Boonciew Pannawich, Saisongkorh Watcharee, Brameld Suppalak, Thongpin Matsaya, Kurilung Alongkorn, Krangvichian Pratomporn, Niyomtham Waree, Patarakul Kanitha, Phichitraslip Thanmaporn, Hampson David J, Prapasarakul Nuvee
Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, Henri-Dunent Street, Pathumwan, Bangkok 10330, Thailand.
Laboratory of Immunology, National Institute of Health, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand.
Animals (Basel). 2024 Mar 14;14(6):893. doi: 10.3390/ani14060893.
Leptospirosis is a zoonotic disease of significant concern for human and animal health, with domestic animals, including dogs, acting as reservoirs for human infection. Serology is widely used for leptospirosis diagnosis, even though the standard microscopic agglutination test (MAT) using a panel of serovars lacks specificity and can lead to detection limitations in certain regions. In this study, we aimed to develop an antibody detection tool for dogs using an indirect enzyme-linked immunosorbent assay (ELISA) with a set of local serovar isolates, including Paidjan, Dadas, and Mini, to enhance the accuracy of leptospirosis surveillance in our region. The specificity and sensitivity of various antigen preparations, namely leptospiral whole-cell protein (WCP), total membrane protein (TMP), and outer membrane protein (OMP), were assessed using sera from infected and non-infected dogs, as well as negative puppy sera. Leptospirosis diagnosis was supported using a genus-specific nested polymerase chain reaction test on all collected sera. Protein preparations were validated using SDS-PAGE and Western blotting analysis. In the results, the standard MAT failed to detect antibodies in any of the dogs confirmed as being infected using PCR and isolation, highlighting its limitations. In contrast, the OMP-based ELISAs using local isolates of serovars gave positive results with sera from all infected dogs, and negative results with sera from all dogs from non-endemic areas. IgG titres of infected and unvaccinated dogs from endemically affected areas were significantly higher than those in non-endemic regions. Using the OMP-based IgG/ELISAs with the local serovar Dadas resulted in higher specificity and lower sensitivity than when using the WCP- and TMP-based IgG/ELISAs. Agreement analysis revealed fair and moderate concordance between OMP-based IgG/ELISAs and PCR results, whereas slight and fair agreement was observed between OMP-based ELISAs and the MAT. Overall, the modified OMP-based IgG/ELISAs, utilising relevant local serovar isolates from dogs, demonstrated improved accuracy in detecting leptospirosis in the study area, overcoming the limitations of the MAT. This study highlights the importance of identifying and incorporating these local circulating serovar isolates into serological techniques for leptospirosis diagnosis and surveillance.
钩端螺旋体病是一种对人类和动物健康具有重大影响的人畜共患病,包括狗在内的家畜是人类感染的储存宿主。血清学广泛用于钩端螺旋体病的诊断,尽管使用一组血清型的标准显微镜凝集试验(MAT)缺乏特异性,并且在某些地区可能导致检测受限。在本研究中,我们旨在开发一种针对狗的抗体检测工具,使用间接酶联免疫吸附测定(ELISA),结合一组本地血清型分离株,包括派吉安、达达和米尼,以提高我们地区钩端螺旋体病监测的准确性。使用感染和未感染狗的血清以及阴性幼犬血清,评估了各种抗原制剂的特异性和敏感性,这些抗原制剂分别是钩端螺旋体全细胞蛋白(WCP)、总膜蛋白(TMP)和外膜蛋白(OMP)。对所有采集的血清进行属特异性巢式聚合酶链反应检测,以辅助钩端螺旋体病诊断。通过SDS-PAGE和蛋白质印迹分析对蛋白质制剂进行验证。结果显示,标准MAT未能在任何经PCR和分离确诊感染的狗中检测到抗体,凸显了其局限性。相比之下,使用本地血清型分离株的基于OMP的ELISA对所有感染狗的血清呈阳性结果,对所有非流行地区狗的血清呈阴性结果。来自地方流行区的感染且未接种疫苗的狗的IgG滴度显著高于非流行地区的狗。与使用基于WCP和TMP的IgG/ELISA相比,使用基于本地血清型达达的OMP的IgG/ELISA具有更高的特异性和更低的敏感性。一致性分析显示,基于OMP的IgG/ELISA与PCR结果之间具有中等程度的一致性,而基于OMP的ELISA与MAT之间的一致性为轻度至中等程度。总体而言,利用来自狗的相关本地血清型分离株的改良基于OMP的IgG/ELISA在研究区域检测钩端螺旋体病时显示出更高的准确性,克服了MAT的局限性。本研究强调了识别并将这些本地流行的血清型分离株纳入钩端螺旋体病诊断和监测的血清学技术中的重要性。