Sensitive and specific enzyme-linked immunosorbent assay for the diagnosis of Wuchereria bancrofti infection in urine samples.

Itoh

Shamsuzzaman³

et al. 2002

Clin Vaccine Immunol

A diagnostic method has been developed to detect anti-Leishmania donovani immunoglobulin G (IgG) in urine by enzyme-linked immunosorbent assay (ELISA). In measuring anti-L. donovani IgG, IgA, and IgM in urine, the method performed best in the detection of IgG. The sensitivity and specificity of the assay were determined with panels of urine samples from 62 visceral leishmaniasis (VL) patients, 59 healthy controls from areas of endemicity, 53 healthy controls from areas of nonendemicity, 59 malaria patients, 13 tuberculosis patients, 23 cutaneous leishmaniasis patients, and 7 patients with other diseases. Using L. donovani promastigote crude antigen, the test had 93.5% sensitivity (58 positives of 62 VL patient samples) and 89.3% specificity (191 negatives of 214 non-VL patient samples). The ELISA with acetone-treated L. donovani promastigote antigen raised the sensitivity and specificity to 95.0 and 95.3%, respectively. Western blot analysis revealed that most of the samples that cross-reacted with crude antigen in ELISA did not recognize any antigenic component of L. donovani crude antigen. We also checked 40 serum samples from the same group of VL patients for anti-L. donovani IgG and got 90.0% sensitivity with both crude and acetone-treated antigens. As collection of urine is much easier than collection of serum, the detection of anti-L. donovani IgG in urine with acetone-treated antigen will be useful in epidemiological studies. It could be an adjunct of laboratory diagnosis.

Section: Methodsmentioning

confidence: 88%

mentioning

confidence: 99%

Diagnosis of Visceral Leishmaniasis by Enzyme-Linked Immunosorbent Assay Using Urine Samples

Itoh

Shamsuzzaman³

et al. 2002

Clin Vaccine Immunol

“…Moreover, several infectious diseases are diagnosed by the finding of specific antibodies in urine, such as Helicobacter pylori infection (18), filariasis (17), or schistosomiasis (35). The presence of anti-Leishmania antibodies in the urine of human patients with visceral leishmaniasis (16,20) and in the urine of L. donovani-infected hamsters (34) has also been described.…”

Section: Discussionmentioning

confidence: 99%

Detection of Anti-LeishmaniaImmunoglobulin G Antibodies in Urine Specimens of Dogs with Leishmaniasis

Solano‐Gallego

Rodríguez

Iniesta

et al. 2003

Clin Vaccine Immunol

For years, anti-Leishmania immunoglobulin G (IgG) antibodies have been detected in the sera of dogs living in areas of leishmaniasis endemicity. They have also been found in the aqueous humor and cerebrospinal fluid. In contrast, a review of the literature failed to identify the detection of anti-Leishmania antibodies in urine samples from dogs with leishmaniasis. Ninety-five dog urine samples were examined for the presence of anti-Leishmania antibodies by using a protein A enzyme-linked immunosorbent assay (ELISA). Twenty additional urine samples were collected from healthy dogs as controls. An IgG2 ELISA was performed on 26 urine samples found positive by the protein A ELISA. Twenty-three urine samples found positive to anti-Leishmania antibodies were tested for the local production of anti-Leishmania antibodies in the urinary tract by means of the urine antibody coefficient. Ten urine samples (and the corresponding serum samples) were compared by Western blot (WB) analysis. Thirty-five out of the 95 urine samples were found positive, 57 were found negative, and 3 were found inconclusive for antibody detection by the protein A ELISA. A high correlation between protein A and IgG2 levels was found in positive urine samples. Anti-Leishmania antibodies were present in the urine of dogs that had leishmaniasis, urinary protein/creatinine (U P/C) ratios of greater than one, and normal urinary sediment. A statistically significant correlation was observed between the U P/C ratios and the levels of anti-Leishmania antibodies in positive urine samples. In general, WB analysis and the urine antibody coefficient suggested that the presence of anti-Leishmania antibodies in urine was the consequence of an impairment of filtration of the glomerular barrier. However, in some dogs, WB analysis could be interpreted as suggesting that the presence of anti-Leishmania antibodies was caused, to a lesser extent, by local antibody production in the urinary tract. Antibody detection in urine could be a noninvasive method for leishmaniasis diagnosis and prognosis in dogs with glomerulonephropathies.Canine leishmaniasis, caused by the protozoan parasite Leishmania infantum, is a severe systemic disease highly prevalent in the Mediterranean basin. Clinical manifestations of the disease include nonpruritic skin lesions, such as exfoliative dermatitis and ulcerations; local or generalized lymphadenopathy; loss of weight; poor appetite; ocular lesions; epistaxis; lameness; renal failure; and diarrhea (8,12,21,36). Dogs with leishmaniasis have high anti-Leishmania immunoglobulin G (IgG) antibody levels in sera (23), and clinicopathological findings include anemia, hypoalbuminemia, hyperglobulinemia, hypercreatinemia, and proteinuria (22).In the vast majority of cases, the fatal course of canine leishmaniasis is due to renal involvement (5, 32). The major renal lesion in canine (32) and human (7, 11) leishmaniasis is glomerulonephritis. However, interstitial nephritis, tubular nephropathy, and glomerular amyloidosis in conjunction with glomer...

“…Our study with filarial antibody showed that NaN 3 -added urine samples could be kept at 37 C for 4 weeks without deterioration. 24 The study was reviewed and approved by the Ethics Committee of Aichi Medical University School of Medicine, Japan, and the Ethical Review Committee of the Bangladesh Medical Research Council.…”

Section: Methodsmentioning

confidence: 99%

ELISA with Recombinant rKRP42 Antigen Using Urine Samples: A Tool for Predicting Clinical Visceral Leishmaniasis Cases and Its Outbreak

Itoh²,

The American Society of Tropical Medicine and Hygiene

et al. 2012

Abstract. We reported a highly sensitive and specific enzyme-linked immunosorbent assay (ELISA) that detects immunoglobulin G (IgG) in urine using rKRP42 antigen for the diagnosis of visceral leishmaniasis (VL). The ELISA was applied to study chronological change in antibody titers in five study areas in Rajshahi district, Bangladesh. A total of 585 subjects without a past VL history were examined at least three times in the 30-month follow-up period; of these subjects, 137 (23.4%) subjects became ELISA-positive at least one time during the study. Among the positive cases, 40 (29.2%) subjects developed clinical VL, and 31 (77.5%) of these subjects showed IgG titers of 1,000 U more than one time in the study period. Considering only the first ELISA results, 22 subjects with IgG titers of 1,000 U could be found, and 21 (95.5%) of these subjects turned out to be clinical cases. The high urinary IgG titers ( 1,000 U) will help predict possible clinical VL cases and thus, identify an outbreak in its earlier stage.