Antibody subclass profile against Leishmania braziliensis and Leishmania amazonensis in the diagnosis and follow-up of mucosal leishmaniasis

Diagn Microbiol Infect Dis. 2003 Nov;47(3):477-85. doi: 10.1016/s0732-8893(03)00141-x.

Abstract

Sensitivities and specificities of IgG subclasses-ELISA and IgG-indirect fluorescent antibody test (IFAT) against Leishmania braziliensis (Lb) and L. amazonensis (La) antigens were determined in 17 patients with mucosal (ML) and 19 with muco-cutaneous (MCL) leishmaniasis. Using IFAT-IgG both antigens gave high sensitivities and were statistically similar, being 89.5% with La and 100% with Lb. Using ELISA, the highest sensitivity was achieved with total IgG for ML (94.7% with both antigens) and MCL (100% with both antigens). Cross-reactivity, observed with Chagas disease and malaria sera reduced the specificity of the IgG-based assays, being 50 to 70% with IFAT and 40 to 70% with ELISA. An increase in specificity was obtained with IgG1-ELISA (90% with Lb and 100% with La). Serum levels of anti-Lb-IgG and IgG3 dropped 90 days after treatment. IgG subclasses antibody detection constitute an valuable alternative to increase the efficiency of sorological diagnostics of ML/MCL.

Publication types

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

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Animals
  • Antibodies, Protozoan / analysis
  • Antibodies, Protozoan / classification*
  • Brazil
  • Cohort Studies
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Fluorescent Antibody Technique, Indirect
  • Follow-Up Studies
  • Humans
  • Immunoglobulin G / analysis
  • Leishmania braziliensis / immunology*
  • Leishmania braziliensis / isolation & purification
  • Leishmania major / immunology*
  • Leishmaniasis, Cutaneous / diagnosis*
  • Leishmaniasis, Cutaneous / immunology
  • Leishmaniasis, Mucocutaneous / diagnosis*
  • Male
  • Middle Aged
  • Probability
  • Sampling Studies
  • Sensitivity and Specificity
  • Statistics, Nonparametric

Substances

  • Antibodies, Protozoan
  • Immunoglobulin G