Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease

Chagas disease is a debilitating and often fatal pathology resulting from infection by the protozoan parasite <i>Trypanosoma cruzi</i>. In its recommendations, the World Health Organization states that the diagnosis of <i>T. cruzi</i> infection is usually based on the detecti...

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Autores principales: Jean-Yves Brossas, Ballering Griselda, Margarita Bisio, Jeremy Guihenneuc, Julián Ernesto Nicolás Gulin, Stéphane Jauréguiberry, François-Xavier Lescure, Arnaud Fekkar, Dominique Mazier, Jaime Altcheh, Luc Paris
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/9ffd31c262d243a8bf344d4701317d77
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spelling oai:doaj.org-article:9ffd31c262d243a8bf344d4701317d772021-11-25T18:38:23ZEvaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease10.3390/pathogens101114552076-0817https://doaj.org/article/9ffd31c262d243a8bf344d4701317d772021-11-01T00:00:00Zhttps://www.mdpi.com/2076-0817/10/11/1455https://doaj.org/toc/2076-0817Chagas disease is a debilitating and often fatal pathology resulting from infection by the protozoan parasite <i>Trypanosoma cruzi</i>. In its recommendations, the World Health Organization states that the diagnosis of <i>T. cruzi</i> infection is usually based on the detection of antibodies against <i>T. cruzi</i> antigens and performed with two methodologically different assays. An inconclusive result can be resolved with a third “confirmatory” assay. The objective of this article is to evaluate the effectiveness of the Chagas Western Blot IgG assay (LDBio Diagnostics, Lyon, France) as a confirmatory serologic test. The Chagas Western Blot IgG assay was performed with native antigens derived from a <i>T. cruzi</i> strain of the TcVI genotype. Retrospective sera were provided by two parasitology laboratories (France and Argentina). The sensitivity, specificity, positive predictive value and negative predictive value of the Chagas blot were all 100% in our sera collection. The Chagas blot is an easy and qualitative method for the diagnosis of Chagas disease, with results in less than 2 h. This immunoblot has potential as a supplemental test for the confirmation of the presence of antibodies against <i>T. cruzi</i> in serum specimens. Nonetheless, the very good initial results presented here will need to be confirmed in larger studies.Jean-Yves BrossasBallering GriseldaMargarita BisioJeremy GuihenneucJulián Ernesto Nicolás GulinStéphane JauréguiberryFrançois-Xavier LescureArnaud FekkarDominique MazierJaime AltchehLuc ParisMDPI AGarticlechagas diseasediagnostic<i>Trypanosoma cruzi</i>MedicineRENPathogens, Vol 10, Iss 1455, p 1455 (2021)
institution DOAJ
collection DOAJ
language EN
topic chagas disease
diagnostic
<i>Trypanosoma cruzi</i>
Medicine
R
spellingShingle chagas disease
diagnostic
<i>Trypanosoma cruzi</i>
Medicine
R
Jean-Yves Brossas
Ballering Griselda
Margarita Bisio
Jeremy Guihenneuc
Julián Ernesto Nicolás Gulin
Stéphane Jauréguiberry
François-Xavier Lescure
Arnaud Fekkar
Dominique Mazier
Jaime Altcheh
Luc Paris
Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
description Chagas disease is a debilitating and often fatal pathology resulting from infection by the protozoan parasite <i>Trypanosoma cruzi</i>. In its recommendations, the World Health Organization states that the diagnosis of <i>T. cruzi</i> infection is usually based on the detection of antibodies against <i>T. cruzi</i> antigens and performed with two methodologically different assays. An inconclusive result can be resolved with a third “confirmatory” assay. The objective of this article is to evaluate the effectiveness of the Chagas Western Blot IgG assay (LDBio Diagnostics, Lyon, France) as a confirmatory serologic test. The Chagas Western Blot IgG assay was performed with native antigens derived from a <i>T. cruzi</i> strain of the TcVI genotype. Retrospective sera were provided by two parasitology laboratories (France and Argentina). The sensitivity, specificity, positive predictive value and negative predictive value of the Chagas blot were all 100% in our sera collection. The Chagas blot is an easy and qualitative method for the diagnosis of Chagas disease, with results in less than 2 h. This immunoblot has potential as a supplemental test for the confirmation of the presence of antibodies against <i>T. cruzi</i> in serum specimens. Nonetheless, the very good initial results presented here will need to be confirmed in larger studies.
format article
author Jean-Yves Brossas
Ballering Griselda
Margarita Bisio
Jeremy Guihenneuc
Julián Ernesto Nicolás Gulin
Stéphane Jauréguiberry
François-Xavier Lescure
Arnaud Fekkar
Dominique Mazier
Jaime Altcheh
Luc Paris
author_facet Jean-Yves Brossas
Ballering Griselda
Margarita Bisio
Jeremy Guihenneuc
Julián Ernesto Nicolás Gulin
Stéphane Jauréguiberry
François-Xavier Lescure
Arnaud Fekkar
Dominique Mazier
Jaime Altcheh
Luc Paris
author_sort Jean-Yves Brossas
title Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
title_short Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
title_full Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
title_fullStr Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
title_full_unstemmed Evaluation of the Chagas Western Blot IgG Assay for the Diagnosis of Chagas Disease
title_sort evaluation of the chagas western blot igg assay for the diagnosis of chagas disease
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9ffd31c262d243a8bf344d4701317d77
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