Application of Toxocara canis excretory-secretory antigens and IgG subclass antibodies (IgG1-4) in serodiagnostic assays of human toxocariasis

Acta Trop. 2008 May;106(2):90-5. doi: 10.1016/j.actatropica.2008.01.008. Epub 2008 Feb 7.

Abstract

A major problem in the serodiagnosis of human toxocariasis in tropical countries is cross-reaction with antibodies to other helminthic diseases and a lack of sensitivity. The majority of tests currently available use total IgG and, in this study, the use of peroxidase-conjugated anti-human IgG subclass antibodies (IgG1-4) was compared with total IgG for the diagnosis of human toxocariasis by using Toxocara excretory-secretory (TES) antigens in an enzyme-linked immunosorbent assay (ELISA) format. All four IgG subclass antibodies gave approximately 10-fold increases in optical density (OD) values for 50 toxocariasis patients compared to 29 healthy normals; this was significantly greater than the approximate doubling of OD values seen in the total IgG-ELISA format. IgG2 gave by far the greatest sensitivity (values: IgG, 50%; IgG1, 60%; IgG2, 98%; IgG3, 78%; IgG4, 64%). Significant cross-reactivity using all IgG subclasses in the TES ELISA was seen with 141 serum samples from patients with 10 other helminthic infections. However, IgG3 gave the best specificity (values: IgG, 73%; IgG1, 76%; IgG2, 71%; IgG3, 81%; IgG4, 71%). Thus, of the IgG subclass antibodies, IgG2 appeared best and employing this subclass can improve the serodiagnosis of human toxocariasis since it recognises carbohydrate epitopes of TES antigens.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Anti-Idiotypic*
  • Antibodies, Helminth / blood
  • Antigens, Helminth* / isolation & purification
  • Cross Reactions
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Humans
  • Immunoglobulin G*
  • Sensitivity and Specificity
  • Serologic Tests / methods
  • Toxocara canis / chemistry*
  • Toxocara canis / immunology*
  • Toxocariasis / diagnosis*

Substances

  • Antibodies, Anti-Idiotypic
  • Antibodies, Helminth
  • Antigens, Helminth
  • Immunoglobulin G