Research Article

A Subgroup of Latently Mycobacterium tuberculosis Infected Individuals Is Characterized by Consistently Elevated IgA Responses to Several Mycobacterial Antigens

Table 2

Specificities and sensitivities of single seroantigens to distinguish between healthy non-TB infected controls [HC ( = 14)] and either active TB patients ( = 42) or LTBI [with medium or high IgA levels ( = 19)].

Antigen Ig classTB versus HCLTBI (elevated IgA) versus HC
Sens. (%) (95% CI) based on 92.9% (95% CI, 66.1–99.8%) spec.Sens. (%) (95% CI) based on 100% (95% CI, 76.8–100%) spec. Sens. (%) (95% CI) based on 92.9% (95% CI, 66.1–99.8%) spec.Sens. (%) (95% CI) based on 100% (95% CI, 76.8–100%) spec.

NarL A 81.0 (65.9–91.4)*** 78.6 (63.2–89.7)*** 84.2 (60.4–96.6)*** 84.2 (60.4–96.6)***
MPT83 A 47.6 (32.0–63.6)## 2.4 (0.06–12.6)## 63.2 (38.4–83.7)### 0 (0.0–17.6)###
19 kDa A 64.3 (48.0–78.4)*** 64.3 (48.0–78.4)*** 78.9 (54.4–93.9)*** 78.9 (54.4–93.9)***
PstS3 A 61.9 (45.6–76.4)*** 35.7 (21.6–52.0)*** 57.9 (33.5–79.7)*** 31.6 (12.6–56.6)***
AlaDH G 42.9 (27.7–59.0)* 28.6 (15.7–44.6)* 26.3 (9.1–51.2) n. s. 15.8 (3.4–39.6) n. s.
AlaDH A 76.2 (60.5–87.9)*** 69.0 (52.9–82.4)*** 89.5 (66.9–98.7)*** 84.2 (60.4–96.6)***

Significance levels of values: values refer to the -test (if appropriate on log-transformed data) or the Mann-Whitney test where indicated. A value of ≤0.05 was judged significant and levels of significance were indicated as follows: * or # = 0.01–0.05, ** or ## = 0.001–0.01, *** or ### < 0.001; asterisks refer to parametric tests, hashes to nonparametric tests.
vs. = versus; n. s. = not significant; sens. = sensitivity; spec. = specificity.
The mean ranks of the IgA signals against the 5 investigated antigens were used to group the LTBI group into the top 19 groups [LTBI with elevated mean IgA levels ( = 19)] and the remaining LTBI group [LTBI (low IgA)].
The data were analyzed by using specificity levels of ≥90%, as described by other investigators [36, 37].