title: Multiantigen print immunoassay for comparison of diagnostic antigens for Taenia solium cysticercosis and taeniasis.
abstract: One of the best-characterized tests for the diagnosis of neurocysticercosis is the enzyme-linked immunoelectrotransfer blot assay, developed at the CDC, which uses lentil lectin-purified glycoproteins (LLGPs) extracted from Taenia solium cysticerci. The purification of the LLGP antigens has been difficult to standardize, and the polyacrylamide gel system used for the immunoblot assay is not easily transferable to other laboratories. In this study, we developed a multiantigen printing immunoassay (MAPIA) to compare the performance of multiple recombinant Taenia solium proteins with the potential for the detection of cysticercosis and taeniasis. We prepared MAPIA strips using six cysticercosis and two taeniasis diagnostic proteins and compared the performance of the proteins with sera collected from defined cysticercosis and taeniasis cases. Of the six cysticercosis antigens, rT24H performed well in detecting cases with two or more viable cysts in the brain (sensitivity and specificity, 97% and 99.4%, respectively); the use of a combination of cysticercosis antigens did not improve the sensitivity of the test and decreased the specificity. None of the antigens could differentiate the different clinical presentations of cysticercosis. Both of the taeniasis antigens (rES33 and rES38) had the same sensitivity of 99.4% and specificities of 93.9% and 94.5%, respectively. Some cross-reactivity against rES33 and rES38 was found, especially with sera from cases infected with Schistosoma mansoni. We conclude that MAPIA is a simple and effective tool that may be used to compare antibody responses to different cysticercosis and taeniasis antigens and, in this case, may be useful for the rapid detection of T. solium cases.
authors.affiliation: Division of Parasitic Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention, 4770 Buford Highway, Chamblee, GA 30341, USA. ahi0@cdc.gov
authors.forename: Sukwan
authors.initials: S
authors.lastname: Handali
authors.forename: Molly
authors.initials: M
authors.lastname: Klarman
authors.forename: Amanda N
authors.initials: AN
authors.lastname: Gaspard
authors.forename: John
authors.initials: J
authors.lastname: Noh
authors.forename: Yeuk-Mui
authors.initials: YM
authors.lastname: Lee
authors.forename: Silvia
authors.initials: S
authors.lastname: Rodriguez
authors.forename: Armando E
authors.initials: AE
authors.lastname: Gonzalez
authors.forename: Hector H
authors.initials: HH
authors.lastname: Garcia
authors.forename: Robert H
authors.initials: RH
authors.lastname: Gilman
authors.forename: Victor C W
authors.initials: VC
authors.lastname: Tsang
authors.forename: Patricia P
authors.initials: PP
authors.lastname: Wilkins
mesh_terms: D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood*; D000947:Antigens, Helminth; D003429:Cross Reactions; D003551:Cysticercosis / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D015151:Immunoblotting / Q000379:methods; D012680:Sensitivity and Specificity; D041201:Taenia solium / Q000276:immunology / Q000302:isolation & purification*; D013622:Taeniasis / Q000175:diagnosis* / Q000276:immunology
chemical_list: D000909:Antibodies, Helminth; D000947:Antigens, Helminth