RESUMO
Recently described enzyme-linked immunosorbent assay (ELISA) and immunoblot methods for the detection of serum IgG against Strongyloides stercoralis larval antigens were prospectively evaluated for the diagnosis of endemic strongyloidiasis. A modification of the ELISA involved preincubation of sera with Onchocerca gutturosa phosphate-buffered saline-soluble extract to remove cross-reactivity with other helminths. The sensitivity of the ELISA increased from 80% to 85% following preincubation. Similarly, there was an increase in specificity from 94% to 97%. The IgG recognition of 41-, 31-, and 28-kD filariform larval components showed sensitivities of 100%, 85%, and 65%, respectively. Both the ELISA following incubation of sera with O. gutturosa extract and serum IgG reactivity to a 41-kD larval component using immunoblotting are sensitive and specific techniques for diagnosing endemic strongyloidiasis.
Assuntos
Anticorpos Anti-Helmínticos/sangue , Ensaio de Imunoadsorção Enzimática , Immunoblotting , Strongyloides stercoralis/imunologia , Estrongiloidíase/diagnóstico , Animais , Antígenos de Helmintos/imunologia , Reações Cruzadas , Estudos de Avaliação como Assunto , Reações Falso-Positivas , Fezes/parasitologia , Humanos , Imunoglobulina G/sangue , Larva/imunologia , Onchocerca/imunologia , Estudos Prospectivos , Sensibilidade e EspecificidadeRESUMO
The present study compares parasite-specific antibody responses in two Caribbean communities with high and low levels of Trichuris trichiura transmission. The age-dependency of antibody levels suggest that IgG1 and IgG2 levels relate to the current intensity of infection (as assessed by density of eggs in stool (e.p.g.) and reflect the age-intensity profile at the population level. IgG4, IgE and IgA levels persist into early adulthood and the subsequent decline is gradual. In the low transmission area, lower infection levels are reflected in lower parasite-specific antibody levels (of all isotypes) in the community as a whole. Despite a significantly greater past experience of infection in the high transmission area, antibody levels are not maintained at significantly higher levels throughout adulthood. The production of IgA appears to require a threshold for triggering, and a vigorous IgA response is maintained into early adulthood only in the high transmission village where peak intensity is greatest and the age-convexity of intensity is most marked. Experimental and theoretical studies focusing on the dynamic nature of host-helminth interactions in hosts exposed to high and low infection levels, and the putative role of acquired immunity, are discussed in relation to the data presented.
Assuntos
Anticorpos Anti-Helmínticos/sangue , Imunoglobulinas/sangue , Tricuríase/epidemiologia , Trichuris/imunologia , Adolescente , Adulto , Fatores Etários , Animais , Criança , Pré-Escolar , Reações Cruzadas , Ensaio de Imunoadsorção Enzimática , Humanos , Lactente , Pessoa de Meia-Idade , Prevalência , Especificidade da Espécie , Tricuríase/imunologia , Tricuríase/transmissão , Índias Ocidentais/epidemiologiaRESUMO
Our knowledge of gene and genome organization in nematodes is growing rapidly, partly as a result of the Caenorhabditis elegans genome project. Here Martin Hammond and Ted Bianco review what is known about the organization of genes and genomes in parasitic nematode species, using information gained from molecular and cytological approaches. They suggest that there are implications not only for a wide range of problems in parasitology but also for our understanding of genome evolution in eukaryotes.
RESUMO
This study examines the age-dependency of the relationships between human infection with whipworm (Trichuris trichiura) and parasite-specific antibody level measured by ELISA against an extract of adult worms after preincubation of the sera with Ascaris lumbricoides adult worm extract. The convex age-profile of parasite infection intensity is shown to be mirrored by an age-dependent change in age-class mean levels of IgG (all subclasses except IgG3), IgA, IgM and IgE. Mean antibody levels rise with increasing acquisition of infection in childhood and decline as the intensity of infection falls in adulthood. Immunoblot analysis of selected sera from different age-classes indicates that antigen recognition is similarly dependent on infection intensity. In individual children, antibody levels correlate positively with acquisition of infection, consistent with a simple model of antigen dosage specifying the magnitude of the humoral immune response. In adults, IgG4 correlates positively and IgA negatively with intensity of infection, suggesting involvement of these isotypes in functional roles of immune blockade or effector mechanisms, respectively.