Evidence map›Paper›PMID 41840735›Full record

ArticleParasites & vectors2026

Diagnostic potential of a multi-antigen ELISA for feline leishmaniosis.

Clara M Lima, Óscar Felgueiras, Margarida Brito, Mariaelisa Carbonara, Domenico Otranto, Andreia Magalhães, Rui Ferreira, Joana Tavares, Luís Cardoso, Anabela Cordeiro da Silva and 1 more

Abstract read
In one paragraph

Article in Parasites & vectors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Clara M LimaHost-Parasite Interaction Group, Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal.
Óscar FelgueirasDepartment of Mathematics, Faculty of Sciences and Centre for Mathematics, University of Porto, Porto, Portugal.
Margarida BritoDepartment of Mathematics, Faculty of Sciences and Centre for Mathematics, University of Porto, Porto, Portugal.
Mariaelisa CarbonaraDepartment of Veterinary Medicine, University of Bari, Bari, Italy.
Domenico OtrantoDepartment of Veterinary Medicine, University of Bari, Bari, Italy.
Andreia MagalhãesAnimal Blood Bank (BSA), Porto, Portugal.
Rui FerreiraAnimal Blood Bank (BSA), Porto, Portugal.
Joana TavaresHost-Parasite Interaction Group, Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal.
Luís CardosoDepartment of Veterinary Sciences, and Animal and Veterinary Research Centre (CECAV), University of Trás-os-Montes e Alto Douro (UTAD), Vila Real, Portugal. lcardoso@utad.pt.
Anabela Cordeiro da Silva *Host-Parasite Interaction Group, Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal.
Nuno Santarém *Host-Parasite Interaction Group, Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal.

Funding

European Social Fund within the Human Potential Operating Programme 2021.04285.CEECIND/CP1663/CT0004Portuguese Foundation for Science and Technology (FCT) PhD scholarship 2020.07306.BDPortuguese Foundation for Science and Technology (FCT) UIDB/00144/2020
6 · The paper itself

Abstract

backgroundLeishmania infantum is a sand fly-transmitted zoonotic protozoan, endemic in the Mediterranean basin and responsible for human, canine (CanL), and feline (FeL) leishmaniosis. While dogs are the primary reservoir host, a growing number of FeL cases have been reported in this region despite the absence of pathognomonic clinical signs and limited diagnostic tools. Herein, we evaluate the performance of seven serological tools for CanL in detecting antibodies to Leishmania in cats, aiming to improve FeL diagnosis.

methodsFive ELISAs based on Leishmania-specific antigens (soluble promastigote Leishmania antigens, SPLA; recombinant Leishmania proteins K39 [rK39], K28, and KDDR, and L. infantum cytosolic peroxiredoxin, LicTXNPx), indirect fluorescent antibody test (IFAT), and direct agglutination test (DAT) were compared for detecting anti-Leishmania antibodies in 274 cats. Blood samples from the same cats were molecularly tested. Statistical analysis was performed based on clustering of multivariate serological data. Reference serological profiles were first defined in a control group. Study group data were subsequently classified according to these profiles, with principal component analysis used for dimensionality reduction and graphical representation. Associations between seropositivity and clinicopathological alterations were determined using seropositivity thresholds.

resultsCats exhibited attenuated and heterogeneous antibody responses to L. infantum serological tests. Agreement between individual tests was variable, with poor concordance when single markers were considered. Multivariate analysis, based on clustering of serological responses, showed that positivity to multiple antigens was associated with clinically affected cats. Positivity to multiple Leishmania-specific ELISA antigens was associated with diverse clinical presentations and prognostic laboratory alterations, including anaemia, thrombocytopenia, and hypergammaglobulinaemia.

conclusionsIntegrating multi-antigen ELISA, particularly rK39, SPLA, and LicTXNPx, into FeL diagnostic workflows, alongside molecular and clinical assessment, improves epidemiological surveillance, early detection, and disease management. These findings support the development of serological strategies tailored to feline hosts for enhanced surveillance and management.

Indexed as

Antibodies, ProtozoanAntigens, ProtozoanCat DiseasesLeishmania infantumLeishmaniasisLeishmaniasis, VisceralAnimalsCatsEnzyme-Linked Immunosorbent AssayFemaleFluorescent Antibody Technique, IndirectMaleAntibodies, ProtozoanAntigens, ProtozoanDATFeline leishmaniosisIFATLicTXPNx-ELISAPCARK28-ELISARK39-ELISARKDDR-ELISASPLA-ELISA

Identifiers

PMID41840735
PMCPMC13077857

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.