This study was designed to develop a customized
enzyme-linked
immunosorbent assay (ELISA) for the serodiagnosis of
Johne's disease (JD) in farmed deer. Two
antigens were selected on the basis of their superior diagnostic readouts: denatured purified
protein derivative (PPDj) and undenatured protoplasmic
antigen (PpAg). ELISA development was based on the
antigen reactivity of the
immunoglobulin G1 (
IgG1) isotype, which is a highly specific marker for mycobacterial disease seroreactivity in deer. Sensitivity estimates and test parameters were established using 102 Mycobacterium paratuberculosis-infected animals from more than 10 deer herds, and specificity estimates were determined using 508 uninfected animals from 5 known disease-free herds. A receiver-operated characteristic analysis determined that at a cut point of 50 ELISA units, there was a specificity of 99.5% and sensitivities of 84.0% with PPDj
antigen, 88.0% with PpAg, and 91.0% when the
antigens were used serially in a composite test. Estimated sensitivity was further improved using
recombinant protein antigens unique for M.
paratuberculosis, which identified infected animals that were unreactive to PPDj or PpAg. While 80% of animals that were seropositive in the
IgG1 ELISA had detectable histopathology, the assay could also detect animals with subclinical disease. The test was significantly less sensitive (75%) for animals that were culture positive for M.
paratuberculosis but with no detectable pathology than for those with pathological evidence of JD (>90%). When the
IgG1 ELISA was used annually over a 4-year period in a deer herd with high levels of clinical JD, it eliminated clinical disease, increased production levels, and reduced JD-related mortality.