Smets Aurélie, Fauchier Thomas, Michel Grégory, Marty Pierre, Pomares Christelle
Laboratoire de Biologie Médicale, Centre Hospitalier de la Dracénie, 83300 Draguignan, France.
Service de Santé Publique, Unité EVARISQ, CHU Poitiers, 86021 Poitiers, France.
Parasite. 2016;23:45. doi: 10.1051/parasite/2016056. Epub 2016 Oct 20.
A maternal Toxoplasma gondii infection during pregnancy is a risk for congenital infection through maternal-fetal transplacental transmission. Estimation of the date of infection is of the utmost importance for management and treatment recommendations. In this setting, IgG avidity has been shown to be useful as high avidity rules out an infection dating less than 4 months. The estimated date of infection can also be obtained by the ratio of T. gondii IgG titers measured by the Vidas (bioMérieux) assay versus T. gondii IgG titers measured by the Architect (Abbott Laboratories) test, together with T. gondii IgM and IgA antibody responses. In this study, using 117 serum samples from pregnant women, we compared the IgG avidity values obtained by Architect and Vidas with the presumed date of T. gondii infection established by the T. gondii IgG ratio of IgG Vidas and IgG Architect plus the IgM and IgA results. To date, IgG avidity Vidas seems to exhibit better performance than Architect. For both assays, gray zone results were most likely obtained from patients infected more than 4 months before sampling. These data should be taken into account for a possible reconsideration of the interpretation of avidity results in the gray zone.
孕期母亲感染弓形虫可通过母婴经胎盘传播导致先天性感染。确定感染日期对于管理和治疗建议至关重要。在这种情况下,已证明IgG亲和力检测很有用,因为高亲和力可排除感染时间少于4个月的情况。感染估计日期也可通过Vidas(生物梅里埃公司)检测法测得的弓形虫IgG滴度与Architect(雅培实验室)检测法测得的弓形虫IgG滴度之比,以及弓形虫IgM和IgA抗体反应来确定。在本研究中,我们使用117名孕妇的血清样本,将Architect和Vidas检测获得的IgG亲和力值与根据Vidas法和Architect法测得的弓形虫IgG滴度之比以及IgM和IgA结果确定的假定弓形虫感染日期进行了比较。迄今为止,Vidas法检测的IgG亲和力似乎比Architect法表现更好。对于这两种检测方法,灰色区域结果最有可能来自采样前4个月以上感染的患者。在重新考虑灰色区域亲和力结果的解释时应考虑这些数据。