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A filtration-based rapid test using a partially purified third-stage larval antigen to detect specific antibodies for the diagnosis of gnathostomiasis

Published online by Cambridge University Press:  16 November 2017

A. Ma ,
Y. Wang ,
X.L. Liu ,
H.M. Zhang ,
P. Eamsobhana ,
H.S. Yong  and
X.X. Gan
A. Ma
Affiliation:
Institute of Parasitic Diseases, Zhejiang Academy of Medical Sciences, Hangzhou, Zhejiang, P.R. China
Y. Wang
Affiliation:
Institute of Parasitic Diseases, Zhejiang Academy of Medical Sciences, Hangzhou, Zhejiang, P.R. China
X.L. Liu
Affiliation:
Institute of Parasitic Diseases, Zhejiang Academy of Medical Sciences, Hangzhou, Zhejiang, P.R. China
H.M. Zhang
Affiliation:
Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control, Nanning, Guangxi, P.R. China
P. Eamsobhana
Affiliation:
Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
H.S. Yong
Affiliation:
Institute of Biological Sciences, University of Malaya, Kuala Lumpur, Malaysia
X.X. Gan*
Affiliation:
Institute of Parasitic Diseases, Zhejiang Academy of Medical Sciences, Hangzhou, Zhejiang, P.R. China
*
Author for correspondence: X.X. Gan, E-mail: xxgan@zjams.com.cn
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Abstract

Human gnathostomiasis is an emerging food-borne parasitic disease caused by nematodes of the genus Gnathostoma. Currently, serological tests are commonly applied to support clinical diagnosis. In the present study, a simple and rapid filtration-based test, dot immune–gold filtration assay (DIGFA) was developed using a partially purified antigen of Gnathostoma third-stage larvae (L3). A total of 180 serum samples were tested to evaluate the diagnostic potential of DIGFA for gnathostomiasis. The diagnostic sensitivity and specificity were 96.7% (29/30) and 100% (25/25), respectively. The cross-reactivity with sera from other helminthiasis patients ranged from 0 to 4%, with an average of 1.6% (2/125). DIGFA using a partially purified L3 antigen was not only simple and rapid, but also more accurate than standard assays for the diagnosis of human gnathostomiasis. DIGFA may represent a promising tool for application in laboratories or in the field, without requiring any instrumentation.

Type
Research Paper
Information
Journal of Helminthology , Volume 93 , Issue 1 , January 2019 , pp. 26 - 32
Copyright
Copyright © Cambridge University Press 2017 

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