Paller Vachel Gay V, Besana Cyrelle M, Valdez Isabel Kristine M
Institute of Biological Sciences, College of Arts and Sciences, University of the Philippines Los Baños, Los Baños, Laguna Philippines.
J Parasit Dis. 2017 Dec;41(4):933-939. doi: 10.1007/s12639-017-0914-6. Epub 2017 Apr 5.
Toxocariasis is a zoonotic disease usually caused by dog and cat roundworms, and Detection and diagnosis is difficult in paratenic and accidental hosts, including humans, as they cannot be detected through conventional methods such as fecal examination. Diagnosis therefore relies on immunological methods and molecular methods such as enzyme-linked immunosorbent assay (ELISA) and Western Blot, which are both time-consuming and requires sophisticated equipment. In the Philippines, only a few studies are available on seroprevalence. Therefore, there is a need to adapt methods for serodiagnosis of infection in humans for the Philippine setting. A dot enzyme linked immunosorbent assay (dot-ELISA) was standardized using excretory-secretory antigens. Test sera were collected from laboratory rats (Sprague-Dawley strain) experimentally infected with embryonated eggs of and as well as rice field rats naturally infected with and sp. Optimum conditions used were 20 µg/ml antigen concentration and 1:10 serum dilution. The sensitivity, specificity, positive, and negative predictive values were 90% (95% CI 55.5-99.7%), 100% (95% CI 69.2-100.0%), 100% (95% CI 66.4-100%), and 90.9% (95% CI 58.7-99.8%), respectively. Dot-ELISA has the potential to be developed as a cheaper, simpler, and more practical method for detection of anti- antibodies on accidental hosts. This is a preliminary study conducted on experimental animals before optimization and standardization for human serum samples.
弓蛔虫病是一种人畜共患病,通常由犬猫蛔虫引起。在转续宿主和偶然宿主(包括人类)中,检测和诊断都很困难,因为无法通过粪便检查等传统方法进行检测。因此,诊断依赖于免疫方法和分子方法,如酶联免疫吸附测定(ELISA)和蛋白质印迹法,这些方法既耗时又需要精密设备。在菲律宾,关于血清流行率的研究很少。因此,有必要针对菲律宾的情况调整人类感染的血清学诊断方法。使用排泄分泌抗原对斑点酶联免疫吸附测定(dot-ELISA)进行了标准化。从实验感染了 和 胚胎卵的实验室大鼠(斯普拉格-道利品系)以及自然感染了 和 种的稻田大鼠中收集测试血清。使用的最佳条件是抗原浓度为20μg/ml,血清稀释度为1:10。敏感性、特异性、阳性预测值和阴性预测值分别为90%(95%置信区间55.5 - 99.7%)、100%(95%置信区间69.2 - 100.0%)、100%(95%置信区间66.4 - 100%)和90.9%(95%置信区间58.7 - 99.8%)。Dot-ELISA有潜力发展成为一种更便宜、更简单、更实用的方法,用于检测偶然宿主中的抗 抗体。这是在针对人类血清样本进行优化和标准化之前,对实验动物进行的初步研究。