Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis

Diagnosis of human toxocariasis, caused by Toxocara canis or Toxocara cati, normally relies on a combination of the presence of clinical signs and symptoms backed by positive serology. The use of Toxocara excretory-secretory antigen (TES) in ELISA assays increases the test specificity. However, in t...

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Main Authors: Noordin, R., Smith, H.V., Mohamad, S., Maizels, R.M., Fong, M.Y.
Format: Article
Language:English
Published: Elsevier 2005
Subjects:
Online Access:http://eprints.um.edu.my/2732/1/Comparison_of_IgG-ELISA_and_IgG4-ELISA_for_Toxocara_serodiagnosis.pdf
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author Noordin, R.
Smith, H.V.
Mohamad, S.
Maizels, R.M.
Fong, M.Y.
author_facet Noordin, R.
Smith, H.V.
Mohamad, S.
Maizels, R.M.
Fong, M.Y.
author_sort Noordin, R.
collection UM
description Diagnosis of human toxocariasis, caused by Toxocara canis or Toxocara cati, normally relies on a combination of the presence of clinical signs and symptoms backed by positive serology. The use of Toxocara excretory-secretory antigen (TES) in ELISA assays increases the test specificity. However, in tropical countries where soil-transmitted helminths are endemic, cross-reactivity from antibodies to these intestinal parasites poses a significant limitation for Toxocara serodiagnosis. To increase the specificity of serodiagnosis, we compared the use of IgG-ELISA to the use of IgG4-ELISA using commercially manufactured TES-coated plates. The sensitivity of the IgG-ELISA was 97.1, while that of the lgG4-ELISA was 45.7; the specificities were 36.0 and 78.6, respectively. The study shows that employing both assays can improve the serodiagnosis of toxocariasis. An IgG4 immunoassay would also be useful in the secondary screening of antigen clones in the effort to develop improved serological tests for toxocariasis. (C) 2004 Elsevier B.V. All rights reserved.
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spelling um.eprints-27322014-10-20T04:07:03Z http://eprints.um.edu.my/2732/ Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis Noordin, R. Smith, H.V. Mohamad, S. Maizels, R.M. Fong, M.Y. R Medicine Diagnosis of human toxocariasis, caused by Toxocara canis or Toxocara cati, normally relies on a combination of the presence of clinical signs and symptoms backed by positive serology. The use of Toxocara excretory-secretory antigen (TES) in ELISA assays increases the test specificity. However, in tropical countries where soil-transmitted helminths are endemic, cross-reactivity from antibodies to these intestinal parasites poses a significant limitation for Toxocara serodiagnosis. To increase the specificity of serodiagnosis, we compared the use of IgG-ELISA to the use of IgG4-ELISA using commercially manufactured TES-coated plates. The sensitivity of the IgG-ELISA was 97.1, while that of the lgG4-ELISA was 45.7; the specificities were 36.0 and 78.6, respectively. The study shows that employing both assays can improve the serodiagnosis of toxocariasis. An IgG4 immunoassay would also be useful in the secondary screening of antigen clones in the effort to develop improved serological tests for toxocariasis. (C) 2004 Elsevier B.V. All rights reserved. Elsevier 2005 Article PeerReviewed application/pdf en http://eprints.um.edu.my/2732/1/Comparison_of_IgG-ELISA_and_IgG4-ELISA_for_Toxocara_serodiagnosis.pdf Noordin, R. and Smith, H.V. and Mohamad, S. and Maizels, R.M. and Fong, M.Y. (2005) Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis. Acta Tropica, 93 (1). pp. 57-62. ISSN 0001-706X, DOI https://doi.org/10.1016/j.actropica.2004.09.009 <https://doi.org/10.1016/j.actropica.2004.09.009>. http://www.sciencedirect.com/science/article/pii/S0001706X04002098 10.1016/j.actropica.2004.09.009
spellingShingle R Medicine
Noordin, R.
Smith, H.V.
Mohamad, S.
Maizels, R.M.
Fong, M.Y.
Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title_full Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title_fullStr Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title_full_unstemmed Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title_short Comparison of IgG-ELISA and IgG4-ELISA for Toxocara serodiagnosis
title_sort comparison of igg elisa and igg4 elisa for toxocara serodiagnosis
topic R Medicine
url http://eprints.um.edu.my/2732/1/Comparison_of_IgG-ELISA_and_IgG4-ELISA_for_Toxocara_serodiagnosis.pdf
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