Evidence map›Paper›PMID 25275534›Full record

ArticlePLoS neglected tropical diseases2014

Use of a novel chagas urine nanoparticle test (chunap) for diagnosis of congenital chagas disease.

Yagahira E Castro-Sesquen, Robert H Gilman, Gerson Galdos-Cardenas, Lisbeth Ferrufino, Gerardo Sánchez, Edward Valencia Ayala, Lance Liotta, Caryn Bern, Alessandra Luchini, Working Group on Chagas Disease in Bolivia and Peru

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Persistent biofluid small molecule alterations induced bybioRxiv : the preprint server for biology · 2023
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  7. Review
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  10. Frontiers in microbiology · 2021
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  11. Article
  12. Nano-Medicines a Hope for Chagas Disease!Frontiers in molecular biosciences · 2021
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
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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

10 authors at 4 institutions in 2 countries.

Yagahira E Castro-SesquenDepartment of International Health, Johns Hopkins University, Bloomberg School of Hygiene and Public Health, Baltimore, Maryland, United States of America; Laboratorio de Investigación en Enfermedades Infecciosas, Universidad Peruana Cayetano Heredia, Lima, Peru.
Robert H GilmanDepartment of International Health, Johns Hopkins University, Bloomberg School of Hygiene and Public Health, Baltimore, Maryland, United States of America.
Gerson Galdos-CardenasDepartment of International Health, Johns Hopkins University, Bloomberg School of Hygiene and Public Health, Baltimore, Maryland, United States of America.
Lisbeth FerrufinoHospital Universitario Japonés, Santa Cruz, Bolivia.
Gerardo SánchezLaboratorio de Investigación en Enfermedades Infecciosas, Universidad Peruana Cayetano Heredia, Lima, Peru.
Edward Valencia AyalaLaboratorio de Investigación en Enfermedades Infecciosas, Universidad Peruana Cayetano Heredia, Lima, Peru.
Lance LiottaCenter for Applied Proteomics and Molecular Medicine, George Mason University, Fairfax, Virginia, United States of America.
Caryn BernGlobal Health Sciences, Department of Epidemiology and Biostatistics School of Medicine, University of California, San Francisco, California, United States of America.
Alessandra LuchiniCenter for Applied Proteomics and Molecular Medicine, George Mason University, Fairfax, Virginia, United States of America.
Working Group on Chagas Disease in Bolivia and Peru
Johns Hopkins University · USGeorge Mason University · USUniversidad Peruana Cayetano Heredia · PEUniversity of California, San Francisco · US

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
The ecology and epidemiology of Chagas disease in urban and rural communitiesP50AI074285 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI NAQUIRA, CESAR GABRIEL · 2007 to 2011
$3.2M
Early Detection of Congenital Chagas DiseaseR01AI087776 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2010 to 2014
$2.9M
Nanotrap technology for one step preservation and amplification of cancer biomarkR33CA173359 · NCI · GEORGE MASON UNIVERSITY · PI LIOTTA, LANCE ALLEN · 2012 to 2014
$1.1M
A non-invasive nanotechnology-based skin patch for multiplexed diagnosticsR21AR061075 · NIAMS · GEORGE MASON UNIVERSITY · PI LIOTTA, LANCE ALLEN · 2011 to 2012
$360k
FIC NIH HHS 5 R24 TW007988FIC NIH HHS D43 TW00658FIC NIH HHS R24 TW007988Medical Research Council MR/K007467/1NCI NIH HHS 1R33CA173359-01NCI NIH HHS R33 CA173359NIAID NIH HHS P50 AI074285NIAID NIH HHS R01 AI087776NIAMS NIH HHS 1R21AR061075-01NIAMS NIH HHS R21 AR061075
6 · The paper itself

Abstract

backgroundDetection of congenital T. cruzi transmission is considered one of the pillars of control programs of Chagas disease. Congenital transmission accounts for 25% of new infections with an estimated 15,000 infected infants per year. Current programs to detect congenital Chagas disease in Latin America utilize microscopy early in life and serology after 6 months. These programs suffer from low sensitivity by microscopy and high loss to follow-up later in infancy. We developed a Chagas urine nanoparticle test (Chunap) to concentrate, preserve and detect T. cruzi antigens in urine for early, non-invasive diagnosis of congenital Chagas disease. METHODOLOGY/PRINCIPAL

findingsThis is a proof-of-concept study of Chunap for the early diagnosis of congenital Chagas disease. Poly N-isopropylacrylamide nano-particles functionalized with trypan blue were synthesized by precipitation polymerization and characterized with photon correlation spectroscopy. We evaluated the ability of the nanoparticles to capture, concentrate and preserve T. cruzi antigens. Urine samples from congenitally infected and uninfected infants were then concentrated using these nanoparticles. The antigens were eluted and detected by Western Blot using a monoclonal antibody against T. cruzi lipophosphoglycan. The nanoparticles concentrate T. cruzi antigens by 100 fold (western blot detection limit decreased from 50 ng/ml to 0.5 ng/ml). The sensitivity of Chunap in a single specimen at one month of age was 91.3% (21/23, 95% CI: 71.92%-98.68%), comparable to PCR in two specimens at 0 and 1 month (91.3%) and significantly higher than microscopy in two specimens (34.8%, 95% CI: 16.42%-57.26%). Chunap specificity was 96.5% (71/74 endemic, 12/12 non-endemic specimens). Particle-sequestered T. cruzi antigens were protected from trypsin digestion. CONCLUSION/SIGNIFICANCE: Chunap has the potential to be developed into a simple and sensitive test for the early diagnosis of congenital Chagas disease.

Indexed as

AcrylamidesAntigens, ProtozoanBlotting, WesternChagas DiseaseEarly DiagnosisFemaleHumansInfantInfant, NewbornLatin AmericaNanoparticlesSensitivity and SpecificityTrypanosoma cruziAcrylamidesAntigens, ProtozoanN-isopropylacrylamide

Identifiers

PMID25275534
PMCPMC4183489
OpenAlexW2039368006

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Registered trials

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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.