title: A reliable and specific enzyme-linked immunosorbent assay for the capture of IgM from human chagasic sera using fixed epimastigotes of Trypanosoma cruzi.
abstract: A rapid, sensitive, specific, and reliable enzyme-linked immunosorbent assay (ELISA) is proposed for determination of the levels of anti-Trypanosoma cruzi IgM in acute chagasic sera (ACD). The efficiency of this ELISA as a diagnostic method was compared with that of parasite DNA detection by polymerase chain reaction (PCR) and that of indirect immunofluorescence (iIF) anti-T. cruzi IgM detection. We tested whether this ELISA using fixed epimastigotes (epi) could detect anti-T. cruzi IgM in serum samples from two groups of children with acute Chagas' disease from a hyperendemic area in Bolivia. In a comparison of the ELISA method with other techniques, 95% and 71% of the results correlated with PCR and iIF findings, respectively. At the serum dilution applied (1:250), rheumatoid factor (RF) did not influence the results, and samples from patients carrying leishmaniasis or mixed Leishmania and T. cruzi infection could also be excluded from ACD. Highly specific and reliable results were obtained, a great number of the sera could be tested in only one assay, and a quantitative index of reactivity (IR) could be calculated without serial titration. Using test samples in triplicate, the method provides a useful tool for the detection of early acute-phase T. cruzi infection in humans.
authors.affiliation: Depto. de Ultra-estrutura e Biologia Celular, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil.
authors.forename: P R
authors.initials: PR
authors.lastname: Antas
authors.forename: E N
authors.initials: EN
authors.lastname: Azevedo
authors.forename: M R
authors.initials: MR
authors.lastname: Luz
authors.forename: N
authors.initials: N
authors.lastname: Medrano-Mercado
authors.forename: A C
authors.initials: AC
authors.lastname: Chaves
authors.forename: P G
authors.initials: PG
authors.lastname: Vidigal
authors.forename: A C
authors.initials: AC
authors.lastname: Volpini
authors.forename: A J
authors.initials: AJ
authors.lastname: Romanha
authors.forename: T C
authors.initials: TC
authors.lastname: Araújo-Jorge
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000913:Antibodies, Protozoan / Q000097:blood*; D001838:Bolivia; D014355:Chagas Disease / Q000175:diagnosis* / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003429:Cross Reactions; D019353:Endemic Diseases; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods* / Q000592:standards; D005404:Fixatives; D019084:Fluorescent Antibody Technique, Indirect / Q000379:methods; D005557:Formaldehyde; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood*; D009500:Neutralization Tests; D016133:Polymerase Chain Reaction / Q000379:methods; D012217:Rheumatoid Factor / Q000276:immunology; D012680:Sensitivity and Specificity
chemical_list: D000913:Antibodies, Protozoan; D005404:Fixatives; D007075:Immunoglobulin M; D005557:Formaldehyde; D012217:Rheumatoid Factor