2001
DOI: 10.1016/s0035-9203(01)90234-2
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A recombinant antigen-based IgG4 ELISA for the specific and sensitive detection of Brugia malayi infection

Abstract: An IgG4 ELISA based on a novel recombinant antigen was evaluated for detection of Brugia malayi infection, using 2487 sera from various institutions: 2031 samples from Universiti Sains Malaysia, 276 blinded sera from 2 other institutions in Malaysia, 140 blinded sera from India and 40 blinded sera from Thailand. These sera were from various groups of individuals, i.e., microfilaraemics, chronic patients, endemic normals, non-endemic normals and individuals with other parasitic and bacterial infections. Based o… Show more

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Cited by 45 publications
(50 citation statements)
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“…Some of these immunologically relevant proteins have been described previously (23-33) and relate to those molecules that are highly immunogenic in human infections or that have activity on the mammalian host immune response (through mimicry or other mechanisms). These data corroborate a number of previous studies that demonstrate stage-specific expression and/or serologic reactivity of ALT-2 and the larval allergens (in the L3 stage) (34) and BmR1 (35), BmMIF (36), TGF-ÎČ homologue (30), SXP-1 (37), galectins (38), and microfilarial sheath proteins (in the microfilarial stage) (39). Particular sets of ECM-associated proteins were common and highly enriched in the both the L3s (SI Appendix, Fig.…”
Section: Resultssupporting
confidence: 91%
“…Some of these immunologically relevant proteins have been described previously (23-33) and relate to those molecules that are highly immunogenic in human infections or that have activity on the mammalian host immune response (through mimicry or other mechanisms). These data corroborate a number of previous studies that demonstrate stage-specific expression and/or serologic reactivity of ALT-2 and the larval allergens (in the L3 stage) (34) and BmR1 (35), BmMIF (36), TGF-ÎČ homologue (30), SXP-1 (37), galectins (38), and microfilarial sheath proteins (in the microfilarial stage) (39). Particular sets of ECM-associated proteins were common and highly enriched in the both the L3s (SI Appendix, Fig.…”
Section: Resultssupporting
confidence: 91%
“…The IgG assay, however, provides false-positive reactions with other parasitic helminths, whereas the IgG4 antibody greatly increased the specificity of the assay for toxocariasis (15,16,26). Similarly, in the diagnosis of lymphatic filariasis, antifilarial IgG4 is often used as a marker of active infection (8,9,19,25), but to date, there is no commercially available IgG4 test for the detection of Toxocara infection.…”
Section: Discussionmentioning
confidence: 99%
“…having various degrees of sensitivity and specificity have been reported (5,10,11,18,19,22,25). Attempts have been made to develop immunodiagnostic test kits for the detection of circulating filarial antigen for the identification of active filarial infection.…”
mentioning
confidence: 99%
“…However these commercial reagents have the limitation of being able to detect only bancroftian infection. More recently a recombinant antigen-based rapid IgG4 antibody dipstick test has been developed for the detection of antibodies in sera from patients with brugian infections (18,19). This test showed only 54.5% positive reaction with individuals having W. bancrofti infection.…”
mentioning
confidence: 99%