In addition to the MAbs specific for serotyping class 1, 2 or 3 3, we used a larger number of Mabs for polysaccharides, lipooligosaccharides (LOS), class 5 and cross-reactive antigens for native outer membrane ofN

In addition to the MAbs specific for serotyping class 1, 2 or 3 3, we used a larger number of Mabs for polysaccharides, lipooligosaccharides (LOS), class 5 and cross-reactive antigens for native outer membrane ofN.meningitidis. affected by duration of storage. The detection by serotyping Mabs was generally consistent for dried filter paper MAb samples stored frozen for over 1 year at -20C, and although decreased reactive antibody titers were found after storage, this did not interfere with the specificity of the Mabs used after 13 years as dry spots on filter paper. == Conclusion == The use of filter paper is an inexpensive and convenient method for collecting, storing, and transporting Mab samples for serotyping studies. In addition, the samples occupy little space and can be readily transported without freezing. The efficiency of using immunoglobulin G (IgG) or M (IgM) eluted was found to be consistent with measurement of IgG or IgM titers in most corresponding, ascites Mabs stored frozen for over 1 year. The EM9 application of meningococcal typing methods and designations depend on the question being asked. == Background == Meningococcal disease (MD) is a significant cause of mortality and morbidity throughout the world [1,2]. The incidence of MD in Brazil has been monitored since the occurrence of serogroup A and C epidemics between 1971 and 1974. In 1974, the incidence was greater than 179 cases per 100,000 inhabitants. From 1980 to 1992, the annual incidence of MD ranged from 1.0 to 1 1.4 per 100,000 inhabitants in different states of Brazil. During the period between 1981 and 1987, the mean proportion of serogroup B isolates identified was about 83%, while serogroup C strains represented only 6% of isolates. In 1988, the incidence of MD in the greater Sao Paulo area exceeded 4.06 per 100,000 inhabitants, suggesting a new epidemic in that region. This epidemic differed from previous ones because it was caused by serogroup B strains in 1988 and 1989 and serogroup B and C strains in 1990. The incidence of MD caused byNeisseria meningitidisserogroup C in greater So Paulo has been low since the end of the epidemic situation in 1971 and 1972. In that region, the prevalence of serogroup C strains increased from 4 to 14% and 8 to 32% during the years 1989 and 1990, respectively. Serotype 2b isolates were responsible for most of this increase, representing approximately 22 and 74% of the serogroup C strains isolated in 1989 and 1990, respectively [3,4]. In greater So Paulo, there has been a constant increase in the incidence of serogroup C meningococcal disease since the late 1980s [3,4]. The current serotyping system for meningococci is based Necrostatin-1 on a battery of Mabs [5,6] which recognize antigenic differences in the outer membrane proteins of class 2 or Necrostatin-1 3 3 and 1, respectively [7]. The monoclonal antibody (Mab)-based typing system was developed because of the difficulties encountered with the use of absorbed hyperimmune polyclonal sera for typing. After realizing the need for sensitive subtyping methods almost 20 years ago, an ambitious project to develop a Mab-based subtyping system was undertaken by researchers at The Netherlands National Institute of Public Health and Environmental Protection and by others. Necrostatin-1 A panel of Mabs for serotyping and serosubtyping is now available at the website of (University of Oxford, UK). Before that dream was realized, an international interlaboratory comparisonof these reagents with 85 geographically and temporally diverse isolates ofN.meningitidisserogroup B was was carried out in 1992 [8]. One of the problems with the Mab-based serotyping and subserotyping methods reported in that study was that a large proportion of isolates were nontypeable [8]. We described several years ago a simple method for the collection, preservation, shipment, and testing of minute amounts of dried monoclonal antibodies for typingN. meningitidisB [9]. The Mabs collected on filter paper were extracted with.