co-infected individuals with low CD4 T-cell counts. Here we
found that a simple 15-minute enzymatic treatment at room
temperature of LAM-spiked urine with \xCE\xB1-mannosidase (for
human TB), and LAM-spiked milk with combined lactase and
caseinase (for bovine TB), enhanced 10-fold the detection levels
of the LAM-test and thus, improved the detection of LAM by the
LAM-test in urine and milk that otherwise could be missed in the
field. Future separate clinical research studies specifically
designed to address the potential of these findings are
required.
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GARCÍA, Juan Ignacio, et al. Improved Alere Determine Lipoarabinomannan Antigen Detection
Test for the Diagnosis of Human and Bovine Tuberculosis by
Manipulating Urine and Milk. Scientific Reports. 2019. Vol. 9, num. 18012. ISSN 2045-2322. [consulted: 14 of June of 2026]. Available at: https://hdl.handle.net/2445/147228