Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-22T22:59:07.889Z Has data issue: false hasContentIssue false

Usefulness of gel filtration fraction as potential biomarker for neurocysticercosis in serum: towards a new diagnostic tool

Published online by Cambridge University Press:  17 October 2016

D. S. NUNES
Affiliation:
Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Av. Pará 1720, 38400-902, Uberlândia, MG, Brazil
H. T. GONZAGA
Affiliation:
Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Av. Pará 1720, 38400-902, Uberlândia, MG, Brazil
V. S. RIBEIRO
Affiliation:
Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Av. Pará 1720, 38400-902, Uberlândia, MG, Brazil Unidade Acadêmica Especial de Biotecnologia, Área de Ciências Biológicas, Universidade Federal de Goiás, Regional Catalão, Av. Dr. Lamartine Pinto Avelar 1120, Bloco M, 75704-020, Catalão, GO, Brazil
J. P. CUNHA-JÚNIOR
Affiliation:
Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Av. Pará 1720, 38400-902, Uberlândia, MG, Brazil
J. M. COSTA-CRUZ*
Affiliation:
Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Av. Pará 1720, 38400-902, Uberlândia, MG, Brazil
*
*Corresponding author: Laboratório de Diagnóstico de Parasitoses, Departamento de Imunologia, Microbiologia e Parasitologia, Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Uberlândia, MG, Brasil. Avenida Pará 1720, 38400-902, Uberlândia, MG, Brazil. E-mail: [email protected]

Summary

There is an increasing interest in improving neurocysticercosis (NCC) diagnosis through the search of new and alternative antigenic sources, as those obtained from heterologous antigens. The aim of this study was to obtain potential biomarkers for NCC diagnosis after gel filtration chromatography [gel filtration fraction (GFF)] from the total saline extract (SE) from Taenia saginata metacestodes, followed by protein identification and application in immunodiagnostic. SE and GFF proteic profiles were characterized in gel electrophoresis, and diagnostic performance was verified by testing 160 serum samples through enzyme-linked immunosorbent assay and immunoblotting. Sensitivity (Se), specificity (Sp) and other diagnostic parameters were calculated. Polypeptides of interest in the diagnosis of human NCC present at GFF were analysed by mass spectrometry (MS) and B-cell epitopes were predicted. GFF had the best diagnostic parameters: Se 93·3%; Sp 93%; AUC 0·990; LR+ = 13·42 and LR− = 0·07, and proved to be useful reacting with serum samples in immunoblotting. Proteic profile ranged from 64 to 68 kDa and enolase and calcium binding protein calreticulin precursor were identified after MS. The enolase and calcium-binding protein calreticulin precursor showed 18 and 10 predicted B-cell epitopes, respectively. In conclusion we identified important markers in the GFF with high efficiency to diagnose NCC.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Arriola, C. S., Gonzalez, A. E., Gomez-Puerta, L. A., Lopez-Urbina, M. T., Garcia, H. H. and Gilman, R. H. (2014). New insights in cysticercosis transmission. PLoS Neglected Tropical Diseases 10, e3247.Google Scholar
Assana, E., Kanobana, K., Tume, C. B., Zoli, P. A., Nguekam, J. P., Geerts, S., Berkvens, D. and Dorny, P. (2007). Isolation of a 14 kDa antigen from Taenia solium cyst fluid by HPLC and its evaluation in enzyme linked immunosorbent assay for diagnosis of porcine cysticercosis. Research in Veterinary Science 82, 370376.CrossRefGoogle ScholarPubMed
Baermann, G. (1917). Eine einfache Methode zur Auffindung von Ankylostomum (Nematoden) Larven in Erdproben Mededeel mit H Geneesk Laboratories Weltevreden, Feestbundel, Batavia, pp. 4147.Google Scholar
Barcelos, I. S., Mineo, J. R., Oliveira-Silva, D. A., Ferreira, M. S., Moura, L. P., Biondi, G. F. and Costa-Cruz, J. M. (2001). Detection of IgG in cerebrospinal fluid for diagnosis of neurocysticercosis: evaluation of saline and SDS extracts from Taenia solium and Taenia crassiceps metacestodes by ELISA and immunoblot assay. Tropical Medicine and International Health 6, 219226.CrossRefGoogle ScholarPubMed
Barcelos, I. S., Moura, L. P., Costa, V. P., Ferreira, M. S. and Costa-Cruz, J. M. (2007). Taenia solium metacestode immunodominant peptides recognized by IgG antibodies in cerebrospinal fluid and serum paired samples from patients with active and inactive neurocysticercosis. Memórias do Instituto Oswaldo Cruz 102, 713717.CrossRefGoogle ScholarPubMed
Bradford, M. A. (1976). Rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Analytical Biochemistry 72, 248254.CrossRefGoogle ScholarPubMed
Carpio, A. and Romo, M. L. (2015). Multifactorial basis of epilepsy in patients with neurocysticercosis. Epilepsia 56, 973974.CrossRefGoogle ScholarPubMed
Cayir, E., Erdemir, A., Ozkan, E., Topuzogullari, M., Bolat, Z. B., Akat, A. and Turgut-Balik, D. (2014). Cloning of intron-removed enolase gene and expression, purification, kinetic characterization of the enzyme from Theileria annulata . Molecular Biotechnology 56, 689696.CrossRefGoogle ScholarPubMed
Chen, N., Yuan, Z. G., Xu, M. J., Zhou, D. H., Zhang, X. X., Zhang, Y. Z., Wang, X. W., Yan, C., Lin, R. Q. and Zhu, X. Q. (2012). Ascaris suum enolase is a potential vaccine candidate against ascariasis. Vaccine 30, 34783482.CrossRefGoogle ScholarPubMed
Coral-Almeida, M., Gabriël, S., Abatih, E. N., Praet, N., Benitez, W. and Dorny, P. (2015). Taenia solium human cysticercosis: a systematic review of sero-epidemiological data from endemic zones around the world. PLoS Neglected Tropical Diseases 9, e0003919.CrossRefGoogle ScholarPubMed
Costa, J. M., Ferreira, A. W., Makino, M. M. and Camargo, M. E. (1982). Spinal fluid immunoenzymatic assay (ELISA) for neurocysticercosis. Revista do Instituto de Medicina Tropical de São Paulo 24, 337341.Google ScholarPubMed
Del Brutto, O. H. (2012). Diagnostic criteria for neurocysticercosis, revisited. Pathogens and Global Health 106, 299304.CrossRefGoogle ScholarPubMed
Del Brutto, O. H. and García, H. H. (2015). Taenia solium cysticercosis – the lessons of history. Journal of the Neurological Sciences 359, 392395.CrossRefGoogle ScholarPubMed
Del Brutto, O. H., Lama, J., Zambrano, M. and Del Brutto, V. J. (2014). Neurocysticercosis is a neglected microbleed mimic. A cautionary note for stroke neurologists. European Neurology 72, 306308.CrossRefGoogle Scholar
Dong, W. H., Wang, T. Y., Wang, F. and Zhang, J. H. (2011). Simple, time-saving dye staining of proteins for sodium dodecyl sulfate-polyacrylamide gel electrophoresis using Coomassie blue. PLoS ONE 6, e22394.CrossRefGoogle ScholarPubMed
Espíndola, N. M., Iha, A. H., Fernandes, I., Takayanagui, O. M., Machado, L. R., Livramento, J. A., Mendes-Maia, A. A., Peralta, J. M. and Vaz, A. J. (2005). Cysticercosis immunodiagnosis using 18- and 14-kilodalton proteins from Taenia crassiceps cysticercus antigens obtained by immunoaffinity chromatography. Journal of Clinical Microbiology 43, 31783184.CrossRefGoogle ScholarPubMed
Gabriël, S., Johansen, M. V., Pozio, E., Smit, G. S., Devleesschauwer, B., Allepuz, A., Papadopoulos, E., Van Der Giessen, J. and Dorny, P. (2015). Human migration and pig/pork import in the European Union: what are the implications for Taenia solium infections? Veterinary Parasitology 213, 3845.CrossRefGoogle ScholarPubMed
Gonçalves, F. A., Machado, G. A., Oliveira, H. B., Rezende, M. T., Mineo, J. R. and Costa-Cruz, J. M. (2010). Hydrophobic fraction of Taenia saginata metacestodes, rather than hydrophilic fraction, contains immunodominant markers for diagnosing human neurocysticercosis. Revista da Sociedade Brasileira de Medicina Tropical 43, 254259.CrossRefGoogle ScholarPubMed
Gonzales, I., Rivera, J. T. and Garcia, H. H. (2016). Pathogenesis of Taenia solium taeniasis and cysticercosis. Parasite Immunology 38, 136146.CrossRefGoogle ScholarPubMed
Granholm, V. and Käll, L. (2011). Quality assessments of peptide-spectrum matches in shotgun proteomics. Proteomics 11, 10861093.CrossRefGoogle ScholarPubMed
Greiner, M., Sohr, D. and Göbel, P. (1995). A modified ROC analysis for the selection of cut-off values and the definition of intermediate results of serodiagnostic tests. Journal of Immunological Methods 185, 123132.CrossRefGoogle ScholarPubMed
Hanley, J. A. and McNeil, B. J. (1982). The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143, 2936.CrossRefGoogle Scholar
Hanley, J. A. and McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148, 839843.CrossRefGoogle ScholarPubMed
Husain, N., Shukla, N., Kumar, R., Husain, M., Chaturvedi, A., Agarwal, G. G. and Gupta, R. K. (2008). ELISA in the evaluation of therapeutic response to albendazole in neurocysticercosis. Journal of Infection 56, 6573.CrossRefGoogle ScholarPubMed
Jaeschke, R., Guyatt, G. H. and Sacket, D. L. (1994). Users’ guide to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? The Evidence-Based Medicine Working Group. Journal of the American Medical Association 271, 703707.CrossRefGoogle Scholar
Laemmli, U. K. (1970). Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227, 680685.CrossRefGoogle ScholarPubMed
Lutz, A. (1919). O Schistosoma mansoni e a schistosomose segundo observações feitas no Brasil. Memórias do Instituto Oswaldo Cruz 11, 121125.CrossRefGoogle Scholar
Machado, G. A., Santiago, F. M., Mineo, J. R. and Costa-Cruz, J. M. (2007). Assessment of antigenic fractions of varying hydrophobicity from Taenia solium metacestodes for the diagnosis of human neurocysticercosis. Tropical Medicine and International Health, 12, 13691376.CrossRefGoogle ScholarPubMed
Madrazo, I. (2013). Overview of neurocysticercosis. World Neurosurgery 79, 262263.CrossRefGoogle ScholarPubMed
Martinez, E. Z., Louzada-Neto, F. and Pereira, B. B. (2003). A curva ROC para testes diagnósticos. Cadernos de Saúde Coletiva 11, 731.Google Scholar
Martins-Melo, F. R., Ramos, A. N. Jr., Cavalcanti, M. G., Alencar, C. H. and Heukelbach, J. (2016). Neurocysticercosis-related mortality in Brazil, 2000–2011: epidemiology of a neglected neurologic cause of death. Acta Tropica 153, 128136.CrossRefGoogle ScholarPubMed
Mendlovic, F., Ostoa-Saloma, P., Solís, C. F., Martínez-Ocaña, J., Flisser, A. and Laclette, J. P. (2004). Cloning, characterization, and functional expression of Taenia solium calreticulin. Journal of Parasitology 90, 891893.CrossRefGoogle ScholarPubMed
Moraes, R. G. (1948). Contribuição para o estudo do Strongyloides stercoralis e da estrongiloidíase no Brasil. Revista de Saúde Pública 1, 507624.Google Scholar
Morakote, N., Nawacharoen, W., Sukonthasun, K., Thammasonthi, W. and Khamboonruang, C. (1992). Comparison of cysticercus extract, cyst fluid and Taenia saginata extract for use in ELISA for serodiagnosis of neurocysticercosis. Southeast Asian Ministers of Education Council Central Coordinating Board for Tropical Medicine and Public Health 23, 7781.Google ScholarPubMed
Ndimubanzi, P. C., Carabin, H., Budke, C. M., Nguyen, H., Qian, Y. J., Rainwater, E., Dickey, M., Reynolds, S. and Stoner, J. A. (2010). A systematic review of the frequency of neurocyticercosis with a focus on people with epilepsy. PLoS Neglected Tropical Diseases 4, e870.CrossRefGoogle ScholarPubMed
Nunes, D. S., Ribeiro, V. S., Manhani, M. N. and Costa-Cruz, J. M. (2010). Jacalin-unbound fraction of Taenia saginata in immunodiagnosis of neurocysticercosis in human cerebrospinal fluid. Diagnostic Microbiology and Infectious Disease 68, 259264.CrossRefGoogle Scholar
Nunes, D. S., Gonzaga, H. T., Ribeiro, V. S., Cunha-Junior, J. P. and Costa-Cruz, J. M. (2013). Taenia saginata metacestode antigenic fractions obtained by ion-exchange chromatography: potential source of immunodominant markers applicable in the immunodiagnosis of human neurocysticercosis. Diagnostic Microbiology and Infectious Disease 76, 3641.CrossRefGoogle ScholarPubMed
O'keefe, K. A., Eberhard, M. L., Shafir, S. C., Wilkins, P., Ash, L. R. and Sorvillo, F. J. (2014). Cysticercosis-related hospitalizations in the United States, 1998–2011. The American Journal of Tropical Medicine and Hygiene 10, 140506.Google Scholar
Oliveira, H. B., Machado, G. A., Cabral, D. D. and Costa-Cruz, J. M. (2007). Application of Taenia saginata metacestodes as an alternative antigen for the serological diagnosis of human neurocysticercosis. Parasitology Research 101, 10071013.CrossRefGoogle ScholarPubMed
Oliveira, H. B., Machado, G. A., Gonçalves-Pires, M. R. F., Moura, L. P. and Costa-Cruz, J. M. (2009). Saline extract of Taenia saginata metacestodes as alternative antigen for the immunodiagnosis of neurocysticercosis in human cerebrospinal fluid. Parasitology Research 105, 169174.CrossRefGoogle ScholarPubMed
Oliveira, H. B., Machado, G. A., Mineo, J. R. and Costa-Cruz, J. M. (2010). Taenia saginata metacestode antigenic fractions without affinity to concanavalin A are an important source of specific antigens for the diagnosis of human neurocysticercosis. Clinical and Vaccine Immunology 17, 638644.CrossRefGoogle ScholarPubMed
Ramajo-Hernández, A., Pérez-Sánchez, R., Ramajo-Martín, V. and Oleaga, A. (2007). Schistosoma bovis: plasminogen binding in adults and the identification of plasminogen-binding proteins from the worm tegument. Experimental Parasitology 115, 8391.CrossRefGoogle ScholarPubMed
Ribeiro, V. S., Nunes, D. S., Gonzaga, H. T., Cunha-Júnior, J. P. and Costa-Cruz, J. M. (2014). Diethylaminoethyl (DEAE) binding fraction from Taenia solium metacestode improves the neurocysticercosis serodiagnosis. Parasitology Research 113, 25692575.CrossRefGoogle ScholarPubMed
Ritchie, L. S. (1948). An ether sedimentation technique for rotine stool examination. Bulletin of the National Service of Army – Medical Department 8, 326334.Google Scholar
Rizvi, S. A., Saleh, A. M., Frimpong, H. A., Mohiy, H. M., Ahmed, J., Edwards, R. D. and Ahmed, S. S. (2016). Neurocysticercosis: a case report and brief review. Asian Pacific Journal of Tropical Medicine 9, 100102.CrossRefGoogle ScholarPubMed
Shiguekawa, K. Y., Mineo, J. R., Moura, L. P. and Costa-Cruz, J. M. (2000). ELISA and western blotting tests in the detection of IgG antibodies to Taenia solium metacestodes in serum samples in human neurocysticercosis. Tropical Medicine and International Health 5, 443449.CrossRefGoogle ScholarPubMed
Sotelo, J., Guerrero, V. and Rubio, F. (1985). Neurocysticercosis: a new classification based on active and inactive forms. A study of 753 cases. Archives of Internal Medicine 145, 442445.CrossRefGoogle ScholarPubMed
Towbin, H., Staehelin, T. and Gordon, J. (1979). Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. Proceedings of the National Academy of Sciences of the United States of America 76, 43504354.CrossRefGoogle ScholarPubMed
Vasoo, S. and Pritt, B. S. (2013). Molecular diagnostics and parasitic disease. Clinics in Laboratory Medicine 33, 461503.CrossRefGoogle ScholarPubMed
Yang, J., Qiu, C., Xia, Y., Yao, L., Fu, Z., Yuan, C., Feng, X. and Lin, J. (2010). Molecular cloning and functional characterization of Schistosoma japonicum enolase which is highly expressed at the schistosomulum stage. Parasitology Research 107, 667677.CrossRefGoogle ScholarPubMed
Youden, W. J. (1950). Index for rating diagnostic tests. Cancer 3, 3235.3.0.CO;2-3>CrossRefGoogle ScholarPubMed
Zhao, Y. and Lin, Y. H. (2010). Whole-cell protein identification using the concept of unique peptides. Genomics Proteomics Bioinformatics 8, 3341.CrossRefGoogle ScholarPubMed
Zimic, M., Pajuelo, M., Rueda, D., López, C., Arana, Y., Castillo, Y., Calderón, M., Rodriguez, S., Sheen, P., Vinetz, J. M., Gonzales, A., García, H. H., Gilman, R. H. (2009). Utility of a protein fraction with cathepsin L-Like activity purified from cysticercus fluid of Taenia solium in the diagnosis of human cysticercosis. The American Journal of Tropical Medicine and Hygiene 80, 964970.CrossRefGoogle ScholarPubMed