Seroconversion to Lutzomyia intermedia LinB-13 as a biomarker for developing cutaneous leishmaniasis

Sci Rep. 2017 Jun 9;7(1):3149. doi: 10.1038/s41598-017-03345-0.

Abstract

Sand flies inject saliva while feeding in the vertebrate host and anti-saliva antibodies can be used as biomarkers of exposure to Leishmania vectors. We expressed recombinant salivary proteins from Lutzomyia intermedia, a vector of Leishmania braziliensis, and evaluated the seroreactivity in exposed individuals in search for exposure markers. We found a strong correlation among positive serology to recombinant proteins LinB-13, 26, 15, 21 and to salivary proteins: rLinB-13 was the top performing molecule; IgG4 was the most predominant antibody subclass and antibodies to rLinB-13 did not cross react with Lu. longipalpis salivary proteins. By evaluating a cohort of contacts of CL patients, we confirmed that rLinB-13, an antigen 5-related protein, is a marker of exposure to Lu. intermedia with high degree of accuracy. In a 5-year follow up, we determined that individuals who developed CL presented higher anti-rLinB13 IgG responses, before the appearance of clinical symptoms. They also presented a lower frequency of cellular responses to the parasite (DTH). Our results show that seroconversion to a salivary molecule, rLinB-13, is a marker of risk for CL development caused by Leishmania braziliensis. This highlight the possibility of developing tools based on vector molecules to manage the disease in endemic areas.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomarkers / blood
  • Brazil / epidemiology
  • Early Diagnosis
  • Endemic Diseases*
  • Humans
  • Immune Sera / chemistry
  • Immunoblotting / methods
  • Immunoglobulin G / blood*
  • Insect Proteins / blood*
  • Insect Proteins / genetics
  • Insect Proteins / immunology
  • Insect Vectors / chemistry*
  • Insect Vectors / immunology
  • Leishmania braziliensis / pathogenicity
  • Leishmania braziliensis / physiology
  • Leishmaniasis, Cutaneous / blood
  • Leishmaniasis, Cutaneous / diagnosis*
  • Leishmaniasis, Cutaneous / epidemiology
  • Leishmaniasis, Cutaneous / immunology
  • Psychodidae / chemistry*
  • Psychodidae / immunology
  • Recombinant Proteins / biosynthesis
  • Recombinant Proteins / genetics
  • Recombinant Proteins / immunology
  • Salivary Proteins and Peptides / blood*
  • Salivary Proteins and Peptides / genetics
  • Salivary Proteins and Peptides / immunology
  • Seroconversion

Substances

  • Biomarkers
  • Immune Sera
  • Immunoglobulin G
  • Insect Proteins
  • Recombinant Proteins
  • Salivary Proteins and Peptides