Evidence map›Paper›PMID 27377266›Full record

ArticleParasites & vectors2016

Evaluation of diagnostic performance of rK28 ELISA using urine for diagnosis of visceral leishmaniasis.

Prakash Ghosh, Khondaker R H Bhaskar, Faria Hossain, Md Anik Ashfaq Khan, Aarthy C Vallur, Malcolm S Duthie, Shinjiro Hamano, Md Abdus Salam, M Mamun Huda, Md Gulam Musawwir Khan and 3 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Parasites & vectors, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The potential ofMicrobiology spectrum · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Molecular Tracking of theFrontiers in cellular and infection microbiology · 2021
    Review
  20. Review
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

13 authors at 7 institutions in 5 countries.

Prakash GhoshLaboratory Sciences Division, International Center for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Khondaker R H BhaskarDepartment of Biochemistry, University of Utah, Salt Lake City, USA.
Faria HossainLaboratory Sciences Division, International Center for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Md Anik Ashfaq KhanLaboratory Sciences Division, International Center for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Aarthy C VallurInfectious Disease Research Institute, Seattle, USA.
Malcolm S DuthieInfectious Disease Research Institute, Seattle, USA.
Shinjiro HamanoDepartment of Parasitology, Institute of Tropical Medicine Nagasaki University, Nagasaki, Japan.
Md Abdus SalamDepartment of Basic Medical Sciences, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, KSA, Saudi Arabia.
M Mamun HudaLaboratory Sciences Division, International Center for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Md Gulam Musawwir KhanDepartment of Pediatrics Immunology Division Faculty of Medicine and Health Science, University of Sherbrooke, Sherbrooke, QC, Canada.
Rhea N ColerInfectious Disease Research Institute, Seattle, USA.
Steven G ReedInfectious Disease Research Institute, Seattle, USA.
Dinesh MondalLaboratory Sciences Division, International Center for Diarrhoeal Diseases Research, Dhaka, Bangladesh. din63d@icddrb.org.
International Centre for Diarrhoeal Disease Research · BDSeattle University · USInfectious Disease Research Institute · USKing Saud bin Abdulaziz University for Health Sciences · SANagasaki University · JPUniversité de Sherbrooke · CAUniversity of Utah · US

Funding

LEISHMANIA ANTIGENS DEFINES BY IMMUNE RESPONSESR01AI025038 · NIAID · SEATTLE BIOMEDICAL RESEARCH INSTITUTE · PI REED, STEVEN GREGORY · 1987 to 2016
$5.6M
NIAID NIH HHS R01 AI025038
6 · The paper itself

Abstract

backgroundRecombinant fusion proteins are now commonly used to detect circulating antibodies for the serodiagnosis of visceral leishmaniasis (VL) in Asia, Africa and the Americas. Although simple, these tests still require blood collection and their use in remote settings can be limited due to the need of collection devices, serum fractionation instrument and generation of biohazardous waste. The development of an accurate and non-invasive diagnostic algorithm for VL, such as could be achieved with urine, is desirable.

methodsWe enrolled 87 VL patients and 81 non-VL individuals, including 33 healthy endemic controls, 16 healthy non-endemic controls, 16 disease controls and 16 tuberculosis (TB) patients. We compared the efficacy of recombinant antigens rK28, rK39 and rKRP42 for the diagnosis of VL when either serum or urine were used to develop antibody-detection ELISA.

resultsAs expected, each of the antigens readily detected antibodies in the serum of VL patients. rK28 ELISA showed the highest sensitivity (98.9 %), followed by rK39 and rKRP42 ELISA (97.7 and 94.4 %, respectively); overall specificity was > 96 %. When urine was used as the test analyte, only a marginal drop in sensitivity was observed, with rK28 ELISA again demonstrating the greatest sensitivity (95.4 %), followed by rK39 and rKRP42 ELISA, respectively. Again, the overall specificity was > 96 %.

conclusionsOur data indicate the potential for using urine in the diagnosis of VL. Detection of antibodies against rK28 demonstrated the greatest sensitivity. Together, our results indicate that rK28-based antibody detection tests using urine could provide a completely non-invasive tool amenable for diagnosis of VL in remote locations.

Indexed as

AdolescentAdultAnimalsAntibodies, ProtozoanAntigens, ProtozoanChildEnzyme-Linked Immunosorbent AssayFemaleHumansLeishmania donovaniLeishmaniasis, VisceralMaleMiddle AgedProtozoan ProteinsRecombinant Fusion ProteinsSensitivity and SpecificityAntibodies, ProtozoanAntigens, ProtozoanProtozoan ProteinsRecombinant Fusion ProteinsBangladeshDiagnosisELISArK28rK39rKRP42SerumUrineVisceral leishmaniasis

Identifiers

PMID27377266
PMCPMC4932727
OpenAlexW2466420871

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.