Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/31290 |
Resumo: | Toxoplasma gondii causes severe fetal disease during acute infection in pregnant women, thus demanding early diagnosis for effective treatment and fetus preservation. Fetal tests are inefficient and risky, and diagnosis is based on maternal IgM serology, which had weak screening ability due to increased sensitivity, with alternative IgG avidity tests. Here, we performed ELISA and avidity assays using a recombinant T. gondii antigen, rROP2, in samples from 160 pregnant women screened from a large public hospital who were referred due to positive IgM assays. IgG serology and avidity assays were compared using whole T. gondii extract or rROP2. ELISA IgG detection with rROP2 showed good agreement with assays performed with T. gondii extract, but rROP2 IgG avidity assays were unrelated to whole extract antigen IgG avidity, regardless of the chaotrope used. These data show that avidity maturation is specific to individual antigen prevalence and immune response during infection. ELISA rROP2 IgG assays may be an alternative serological test for the diagnosis of toxoplasmosis during pregnancy, although our data do not support their use in avidity assays. |
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Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women Sorologia utilizando o antígeno recombinante ROP2 no diagnóstico da toxoplasmose em mulheres grávidas ToxoplasmosisPregnancySerologyRecombinant proteinsAvidity Toxoplasma gondii causes severe fetal disease during acute infection in pregnant women, thus demanding early diagnosis for effective treatment and fetus preservation. Fetal tests are inefficient and risky, and diagnosis is based on maternal IgM serology, which had weak screening ability due to increased sensitivity, with alternative IgG avidity tests. Here, we performed ELISA and avidity assays using a recombinant T. gondii antigen, rROP2, in samples from 160 pregnant women screened from a large public hospital who were referred due to positive IgM assays. IgG serology and avidity assays were compared using whole T. gondii extract or rROP2. ELISA IgG detection with rROP2 showed good agreement with assays performed with T. gondii extract, but rROP2 IgG avidity assays were unrelated to whole extract antigen IgG avidity, regardless of the chaotrope used. These data show that avidity maturation is specific to individual antigen prevalence and immune response during infection. ELISA rROP2 IgG assays may be an alternative serological test for the diagnosis of toxoplasmosis during pregnancy, although our data do not support their use in avidity assays. A toxoplasmose causa grave doença fetal durante a infecção aguda da gestante, assim demanda diagnóstico precoce para tratamento efetivo e preservação fetal. Os testes fetais são de baixa eficiência e o diagnóstico é baseado na sorologia para IgM materna, que tem fraca capacidade de triagem devido a sensibilidade crescente dos testes, sendo uma alternativa os testes de avidez de IgG. Apresentamos aqui um ELISA e ensaio de avidez de IgG usando antígeno recombinante de T. gondii, rROP2, em amostras de 162 gestantes triadas para um grande hospital público por uma sorologia positiva para IgM. O ELISA IgG e o ensaio de avidez de IgG foram comparados usando o antígeno rROP2 ou extrato total de T. gondii. O ELISA usando rROP2 mostrou excelente concordância com os ensaios usando extrato de T. gondii, mas nos ensaios de avidez usando rROP2, os valores encontrados não se relacionaram com os encontrados na avidez com extrato de T. gondii, independente do tipo de caotrópico utilizado. Estes dados mostram que a maturação da avidez é especifica para a resposta imune ou a prevalência de um antígeno durante a infecção. Os ELISA para IgG anti rROP2 podem ser teste sorológico alternativo para o diagnóstico da toxoplasmose durante a gravidez, embora nossos dados não apóiem seu uso em ensaios de avidez de IgG Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2009-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/31290Revista do Instituto de Medicina Tropical de São Paulo; Vol. 51 No. 5 (2009); 283-288 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 51 Núm. 5 (2009); 283-288 Revista do Instituto de Medicina Tropical de São Paulo; v. 51 n. 5 (2009); 283-288 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/31290/33175Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessMacre, Miriam de SouzaPires, MárcioMeireles, Luciana ReginaAngel, Sérgio O.Andrade Jr., Heitor Franco de2012-07-07T19:24:45Zoai:revistas.usp.br:article/31290Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:58.135209Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women Sorologia utilizando o antígeno recombinante ROP2 no diagnóstico da toxoplasmose em mulheres grávidas |
title |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
spellingShingle |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women Macre, Miriam de Souza Toxoplasmosis Pregnancy Serology Recombinant proteins Avidity |
title_short |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
title_full |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
title_fullStr |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
title_full_unstemmed |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
title_sort |
Serology using rROP2 antigen in the diagnostic of toxoplasmosis in pregnant women |
author |
Macre, Miriam de Souza |
author_facet |
Macre, Miriam de Souza Pires, Márcio Meireles, Luciana Regina Angel, Sérgio O. Andrade Jr., Heitor Franco de |
author_role |
author |
author2 |
Pires, Márcio Meireles, Luciana Regina Angel, Sérgio O. Andrade Jr., Heitor Franco de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Macre, Miriam de Souza Pires, Márcio Meireles, Luciana Regina Angel, Sérgio O. Andrade Jr., Heitor Franco de |
dc.subject.por.fl_str_mv |
Toxoplasmosis Pregnancy Serology Recombinant proteins Avidity |
topic |
Toxoplasmosis Pregnancy Serology Recombinant proteins Avidity |
description |
Toxoplasma gondii causes severe fetal disease during acute infection in pregnant women, thus demanding early diagnosis for effective treatment and fetus preservation. Fetal tests are inefficient and risky, and diagnosis is based on maternal IgM serology, which had weak screening ability due to increased sensitivity, with alternative IgG avidity tests. Here, we performed ELISA and avidity assays using a recombinant T. gondii antigen, rROP2, in samples from 160 pregnant women screened from a large public hospital who were referred due to positive IgM assays. IgG serology and avidity assays were compared using whole T. gondii extract or rROP2. ELISA IgG detection with rROP2 showed good agreement with assays performed with T. gondii extract, but rROP2 IgG avidity assays were unrelated to whole extract antigen IgG avidity, regardless of the chaotrope used. These data show that avidity maturation is specific to individual antigen prevalence and immune response during infection. ELISA rROP2 IgG assays may be an alternative serological test for the diagnosis of toxoplasmosis during pregnancy, although our data do not support their use in avidity assays. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/31290 |
url |
https://www.revistas.usp.br/rimtsp/article/view/31290 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/31290/33175 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 51 No. 5 (2009); 283-288 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 51 Núm. 5 (2009); 283-288 Revista do Instituto de Medicina Tropical de São Paulo; v. 51 n. 5 (2009); 283-288 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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1798951647374737408 |