Diagnosis of whooping cough by an enzyme-linked immunosorbent assay (ELISA) that measures serum IgG, IgM, and IgA antibody to the fimbrial hemagglutinin of Bordetella pertussis was compared to isolation from nasopharyngeal swabs in a prospective study. Of 77 patients with upper respiratory tract infections of unknown etiology in which B. pertussis infection could not be excluded on clinical grounds, 26 were culture-positive, including one for Bordetella parapertussis. All 26 patients were positive by ELISA except one asymptomatic erythromycin-treated patient (ELISA sensitivity, 96%). Among culture-negative patients, 24 additional patients were positive by ELISA. Thus, only about one half of the patients with whooping cough were identified by culture under optimal conditions. Positive titers of IgM antibody and/or high titers of IgG antibody in the first serum sample, allowing for a rapid diagnosis, were found only in 26 (53%) of 49 serologically positive patients. By combining culture testing with serology, rapid diagnosis was obtained in 41 (82%) of 50 patients.
Two forms of glutathione S-aryltransferase were purified from rat liver. The only differences noted between the two forms were in the chromatographic and electrophoretic properties, which permitted the separation of the two species. The molecular weights of the enzyme and its subunits were estimated as about 50000 and 23000 respectively. The steady-state kinetics did no follow Michaelis-Menten kinetics when one substrate concentration was kept constant while the second substrate concentration was varied. Several S-substituted GSH derivatives were tested as inhibitors of the enzymic reaction. The enzyme was inactivated by thiol-group reagents.
Induction of immunity against antigens expressed on tumor cells might prevent or delay recurrence of the disease. Six patients operated on for colorectal carcinoma were immunized with human monoclonal anti-idiotypic anti-
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