Novel Antigen Detection Assay to Monitor Therapeutic Efficacy of Visceral Leishmaniasis

Claudia Abeijon DetectoGen Inc., Grafton, Massachusetts.

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Om Prakash Singh Infectious Diseases Research Laboratory, Department of Medicine, Banaras Hindu University, Varanasi, India.

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Jaya Chakravarty Infectious Diseases Research Laboratory, Department of Medicine, Banaras Hindu University, Varanasi, India.

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Shyam Sundar Infectious Diseases Research Laboratory, Department of Medicine, Banaras Hindu University, Varanasi, India.

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Antonio Campos-Neto DetectoGen Inc., Grafton, Massachusetts.
Forsyth Institute, Cambridge, Massachusetts.

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Visceral leishmaniasis (VL) diagnosis is routinely performed by invasive liver, spleen, bone marrow, or lymph node biopsies, followed by microscopic identification of the parasites. Conventional serological tests cannot distinguish active disease from asymptomatic VL or from cured infection. Here, we report the initial validation of an enzyme-linked immunosorbent assay (ELISA) assembled to detect the Leishmania infantum/donovani antigens iron superoxide dismutase 1 (Li-isd1), tryparedoxin 1 (Li-trx1), and nuclear transport factor 2 (Li-ntf2) as a tool to monitor therapeutic efficacy of VL. The assembled ELISA detected the antigens in the urine samples from seven VL patients before initiation of therapy. Importantly, the antigens were no longer detected in all patients after completion of the treatment. These preliminary observations point to a promising tool to follow treatment efficacy of VL.

Author Notes

* Address correspondence to Antonio Campos-Neto, The Forsyth Institute, 245 First Street, Cambridge, MA 02142. E-mail: acampos@forsyth.org

Financial support: This work was supported by the National Institutes of Health grant R43 AI113992.

Disclosure: Claudia Abeijon is an employee of DetectoGen Inc. and has no ownership or ownership option in the company. Antonio Campos-Neto is a consultant for DetectoGen Inc.

Authors' addresses: Claudia Abeijon, Research and Development, DetectoGen Inc., Grafton, MA, E-mail: cabeijon@detectogen.com. Om Prakash Singh, Jaya Chakravarty, and Shyam Sundar, Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India, E-mails: opbhu07@gmail.com, tapadar@gmail.com, and drshyamsundar@hotmail.com. Antonio Campos-Neto, Department of Immunology and Infectious Disease, The Forsyth Institute, Cambridge, MA, E-mail: acampos@forsyth.org.

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