Evidence map›Paper›PMID 30871504›Full record

ArticleBMC infectious diseases2019

Immune reactivity to Trypanosoma cruzi chimeric proteins for Chagas disease diagnosis in immigrants living in a non-endemic setting.

Eva Dopico, Rodrigo Pimenta Del-Rei, Bertha Espinoza, Itziar Ubillos, Nilson Ivo Tonin Zanchin, Elena Sulleiro, Zaira Moure, Paola Alejandra Fiorani Celedon, Wayner Vieira Souza, Edimilson Domingos da Silva and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  4. Double-antigen sandwich ELISA based on chimeric antigens for detection of antibodies to Trypanosoma cruzi in human sera - A phase II study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  6. Stage-InformedMicroorganisms · 2026
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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

12 authors at 4 institutions in 3 countries.

Eva DopicoLaboratori Clínic Territorial Metropolitana Sud, Catalan Institute of Health, Barcelona, Catalonia, Spain.
Rodrigo Pimenta Del-ReiFaculty of Technology and Sciences of Bahia, Salvador, Bahia, Brazil.
Bertha EspinozaInstituto de Investigaciones Biomédicas, Departamento de Inmunología, Universidad Nacional Autónoma de México, Ciudad de México, Mexico.
Itziar UbillosLaboratori Clínic Territorial Metropolitana Sud, Catalan Institute of Health, Barcelona, Catalonia, Spain.
Nilson Ivo Tonin ZanchinCarlos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.
Elena SulleiroMicrobiology Department, Vall d'Hebron University Hospital, PROSICS, Barcelona, Catalonia, Spain.
Zaira MoureMicrobiology Department, Vall d'Hebron University Hospital, PROSICS, Barcelona, Catalonia, Spain.
Paola Alejandra Fiorani CeledonMolecular Biology Institute of Paraná, Curitiba, Paraná, Brazil.
Wayner Vieira SouzaAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil.
Edimilson Domingos da SilvaImmunobiological Technology Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Yara Miranda GomesAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil.
Fred Luciano Neves SantosGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil. fred.santos@bahia.fiocruz.br.
Fundação Oswaldo Cruz · BRVall d'Hebron Hospital Universitari · ESInstituto de Biologia Molecular do Paraná · BRUniversidad Nacional Autónoma de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Chagas Disease (CD) diagnosis is based on serological methods employing crude, semipurified or recombinant antigens, which may result in low sensitivity or cross-reactivity. To reduce these restrictions, we developed a strategy involving use of molecules containing repetitive fragments of Trypanosoma cruzi conserved proteins. Diagnostic performance of IBMP-8.1 and IBMP-8.4 chimeric antigens (Molecular Biology Institute of Paraná - IBMP in Portuguese acronym) was assessed to diagnose T. cruzi-infected and non-infected immigrants living in Barcelona (Spain), a non-endemic setting for Chagas disease.

methodsReactivity of IBMP-8.1 and IBMP-8.4 was assessed using an in-house automated ELISA with 347 positive and 331 negative individuals to Chagas disease. Antigenic cross-reactivity was measured with sera samples from pregnant women with Toxoplasma gondii (n = 98) and Zika virus (n = 75) antibodies.

resultsThe area under the curve values was 1 and 0.99 for the IBMP-8.1 and IBMP-8.4 proteins, respectively, demonstrating excellent diagnostic accuracy. The reactivity index was higher for IBMP-8.1 than IBMP-8.4 in positive samples and no significant difference in reactivity index was observed in negative samples. Sensitivity ranged from 99.4% for IBMP-8.1 to 99.1% for IBMP-8.4 and was not statistically different. Specificity for IBMP-8.1 reached 100 and 99.7% for IBMP-8.4, both nearly 100% accurate. No antigenic cross-reactivity was observed and reactivity index was similar to that for negative Chagas disease individuals.

conclusionsOur results showed an outstanding performance of IBMP-8.1 and IBMP-8.4 chimeric antigens by ELISA and suggest both chimeric antigens could also be used for Chagas disease diagnosis in immigrants living in non-endemic settings.

Indexed as

AdultAntibodies, ProtozoanAntigens, ProtozoanChagas DiseaseCross ReactionsEmigrants and ImmigrantsEnzyme-Linked Immunosorbent AssayFemaleHumansMalePregnancySensitivity and SpecificitySpainToxoplasmaTrypanosoma cruziAntibodies, ProtozoanAntigens, ProtozoanAccuracyChagas diseaseChimeric antigensImmunoassayTrypanosoma cruzi

Identifiers

PMID30871504
PMCPMC6419348
OpenAlexW2936540017

What OpenQuestion holds

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LicenceCC BY
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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.