Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii

It is quite difficult to diagnose active toxoplasmosis in patients with ocular toxoplasmosis. Active posterior uveitis presumably due to Toxoplasma gondii infection (APUPT) is seldom produced during a prime-infection; hence most patients do not show high IgM antibodies. High levels of IgA have been...

Full description

Bibliographic Details
Main Authors: Maria Isabel Lynch, Francisco Cordeiro, Silvana Ferreira, Ricardo Ximenes, Fernando Oréfice, Elizabeth Malagueño
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2004-12-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000800013
_version_ 1797718367118819328
author Maria Isabel Lynch
Francisco Cordeiro
Silvana Ferreira
Ricardo Ximenes
Fernando Oréfice
Elizabeth Malagueño
author_facet Maria Isabel Lynch
Francisco Cordeiro
Silvana Ferreira
Ricardo Ximenes
Fernando Oréfice
Elizabeth Malagueño
author_sort Maria Isabel Lynch
collection DOAJ
description It is quite difficult to diagnose active toxoplasmosis in patients with ocular toxoplasmosis. Active posterior uveitis presumably due to Toxoplasma gondii infection (APUPT) is seldom produced during a prime-infection; hence most patients do not show high IgM antibodies. High levels of IgA have been described in active toxoplasmosis. The purpose of this study was to investigate possible association between APUPT and the specific anti-parasite sIgA in tears. The study was carried out as case-control. Tears of 25 clinically confirmed APUPT patients and 50 healthy control subjects were analyzed. All were IgG seropositive. Specific sIgA was determined by ELISA assay using T. gondii RH strain crude extract. Anti-T. gondii sIgA was found in 84% of the cases and in 22% of the control subjects. The intensity of the reaction was higher in APUPT cases (P = 0.007). There was strong association between APUPT patients and lacrimal sIgA (odds-ratio 18.61, P = 0.0001). ELISA test sensitivity was 84% and specificity 78% . Our data suggest that anti-T.gondii secretory IgA found in tears may become an important marker for active ocular toxoplasmosis.
first_indexed 2024-03-12T08:49:59Z
format Article
id doaj.art-7c0a969f301a42a0932223e32d363ed1
institution Directory Open Access Journal
issn 0074-0276
1678-8060
language English
last_indexed 2024-03-12T08:49:59Z
publishDate 2004-12-01
publisher Fundação Oswaldo Cruz (FIOCRUZ)
record_format Article
series Memorias do Instituto Oswaldo Cruz
spelling doaj.art-7c0a969f301a42a0932223e32d363ed12023-09-02T16:21:41ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602004-12-0199886186410.1590/S0074-02762004000800013Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondiiMaria Isabel LynchFrancisco CordeiroSilvana FerreiraRicardo XimenesFernando OréficeElizabeth MalagueñoIt is quite difficult to diagnose active toxoplasmosis in patients with ocular toxoplasmosis. Active posterior uveitis presumably due to Toxoplasma gondii infection (APUPT) is seldom produced during a prime-infection; hence most patients do not show high IgM antibodies. High levels of IgA have been described in active toxoplasmosis. The purpose of this study was to investigate possible association between APUPT and the specific anti-parasite sIgA in tears. The study was carried out as case-control. Tears of 25 clinically confirmed APUPT patients and 50 healthy control subjects were analyzed. All were IgG seropositive. Specific sIgA was determined by ELISA assay using T. gondii RH strain crude extract. Anti-T. gondii sIgA was found in 84% of the cases and in 22% of the control subjects. The intensity of the reaction was higher in APUPT cases (P = 0.007). There was strong association between APUPT patients and lacrimal sIgA (odds-ratio 18.61, P = 0.0001). ELISA test sensitivity was 84% and specificity 78% . Our data suggest that anti-T.gondii secretory IgA found in tears may become an important marker for active ocular toxoplasmosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000800013anti-Toxoplasma gondii secretory IgAocular toxoplasmosis diagnosisantibodies anti-T. gondiisecretory IgA and ocular toxoplasmosis
spellingShingle Maria Isabel Lynch
Francisco Cordeiro
Silvana Ferreira
Ricardo Ximenes
Fernando Oréfice
Elizabeth Malagueño
Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
Memorias do Instituto Oswaldo Cruz
anti-Toxoplasma gondii secretory IgA
ocular toxoplasmosis diagnosis
antibodies anti-T. gondii
secretory IgA and ocular toxoplasmosis
title Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
title_full Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
title_fullStr Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
title_full_unstemmed Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
title_short Lacrimal secretory IgA in active posterior uveitis induced by Toxoplasma gondii
title_sort lacrimal secretory iga in active posterior uveitis induced by toxoplasma gondii
topic anti-Toxoplasma gondii secretory IgA
ocular toxoplasmosis diagnosis
antibodies anti-T. gondii
secretory IgA and ocular toxoplasmosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000800013
work_keys_str_mv AT mariaisabellynch lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii
AT franciscocordeiro lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii
AT silvanaferreira lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii
AT ricardoximenes lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii
AT fernandoorefice lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii
AT elizabethmalagueno lacrimalsecretoryigainactiveposterioruveitisinducedbytoxoplasmagondii