Mokhtarian Kobra, Meamar Ahmad Reza, Khoshmirsafa Majid, Razmjou Elham, Masoori Leila, Khanmohammadi Majid, Akhlaghi Lame, Falak Reza
Medical Plant Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Parasitol Res. 2018 Jan;117(1):225-232. doi: 10.1007/s00436-017-5696-3. Epub 2017 Dec 4.
Laboratory diagnosis of sheep fasciolosis is commonly performed by coprological examinations; however, this method may lead to false negative results during the acute phase of the infection. Furthermore, the poor sensitivity of coprological methods is considered to be a paradox in the chronic phase of the infection. In this study, we compared the immunoreactivity of native and recombinant forms of Fasciola hepatica excretory/secretory antigens and determined their capabilities for the development of F. hepatica-specific immunoassays. Immunoreactivity and specificity of recombinant and native forms of F. hepatica antigens, including fatty acid binding protein (FABP), glutathione-S-transferase (GST), and cathepsin L-1 (CL1), in parallel with native forms of FABP and GST, were studied for serodiagnosis of the chronic form of sheep fasciolosis, individually or in combination with each other by enzyme-linked immunosorbent assays (ELISA). The correlation of the findings was assessed by receiver-operator characteristic (ROC); furthermore, the specificity and sensitivity were assessed by Youden's J. Serologic cross-reactivity was evaluated using samples from healthy sheep (n = 40), Fasciola-infected sheep (n = 30), and sheep with other parasitic infections (n = 43). The FABPs were determined to be greater than 95% sensitive for F. hepatica serodiagnosis. The most desirable diagnostic recombinant antigen was rCL1, which showed 100% sensitivity and 97% specificity in ELISA and was capable of discriminating the positive and negative samples by maximum Youden's J results. We conclude that rCL1 can be used for routine serodiagnosis of chronic fasciolosis. Thus, it could be advantageous in development of immunoassays for screening of ovine herds in fasciolosis-endemic areas and as a reliable agent for detection of fasciolosis in non-endemic regions.
绵羊肝片吸虫病的实验室诊断通常通过粪便学检查进行;然而,这种方法在感染急性期可能导致假阴性结果。此外,粪便学方法在感染慢性期的低敏感性被认为是一个矛盾现象。在本研究中,我们比较了肝片吸虫排泄/分泌抗原的天然形式和重组形式的免疫反应性,并确定了它们用于开发肝片吸虫特异性免疫测定的能力。通过酶联免疫吸附测定(ELISA),研究了肝片吸虫抗原重组形式和天然形式(包括脂肪酸结合蛋白(FABP)、谷胱甘肽-S-转移酶(GST)和组织蛋白酶L-1(CL1))与FABP和GST天然形式单独或相互组合用于绵羊肝片吸虫病慢性形式血清诊断的免疫反应性和特异性。通过受试者工作特征(ROC)评估结果的相关性;此外,通过约登指数(Youden's J)评估特异性和敏感性。使用来自健康绵羊(n = 40)、感染肝片吸虫的绵羊(n = 30)和患有其他寄生虫感染的绵羊(n = 43)的样本评估血清交叉反应性。确定FABP对肝片吸虫血清诊断的敏感性大于95%。最理想的诊断重组抗原是rCL1,它在ELISA中显示出100%的敏感性和97%的特异性,并且能够通过最大约登指数结果区分阳性和阴性样本。我们得出结论,rCL1可用于慢性肝片吸虫病的常规血清诊断。因此,它在开发用于筛查肝片吸虫病流行地区绵羊群的免疫测定以及作为非流行地区肝片吸虫病检测的可靠试剂方面可能具有优势。