Monitoring gp43 antigenemia in paracoccidioidomycosis patients during therapy
Data
2004-06-01
Autores
Silva, Silvia Helena Marques da 
Colombo, Arnaldo Lopes
Blotta, Maria Heloisa de Souza Lima
Lopes, Jose Daniel
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Paracoccidioidomycosis (PCM) is a systemic fungal disease that is particularly important among individuals living and working in rural areas of endemicity in Latin America. Detection of anti-Paracoccidioides brasiliensis antibodies is of limited value due to false-negative results. Detection of P. brasiliensis-gp43 circulating antigen is a practical approach for a specific diagnosis of the disease. In a previous study we described an inhibition enzyme-linked immunosorbent assay able to detect the 43-kDa P. brasiliensis antigen in sera of 100% of patients with the acute form of PCM and in 95.31 and 100% of patients with the chronic multifocal and unifocal forms of PCM. To investigate its potential application for the follow-up of PCM patients during treatment, antigen levels were monitored at regular intervals for up 8 to 12 months in serum samples from 23 patients. The results showed that treatment with itraconazole resulted in decreasing levels of circulating gp43 that were correlated with the reduction of anti-gp43 antibodies. It was also observed that by the end of 12 months of treatment gp43 levels were <5 mug/ml in all patients.
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Journal Of Clinical Microbiology. Washington: Amer Soc Microbiology, v. 42, n. 6, p. 2419-2424, 2004.