Preliminary analysis of the mixed use of derivated neoglycolipids of PGL-1 of Mycobacterium leprae: antigen disaccharide (ND-O-BSA) and trisaccharide (NT-P-BSA) as a way to increase the sensitivity of ELISA anti-PGL-1 test

ABSTRACT Although leprosy is an ancient disease, it has not been possible yet to develop a diagnostic test considered the gold standard because of the inability to cultivate the in vitro agent. The current diagnostic tests, so far, are not available in primary care, in general, it...

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Detalles Bibliográficos
Autor: Silvestre, Maria do Perpétuo Socorro Amador
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Instituto Evandro Chagas (IEC)
Repositorio:Revista Pan-Amazônica de Saúde (RPAS)
Idioma:portugués
OAI Identifier:oai:revista.iec.gov.br:article/881
Acceso en línea:https://ojs.iec.gov.br/rpas/article/view/881
Access Level:acceso abierto
Palabra clave:Leprosy
Immunoenzyme Techniques
Diagnosis
Epidemiology
Hanseníase
Técnicas Imunoenzimáticas
Diagnóstico
Epidemiologia
Lepra
Técnicas para Inmunoenzimas
Epidemiología
Descripción
Sumario:ABSTRACT Although leprosy is an ancient disease, it has not been possible yet to develop a diagnostic test considered the gold standard because of the inability to cultivate the in vitro agent. The current diagnostic tests, so far, are not available in primary care, in general, it is a fact that complicates the correct classification of subtle cases and makes early diagnosis impossible, which could help to break the chain of disease transmission. Thus, by means of an experimental study using convenience sampling, the aim of this study was to analyze the added use of semisynthetic derivatives of phenolic glycolipid antigens - 1 (PGL-1) of Mycobacterium leprae as a strategy to increase the sensitivity of ELISA anti-PGL-1 used as a discriminatory instrument by clinical and bacteriological patients classified as multibacillary and paucibacillary and contacts, comparing the performance of the ELISA anti-PGL-1 and making use of mixed antigens compared to trisaccharide antigen. The results demonstrated anti-PGL-1 antibody levels higher for the mixed antigens compared to the trisaccharide antigen individually, which can highlight the effectiveness of ELISA test as a helper in diagnosis and classification of leprosy.