Meza-Lucas Antonio, Carmona-Miranda Laura, García-Jerónimo Roberto C, Torrero-Miranda Alejandra, González-Hidalgo Germán, López-Castellanos Guillermo, Correa Dolores
Instituto de Diagnóstico y Referencia Epidemiológicos, Secretaria de Salud, Mexico City, DF, Mexico.
Am J Trop Med Hyg. 2003 Aug;69(2):223-7.
Epidemiologic data suggest that 30-40% of Taenia solium-seropositive people become spontaneously negative without acquiring cysticercosis. To compare the responses of these individuals with those of patients with neurocysticercosis, we screened seropositive persons among family members of 16 patients. We searched for specific antibodies in patients and their 118 households by an enzyme-linked immunoelectrotransfer blot assay using specific glycoproteins of T. solium metacestodes. We found six seropositive individuals without neurocysticercosis among members of four families. The matching patients were young, harbored viable cysts, and had short evolution of disease. The baseline response of healthy seropositive individuals was scarce and showed a low frequency of antibodies against glycoproteins GP39-42 and GP24, which are immunodominant in patients with neurocysticercosis. Moreover, they became spontaneously negative in few months. The response of patients was heterogeneous as shown in other studies. The results of this work support a highly dynamic host-parasite immunologic interaction and suggest individual susceptibility or level of exposure among family members.
流行病学数据表明,30%-40%的猪带绦虫血清学阳性者会在未患囊尾蚴病的情况下自然转阴。为比较这些人与神经囊尾蚴病患者的反应,我们在16例患者的家庭成员中筛查了血清学阳性者。我们通过使用猪带绦虫囊尾蚴特异性糖蛋白的酶联免疫电转移印迹法,在患者及其118户家庭中寻找特异性抗体。我们在四个家庭的成员中发现了6例无神经囊尾蚴病的血清学阳性个体。匹配的患者较为年轻,体内有活囊,病程较短。健康血清学阳性个体的基线反应较弱,针对糖蛋白GP39-42和GP24的抗体频率较低,而这些糖蛋白在神经囊尾蚴病患者中具有免疫优势。此外,他们在几个月内自然转阴。正如其他研究所示,患者的反应具有异质性。这项工作的结果支持了高度动态的宿主-寄生虫免疫相互作用,并提示家庭成员之间存在个体易感性或接触水平差异。