Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.

BACKGROUND: A strategy to combat infectious diseases, including neglected tropical diseases (NTDs), will depend on the development of reliable epidemiological surveillance methods. To establish a simple and practical seroprevalence detection system, we developed a microsphere-based multiplex immunoa...

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Main Authors: Yoshito Fujii, Satoshi Kaneko, Samson Muuo Nzou, Matilu Mwau, Sammy M Njenga, Chihiro Tanigawa, James Kimotho, Anne Wanjiru Mwangi, Ibrahim Kiche, Sohkichi Matsumoto, Mamiko Niki, Mayuko Osada-Oka, Yoshio Ichinose, Manabu Inoue, Makoto Itoh, Hiroshi Tachibana, Kazunari Ishii, Takafumi Tsuboi, Lay Myint Yoshida, Dinesh Mondal, Rashidul Haque, Shinjiro Hamano, Mwatasa Changoma, Tomonori Hoshi, Ken-Ichi Kamo, Mohamed Karama, Masashi Miura, Kenji Hirayama
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC4117437?pdf=render
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author Yoshito Fujii
Satoshi Kaneko
Samson Muuo Nzou
Matilu Mwau
Sammy M Njenga
Chihiro Tanigawa
James Kimotho
Anne Wanjiru Mwangi
Ibrahim Kiche
Sohkichi Matsumoto
Mamiko Niki
Mayuko Osada-Oka
Yoshio Ichinose
Manabu Inoue
Makoto Itoh
Hiroshi Tachibana
Kazunari Ishii
Takafumi Tsuboi
Lay Myint Yoshida
Dinesh Mondal
Rashidul Haque
Shinjiro Hamano
Mwatasa Changoma
Tomonori Hoshi
Ken-Ichi Kamo
Mohamed Karama
Masashi Miura
Kenji Hirayama
author_facet Yoshito Fujii
Satoshi Kaneko
Samson Muuo Nzou
Matilu Mwau
Sammy M Njenga
Chihiro Tanigawa
James Kimotho
Anne Wanjiru Mwangi
Ibrahim Kiche
Sohkichi Matsumoto
Mamiko Niki
Mayuko Osada-Oka
Yoshio Ichinose
Manabu Inoue
Makoto Itoh
Hiroshi Tachibana
Kazunari Ishii
Takafumi Tsuboi
Lay Myint Yoshida
Dinesh Mondal
Rashidul Haque
Shinjiro Hamano
Mwatasa Changoma
Tomonori Hoshi
Ken-Ichi Kamo
Mohamed Karama
Masashi Miura
Kenji Hirayama
author_sort Yoshito Fujii
collection DOAJ
description BACKGROUND: A strategy to combat infectious diseases, including neglected tropical diseases (NTDs), will depend on the development of reliable epidemiological surveillance methods. To establish a simple and practical seroprevalence detection system, we developed a microsphere-based multiplex immunoassay system and evaluated utility using samples obtained in Kenya. METHODS: We developed a microsphere-based immuno-assay system to simultaneously measure the individual levels of plasma antibody (IgG) against 8 antigens derived from 6 pathogens: Entamoeba histolytica (C-IgL), Leishmania donovani (KRP42), Toxoplasma gondii (SAG1), Wuchereria bancrofti (SXP1), HIV (gag, gp120 and gp41), and Vibrio cholerae (cholera toxin). The assay system was validated using appropriate control samples. The assay system was applied for 3411 blood samples collected from the general population randomly selected from two health and demographic surveillance system (HDSS) cohorts in the coastal and western regions of Kenya. The immunoassay values distribution for each antigen was mathematically defined by a finite mixture model, and cut-off values were optimized. FINDINGS: Sensitivities and specificities for each antigen ranged between 71 and 100%. Seroprevalences for each pathogen from the Kwale and Mbita HDSS sites (respectively) were as follows: HIV, 3.0% and 20.1%; L. donovani, 12.6% and 17.3%; E. histolytica, 12.8% and 16.6%; and T. gondii, 30.9% and 28.2%. Seroprevalences of W. bancrofti and V. cholerae showed relatively high figures, especially among children. The results might be affected by immunological cross reactions between W. bancrofti-SXP1 and other parasitic infections; and cholera toxin and the enterotoxigenic E. coli (ETEC), respectively. INTERPRETATION: A microsphere-based multi-serological assay system can provide an opportunity to comprehensively grasp epidemiological features for NTDs. By adding pathogens and antigens of interest, optimized made-to-order high-quality programs can be established to utilize limited resources to effectively control NTDs in Africa.
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spelling doaj.art-f50be232602147ef8dff2664a15e6fe12022-12-21T18:47:36ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352014-01-0187e304010.1371/journal.pntd.0003040Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.Yoshito FujiiSatoshi KanekoSamson Muuo NzouMatilu MwauSammy M NjengaChihiro TanigawaJames KimothoAnne Wanjiru MwangiIbrahim KicheSohkichi MatsumotoMamiko NikiMayuko Osada-OkaYoshio IchinoseManabu InoueMakoto ItohHiroshi TachibanaKazunari IshiiTakafumi TsuboiLay Myint YoshidaDinesh MondalRashidul HaqueShinjiro HamanoMwatasa ChangomaTomonori HoshiKen-Ichi KamoMohamed KaramaMasashi MiuraKenji HirayamaBACKGROUND: A strategy to combat infectious diseases, including neglected tropical diseases (NTDs), will depend on the development of reliable epidemiological surveillance methods. To establish a simple and practical seroprevalence detection system, we developed a microsphere-based multiplex immunoassay system and evaluated utility using samples obtained in Kenya. METHODS: We developed a microsphere-based immuno-assay system to simultaneously measure the individual levels of plasma antibody (IgG) against 8 antigens derived from 6 pathogens: Entamoeba histolytica (C-IgL), Leishmania donovani (KRP42), Toxoplasma gondii (SAG1), Wuchereria bancrofti (SXP1), HIV (gag, gp120 and gp41), and Vibrio cholerae (cholera toxin). The assay system was validated using appropriate control samples. The assay system was applied for 3411 blood samples collected from the general population randomly selected from two health and demographic surveillance system (HDSS) cohorts in the coastal and western regions of Kenya. The immunoassay values distribution for each antigen was mathematically defined by a finite mixture model, and cut-off values were optimized. FINDINGS: Sensitivities and specificities for each antigen ranged between 71 and 100%. Seroprevalences for each pathogen from the Kwale and Mbita HDSS sites (respectively) were as follows: HIV, 3.0% and 20.1%; L. donovani, 12.6% and 17.3%; E. histolytica, 12.8% and 16.6%; and T. gondii, 30.9% and 28.2%. Seroprevalences of W. bancrofti and V. cholerae showed relatively high figures, especially among children. The results might be affected by immunological cross reactions between W. bancrofti-SXP1 and other parasitic infections; and cholera toxin and the enterotoxigenic E. coli (ETEC), respectively. INTERPRETATION: A microsphere-based multi-serological assay system can provide an opportunity to comprehensively grasp epidemiological features for NTDs. By adding pathogens and antigens of interest, optimized made-to-order high-quality programs can be established to utilize limited resources to effectively control NTDs in Africa.http://europepmc.org/articles/PMC4117437?pdf=render
spellingShingle Yoshito Fujii
Satoshi Kaneko
Samson Muuo Nzou
Matilu Mwau
Sammy M Njenga
Chihiro Tanigawa
James Kimotho
Anne Wanjiru Mwangi
Ibrahim Kiche
Sohkichi Matsumoto
Mamiko Niki
Mayuko Osada-Oka
Yoshio Ichinose
Manabu Inoue
Makoto Itoh
Hiroshi Tachibana
Kazunari Ishii
Takafumi Tsuboi
Lay Myint Yoshida
Dinesh Mondal
Rashidul Haque
Shinjiro Hamano
Mwatasa Changoma
Tomonori Hoshi
Ken-Ichi Kamo
Mohamed Karama
Masashi Miura
Kenji Hirayama
Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
PLoS Neglected Tropical Diseases
title Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
title_full Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
title_fullStr Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
title_full_unstemmed Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
title_short Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models.
title_sort serological surveillance development for tropical infectious diseases using simultaneous microsphere based multiplex assays and finite mixture models
url http://europepmc.org/articles/PMC4117437?pdf=render
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