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IMMUNE REACTIVITY TO TRYPANOSOMA CRUZI CHIMERIC PROTEINS FOR CHAGAS DISEASE DIAGNOSIS IN IMMIGRANTS LIVING IN A NON-ENDEMIC SETTING
Anticorpos Antiprotozoários
Imunologia
Antígenos de Protozoários
Genética
Doença de Chagas
Diagnóstico
Parasitologia
Reações Cruzadas
Emigrantes e Imigrantes
Estatística & dados numéricos
Ensaio de Imunoadsorção Enzimática
Feminino
Humanos
Masculino
Gravidez
Sensibilidade e Especificidade
Espanha
Toxoplasma
Trypanosoma cruzi
Author
Affilliation
Catalan Institute of Health. Laboratori Clínic Territorial Metropolitana Sud. Barcelona, Catalonia, Spain.
Faculty of Technology and Sciences of Bahia. Salvador, Bahia, Brazil.
Universidad Nacional Autónoma de México. Instituto de Investigaciones Biomédicas. Departamento de Inmunología. Ciudad de México, Mexico.
Catalan Institute of Health. Laboratori Clínic Territorial Metropolitana Sud. Barcelona, Catalonia, Spain.
Fundação Oswaldo Cruz. Instituto Carlos Chagas. Curitiba, PR, Brasil.
Vall d’Hebron University Hospital. Microbiology Department.Barcelona, Catalonia, Spain.
Vall d’Hebron University Hospital. Microbiology Department.Barcelona, Catalonia, Spain.
Institute of Paraná. Molecular Biology. Curitiba, PR, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.
Faculty of Technology and Sciences of Bahia. Salvador, Bahia, Brazil.
Universidad Nacional Autónoma de México. Instituto de Investigaciones Biomédicas. Departamento de Inmunología. Ciudad de México, Mexico.
Catalan Institute of Health. Laboratori Clínic Territorial Metropolitana Sud. Barcelona, Catalonia, Spain.
Fundação Oswaldo Cruz. Instituto Carlos Chagas. Curitiba, PR, Brasil.
Vall d’Hebron University Hospital. Microbiology Department.Barcelona, Catalonia, Spain.
Vall d’Hebron University Hospital. Microbiology Department.Barcelona, Catalonia, Spain.
Institute of Paraná. Molecular Biology. Curitiba, PR, Brazil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto de Tecnologia em Imunobiológicos. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.
Abstract
Chronic Chagas Disease (CD) diagnosis is based on serological methods employing crude, semipurified or recombinant antigens, which may result in low sensitivity or cross-reactivity. To reduce these restrictions, we developed a strategy involving use of molecules containing repetitive fragments of Trypanosoma cruzi conserved proteins. Diagnostic performance of IBMP-8.1 and IBMP-8.4 chimeric antigens (Molecular Biology Institute of Paraná - IBMP in Portuguese acronym) was assessed to diagnose T. cruzi-infected and non-infected immigrants living in Barcelona (Spain), a non-endemic setting for Chagas disease. Methods: Reactivity of IBMP-8.1 and IBMP-8.4 was assessed using an in-house automated ELISA with 347 positive
and 331 negative individuals to Chagas disease. Antigenic cross-reactivity was measured with sera samples from
pregnant women with Toxoplasma gondii (n = 98) and Zika virus (n = 75) antibodies.
Results: The area under the curve values was 1 and 0.99 for the IBMP-8.1 and IBMP-8.4 proteins, respectively,
demonstrating excellent diagnostic accuracy. The reactivity index was higher for IBMP-8.1 than IBMP-8.4 in positive
samples and no significant difference in reactivity index was observed in negative samples. Sensitivity ranged from
99.4% for IBMP-8.1 to 99.1% for IBMP-8.4 and was not statistically different. Specificity for IBMP-8.1 reached 100 and
99.7% for IBMP-8.4, both nearly 100% accurate. No antigenic cross-reactivity was observed and reactivity index was
similar to that for negative Chagas disease individuals.
Conclusions: Our results showed an outstanding performance of IBMP-8.1 and IBMP-8.4 chimeric antigens by ELISA
and suggest both chimeric antigens could also be used for Chagas disease diagnosis in immigrants living in nonendemic
settings.
DeCS
AdultoAnticorpos Antiprotozoários
Imunologia
Antígenos de Protozoários
Genética
Doença de Chagas
Diagnóstico
Parasitologia
Reações Cruzadas
Emigrantes e Imigrantes
Estatística & dados numéricos
Ensaio de Imunoadsorção Enzimática
Feminino
Humanos
Masculino
Gravidez
Sensibilidade e Especificidade
Espanha
Toxoplasma
Trypanosoma cruzi
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