A sensitive serodiagnostic test for onchocerciasis using a cocktail of recombinant antigens

Am J Trop Med Hyg. 1993 Feb;48(2):198-204. doi: 10.4269/ajtmh.1993.48.198.

Abstract

A specific serodiagnostic test for onchocerciasis has been a priority objective of the World Health Organization. Fragments of cDNA encoding Onchocerca volvulus antigens selected on the basis of their specificity for this parasite were subcloned into a protein purification and expression system. No individual recombinant antigen showed a high sensitivity in an enzyme-linked immunosorbent assay because of heterogeneity in the response of O. volvulus-infected individuals. However, a cocktail of three recombinant proteins showed 96% sensitivity with 100% specificity, compared with 99% sensitivity and only 59% specificity against a crude O. volvulus extract. The sensitivity of detection of individual antigens varied between sera taken from individuals from different geographic areas infected with O. volvulus, but when used as a cocktail, all but one of the microfilaria-positive individuals from all the geographic areas studied were detected. Recombinant probes provide a practical basis for specific diagnostic tests for helminth infections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Africa
  • Animals
  • Antibodies, Helminth / blood*
  • Antigens, Helminth* / immunology
  • Enzyme-Linked Immunosorbent Assay
  • Filariasis / diagnosis
  • Filariasis / immunology
  • Humans
  • Immune Sera / immunology
  • Latin America
  • Onchocerca volvulus / immunology*
  • Onchocerciasis / diagnosis*
  • Onchocerciasis / immunology
  • Recombinant Proteins / immunology
  • Sensitivity and Specificity

Substances

  • Antibodies, Helminth
  • Antigens, Helminth
  • Immune Sera
  • Recombinant Proteins