Evaluation of a chemiluminescent enzyme-linked immunosorbent assay for the diagnosis of Trypanosoma cruzi infection in a nonendemic setting

Mem Inst Oswaldo Cruz. 2013 Nov;108(7):928-31. doi: 10.1590/0074-0276130112.

Abstract

The disappearance of lytic, protective antibodies (Abs) from the serum of patients with Chagas disease is accepted as a reliable indicator of parasitological cure. The efficiency of a chemiluminescent enzyme-linked immunosorbent assay based on a purified, trypomastigote-derived glycosylphosphatidylinositol-anchored mucin antigen for the serologic detection of lytic Abs against Trypanosoma cruzi was evaluated in a nonendemic setting using a panel of 92 positive and 58 negative human sera. The technique proved to be highly sensitive {100%; 95% confidence interval (CI) = 96-100} and specific (98.3%; 95% CI = 90.7-99.7), with a kappa score of 0.99. Therefore, this assay can be used to detect active T. cruzi infection and to monitor trypanosomicidal treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Protozoan / blood*
  • Antigens, Protozoan
  • Case-Control Studies
  • Chagas Disease / diagnosis*
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Glycosylphosphatidylinositols
  • Humans
  • Luminescence
  • Trypanosoma cruzi / immunology*

Substances

  • Antibodies, Protozoan
  • Antigens, Protozoan
  • Glycosylphosphatidylinositols