title: Viability study of a multiplex diagnostic platform for Chagas disease.
abstract: A new multiplex assay platform was evaluated to detect Trypanosoma cruzi infection using the recombinant antigens CRA, FRA, CRAFRA fusion and parasite lysate. The antigens presented different sensitivity and specificity in a singleplex test when compared to a serial dilution of two pools comprising 10 positive serum samples and one pool of 10 negative samples. The recombinant protein CRA presented lower sensitivity (55%) in contrast to the 100% specificity and sensitivity of FRA, CRAFRA and T. cruzi lysate. These antigens also showed good results in a duplex test and the duplex test with CRAFRA/T. cruzi lysate showed better performance with 100% specificity and sensitivity, as well as a lower cut-off value in comparison to the other duplex test, FRA/T. cruzi lysate. Hence, when the antigens were used in duplex format, both tests showed decreased cut-off values and no interference between different bead sets, resulting in increasing sensitivity and specificity. The results of these multiplex tests show that they could be an alternative to singleplex detection for Chagas disease, and also indicate the necessity of using multiplex diagnostic tools to increase the sensitivity and specificity for diagnostic tests. Emerging data from the T. cruzi genome and from its ORFeome project will also allow the identification of new antigens for this disease detection application.
authors.affiliation: Instituto Carlos Chagas, Fiocruz, Curitiba, PR, Brasil.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Foti
authors.forename: Bruna de Paula Fonseca e
authors.initials: Bde P
authors.lastname: Fonseca
authors.forename: Lilian Dias
authors.initials: LD
authors.lastname: Nascimento
authors.forename: Christiane de Fatima Silva
authors.initials: Cde F
authors.lastname: Marques
authors.forename: Edmilson Domingos
authors.initials: ED
authors.lastname: da Silva
authors.forename: Cesar Augusto Barros
authors.initials: CA
authors.lastname: Duarte
authors.forename: Christian M
authors.initials: CM
authors.lastname: Probst
authors.forename: Samuel
authors.initials: S
authors.lastname: Goldenberg
authors.forename: Antônio Gomes
authors.initials: AG
authors.lastname: Pinto
authors.forename: Marco Aurélio
authors.initials: MA
authors.lastname: Krieger
mesh_terms: D000953:Antigens, Protozoan; D016022:Case-Control Studies; D014355:Chagas Disease / Q000175:diagnosis*; D006801:Humans; D007118:Immunoassay / Q000379:methods*; D008863:Microspheres; D011994:Recombinant Proteins; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
chemical_list: D000953:Antigens, Protozoan; D011994:Recombinant Proteins