title: Recombinant leishmania antigens for serodiagnosis of visceral leishmaniasis.
abstract: Serological tests with crude or recombinant Leishmania antigens are important tools for the diagnosis of leishmania infection. However, these tests are not markers of active visceral leishmaniasis (VL), since antibodies to these markers are often observed in individuals with subclinical L. chagasi infection and they do not fall shortly after therapy. In this study, levels of immunoglobulin G (IgG) against three recombinant Leishmania antigens (rH2A, KMP11, and the "Q" protein) were evaluated in sera from individuals with subclinical L. chagasi infection and in patients with VL pre- and posttherapy. The sensitivity of the serological test for diagnosis of VL was 100% with all three antigens. The titers of IgG fell significantly after therapy. While most of the individuals with subclinical L. chagasi infection had antibodies to rH2A and the "Q" protein, only 1 out of 15 individuals had antibodies to KMP11. These data indicate that KMP11 may be used to discriminate L. chagasi infection from active VL and may serve as a marker of response to therapy.
authors.affiliation: Serviço de Imunologia, Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, 5 andar, Rua João das Botas, s/n Canela, 40110-160, Salvador, Bahia, Brazil.
authors.forename: S
authors.initials: S
authors.lastname: Passos
authors.forename: L P
authors.initials: LP
authors.lastname: Carvalho
authors.forename: G
authors.initials: G
authors.lastname: Orge
authors.forename: S M
authors.initials: SM
authors.lastname: Jerônimo
authors.forename: G
authors.initials: G
authors.lastname: Bezerra
authors.forename: M
authors.initials: M
authors.lastname: Soto
authors.forename: C
authors.initials: C
authors.lastname: Alonso
authors.forename: E M
authors.initials: EM
authors.lastname: Carvalho
mesh_terms: D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood; D000953:Antigens, Protozoan; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007891:Leishmania / Q000302:isolation & purification; D007898:Leishmaniasis, Visceral / Q000175:diagnosis*; D008562:Membrane Glycoproteins / Q000276:immunology; D015800:Protozoan Proteins / Q000276:immunology; D011994:Recombinant Proteins; D012680:Sensitivity and Specificity; D012698:Serologic Tests
chemical_list: D000913:Antibodies, Protozoan; D000953:Antigens, Protozoan; D007074:Immunoglobulin G; D008562:Membrane Glycoproteins; D015800:Protozoan Proteins; D011994:Recombinant Proteins; C090009:kinetoplastid membrane protein 11, Leishmania donovani