ELISA for early diagnosis of histoplasmosis
Open Access
- 1 June 2004
- journal article
- research article
- Published by Microbiology Society in Journal of Medical Microbiology
- Vol. 53 (6), 509-514
- https://doi.org/10.1099/jmm.0.05469-0
Abstract
An ELISA was developed and evaluated as a method for detecting antibodies against glycosylated and deglycosylated histoplasmin (HMIN). Sera from patients with histoplasmosis, paracoccidioidomycosis, sporotrichosis, coccidioidomycosis, aspergillosis, cryptococcosis and healthy donors were tested by ELISA against purified, deglycosylated histoplasmin (ptHMIN) and compared with purified, native (i.e. glycosylated) histoplasmin (pHMIN). Although cross-reactivity was not abolished when ptHMIN was used in the test, it was reduced (pHMIN ELISA 93 % versus ptHMIN ELISA 96 %). However, there were statistically significant differences between the sensitivities of these two methods for the detection of antibodies (pHMIN ELISA 57 % versus ptHMIN ELISA 92 %; P < 0.001) and between the efficiency of the methods (pHMIN ELISA 83 % versus ptHMIN ELISA 95 %; P < 0.001). These parameters compare better than previously published data relating to the use of treated HMIN in diagnostic ELISAs. Some of the reactivities of serum samples were compared by immunoblotting using deglycosylated HMIN and by immunodiffusion using the crude antigen. The results demonstrated that cross-reactions with heterologous sera in both ELISAs could also be observed in immunoblotting and arose from shared protein epitopes. These data suggest that ELISA using deglycosylated HMIN is a very sensitive diagnostic method and, by using commercially available antigen, it can be easily standardized and performed faster than previous Western blot-based tests using the same antigen. It provides a useful adjunct to existing methods of diagnosis that could be applied even in situations where laboratory facilities were relatively limited.Keywords
This publication has 13 references indexed in Scilit:
- HistoplasmosisInfectious Disease Clinics of North America, 2003
- Laboratory diagnosis of histoplasmosis: Update 2000Seminars in Respiratory Infections, 2001
- Prospective Study of Histoplasmosis in Patients Infected with Human Immunodeficiency Virus: Incidence, Risk Factors, and PathophysiologyClinical Infectious Diseases, 1997
- Histoplasmosis and BlastomycosisClinical Infectious Diseases, 1996
- Histoplasmosis Relapse in Patients with AIDS: Detection Using Histoplasma capsulatum variety capsulatum Antigen LevelsAnnals of Internal Medicine, 1991
- Evaluation of an elsa for the detection of anti-histoplasma ribosomal and antihistoplasmin antibodies in histoplasmosisJournal of Clinical Laboratory Analysis, 1990
- HistoplasmosisDermatologic Clinics, 1989
- Effect of periodate oxidation on the detection of antibodies against the M-antigen of histoplasmin by enzyme immunoassay (EIA) inhibitionCurrent Microbiology, 1984
- Enzyme-linked immunosorbent assay (ELISA) for IgM, IgG and IgA class antibodies againstCandida albicansantigens: Development and comparison with other methodsMedical Mycology, 1981
- Disseminated HistoplasmosisMedicine, 1980