Evidence map›Paper›PMID 12904374›Full record

ArticleJournal of clinical microbiology2003

Detection of circulating gp43 antigen in serum, cerebrospinal fluid, and bronchoalveolar lavage fluid of patients with paracoccidioidomycosis.

Silvia Helena Marques da Silva, Arnaldo Lopes Colombo, Maria Heloisa Souza Lima Blotta, José Daniel Lopes, Flávio Queiroz-Telles, Zoilo Pires de Camargo

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 103 citations in OpenAlex.

  1. The story of Paracoccidiodes gp43.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Review
  2. Review
  3. Review
  4. Immunologic Diagnosis of Endemic Mycoses.Journal of fungi (Basel, Switzerland) · 2022
    Review
  5. Article
  6. Diagnosis of Pulmonary Infections Due to Endemic Fungi.Diagnostics (Basel, Switzerland) · 2021
    Review
  7. Article
  8. Article
  9. Recombinant 60-kDa heat shock protein from Paracoccidioides brasiliensis: is it a good antigen for serological diagnosis of paracoccidioidomycosis?Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Article
  10. Review
  11. A novel inhibition ELISA for the detection and monitoring of Penicillium marneffei antigen in human serum.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  12. Endemic Mycoses: What's New About Old Diseases?Current clinical microbiology reports · 2016
    Review
  13. Article
  14. Fungal infections of the central nervous system.Current infectious disease reports · 2014
    Article
  15. Fatal fungemia due to Paracoccidioides lutzii.The American journal of tropical medicine and hygiene · 2014
    Article
  16. Article
  17. Occurrence of Paracoccidioides lutzii in the Amazon region: description of two cases.The American journal of tropical medicine and hygiene · 2012
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Silvia Helena Marques da SilvaDepartment of Microbiology, Immunology and Parasitology, Federal University of São Paulo, São Paulo, Brazil.
Arnaldo Lopes Colombo
Maria Heloisa Souza Lima Blotta
José Daniel Lopes
Flávio Queiroz-Telles
Zoilo Pires de Camargo
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paracoccidioidomycosis (PCM) is an important systemic fungal disease, particularly among individuals living and working in rural areas of endemicity in Latin America, who, without antifungal therapy, may develop fatal acute or chronic infection. For such patients, the detection of antibody responses by immunodiffusion is of limited value due to false-negative results. In contrast, the detection of Paracoccidioides brasiliensis gp43 circulating antigen may represent a more practical approach to the rapid diagnosis of the disease. Accordingly, an inhibition enzyme-linked immunosorbent assay (inh-ELISA) was developed for the detection of a 43-kDa P. brasiliensis-specific epitope incorporating a species-specific murine monoclonal antibody. With sera from patients with acute and chronic forms of the disease (n = 81), the overall sensitivity of the test was found to be 95.1%, while specificity was found to be 97.5% compared to that with normal human sera from blood donors (n = 93) and sera from patients with other chronic fungal infections (histoplasmosis [n = 33] and cryptococcosis [n = 20]). The inh-ELISA detected circulating antigen in 100% of patients with the acute form of PCM and in 95.31 and 100% of patients with the chronic multifocal and unifocal forms of PCM according to the patient's clinical presentation. Cerebrospinal fluid from 14 patients with neuroparacoccidioidomycosis and 13 samples of bronchoalveolar lavage fluid from patients with pulmonary unifocal PCM were also tested for gp43 detection, with the test showing 100% sensitivity and specificity. This novel, highly specific inh-ELISA represents a significant addition to the existing tests for the diagnosis of PCM.

Indexed as

Antibodies, MonoclonalAntibody FormationAntigens, FungalBrazilBronchoalveolar Lavage FluidEnzyme-Linked Immunosorbent AssayFungal ProteinsGlycoproteinsHumansParacoccidioidesParacoccidioidomycosisReproducibility of Results43 kDa protein, ParacoccidioidesAntibodies, MonoclonalAntigens, FungalFungal ProteinsGlycoproteins

Identifiers

PMID12904374
PMCPMC179774
OpenAlexW2020779172

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.