Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).

<h4>Background</h4>Babesiosis is a worldwide emerging protozoan infection that is associated with a spectrum of disease severity from asymptomatic infection to severe organ damage and death. While effective treatment strategies are available, some immunocompromised patients experience se...

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Main Authors: Julia Kostka, Anu S Maharjan, Sanjai Kumar, Douglas Hackenyos, Peter J Krause, Kevin Dieckhaus
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-03-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0012035&type=printable
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author Julia Kostka
Anu S Maharjan
Sanjai Kumar
Douglas Hackenyos
Peter J Krause
Kevin Dieckhaus
author_facet Julia Kostka
Anu S Maharjan
Sanjai Kumar
Douglas Hackenyos
Peter J Krause
Kevin Dieckhaus
author_sort Julia Kostka
collection DOAJ
description <h4>Background</h4>Babesiosis is a worldwide emerging protozoan infection that is associated with a spectrum of disease severity from asymptomatic infection to severe organ damage and death. While effective treatment strategies are available, some immunocompromised patients experience severe acute and prolonged/relapsing illness due in part to an impaired host antibody response. Intravenous immunoglobulin (IVIG) has been used as an adjunctive therapy in some immunocompromised babesiosis patients, but its therapeutic effect is uncertain. We evaluated the presence of Babesia microti antibodies in commercial samples of IVIG.<h4>Methods/principle findings</h4>The presence of B. microti antibodies in commercial samples of IVIG were tested using an immunofluorescence assay. A subset of samples was then tested for B. microti antibodies using an enzyme linked immunosorbent assay. Out of 57 commercial IVIG samples tested using IFA, and 52 samples tested using ELISA, none were positive for B. microti antibodies.<h4>Conclusions</h4>Commercially available IVIG may not be of therapeutic benefit for babesiosis patients. Additional sampling of IVIG for B. microti antibody and a clinical trial of babesiosis patients given IVIG compared with controls would provide further insight into the use of IVIG for the treatment of babesiosis.
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spelling doaj.art-f1d8bd596b084643acaf81c48b377bfe2024-03-30T05:36:54ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352024-03-01183e001203510.1371/journal.pntd.0012035Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).Julia KostkaAnu S MaharjanSanjai KumarDouglas HackenyosPeter J KrauseKevin Dieckhaus<h4>Background</h4>Babesiosis is a worldwide emerging protozoan infection that is associated with a spectrum of disease severity from asymptomatic infection to severe organ damage and death. While effective treatment strategies are available, some immunocompromised patients experience severe acute and prolonged/relapsing illness due in part to an impaired host antibody response. Intravenous immunoglobulin (IVIG) has been used as an adjunctive therapy in some immunocompromised babesiosis patients, but its therapeutic effect is uncertain. We evaluated the presence of Babesia microti antibodies in commercial samples of IVIG.<h4>Methods/principle findings</h4>The presence of B. microti antibodies in commercial samples of IVIG were tested using an immunofluorescence assay. A subset of samples was then tested for B. microti antibodies using an enzyme linked immunosorbent assay. Out of 57 commercial IVIG samples tested using IFA, and 52 samples tested using ELISA, none were positive for B. microti antibodies.<h4>Conclusions</h4>Commercially available IVIG may not be of therapeutic benefit for babesiosis patients. Additional sampling of IVIG for B. microti antibody and a clinical trial of babesiosis patients given IVIG compared with controls would provide further insight into the use of IVIG for the treatment of babesiosis.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0012035&type=printable
spellingShingle Julia Kostka
Anu S Maharjan
Sanjai Kumar
Douglas Hackenyos
Peter J Krause
Kevin Dieckhaus
Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
PLoS Neglected Tropical Diseases
title Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
title_full Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
title_fullStr Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
title_full_unstemmed Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
title_short Absence of Anti-Babesia microti antibody in commercial intravenous immunoglobulin (IVIG).
title_sort absence of anti babesia microti antibody in commercial intravenous immunoglobulin ivig
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0012035&type=printable
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