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Diagn Microbiol Infect Dis ; 76(2): 197-205, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23537784

ABSTRACT

Tc13Tul antigen is expressed in the mammalian stages of Trypanosoma cruzi, the etiological agent of Chagas' disease. Here, we designed and validated an enzyme-linked immunosorbent assay using the recombinant Tc13Tul (Tc13Tul-ELISA) and found that it had 82.5% sensitivity and 97.05% of specificity. To evaluate whether the decrease in antibodies against Tc13Tul may be used as an early marker of the effect of chemotherapy with benznidazole, sera from 30 T. cruzi-infected children were evaluated by Tc13Tul-ELISA before and after benznidazole treatment. While in Group A (6 months-4 years old, n = 16) the decrease of more than 30% of Tc13Tul-ELISA values showed a sensitivity similar to that of conventional serology (CS); in Group B, (5-12 years old, n = 14) the decrease of Tc13Tul-ELISA values was a better parameter than negativization of CS to monitor the impact of treatment. Therefore, the dosage of anti-Tc13Tul antibodies may be useful as a methodology complementary to CS to evaluate chagasic patients undergoing chemotherapy with benznidazole.


Subject(s)
Antigens, Protozoan/blood , Chagas Disease/drug therapy , Enzyme-Linked Immunosorbent Assay/methods , Nitroimidazoles/therapeutic use , Trypanosoma cruzi/isolation & purification , Antibodies, Protozoan/blood , Chagas Disease/immunology , Child , Child, Preschool , Humans , Infant , Sensitivity and Specificity , Serologic Tests , Trypanosoma cruzi/growth & development
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