Evidence map›Paper›PMID 30998741›Full record

Trial reportPloS one2019

Detection of anti-Trypanosoma cruzi antibodies by chimeric antigens in chronic Chagas disease-individuals from endemic South American countries.

Rodrigo Pimenta Del-Rei, Leonardo Maia Leony, Paola Alejandra Fiorani Celedon, Nilson Ivo Tonin Zanchin, Mitermayer Galvão Dos Reis, Yara de Miranda Gomes, Alejandro Gabriel Schijman, Silvia Andrea Longhi, Fred Luciano Neves Santos

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.7field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
    Article
  4. Article
  5. Article
  6. Standardization of Serodiagnostic Methods for Trypanosoma cruzi.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Epitope Mapping of BmpA and BBK32ACS infectious diseases · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Chagas Immunochromatographic Rapid Test in the Serological Diagnosis ofFrontiers in cellular and infection microbiology · 2022
    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

9 authors at 4 institutions in 2 countries.

Rodrigo Pimenta Del-ReiFaculty of Technology and Sciences of Bahia, Salvador, Bahia, Brazil.
Leonardo Maia LeonyGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Paola Alejandra Fiorani CeledonMolecular Biology Institute of Paraná, Curitiba, Paraná, Brazil.
Nilson Ivo Tonin ZanchinCarlos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.
Mitermayer Galvão Dos ReisGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
Yara de Miranda GomesAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Pernambuco, Brazil.
Alejandro Gabriel SchijmanLaboratory of Molecular Biology of Chagas Disease, Institute for Research on Genetic Engineering and Molecular Biology "Dr Héctor Torres", Buenos Aires, Argentina.
Silvia Andrea LonghiLaboratory of Molecular Biology of Chagas Disease, Institute for Research on Genetic Engineering and Molecular Biology "Dr Héctor Torres", Buenos Aires, Argentina.
Fred Luciano Neves SantosGonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID 0000-0002-3944-0818
Fundação Oswaldo Cruz · BRFundação Carlos Chagas · BRInstituto de Biologia Molecular do Paraná · BRUniversidade Federal da Bahia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaboratory diagnosis of chronic Chagas disease is a troubling factor due to lack of reference tests. The WHO suggests the use of two distinct commercial serological tests in parallel. The performance of commercial immunoassays might fluctuate depending on the antigenic matrices and the local strains of T. cruzi in different geographical settings. The use of antigenic matrices based on chimeric proteins can solve these limitations. Here, we evaluated the diagnostic performance of two chimeric T. cruzi antigens (IBMP-8.1 and -8.4) to diagnose chronic Chagas disease in individuals from endemic South American countries. METHODOLOGY/PRINCIPAL

findingsIBMP-8.1 and IBMP-8.4 chimeric antigens were expressed as soluble proteins in E. coli and purified using chromatography methods. Reactivity of IBMP-8.1 and IBMP-8.4 was assessed using an in-house ELISA with sera from 122 non-infected and 215 T. cruzi-infected individuals from Argentina, Bolivia, and Paraguay. Cut-off values were based on ROC curves and performance parameters were determined using a dichotomous approach. Area under the curve values were > 99.7% for both IBMP-8.1 and IBMP-8.4 antigens. IgG levels in T. cruzi-positive and negative samples were higher for IBMP-8.4 than IBMP-8.1. Both IBMP-8.1 and -8.4 were 100% specific, while IBMP-8.4 were 100% sensitive compared to IBMP-8.1 (95.3%). Admitting RI values of 1.0 ± 0.10 as the inconclusive interval, 6.2% of the samples tested using IBMP-8.1 and 2.1% using IBMP-8.4 fell inside the grey zone. Based on accuracy and diagnostic odds ratio values, IBMP-8.4 presented the best performance. Differences in sensitivity and IgG levels among the samples from Argentina, Bolivia, and Paraguay were not significant. CONCLUSIONS/SIGNIFICANCE: Our findings showed a notable performance of IBMP-8.1 and -8.4 chimeric antigens in diagnosing chronic Chagas disease in individuals from endemic South American countries, confirming our hypothesis that these antigens could be used in geographical areas where distinct T. cruzi DTUs occur.

Indexed as

Trypanosoma cruziAntibodies, ProtozoanAntigens, ProtozoanChagas DiseaseChronic DiseaseEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin GMaleRecombinant Fusion ProteinsSouth AmericaAntibodies, ProtozoanAntigens, ProtozoanImmunoglobulin GRecombinant Fusion Proteins

Identifiers

PMID30998741
PMCPMC6472793
OpenAlexW2940391834

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.