A modified lateral flow assay, using serum, for the rapid identification of human and bovine cysticercosis in the absence of false positives

Abstract Background Previously we reported the use of a monoclonal antibody–based (HP10) antigen (Ag) detection lateral flow assay (LFA) for the diagnosis of extraparenchymal neurocysticercosis (EP-NCC). The assay performed well when used with cerebrospinal fluid (CSF) samples but not with their pai...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 2019-02, Vol.113 (2), p.101-104
Hauptverfasser: Parkhouse, R Michael E, Carpio, Arturo, Campoverde, Alfredo, Sastre, Patricia, Rojas, Glenda, Harrison, Leslie J S, Cortez, Maria Milagros
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container_end_page 104
container_issue 2
container_start_page 101
container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 113
creator Parkhouse, R Michael E
Carpio, Arturo
Campoverde, Alfredo
Sastre, Patricia
Rojas, Glenda
Harrison, Leslie J S
Cortez, Maria Milagros
description Abstract Background Previously we reported the use of a monoclonal antibody–based (HP10) antigen (Ag) detection lateral flow assay (LFA) for the diagnosis of extraparenchymal neurocysticercosis (EP-NCC). The assay performed well when used with cerebrospinal fluid (CSF) samples but not with their paired serum samples, due to false-positive reactions in some known negative control cases. Methods Our novel modification involves pretreatment of serum samples using a combination of sodium deoxycholate and dithiothreitol. Results The modification overcomes the problem of false positives when using negative serum samples from clinically characterized cases of EP-NCC and bovine cysticercosis. In general, there was good agreement between HP10 Ag enzyme-linked immunosorbent assay (ELISA) and the HP10 Ag-LFA, but the HP10 Ag-ELISA was marginally more sensitive than the modified HP10 Ag-LFA. Conclusions The modified HP10 Ag-LFA provides a field test for the rapid identification of endemic human and bovine cysticercosis.
doi_str_mv 10.1093/trstmh/try116
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The assay performed well when used with cerebrospinal fluid (CSF) samples but not with their paired serum samples, due to false-positive reactions in some known negative control cases. Methods Our novel modification involves pretreatment of serum samples using a combination of sodium deoxycholate and dithiothreitol. Results The modification overcomes the problem of false positives when using negative serum samples from clinically characterized cases of EP-NCC and bovine cysticercosis. In general, there was good agreement between HP10 Ag enzyme-linked immunosorbent assay (ELISA) and the HP10 Ag-LFA, but the HP10 Ag-ELISA was marginally more sensitive than the modified HP10 Ag-LFA. Conclusions The modified HP10 Ag-LFA provides a field test for the rapid identification of endemic human and bovine cysticercosis.</description><identifier>ISSN: 0035-9203</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1093/trstmh/try116</identifier><identifier>PMID: 30383274</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Animals ; Biological Assay - methods ; Blood - parasitology ; Cattle ; Cysticercosis - blood ; Cysticercosis - diagnosis ; Cysticercus - isolation &amp; purification ; Deoxycholic Acid ; Dithiothreitol ; Ecuador - epidemiology ; False Positive Reactions ; Female ; Humans ; Male</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 2019-02, Vol.113 (2), p.101-104</ispartof><rights>The Author(s) 2018. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. 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The assay performed well when used with cerebrospinal fluid (CSF) samples but not with their paired serum samples, due to false-positive reactions in some known negative control cases. Methods Our novel modification involves pretreatment of serum samples using a combination of sodium deoxycholate and dithiothreitol. Results The modification overcomes the problem of false positives when using negative serum samples from clinically characterized cases of EP-NCC and bovine cysticercosis. In general, there was good agreement between HP10 Ag enzyme-linked immunosorbent assay (ELISA) and the HP10 Ag-LFA, but the HP10 Ag-ELISA was marginally more sensitive than the modified HP10 Ag-LFA. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Animals
Biological Assay - methods
Blood - parasitology
Cattle
Cysticercosis - blood
Cysticercosis - diagnosis
Cysticercus - isolation & purification
Deoxycholic Acid
Dithiothreitol
Ecuador - epidemiology
False Positive Reactions
Female
Humans
Male
title A modified lateral flow assay, using serum, for the rapid identification of human and bovine cysticercosis in the absence of false positives
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