TY - JOUR KW - Enzyme-Linked Immunosorbent Assay KW - HSP70 Heat-Shock Proteins KW - Humans KW - Leishmania KW - Leishmaniasis KW - Oligonucleotides KW - Protozoan Proteins KW - ROC Curve KW - Recombinant Proteins KW - Serologic Tests KW - Statistics, Nonparametric AU - Souza AP AU - Soto M AU - Costa J AU - Boaventura V AU - Oliveira CI AU - Cristal JR AU - Barral-Netto M AU - Barral A AB -

BACKGROUND: Exposure to Leishmania induces a humoral immune response that can be used as a marker of parasite exposure.

METHODOLOGY/PRINCIPAL FINDINGS: Herein, ELISA was used to screen sera from patients with Tegumentary Leishmaniasis (TL) against different L. infantum-chagasi-derived recombinant proteins (rHSP70, rH2A, rH2B, rH3, rH4 and rKMP11). Among the recombinant proteins, rHSP70 and rH2A showed the best reactivity against human sera obtained from endemic areas of TL. Receiver-Operator Characteristics (ROC) curve analysis was used to identify the effectiveness of these proteins for serodiagnosis of TL. ROC curves confirmed the superior performance of rHSP70 and rH2A, in comparison to the other tested recombinant proteins. Additionally, we evaluated the specificity of the response to rHSP70 and rH2A by testing sera obtained from patients with Chagas' disease, Tuberculosis, Leprosy or Systemic Lupus Erythematosus. In this case, rHSP70 displayed an increased ability to discriminate diseases, in comparison to SLA.

CONCLUSION: Our results raise possibility of using rHSP70 for the serodiagnosis of TL.

BT - PloS one C1 - http://www.ncbi.nlm.nih.gov/pubmed/23776617?dopt=Abstract DA - 2013 DO - 10.1371/journal.pone.0066110 IS - 6 J2 - PLoS ONE LA - eng N2 -

BACKGROUND: Exposure to Leishmania induces a humoral immune response that can be used as a marker of parasite exposure.

METHODOLOGY/PRINCIPAL FINDINGS: Herein, ELISA was used to screen sera from patients with Tegumentary Leishmaniasis (TL) against different L. infantum-chagasi-derived recombinant proteins (rHSP70, rH2A, rH2B, rH3, rH4 and rKMP11). Among the recombinant proteins, rHSP70 and rH2A showed the best reactivity against human sera obtained from endemic areas of TL. Receiver-Operator Characteristics (ROC) curve analysis was used to identify the effectiveness of these proteins for serodiagnosis of TL. ROC curves confirmed the superior performance of rHSP70 and rH2A, in comparison to the other tested recombinant proteins. Additionally, we evaluated the specificity of the response to rHSP70 and rH2A by testing sera obtained from patients with Chagas' disease, Tuberculosis, Leprosy or Systemic Lupus Erythematosus. In this case, rHSP70 displayed an increased ability to discriminate diseases, in comparison to SLA.

CONCLUSION: Our results raise possibility of using rHSP70 for the serodiagnosis of TL.

PY - 2013 EP - e66110 T2 - PloS one TI - Towards a more precise serological diagnosis of human tegumentary leishmaniasis using Leishmania recombinant proteins. UR - http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0066110&representation=PDF VL - 8 SN - 1932-6203 ER -