Comparative assessment of the SjSAP4-incorporated gold immunochromatographic assay for the diagnosis of human schistosomiasis japonica

Copyright © 2023 Mu, Rivera, McManus, Weerakoon, Ross, Olveda, Gordon, You, Jones and Cai..

Background: Schistosomiasis, a disease caused by parasites of the genus Schistosoma, remains a global public health threat. This study aimed to validate the diagnostic performance of a recently developed gold immunochromatographic assay (GICA) for the detection of S. japonicum infection in a rural endemic area of the Philippines.

Methods: Human clinical samples were collected from 412 subjects living in Laoang and Palapag municipalities, Northern Samar, the Philippines. The presence of Schistosoma-specific antibodies in serum samples was tested with the SjSAP4-incorporated GICA strips and the results were converted to fully quantitative data by introducing an R value. The performance of the established GICA was further compared with other diagnostic tools, including the Kato-Katz (KK) technique, point-of-care circulating cathodic antigen (POC-CCA), droplet digital (dd) PCR, and enzyme-linked immunosorbent assays (ELISAs).

Results: The developed GICA strip was able to detect KK positive individuals with a sensitivity of 83.3% and absolute specificity. When calibrated with the highly sensitive faecal ddPCR assay, the immunochromatographic assay displayed an accuracy of 60.7%. Globally, the GICA assay showed a high concordance with the SjSAP4-ELISA assay. The schistosomiasis positivity rate determined by the GICA test was similar to those obtained with the SjSAP4-ELISA assay and the ddPCR assay performed on serum samples (SR_ddPCR), and was 2.3 times higher than obtained with the KK method.

Conclusion: The study further confirms that the developed GICA is a valuable diagnostic tool for detecting light S. japonicum infections and implies that this point-of-care assay is a viable solution for surveying endemic areas of low-intensity schistosomiasis and identifying high-priority endemic areas for targeted interventions.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Frontiers in public health - 11(2023) vom: 13., Seite 1249637

Sprache:

Englisch

Beteiligte Personen:

Mu, Yi [VerfasserIn]
Rivera, Jonas [VerfasserIn]
McManus, Donald P [VerfasserIn]
Weerakoon, Kosala G [VerfasserIn]
Ross, Allen G [VerfasserIn]
Olveda, Remigio M [VerfasserIn]
Gordon, Catherine A [VerfasserIn]
You, Hong [VerfasserIn]
Jones, Malcolm K [VerfasserIn]
Cai, Pengfei [VerfasserIn]

Links:

Volltext

Themen:

7440-57-5
ASSURED criteria
Diagnosis
Droplet digital PCR
Gold
Gold immunochromatographic assay (GICA)
Journal Article
POC-CCA
Research Support, Non-U.S. Gov't
Schistosoma japonicum
Schistosomiasis
SjSAP4

Anmerkungen:

Date Completed 25.09.2023

Date Revised 25.09.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fpubh.2023.1249637

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362326827