Evidence map›Paper›PMID 37966225›Full record

ArticleJournal of clinical microbiology2023

Multiantigen print immunoassay (MAPIA) for the diagnosis of neurocysticercosis: a single-center diagnostic optimization and accuracy study in Lima, Peru.

L Toribio, C Guzman, S Noazin, A Zimic-Sheen, M Zimic, I Gonzales, H Saavedra, E J Pretell, J A Bustos, S Handali and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

12 authors at 4 institutions in 2 countries.

L ToribioCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.ORCID 0000-0002-2818-4521
C GuzmanCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.
S NoazinDepartment of International Health, Bloomberg School of Public Health. Johns Hopkins University , Baltimore, Maryland, USA.
A Zimic-SheenBioinformatics Laboratory, Molecular Biology and Technological Developments, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia , San Martín de Porres, Peru.
M ZimicBioinformatics Laboratory, Molecular Biology and Technological Developments, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia , San Martín de Porres, Peru.
I GonzalesCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.
H SaavedraCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.
E J PretellHospital Nacional Alberto Sabogal Sologuren, ESSALUD , Callao, Peru.
J A BustosCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.
S HandaliParasitic Diseases Branch, Division of Parasitic Diseases & Malaria, Center for Global Health, Centers for Disease Control & Prevention , Atlanta, Georgia, USA.ORCID 0000-0001-7375-5875
H H GarcíaCysticercosis Unit, Instituto Nacional de Ciencias Neurológicas , Lima, Peru.
Cysticercosis Working Group in Peru
Universidad Peruana Cayetano Heredia · PEInstituto Nacional de Enfermedades Neoplásicas · PEJohns Hopkins University · USCenter for Global Health · US

Funding

Training in Parasitic Diseases and Central Nervous System Infections in Peru.D43TW001140 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO, GILMAN, ROBERT H · 1999 to 2025
$5.7M
Scientific CoreU19AI129909 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO · 2017 to 2021
$2.8M
FIC NIH HHS D43 TW001140NIAID NIH HHS U19 AI129909
6 · The paper itself

Abstract

Neurocysticercosis (NCC) is the most common helminthic infection of the human central nervous system. The antibody detection assay of choice is the enzyme-linked immunoelectrotransfer blot assay using lentil-lectin purified parasite antigens (LLGP-EITB, Western blot), an immunoassay with exceptional performance in clinical samples. However, its use is mainly restricted to a few research laboratories because the assay is labor-intensive and requires sophisticated equipment, expertise, and large amounts of parasite material for preparation of reagents. We report a new immunoprint assay (MAPIA) that overcomes most of these barriers. We initially compared the performance of five different antigen combinations in a subset of defined samples in the MAPIA format. After selecting the best-performing assay format (a combination of rGP50 + rT24H + sTs14 antigens), 148 archived serum samples were tested, including 40 from individuals with parenchymal NCC, 40 with subarachnoid NCC, and 68 healthy controls with no evidence of neurologic disease. MAPIA using three antigens (rGP50 + rT24H + sTs14) was highly sensitive and specific for detecting antibodies in NCC. It detected 39 out of 40 (97.5%) parenchymal NCC cases and 40/40 (100%) subarachnoid cases and was negative in 67 out of 68 (98.53%) negative samples. MAPIA using three recombinant and synthetic antigens is a simple and economical tool with a performance equivalent to the LLGP-EITB assay for the detection of specific antibodies to NCC. The MAPIA overcomes existing barriers to adoption of the EITG LLGP and is a candidate for worldwide use.

Indexed as

NeurocysticercosisTaenia soliumAnimalsAntibodies, HelminthAntigens, HelminthEnzyme-Linked Immunosorbent AssayHumansImmunoassayPeruSensitivity and SpecificityAntibodies, HelminthAntigens, HelminthcysticercosisEITBLLGPneurocysticercosisPeruTaenia solium

Identifiers

PMID37966225
PMCPMC10729656
OpenAlexW4388698062

What OpenQuestion holds

Textmetadata
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.