Evidence map›Paper›PMID 27927927›Full record

ArticleJournal of clinical microbiology2017

Use of Recombinant Antigens for Sensitive Serodiagnosis of American Tegumentary Leishmaniasis Caused by Different Leishmania Species.

Camila Massae Sato, Maria Carmen Arroyo Sanchez, Beatriz Julieta Celeste, Malcolm S Duthie, Jeffrey Guderian, Steven G Reed, Maria Edileuza Felinto de Brito, Marliane Batista Campos, Helia Valeria de Souza Encarnação, Jorge Guerra and 6 more

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.4field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  14. Recent advances and new strategies in Leishmaniasis diagnosis.Applied microbiology and biotechnology · 2020
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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

16 authors at 5 institutions in 2 countries.

Camila Massae SatoInstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, São Paulo, Brazil.
Maria Carmen Arroyo SanchezInstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, São Paulo, Brazil.
Beatriz Julieta CelesteInstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, São Paulo, Brazil.
Malcolm S DuthieInfectious Disease Research Institute, Seattle, Washington, USA.
Jeffrey GuderianInfectious Disease Research Institute, Seattle, Washington, USA.
Steven G ReedInfectious Disease Research Institute, Seattle, Washington, USA.
Maria Edileuza Felinto de BritoDepartment of Immunology, Aggeu Magalhães Research Center-Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil.
Marliane Batista CamposInstituto Evandro Chagas, Belém, Pará, Brazil.
Helia Valeria de Souza EncarnaçãoFundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Jorge GuerraFundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Tirza Gabrielle Ramos de MesquitaFundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Suzana Kanawati PinheiroFundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Rajendranath RamasawmyFundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Fernando Tobias SilveiraInstituto Evandro Chagas, Belém, Pará, Brazil.
Marina de Assis SouzaInstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, São Paulo, Brazil.
Hiro GotoInstituto de Medicina Tropical de São Paulo, Universidade de São Paulo, São Paulo, Brazil hgoto@usp.br.ORCID 0000-0001-7048-562X
Fundação de Medicina Tropical · BRUniversidade de São Paulo · BRInfectious Disease Research Institute · USInstituto Evandro Chagas · BRFundação Oswaldo Cruz · BR

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

American tegumentary leishmaniasis (ATL) (also known as cutaneous leishmaniasis [CL]) is caused by various species of protozoa of the genus Leishmania The diagnosis is achieved on a clinical, epidemiological, and pathological basis, supported by positive parasitological exams and demonstration of leishmanin delayed-type hypersensitivity. Serological assays are not routinely used in the diagnosis because many are considered to have low sensitivity and the particular Leishmania species causing the disease can lead to variable performance. In the present study, we generated recombinant versions of two highly conserved Leishmania proteins, Leishmania (Viannia) braziliensis-derived Lb8E and Lb6H, and evaluated both in enzyme-linked immunosorbent assays (ELISA). Recombinant Lb6H (rLb6H) had better performance and reacted with 100.0% of the ATL and 89.4% of the VL samples. These reactions with rLb6H were highly specific (98.5%) when compared against those for samples from healthy control individuals. We then assessed rLb6H against sera from ATL patients infected with different species of Leishmania prevalent in Brazil [Leishmania (Leishmania) amazonensis, L (Viannia) braziliensis, and L (V) guyanensis] and samples from patients with other infectious diseases. In analyses of 500 sera, ELISA using rLb6H detected all 219 ATL samples (sensitivity of 100.0%) with an overall specificity of 93.9% (considering healthy individuals and other infectious diseases patients). Only a minority of samples from Chagas disease patients possessed antibodies against rLb6H, and all of these responses were low (with a highest reactivity index of 2.2). Taken together, our data support further evaluation of rLb6H and the potential for its routine use in the serological diagnosis of ATL.

Indexed as

AdolescentAdultAgedAntibodies, ProtozoanAntigens, ProtozoanChildEnzyme-Linked Immunosorbent AssayFemaleHumansLeishmaniaLeishmaniasis, CutaneousMaleMiddle AgedRecombinant ProteinsSensitivity and SpecificitySerologic TestsAntibodies, ProtozoanAntigens, ProtozoanRecombinant ProteinsdiagnosticsELISAimmunoserologyrecombinant antigentegumentary leishmaniasis

Identifiers

PMID27927927
PMCPMC5277519
OpenAlexW2559812889

What OpenQuestion holds

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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.