IgG4 antibodies against Bm14 as an evaluation tool of mass drug administration in a co-endemic area of Brugia timori and Wuchereria bancrofti

Copyright © 2021 Elsevier B.V. All rights reserved..

To evaluate the success of mass drug administration for lymphatic filariasis, WHO has recommended two rapid tests, Brugia Rapid (BR) to detect the presence of IgG4 antibodies against Brugia sp and Filariasis Test Strip (FTS) to detect antigens of Wuchereria bancrofti. As a country co-endemic for Brugia sp. and W. bancrofti, Indonesia needs a single diagnostic tool that can detect the exposure to both species. This study aimed to evaluate the efficacy of mass drug administration by measuring Bm14-specific IgG4 levels in blood samples of the population living in a co-endemic area of B. timori and W. bancrofti in Southwest Sumba Regency. A total of 132 plasma samples obtained before and one year after DEC-albendazole administration, which have been previously tested with BR and FTS, were examined for IgG4 against Bm14 using enzyme-linked immunosorbent assay. The results showed that before treatment all 32 individuals (100%) with BR+/ FTS+ were also positive for Bm14-specific IgG4, while in BR+ or FTS+ group there were >90% samples detected positive. At one year after treatment, positive results for Bm14-specific IgG4 were still detected in 96.9% samples with BR+/ FTS+, 78.8% samples with BR+/ FTS- and 82.9% samples with BR-/ FTS+. On the other hand, the BR-/ FTS- group also had high rate of Bm14-specific IgG4 positivity either before treatment (62,5%) and at one year after treatment (43.8%). The lowest decrease of Bm14-specific IgG4 positivity at one year after treatment was shown in the double positive group (3.1%), while the highest was in the double negative group (18.7%). The measurement of IgG4 against Bm14 has the potential as a sensitive diagnostic tool to evaluate the success of MDA in the areas co-endemic for B. timori and W. bancrofti.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:227

Enthalten in:

Acta tropica - 227(2022) vom: 15. März, Seite 106278

Sprache:

Englisch

Beteiligte Personen:

Djuardi, Yenny [VerfasserIn]
Jannah, Insani Fitrahulil [VerfasserIn]
Supali, Taniawati [VerfasserIn]

Links:

Volltext

Themen:

Antigens, Helminth
Bm14
Brugia rapid
Brugia timori
Co-infection
Filariasis test strip
Immunoglobulin G
Journal Article
Wuchereria bancrofti

Anmerkungen:

Date Completed 15.03.2022

Date Revised 15.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.actatropica.2021.106278

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334560977