Evidence map›Paper›PMID 40775602›Full record

ArticleTropical medicine & international health : TM & IH2025

Diagnostic Performance of Chimeric Recombinant Antigens of Trypanosoma cruzi for Identifying Chagas Disease in Samples From Rio Grande do Sul.

Ângelo Antônio Oliveira Silva, Ítalo Ferreira de Leon, Felipe Silva Santos de Jesus, Daniel Dias Sampaio, André Luis Bartz Voigt, Natália Berne Pinheiro, Nathieli Bianchin Bottari, Leda Margarita Castaño-Barrios, Paola Alejandra Fiorani Celedon, Nilson Ivo Tonin Zanchin and 3 more

Abstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Ângelo Antônio Oliveira SilvaAdvanced Health Public Laboratory, Goncalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID https://orcid.org/0000-0003-1723-6928
Ítalo Ferreira de LeonLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-7152-1765
Felipe Silva Santos de JesusAdvanced Health Public Laboratory, Goncalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID https://orcid.org/0009-0007-2662-4371
Daniel Dias SampaioInterdisciplinary Research Group in Biotechnology and Epidemiology of Infectious Diseases (GRUPIBE), Goncalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID https://orcid.org/0000-0002-3586-5157
André Luis Bartz VoigtLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0009-0003-7212-5013
Natália Berne PinheiroLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0001-6822-501X
Nathieli Bianchin BottariLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0003-0294-9650
Leda Margarita Castaño-BarriosLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0003-3731-169X
Paola Alejandra Fiorani CeledonLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-1968-7039
Nilson Ivo Tonin ZanchinStructural Biology and Protein Engineering Laboratory, Carlos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-1153-0694
Fabricio Klerynton MarchiniLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0001-5695-2746
Maria Elisabeth Aires BerneLaboratory for Parasitology, Postgraduate Program in Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0003-4444-1134
Fred Luciano Neves SantosAdvanced Health Public Laboratory, Goncalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.ORCID https://orcid.org/0000-0002-3944-0818

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) 001Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 304894/2023-0Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 309263/2020-4
6 · The paper itself

Abstract

backgroundChagas disease, caused by Trypanosoma cruzi, remains a significant public health challenge in Latin America, with diagnostic limitations hindering control efforts.

aimOur study aimed to assess the diagnostic performance of four chimeric recombinant T. cruzi antigens (IBMP-8.1, IBMP-8.2, IBMP-8.3 and IBMP-8.4) in a highly endemic region in southern Brazil.

methodsSerum samples from 333 individuals residing in Canguçu, Rio Grande do Sul, were tested using an in-house ELISA platform. We assessed the sensitivity, specificity, accuracy, and diagnostic odds ratio (DOR) of individual and combined IBMP antigens through serial and parallel testing strategies.

resultsAll antigens exhibited 100% specificity and high accuracy (≥ 93.4%), with IBMP-8.1 and IBMP-8.4 showing the best overall performance (sensitivities of 80.0% and 76.7%; DORs of 109,136 and 89,659, respectively). Parallel testing using the combinations IBMP-8.1 + IBMP-8.3 and IBMP-8.1 + IBMP-8.4 achieved ≥ 95% sensitivity and > 99% accuracy.

conclusionsThese findings support the use of IBMP chimeric antigens, particularly in combination, as reliable tools for Chagas disease diagnosis and surveillance, and highlight the importance of region-specific validation to ensure diagnostic equity in diverse endemic settings.

Indexed as

Antigens, ProtozoanChagas DiseaseTrypanosoma cruziAdolescentAdultAntibodies, ProtozoanBrazilEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedRecombinant ProteinsSensitivity and SpecificityYoung AdultAntibodies, ProtozoanAntigens, ProtozoanRecombinant Proteinschimeric recombinant antigensELISAserological diagnosisTrypanosoma cruzi

Identifiers

PMID40775602
PMCPMC12501557

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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.