title: Characterising the KMP-11 and HSP-70 recombinant antigens' humoral immune response profile in chagasic patients.
abstract: BACKGROUND
  Antigen specificity and IgG subclass could be significant in the natural history of Chagas' disease. The relationship between the different stages of human Chagas' disease and the profiles of total IgG and its subclasses were thus analysed here; they were directed against a crude T. cruzi extract and three recombinant antigens: the T. cruzi kinetoplastid membrane protein-11 (rKMP-11), an internal fragment of the T. cruzi HSP-70 protein 192-433, and the entire Trypanosoma rangeli HSP-70 protein.
  
  
  METHODS
  Seventeen Brazilian acute chagasic patients, 50 Colombian chronic chagasic patients (21 indeterminate and 29 cardiopathic patients) and 30 healthy individuals were included. Total IgG and its subtypes directed against the above-mentioned recombinant antigens were determined by ELISA tests.
  
  
  RESULTS
  The T. cruzi KMP-11 and T. rangeli HSP-70 recombinant proteins were able to distinguish both acute from chronic chagasic patients and infected people from healthy individuals. Specific antibodies to T. cruzi crude antigen in acute patients came from IgG3 and IgG4 subclasses whereas IgG1 and IgG3 were the prevalent isotypes in indeterminate and chronic chagasic patients. By contrast, the specific prominent antibodies in all disease stages against T. cruzi KMP-11 and T. rangeli HSP-70 recombinant antigens were the IgG1 subclass.
  
  
  CONCLUSIONS
  T. cruzi KMP-11 and the T. rangeli HSP-70 recombinant proteins may be explored together in the immunodiagnosis of Chagas' disease. Polarising the IgG1 subclass of the IgG response to T. cruzi KMP-11 and T. rangeli HSP-70 recombinant proteins could have important biological effects, taking into account that this is a complement fixing antibody.
authors: Laboratorio de Parasitología Molecular, Pontificia Universidad Javeriana, Cra, 7a No, 43-82, Ed, 50, Lab, 113, Bogotá, Colombia. iflechas@gmail.com
authors: Ivonne D
authors: ID
authors: Flechas
authors: Adriana
authors: A
authors: Cuellar
authors: Zulma M
authors: ZM
authors: Cucunubá
authors: Fernando
authors: F
authors: Rosas
authors: Víctor
authors: V
authors: Velasco
authors: Mario
authors: M
authors: Steindel
authors: María del Carmen
authors: Mdel C
authors: Thomas
authors: Manuel Carlos
authors: MC
authors: López
authors: John Mario
authors: JM
authors: González
authors: Concepción Judith
authors: CJ
authors: Puerta
mesh_terms: D000913:Antibodies, Protozoan / Q000097:blood / Q000276:immunology*; D000918:Antibody Specificity / Q000276:immunology; D000953:Antigens, Protozoan / Q000276:immunology*; D001938:Brazil; D016022:Case-Control Studies; D014355:Chagas Disease / Q000276:immunology*; D003105:Colombia; D004797:Enzyme-Linked Immunosorbent Assay; D018840:HSP70 Heat-Shock Proteins / Q000276:immunology*; D006801:Humans; D056724:Immunity, Humoral; D007074:Immunoglobulin G / Q000097:blood / Q000276:immunology; D008562:Membrane Glycoproteins / Q000276:immunology*; D015800:Protozoan Proteins / Q000276:immunology; D011994:Recombinant Proteins / Q000276:immunology; D014345:Trypanosoma / Q000276:immunology
chemical_list: D000913:Antibodies, Protozoan; D000953:Antigens, Protozoan; D018840:HSP70 Heat-Shock Proteins; D007074:Immunoglobulin G; D008562:Membrane Glycoproteins; D015800:Protozoan Proteins; D011994:Recombinant Proteins