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Clin Exp Immunol ; 132(2): 309-15, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12699422

RESUMEN

Several recombinant clones expressing antigens from Echinococcus granulosus were isolated previously from a parasite cDNA library using cystic hydatid disease (CHD) patients' sera or rabbit hyperimmune antiserum against a lipoproteic fraction from bovine cyst fluid. Six of these antigens were expressed in Escherichia coli and the purified recombinant proteins were tested in enzyme-linked immunosorbent assay (ELISA) for specific IgG with a panel of sera from patients with surgically confirmed (n = 58) or immunologically diagnosed (n = 71) CHD. Sera from clinically normal individuals (n = 203) and sera from individuals with other helminthic infections (n = 65) were assayed for the assessment of specificity. A cut-off value was determined by receiver-operating-characteristic plots for each antigen. A recombinant antigen B subunit (AgB8/2) presented the highest sensitivity (93.1%), considering the group of sera from patients with CHD surgically confirmed, and specificity (99.5%) and is proposed as the basis for an immunodiagnostic test. The other recombinant antigens tested presented sensitivities between 58.6% and 89.7%, and three of them were considered of complementary value. In subclass-specific ELISA, different IgG isotypes showed dominance in the response for each of the recombinant antigens. There was a clear predominance of IgG4 response for all antigens tested, indicating that this would be the subclass of choice to be assessed for these recombinant proteins.


Asunto(s)
Antígenos Helmínticos/aislamiento & purificación , Equinococosis/inmunología , Echinococcus/inmunología , Animales , Antígenos Helmínticos/inmunología , Área Bajo la Curva , Estudios de Casos y Controles , Equinococosis/diagnóstico , Epítopos/inmunología , Epítopos/aislamiento & purificación , Escherichia coli/inmunología , Humanos , Inmunoglobulina G/análisis , Curva ROC , Proteínas Recombinantes/inmunología , Proteínas Recombinantes/aislamiento & purificación , Pruebas Serológicas
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