Application of Recombinant Gnathostoma spinigerum Matrix Metalloproteinase-Like Protein for Serodiagnosis of Human Gnathostomiasis by Immunoblotting

Penchom Janwan Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Pewpan M. Intapan Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Hiroshi Yamasaki Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Porntip Laummaunwai Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Kittisak Sawanyawisuth Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Chaisiri Wongkham Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Chatchai Tayapiwatana Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Amnat Kitkhuandee Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Viraphong Lulitanond Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Yukifumi Nawa Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Wanchai Maleewong Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; National Institute of Infectious Diseases, Tokyo, Japan; Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand

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Matrix metalloproteinase (MMPs) is the extracellular zinc-dependent endopeptidase and is secreted for degrading extracellular matrix molecules of host tissues. A cDNA encoding MMP-like protein of Gnathostoma spinigerum larvae was amplified by reverse transcription-polymerase chain reaction, and was cloned into a prokaryotic expression vector, and expressed in Escherichia coli. Total immunoglobulin G class (total IgG) antibody responses to the recombinant MMP-like protein were analyzed by immunoblot diagnosis of human gnathostomiasis. Serum samples from proven and clinically suspected cases of gnathostomiasis, other parasitic diseases patients, and from healthy volunteers were tested. The immunoblotting gave high sensitivity (100%) and specificity (94.7%). Positive and negative predictive values were 85.4% and 100%, respectively. Recombinant MMP-like protein can be used as a diagnostic antigen and potentially replace native parasite antigens to develop a gnathostomiasis diagnostic kit.

Author Notes

* Address correspondence to Wanchai Maleewong, Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. E-mail: wanch_ma@kku.ac.th

Financial support: This research was supported by grants from the Office of the Higher Education Commission, Thailand for supporting by grant fund under the program Strategic Scholarships for Frontier Research Network for the Ph.D. Program Thai Doctoral degree (CHE PhD scholarship); the Higher Education Research Promotion and National Research University Project of Thailand, and Faculty of Medicine, Khon Kaen University. PJ was supported by a CHE PhD scholarship. WM was supported by TRF Senior Research Scholar Grant, Thailand Research Fund grant no. RTA5580004. This research was also funded by a grant from the Association for Preventive Medicine of Japan in 2011 and 2012 to Wanchai Maleewong and Hiroshi Yamasaki.

Authors' addresses: Penchom Janwan, Pewpan M. Intapan, Porntip Laummaunwai, and Wanchai Maleewong, Department of Parasitology, Faculty of Medicine and Research, and Diagnostic Center for Emerging Infectious Diseases, Khon Kaen University, Khon Kaen, Thailand, E-mails: pair_wu@yahoo.com, pewpan@kku.ac.th, porlau@kku.ac.th, and wanch_ma@kku.ac.th. Hiroshi Yamasaki, Department of Parasitology, National Institute of Infectious Diseases, Tokyo, Japan, E-mail: hyamasak@nih.go.jp. Kittisak Sawanyawisuth, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: kittisak@kku.ac.th. Chaisiri Wongkham, Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: chaisiri@kku.ac.th. Chatchai Tayapiwatana, Biomedical Technology Research Unit, National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency at the Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand, E-mail: asimi002@chiangmai.ac.th. Amnat Kitkhuandee, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: amnaki@kku.ac.th. Viraphong Lulitanond, Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: viraphng@kku.ac.th. Yukifumi Nawa, Research Division, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, E-mail: yukinawa@kku.ac.th.

  • 1.

    Miyazaki I, 1960. On the genus Gnathostoma and human gnathostomiasis, with special reference to Japan. Exp Parasitol 9: 338–370.

  • 2.

    Daengsvang S, 1981. Gnathostomiasis in southeast Asia. Southeast Asian J Trop Med Public Health 12: 319–332.

  • 3.

    León-RĆØgagnon V, Osorio-Sarabia D, GarcĆ­a-Prieto L, Akahane H, Lamothe-Argumedo R, Koga M, Messina-Robles M, Alvarez-Guerrero C, 2002. Study of the ethiological agent of gnathostomosis in Nayarit, Mexico. Parasitol Int 51: 201–204.

    • Search Google Scholar
    • Export Citation
  • 4.

    Waikagul J, Diaz Camacho SP, 2007. Gnathostomiasis. Murrell KD, Fried B, eds. World Class Parasites: Volume 11, Food-Borne Parasitic Zoonoses. New York, NY: Springer, 235–261.

    • Search Google Scholar
    • Export Citation
  • 5.

    Moore DA, McCroddan J, Dekumyoy P, Chiodini PL, 2003. Gnathostomiasis: an emerging imported disease. Emerg Infect Dis 9: 647–650.

  • 6.

    Katchanov J, Sawanyawisuth K, Chotmongkoi V, Nawa Y, 2011. Neurognathostomiasis, a neglected parasitosis of the central nervous system. Emerg Infect Dis 17: 1174–1180.

    • Search Google Scholar
    • Export Citation
  • 7.

    Nawa Y, 1991. Historical review and current status of gnathostomiasis in Asia. Southeast Asian J Trop Med Public Health 22: 217–219.

    • Search Google Scholar
    • Export Citation
  • 8.

    Xuan le T, Rojekittikhun W, Punpoowong B, Trang le N, Hien TV, 2002. Case report: intraocular gnathostomiasis in Vietnam. Southeast Asian J Trop Med Public Health 33: 485–489.

    • Search Google Scholar
    • Export Citation
  • 9.

    Herman JS, Chiodini PL, 2009. Gnathostomiasis, another emerging imported disease. Clin Microbiol Rev 22: 484–492.

  • 10.

    Boongird P, Phuapradit P, Siridej N, Chirachariyavej T, Chuahirun S, Vejjajiva A, 1977. Neurological manifestations of gnathostomiasis. J Neurol Sci 31: 279–291.

    • Search Google Scholar
    • Export Citation
  • 11.

    Ratanarapee S, Jesadapatarakul S, 1982. A case of gnathostomiasis simulating acute appendicitis. J Med Assoc Thai 65: 443–447.

  • 12.

    Rusnak JM, Lucey DR, 1993. Clinical gnathostomiasis: case report and review of the English-language literature. Clin Infect Dis 16: 33–50.

    • Search Google Scholar
    • Export Citation
  • 13.

    Suntharasamai P, Desakorn V, Migasena S, Bunnag D, Harinasuta T, 1985. ELISA for immunodiagnosis of human gnathostomiasis. Southeast Asian J Trop Med Public Health 16: 274–279.

    • Search Google Scholar
    • Export Citation
  • 14.

    Dharmkrong-at A, Migasena S, Suntharasamai P, Bunnag D, Priwan R, Sirisinha S, 1986. Enzyme-linked immunosorbent assay for detection of antibody to Gnathostoma antigen in patients with intermittent cutaneous migratory swelling. J Clin Microbiol 23: 847–851.

    • Search Google Scholar
    • Export Citation
  • 15.

    Maleewong W, Morakote N, Thamasonthi W, Charuchinda K, Tesana S, Khamboonruang C, 1988. Serodiagnosis of human gnathostomiasis. Southeast Asian J Trop Med Public Health 19: 201–205.

    • Search Google Scholar
    • Export Citation
  • 16.

    Diaz Camacho SP, Zazueta Ramos M, Ponce Torrecillas E, Osuna Ramirez I, Castro Velazquez R, Flores Gaxiola A, Baquera Heredia J, Willms K, Akahane H, Ogata K, Nawa Y, 1998. Clinical manifestations and immunodiagnosis of gnathostomiasis in Culiacan, Mexico. Am J Trop Med Hyg 59: 908–915.

    • Search Google Scholar
    • Export Citation
  • 17.

    Tapchaisri P, Nopparatana C, Chaicumpa W, Setasuban P, 1991. Specific antigen of Gnathostoma spinigerum for immunodiagnosis of human gnathostomiasis. Int J Parasitol 21: 315–319.

    • Search Google Scholar
    • Export Citation
  • 18.

    Anantaphruti MT, Nuamtanong S, Dekumyoy P, 2005. Diagnostic values of IgG4 in human gnathostomiasis. Trop Med Int Health 10: 1013–1021.

  • 19.

    Laummaunwai P, Sawanyawisuth K, Intapan PM, Chotmongkol V, Wongkham C, Maleewong W, 2007. Evaluation of human IgG class and subclass antibodies to a 24 kDa antigenic component of Gnathostoma spinigerum for the serodiagnosis of gnathostomiasis. Parasitol Res 101: 703–708.

    • Search Google Scholar
    • Export Citation
  • 20.

    Tuntipopipat S, Chawengkirttikul R, Sirisinha S, 1993. A simplified method for the fractionation of Gnathostoma-specific antigens for serodiagnosis of human gnathostomosis. J Helminthol 67: 297–304.

    • Search Google Scholar
    • Export Citation
  • 21.

    Wongkham C, Maleewong W, Ieamviteevanich K, Intapan PM, Morakote N, 2000. Antigenic components of Gnathostoma spinigerum recognized by infected human sera by two-dimensional polyacrylamide gel electrophoresis and immunoblotting. Asian Pac J Allergy Immunol 18: 47–52.

    • Search Google Scholar
    • Export Citation
  • 22.

    Laummaunwai P, Intapan PM, Wongkham C, Lulitanond V, Maleewong W, 2008. Identification of antigenic components of Gnathostoma spinigerum advanced-third stage larvae by two-dimensional gel electrophoresis and mass spectrometry. Southeast Asian J Trop Med Public Health 39: 19–25.

    • Search Google Scholar
    • Export Citation
  • 23.

    Uparanukraw P, Morakote N, Harnnoi T, Dantrakool A, 2001. Molecular cloning of a gene encoding matrix metalloproteinase-like protein from Gnathostoma spinigerum. Parasitol Res 87: 751–757.

    • Search Google Scholar
    • Export Citation
  • 24.

    Kongkerd N, Uparanukraw P, Morakote N, Sajid M, McKerrow JH, 2008. Identification and characterization of a cathepsin L-like cysteine protease from Gnathostoma spinigerum. Mol Biochem Parasitol 160: 129–137.

    • Search Google Scholar
    • Export Citation
  • 25.

    Laummaunwai P, Intapan PM, Wongkham C, Lulitanond V, Tayapiwatana C, Maleewong W, 2010. Gnathostoma spinigerum: molecular cloning, expression and characterization of the cyclophilin protein. Exp Parasitol 126: 611–616.

    • Search Google Scholar
    • Export Citation
  • 26.

    Elkins DB, Haswell-Elkins M, Anderson RM, 1986. The epidemiology and control of intestinal helminths in the Pulicat Lake region of Southern India. I. Study design and pre- and post-treatment observations on Ascaris lumbricoides infection. Trans R Soc Trop Med Hyg 80: 774–792.

    • Search Google Scholar
    • Export Citation
  • 27.

    Punyagupta S, Limtrakul C, Vichipanthu P, Karnchanachetanee C, Nye SW, 1968. Radiculomyeloencephalitis associated with eosinophilic pleocytosis. Report of nine cases. Am J Trop Med Hyg 17: 551–560.

    • Search Google Scholar
    • Export Citation
  • 28.

    Boongird P, Phuapradit P, Siridej N, Chirachariyavej T, Chuahirun S, Vejjajiva A, 1977. Neurological manifestations of gnathostomiasis. J Neurol Sci 31: 279–291.

    • Search Google Scholar
    • Export Citation
  • 29.

    Intapan PM, Khotsri P, Kanpittaya J, Chotmongkol V, Sawanyawisuth K, Maleewong W, 2010. Immunoblot diagnostic test for neurognathostomiasis. Am J Trop Med Hyg 83: 927–929.

    • Search Google Scholar
    • Export Citation
  • 30.

    Maleewong W, Sithithaworn P, Tesana S, Morakote N, 1988. Scanning electron microscopy of the early third-stage larvae of Gnathostoma spinigerum. Southeast Asian J Trop Med Public Health 19: 643–647.

    • Search Google Scholar
    • Export Citation
  • 31.

    Laemmli UK, 1970. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227: 680–685.

  • 32.

    Towbin H, Staehelin T, Gordon J, 1979. Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. Proc Natl Acad Sci USA 76: 4350–4354.

    • Search Google Scholar
    • Export Citation
  • 33.

    Galen RS, 1980. Predictive value and efficiency of laboratory testing. Pediatr Clin North Am 27: 861–869.

  • 34.

    Chaicumpa W, 2010. Immunodiagnosis of gnathostomiasis. Siriraj Med J 62: 79–83.

  • 35.

    Zambrano-Zaragoza JF, DurĆ”n-Avelar M de J, Messina-Robles M, Vibanco-PĆ©rez N, 2012. Characterization of the humoral immune response against Gnathostoma binucleatum in patients clinically diagnosed with gnathostomiasis. Am J Trop Med Hyg 86: 988–992.

    • Search Google Scholar
    • Export Citation
  • 36.

    Ishiwata K, Diaz-Camacho SP, Ogata K, Nakamura-Uchiyama F, Hiromatsu K, Nawa Y, 2003. Evaluation of the antigenic similarities of adult-worm extracts from three Gnathostoma species, using sera from Mexican and Japanese patients with Gnathostoma infections. Ann Trop Med Parasitol 97: 629–637.

    • Search Google Scholar
    • Export Citation
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