Validation of serological tests for the detection of antibodies against Treponema pallidum in nonhuman primates

PLoS Negl Trop Dis. 2015 Mar 24;9(3):e0003637. doi: 10.1371/journal.pntd.0003637. eCollection 2015 Mar.

Abstract

There is evidence to suggest that the yaws bacterium (Treponema pallidum ssp. pertenue) may exist in non-human primate populations residing in regions where yaws is endemic in humans. Especially in light of the fact that the World Health Organizaiton (WHO) recently launched its second yaws eradication campaign, there is a considerable need for reliable tools to identify treponemal infection in our closest relatives, African monkeys and great apes. It was hypothesized that commercially available serological tests detect simian anti-T. pallidum antibody in serum samples of baboons, with comparable sensitivity and specificity to their results on human sera. Test performances of five different treponemal tests (TTs) and two non-treponemal tests (NTTs) were evaluated using serum samples of 57 naturally T. pallidum-infected olive baboons (Papio anubis) from Lake Manyara National Park in Tanzania. The T. pallidum particle agglutination assay (TP-PA) was used as a gold standard for comparison. In addition, the overall infection status of the animals was used to further validate test performances. For most accurate results, only samples that originated from baboons of known infection status, as verified in a previous study by clinical inspection, PCR and immunohistochemistry, were included. All tests, TTs and NTTs, used in this study were able to reliably detect antibodies against T. pallidum in serum samples of infected baboons. The sensitivity of TTs ranged from 97.7-100%, while specificity was between 88.0-100.0%. The two NTTs detected anti-lipoidal antibodies in serum samples of infected baboons with a sensitivity of 83.3% whereas specificity was 100%. For screening purposes, the TT Espline TP provided the highest sensitivity and specificity and at the same time provided the most suitable format for use in the field. The enzyme immune assay Mastblot TP (IgG), however, could be considered as a confirmatory test.

Publication types

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

MeSH terms

  • Agglutination Tests / veterinary
  • Animals
  • Antibodies, Bacterial / blood
  • Monkey Diseases / epidemiology*
  • Monkey Diseases / immunology
  • Monkey Diseases / microbiology*
  • Papio*
  • Sensitivity and Specificity
  • Serologic Tests / methods
  • Serologic Tests / veterinary*
  • Tanzania / epidemiology
  • Treponema pallidum / immunology*
  • Yaws / epidemiology
  • Yaws / microbiology
  • Yaws / veterinary*

Substances

  • Antibodies, Bacterial

Grants and funding

SK received funding and support for the field work at Lake Manyara National Park from German Academic Exchange Program (D/06/43974, https://www.daad.de/de/), Christian Vogel Fond (2006, http://www.gf-primatologie.de/), World Association Zoos and Aquariums (07002, http://www.waza.org/en/site/home), University of Leipzig, Justus Liebig University of Giessen, Scil animal care company, Telinject, Translogistic, and Wuppertal Zoo. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.