Recombinant antigens used as diagnostic tools for lymphatic filariasis

Abstract Lymphatic filariasis (LF) is a parasitic disease caused by the worms Wuchereria bancrofti, Brugia malayi, or Brugia timori. It is a tropical and subtropical illness that affects approximately 67 million people worldwide and that still requires better diagnostic tools to prevent its spread a...

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Main Authors: André Filipe Pastor, Maressa Rhuama Silva, Wagner José Tenório dos Santos, Tamisa Rego, Eduardo Brandão, Osvaldo Pompilio de-Melo-Neto, Abraham Rocha
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Parasites & Vectors
Subjects:
Online Access:https://doi.org/10.1186/s13071-021-04980-3
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author André Filipe Pastor
Maressa Rhuama Silva
Wagner José Tenório dos Santos
Tamisa Rego
Eduardo Brandão
Osvaldo Pompilio de-Melo-Neto
Abraham Rocha
author_facet André Filipe Pastor
Maressa Rhuama Silva
Wagner José Tenório dos Santos
Tamisa Rego
Eduardo Brandão
Osvaldo Pompilio de-Melo-Neto
Abraham Rocha
author_sort André Filipe Pastor
collection DOAJ
description Abstract Lymphatic filariasis (LF) is a parasitic disease caused by the worms Wuchereria bancrofti, Brugia malayi, or Brugia timori. It is a tropical and subtropical illness that affects approximately 67 million people worldwide and that still requires better diagnostic tools to prevent its spread and enhance the effectiveness of control procedures. Traditional parasitological tests and diagnostic methods based on whole protein extracts from different worms are known for problems related to sample time collection, sensitivity, and specificity. More recently, new diagnostic tools based on immunological methods using recombinant antigens have been developed. The current review describes the several recombinant antigens used as tools for lymphatic filariasis diagnosis in antigen and antibody capture assays, highlighting their advantages and limitations as well as the main commercial tests developed based on them. The literature chronology is from 1991 to 2021. First, it describes the historical background related to the identification of relevant antigens and the generation of the recombinant polypeptides used for the LF diagnosis, also detailing features specific to each antigen. The subsequent section then discusses the use of those proteins to develop antigen and antibody capture tests to detect LF. So far, studies focusing on antibody capture assays are based on 13 different antigens with at least six commercially available tests, with five proteins further used for the development of antigen capture tests. Five antigens explored in this paper belong to the SXP/RAL-2 family (BmSXP, Bm14, WbSXP-1, Wb14, WbL), and the others are BmShp-1, Bm33, BmR1, BmVAH, WbVAH, BmALT-1, BmALT-2, and Wb123. It is expected that advances in research with these antigens will allow further development of tests combining both sensitivity and specificity with low costs, assisting the Global Program to Eliminate Lymphatic Filariasis (GPELF).
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spelling doaj.art-d801a956958943eca0f2cee050bead932022-12-21T22:36:25ZengBMCParasites & Vectors1756-33052021-09-0114111410.1186/s13071-021-04980-3Recombinant antigens used as diagnostic tools for lymphatic filariasisAndré Filipe Pastor0Maressa Rhuama Silva1Wagner José Tenório dos Santos2Tamisa Rego3Eduardo Brandão4Osvaldo Pompilio de-Melo-Neto5Abraham Rocha6Fundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesFundação Oswaldo Cruz-Fiocruz, Instituto Aggeu MagalhãesAbstract Lymphatic filariasis (LF) is a parasitic disease caused by the worms Wuchereria bancrofti, Brugia malayi, or Brugia timori. It is a tropical and subtropical illness that affects approximately 67 million people worldwide and that still requires better diagnostic tools to prevent its spread and enhance the effectiveness of control procedures. Traditional parasitological tests and diagnostic methods based on whole protein extracts from different worms are known for problems related to sample time collection, sensitivity, and specificity. More recently, new diagnostic tools based on immunological methods using recombinant antigens have been developed. The current review describes the several recombinant antigens used as tools for lymphatic filariasis diagnosis in antigen and antibody capture assays, highlighting their advantages and limitations as well as the main commercial tests developed based on them. The literature chronology is from 1991 to 2021. First, it describes the historical background related to the identification of relevant antigens and the generation of the recombinant polypeptides used for the LF diagnosis, also detailing features specific to each antigen. The subsequent section then discusses the use of those proteins to develop antigen and antibody capture tests to detect LF. So far, studies focusing on antibody capture assays are based on 13 different antigens with at least six commercially available tests, with five proteins further used for the development of antigen capture tests. Five antigens explored in this paper belong to the SXP/RAL-2 family (BmSXP, Bm14, WbSXP-1, Wb14, WbL), and the others are BmShp-1, Bm33, BmR1, BmVAH, WbVAH, BmALT-1, BmALT-2, and Wb123. It is expected that advances in research with these antigens will allow further development of tests combining both sensitivity and specificity with low costs, assisting the Global Program to Eliminate Lymphatic Filariasis (GPELF).https://doi.org/10.1186/s13071-021-04980-3Wuchereria bancroftiELISAAntibodiesSensitivitySpecificity
spellingShingle André Filipe Pastor
Maressa Rhuama Silva
Wagner José Tenório dos Santos
Tamisa Rego
Eduardo Brandão
Osvaldo Pompilio de-Melo-Neto
Abraham Rocha
Recombinant antigens used as diagnostic tools for lymphatic filariasis
Parasites & Vectors
Wuchereria bancrofti
ELISA
Antibodies
Sensitivity
Specificity
title Recombinant antigens used as diagnostic tools for lymphatic filariasis
title_full Recombinant antigens used as diagnostic tools for lymphatic filariasis
title_fullStr Recombinant antigens used as diagnostic tools for lymphatic filariasis
title_full_unstemmed Recombinant antigens used as diagnostic tools for lymphatic filariasis
title_short Recombinant antigens used as diagnostic tools for lymphatic filariasis
title_sort recombinant antigens used as diagnostic tools for lymphatic filariasis
topic Wuchereria bancrofti
ELISA
Antibodies
Sensitivity
Specificity
url https://doi.org/10.1186/s13071-021-04980-3
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