Ribeiro Flávia Coelho, Schubach Armando de O, Mouta-Confort Eliame, Pacheco Tânia M V, Madeira Maria de Fátima, Abboud Luiz Cláudio de Souza, Honse Carla de Oliveira, Alves Andreia Silva, Marzochi Mauro C A
Laboratório de Vigilância em Leishmanioses, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, RJ, Brasil.
Rev Inst Med Trop Sao Paulo. 2011 Sep-Oct;53(5):283-9. doi: 10.1590/s0036-46652011000500008.
Indirect immunofluorescence is the method recommended for the diagnosis of visceral leishmanisis in dogs, however, the accuracy of this technique is low and its use on a large scale is limited. Since ELISA does not present these limitations, this technique might be an option for the detection of IgG or specific IgG1 and IgG2 subclasses. Canine ehrlichiosis is an important differential diagnosis of American Visceral Leishmaniasis (AVL). The present study compared ELISA using Leishmania chagasi and Leishmania braziliensis antigen for the detection of anti-Leishmania IgG and subclasses in serum samples from 37 dogs naturally infected with L. chagasi (AVL) and in samples from four dogs co-infected with L. braziliensis and L. chagasi (CI). The occurrence of cross-reactivity was investigated in control serum samples of 17 healthy dogs (HC) and 35 infected with Ehrlichia canis (EC). The mean optical density obtained for the detection of IgG was significantly higher when L. chagasi antigen was used, and was also higher in subgroup VLs (symptomatic) compared to subgroup Vla (asymptomatic). The correlation between IgG and IgG1 was low. The present results suggest that IgG ELISA using homologous antigen yields the best results, permitting the diagnosis of asymptomatic L. chagasi infection and the discrimination between cases of AVL and ehrlichiosis in dogs.
间接免疫荧光法是推荐用于诊断犬内脏利什曼病的方法,然而,该技术的准确性较低,其大规模应用受到限制。由于酶联免疫吸附测定(ELISA)不存在这些局限性,该技术可能是检测IgG或特异性IgG1和IgG2亚类的一种选择。犬埃立克体病是美洲内脏利什曼病(AVL)的重要鉴别诊断疾病。本研究比较了使用恰加斯利什曼原虫和巴西利什曼原虫抗原的ELISA法,用于检测37只自然感染恰加斯利什曼原虫(AVL)的犬血清样本以及4只同时感染巴西利什曼原虫和恰加斯利什曼原虫(CI)的犬样本中的抗利什曼原虫IgG及其亚类。在17只健康犬(HC)和35只感染犬埃立克体(EC)的对照血清样本中研究了交叉反应的发生情况。使用恰加斯利什曼原虫抗原检测IgG时获得的平均光密度显著更高,并且在VLs亚组(有症状)中也高于Vla亚组(无症状)。IgG和IgG1之间的相关性较低。目前的结果表明,使用同源抗原的IgG ELISA产生的结果最佳,能够诊断无症状的恰加斯利什曼原虫感染,并区分犬的AVL病例和埃立克体病。