{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T15:06:57Z","timestamp":1781104017196,"version":"3.54.1"},"reference-count":31,"publisher":"National Academy of Sciences","issue":"34","content-domain":{"domain":["www.pnas.org"],"crossmark-restriction":true},"short-container-title":["Proc. Natl. Acad. Sci. U.S.A."],"published-print":{"date-parts":[[2004,8,24]]},"abstract":"<jats:p>\n                    Proteins released from\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    (\n                    <jats:italic>Mtb<\/jats:italic>\n                    ) during late logarithmic growth phase are often considered candidate components of immunogenic or autolysis markers. One such protein is isocitrate dehydrogenase (ICD), a key regulatory enzyme in the citric acid cycle. We have evaluated the immunogenic properties of two isoforms of\n                    <jats:italic>Mtb<\/jats:italic>\n                    ICD and compared them with the control antigens heat-shock protein 60 and purified protein derivative (PPD). PPD lacks the sensitivity to distinguish between bacillus Calmette\u2013Gu\u00e9rin (BCG)-vaccinated and tuberculosis (TB)-infected populations, and, therefore, epidemiological relevance of PPD in BCG-vaccinated regions is debatable. We show that\n                    <jats:italic>Mtb<\/jats:italic>\n                    ICDs elicit a strong B cell response in TB-infected populations and can differentiate between healthy BCG-vaccinated populations and those with TB. The study population (\n                    <jats:italic>n<\/jats:italic>\n                    = 215) was categorized into different groups, namely, patients with fresh infection (\n                    <jats:italic>n<\/jats:italic>\n                    = 42), relapsed TB cases (\n                    <jats:italic>n<\/jats:italic>\n                    = 32), patients with extrapulmonary TB (\n                    <jats:italic>n<\/jats:italic>\n                    = 35), clinically healthy donors (\n                    <jats:italic>n<\/jats:italic>\n                    = 44), nontuberculous mycobacteria patients (\n                    <jats:italic>n<\/jats:italic>\n                    = 30), and non-TB patients (culture negative for acid-fast bacteria but carrying other infections,\n                    <jats:italic>n<\/jats:italic>\n                    = 32). The\n                    <jats:italic>Mtb<\/jats:italic>\n                    ICDs showed statistically significant antigenic distinction between healthy BCG-vaccinated controls and TB patients (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.0001) and those with other infections. Although extrapulmonary infections could not be discriminated from healthy controls by heat-shock protein 60 (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.2177), interestingly, the\n                    <jats:italic>Mtb<\/jats:italic>\n                    ICDs could significantly (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.0001) do so. Our results highlight the immunodominant, immunosensitive, and immunospecific nature of\n                    <jats:italic>Mtb<\/jats:italic>\n                    ICDs and point to an unusual property of this tricarboxylic acid energy cycle enzyme.\n                  <\/jats:p>","DOI":"10.1073\/pnas.0404347101","type":"journal-article","created":{"date-parts":[[2004,8,16]],"date-time":"2004-08-16T21:08:46Z","timestamp":1092690526000},"page":"12652-12657","update-policy":"https:\/\/doi.org\/10.1073\/pnas.cm10313","source":"Crossref","is-referenced-by-count":58,"title":["<i>Mycobacterium tuberculosis<\/i>\n                    (\n                    <i>Mtb<\/i>\n                    ) isocitrate dehydrogenases show strong B cell response and distinguish vaccinated controls from TB patients"],"prefix":"10.1073","volume":"101","author":[{"given":"Sharmistha","family":"Banerjee","sequence":"first","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Nandyala","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raviprasad","family":"Podili","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. M.","family":"Katoch","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. J. R.","family":"Murthy","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed E.","family":"Hasnain","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular and Cellular Biology, Centre for DNA Fingerprinting and Diagnostics, Nacharam, Hyderabad 500076, India; Laboratory of Microbiology, Central JALMA Institute for Leprosy, Agra 282001, India; Mahavir Hospital and Research Centre, Hyderabad 500004 India; and Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur, Bangalore 560012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"341","published-online":{"date-parts":[[2004,8,16]]},"reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.7.677"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.257.5073.1055"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000078312"},{"key":"e_1_3_2_4_2","first-page":"1123","volume":"289","year":"2000","unstructured":"Helmuth, L. 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