Validation of a recombinant based antibody ELISA for diagnosis of human and canine leishmaniasis

J Immunoassay Immunochem. 2008;29(3):244-56. doi: 10.1080/15321810802116006.

Abstract

In this study, a recombinant chimeric antigen (CA) ELISA was validated as a single test for both human and dog leishmaniasis. Serum panels included 327 human and 339 canine IFAT-positive and 1113 human and 1078 canine IFAT-negative samples. CA-ELISA was carried out using the same serum dilution, and labelled protein A as secondary reagent. Test performances were calculated using ROC analysis. For the human panel, the test showed diagnostic accuracy (DA) 0.974, specificity (Sp) 97.12%, sensitivity (Se) 91.44%, and concordance (K) 0.88. The dog panel showed DA 0.998, Sp 99.54%, Se 98.54%, and K 0.98. The proposed method is the best recombinant antigen-based ELISA, and can be used as IFAT substitute for mass screening.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Animals
  • Antibodies, Protozoan / blood*
  • Antigens, Protozoan / immunology*
  • Dog Diseases / diagnosis*
  • Dog Diseases / immunology
  • Dogs
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Humans
  • Leishmania / immunology*
  • Leishmaniasis / diagnosis*
  • Leishmaniasis / immunology
  • Leishmaniasis / veterinary*
  • Recombinant Fusion Proteins / immunology
  • Sensitivity and Specificity

Substances

  • Antibodies, Protozoan
  • Antigens, Protozoan
  • Recombinant Fusion Proteins