Leishmania infantum-derived lipophosphoglycan as an antigen in the accurate serodiagnosis of canine leishmaniasis

PLoS Negl Trop Dis. 2019 Sep 12;13(9):e0007720. doi: 10.1371/journal.pntd.0007720. eCollection 2019 Sep.

Abstract

Lipophosphoglycan (LPG) is the major surface glycoconjugate of Leishmania protozoan and has an important biological role in host-parasite interactions both in the midgut epithelium of the sand fly vector and in the vertebrate macrophages. Canine leishmaniasis (CanL) is a chronic infectious disease predominantly caused by Leishmania infantum. An early and accurate immunodiagnosis of the disease is crucial for veterinary clinical practice and for disease control. In this work, we evaluated L. infantum LPG as an antigen in an indirect enzyme-linked immunosorbent assay (ELISA) for CanL immunodiagnosis (LPG-ELISA) by testing serum samples from 97 naturally infected dogs with diverse clinical presentations ranging from subclinical infection to severe disease, as evaluated by veterinarian infectologists. Serum samples from healthy dogs from non-endemic areas (n = 68) and from dogs with other infectious diseases (n = 64) were used as controls for assay validation. The performance of the LPG-ELISA was compared with that of an ELISA using the soluble fraction of L. infantum total lysate antigen (TLA). LPG-ELISA presented a superior performance in comparison to TLA-ELISA, with 91.5% sensitivity, 98.5% specificity and 99.7% accuracy. A distinguishing feature of the LPG-ELISA compared to the TLA-ELISA was its higher ability to identify subclinical infection in clinically healthy dogs, in addition to the absence of cross-reactivity with other canine infectious diseases. Finally, LPG-ELISA was compared to TR DPP visceral canine leishmaniasis test, the immunochromatographic test recommended by the Brazilian Ministry of Agriculture. LPG-ELISA exhibited higher values of specificity (98.5% versus 93.1%) and sensitivity (91.5% versus 90.6%) compared to TR DPP. In conclusion, L. infantum-derived LPG was recognized by antibodies elicited during CanL in different infection stages and was shown to be a suitable antigen for specific clinical settings of veterinary diagnosis and for public health usage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, Protozoan / analysis
  • Dog Diseases / diagnosis
  • Dog Diseases / immunology
  • Dog Diseases / parasitology
  • Dogs
  • Enzyme-Linked Immunosorbent Assay / methods
  • Glycosphingolipids / immunology
  • Leishmania infantum / immunology
  • Leishmania infantum / isolation & purification
  • Leishmaniasis / blood
  • Leishmaniasis / diagnosis
  • Leishmaniasis / veterinary*
  • Serologic Tests / veterinary

Substances

  • Antigens, Protozoan
  • Glycosphingolipids
  • lipophosphonoglycan

Grants and funding

This work was supported by Bahia State Research Foundation – FAPESB (Grant number PRONEM - 498/2011 - PNE 0002/2011), by the Brazilian Coordination for Improvement of Higher Education Personnel - CAPES (PhD fellowship for G. Porfirio Passos), by Minas Gerais State Research Foundation - FAPEMIG (PPM-00102-16) and National Council on Scientific and Technological Development - CNPq (305065/2016). Rodrigo Pedro Pinto Soares (302972/2019-6) and Stella Maria Barrouin-Melo (307813/2018-5) are research fellows from CNPq. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The immunoassay herein developed is included in a patent deposit (INPI BR 10 2018 067339 4), deposited by the Federal University of Bahia and by the Oswaldo Cruz Foundation.