An improved serodiagnostic test for Chagas' disease employing a mixture of Trypanosoma cruzi recombinant antigens

An improved serodiagnostic test for Chagas' disease employing a mixture of Trypanosoma cruzi recombinant antigens

Autor Umezawa, E. S. Google Scholar
Bastos, S. F. Google Scholar
Coura, JR Google Scholar
Levin, M. J. Google Scholar
Gonzalez, A. Google Scholar
Rangel-Aldao, R. Google Scholar
Zingales, B. Google Scholar
Luquetti, A. O. Google Scholar
Silveira, J. F. da Google Scholar
Instituição Universidade de São Paulo (USP)
Fiocruz MS
Consejo Nacl Invest Cient & Tecn
CSIC
Univ Simon Bolivar
Universidade Federal de Goiás (UFG)
Fed Univ Goias
Universidade Federal de São Paulo (UNIFESP)
Resumo BACKGROUND: Blood transfusion is one of the most important transmission routes of Chagas' disease, a major parasitic infection in Latin America. Therefore, screening for antibodies to Trypanosoma cruzi is mandatory in blood banks in South America. Most of the commercial serologic tests employ epimastigote antigens and show a high number of inconclusive and false-positive results, with high economic and social costs.STUDY DESIGN and METHODS: An ELISA using a mixture of three T. cruzi recombinant antigens, B13, 1F8, and H49 (mix-ELISA), was evaluated, first with a panel of well-characterized sera from 617 patients with Chagas' disease and 277 nonchagasic individuals, living in nine countries of South and Central America. Subsequently, the mix-ELISA was evaluated with 451 samples, from an endemic area of Brazil (Goias), that were rejected from several blood banks because they presented discrepant results by two commercially available kits (indirect immunofluorescence assay, indirect hemagglutination assay, and/or ELISA).RESULTS: the mix-ELISA exhibited 99.7 percent sensitivity and 98.6 percent specificity in the first evaluation with the 894 samples. in the second evaluation, 451 sera that had discrepant results in the first screening for Chagas' disease were further analyzed with the mix-ELISA. Upon consideration of the consensus results obtained with the trypomastigote excreted-secreted antigens blot test, a confirmatory test for Chagas' disease, the mix-ELISA led to a reduction in 99.6 percent in the number of discordant sera.CONCLUSION: the combination of three T. cruzi recombinant antigens in a multiantigen immunoassay was highly sensitive and specific for Chagas' disease diagnosis. It is proposed that it can be applicable in blood bank screening in conjunction with the conventional serologic tests.
Idioma Inglês
Data de publicação 2003-01-01
Publicado em Transfusion. Bethesda: Amer Assoc Blood Banks, v. 43, n. 1, p. 91-97, 2003.
ISSN 0041-1132 (Sherpa/Romeo, fator de impacto)
Publicador Amer Assoc Blood Banks
Extensão 91-97
Fonte http://dx.doi.org/10.1046/j.1537-2995.2003.00279.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000180321200014
Endereço permanente http://repositorio.unifesp.br/handle/11600/27097

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