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2030-01-01
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- IOC - Artigos de Periódicos [12660]
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EVALUATION OF IMMUNOLOGICAL, PARASITOLOGICAL AND MOLECULAR METHODS FOR THE DIAGNOSIS OF SCHISTOSOMA MANSONI INFECTION BEFORE AND AFTER CHEMOTHERAPY TREATMENT WITH PRAZIQUANTEL IN EXPERIMENTALLY INFECTED NECTOMYS SQUAMIPES
Modelos alternativos
Infecção experimental
Métodos de diagnóstico
Author
Affilliation
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Helmintos Parasitos de Vertebrados. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios. Rio de Janeiro, RJ, Brasil / Universidade Federal Rural do Rio de Janeiro. Instituto de Veterinária. Programa de Pós-Graduação em Ciências Veterinárias. Seropédica, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Instituto de Microbiologia Paulo de Góes. Departamento de Imunologia. Laboratório de Sorologia. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Faculdade de Medicina. Departamento de Patologia. Niterói, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Instituto de Microbiologia Paulo de Góes. Departamento de Imunologia. Laboratório de Sorologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Helmintos Parasitos de Vertebrados. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios. Rio de Janeiro, RJ, Brasil / Universidade Federal Rural do Rio de Janeiro. Instituto de Veterinária. Programa de Pós-Graduação em Ciências Veterinárias. Seropédica, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Instituto de Microbiologia Paulo de Góes. Departamento de Imunologia. Laboratório de Sorologia. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Faculdade de Medicina. Departamento de Patologia. Niterói, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Instituto de Microbiologia Paulo de Góes. Departamento de Imunologia. Laboratório de Sorologia. Rio de Janeiro, RJ, Brasil.
Abstract
In low endemicity areas of schistosomiasis, the recommended diagnostic method of coprological
examination results in an underestimation of infection cases. Alternative diagnostic
methods have been developed, such as immunodiagnostic and molecular techniques. In this
study we evaluated three methods used in the diagnosis of Schistosoma mansoni infection:
parasitological (Kato-Katz), immunological (ELISA) and molecular (real time PCR), and also
investigated the sensitivity of each technique in the cure determination after treatment
with praziquantel using the water rat Nectomys squamipes, a natural reservoir for S. mansoni,
as an experimental model. Two infection laboratory experiments were carried out. The
first experiment aimed to observe the evolution of the immunological response in the first
moments after infection and in the first months after treatment. The second experiment
aimed to compare the efficacy of the three diagnostic techniques after infection and after
treatment over a more extended time period. In the first experiment, 44% of the infected
animals showed IgG reactivity after two weeks of infection, and 94% were positive based
on serology 30 days after infection. The serological IgG titers increased just after infection
but decreased gradually after treatment. In the second experiment, 89% of the animals
showed positive IgG titers 22 days after infection. Only 68% of the animals showed positive
results on the coproscopic diagnostic analysis and 79% did so by qPCR, 50 days after
infection. Treated animals showed negative results on coproscopy one month after treatment
but remained positive by serology even 12 months after treatment, although showing
a decline in immunologic reaction after treatment. By qPCR analysis, all animals showed
negative results three months after treatment, except for one animal. The parasitosis can
be detected by coproscopy only six weeks after infection, and by serology 14 days after
infection. The qPCR was a better diagnostic method for confirming the infection cure of S.
mansoni. In early infection, this method was less efficient than serology but was slightly.
Keywords in Portuguese
EsquistossomoseModelos alternativos
Infecção experimental
Métodos de diagnóstico
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