Antigens of Coccidioides posadasii as an Important Tool for the Immunodiagnosis of Coccidioidomycosis

Mycopathologia et mycologia applicata - Tập 175 - Trang 25-32 - 2012
Rossana de Aguiar Cordeiro1, Kharla Rabelo Nobre Patoilo1, Silviane Bandeira Praciano1, Delia Jessica Astete Medrano1, Francisca Jakelyne de Farias Marques1, Liline Maria Soares Martins2, Kelsen Dantas Eulalio3, Antônio de Deus Filho2, Maria do Amparo Salmito Cavalvanti3, Maria Auxiliadora Bezerra Fechine4, Raimunda Samia Nogueira Brilhante1, Zoilo Pires de Camargo5, Marcos Fábio Gadelha Rocha6, José Júlio Costa Sidrim1
1Postgraduate Program in Medical Microbiology, Department of Pathology and Legal Medicine, Federal University of Ceará, Fortaleza, Brazil
2Federal University of Piauí, Teresina, Brazil
3Instituto de Doenças Tropicais Natan Portella, Teresina, Brazil
4Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Fortaleza, Brazil
5Department of Microbiology, Immunology and Parasitology, Federal University of São Paulo, São Paulo, Brazil
6Postgraduate Program in Veterinary Science, State University of Ceará, Fortaleza, Brazil

Tóm tắt

Serologic diagnosis has been presented as a safe alternative for coccidioidomycosis. However, commercial kits based on coccidioidal antibodies available in the USA are considered too expensive for laboratories outside that country. In this study, we describe the preparation of antigens for detection of human coccidioidal antibodies by the immunodiffusion test (ID) and enzyme immunoassay (EIA). Antigens were tested against serum samples from patients with coccidioidomycosis, histoplasmosis and paracoccidioidomycosis, as well as healthy individuals. The highest reactivity in the ID tests was seen in the F0-90 antigen. In the EIAs, the best results were obtained with the F60-90 antigen. None of the serum samples from healthy individuals were recognized by any of the antigen extracts tested by ID or EIA. In conclusion, the F0-90 and F60-90 antigens have the potential to be commercially employed in presumptive diagnosis of coccidioidomycosis by ID or EIA, respectively. The tests could improve serological diagnosis of coccidioidomycosis in South America.

Tài liệu tham khảo

DiCaudo DJ. Coccidioidomycosis: a review and update. J Am Acad Dermatol. 2006;55:929–42. Laniado-Laborin R. Expanding understanding of epidemiology of coccidioidomycosis in the Western hemisphere. Ann NY Acad Sci. 2007;1111:19–34. Borchers AT, Gershwin ME. The immune response in coccidioidomycosis. Autoimmun Rev. 2010;10:94–102. Galgiani JN, Ampel NM, Blair JE, Catanzaro A, Johnson RH, Stevens DA, Williams PL. Infectious Diseases Society of America. Coccidioidomycosis. Clin Infect Dis. 2005;41:1217–23. Parish JM, Blair JE. Coccidioidomycosis. Mayo Clin Proc. 2008;83:343–8. Valdivia L, Nix D, Wright M, Lindberg E, Fagan T, Lieberman D, Stoffer T, Ampel NM, Galgiani JN. Coccidioidomycosis as a common cause of community-acquired pneumonia. Emerg Infect Dis. 2006;12:958–62. Cadena J, Hartzler A, Hsue G, Longfield RN. Coccidioidomycosis and tuberculosis coinfection at a tuberculosis hospital: clinical features and literature review. Med (Baltimore). 2009;88:66–76. Chung CR, Lee YC, Rhee YK, Chung MJ, Hong YK, Kweon EY, Park SJ. Pulmonary coccidioidomycosis with peritoneal involvement mimicking lung cancer with peritoneal carcinomatosis. Am J Respir Crit Care Med. 2011;183:135–6. Sutton DA. Diagnosis of coccidioidomycosis by culture: safety considerations, traditional methods, and susceptibility testing. Ann NY Acad Sci. 2007;1111:315–25. Ampel NM. New perspectives on coccidioidomycosis. Proc Am Thorac Soc. 2010;7:181–5. Saubolle MA. Laboratory aspects in the diagnosis of coccidioidomycosis. Ann NY Acad Sci. 2007;1111:301–14. Saubolle MA, McKellar PP, Sussland D. Epidemiologic, clinical, and diagnostic aspects of coccidioidomycosis. J Clin Microbiol. 2007;45:26–30. Binnicker MJ, Buckwalter SP, Eisberner JJ, Stewart RA, McCullough AE, Wohlfiel SL, Wengenack NL. Detection of Coccidioides species in clinical specimens by real-time PCR. J Clin Microbiol. 2007;45:173–8. de Aguiar Cordeiro R, Nogueira Brilhante RS, Gadelha Rocha MF, Araújo Moura FE, de Pires Camargo Z, Costa Sidrim JJ. Rapid diagnosis of coccidioidomycosis by nested PCR assay of sputum. Clin Microbiol Infect. 2007;13:449–51. Bialek R, Kern J, Herrmann T, Tijerina R, Ceceñas L, Reischl U, González GM. PCR assays for identification of Coccidioides posadasii based on the nucleotide sequence of the antigen 2/proline-rich antigen. J Clin Microbiol. 2004;42:778–83. Umeyama T, Sano A, Kamei K, Niimi M, Nishimura K, Uehara Y. Novel approach to designing primers for identification and distinction of the human pathogenic fungi and Coccidioides posadasii by PCR amplification. J Clin Microbiol. 2006;44:1859–62. Castañón-Olivares LR, Laniado-Laborín R, Concepcion T, Muñoz-Hernández B, Aroch-Calderón A, Aranda-Uribe IS, lores-Sánchez MA, del Rocío González-Martínez M, Hernández-Navarez A, Manjarrez-Zavala ME, Miranda-Mauricio S, Palma G, Pérez-Mejía A. Clinical comparison of two Mexican coccidioidins. Mycopathologia. 2010;169:427–30. Cordeiro, RA, Brilhante, RSN, Rocha, MFG, Sidrim, JJC. Coccidioidomycosis In: Don Liu (Ed). Molecular detection of human fungal pathogens. Taylor & Francis Group, USA, p. 217–230. de Cordeiro RA, Brilhante RS, Rocha MF, Bandeira SP, Fechine MA, de Camargo ZP, Sidrim JJ. Twelve years of coccidioidomycosis in Ceará State, Northeast Brazil: epidemiologic and diagnostic aspects. Diagn Microbiol Infect Dis. 2010;66:65–72. Pappagianis D. Serologic studies in coccidioidomycosis. Semin Respir Infect. 2001;16:242–50. Brilhante RS, Cordeiro RA, Rocha MF, Fechine MA, Furtado FM, Nagao-Dias AT, Camargo ZP, Sidrim JJ. Coccidioidal pericarditis: a rapid presumptive diagnosis by an in-house antigen confirmed by mycological and molecular methods. J Med Microbiol. 2008;57:1288–92. Togashi RH, Aguiar FM, Ferreira DB, Moura CM, Sales MT, Rios NX. Pulmonary and extrapulmonary coccidioidomycosis: three cases in an endemic area in the state of Ceará. Brazil J Bras Pneumol. 2009;35:275–9. Cordeiro RA, Brilhante RS, Rocha MF, Fechine MA, Camara LM, Camargo ZP, Sidrim JJ. Phenotypic characterization and ecological features of Coccidioides spp. from Northeast Brazil. Med Mycol. 2006;44:631–9. Bradford M. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976;72:248–54. Laemmli UK. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970;227:680–5. Rocha FA, Leite AK, Pompeu MM, Cunha TM, Verri WA Jr, Soares FM, Castro RR, Cunha FQ. Protective effect of an extract from Ascaris suum in experimental arthritis models. Infection Immun. 2008;76:2736–45. Camargo Z, Unterkircher C, Campoy SP, Travassos LR. Production of Paracoccidioides brasiliensis exoantigens for immunodiffusion tests. J Clin Microbiol. 1988;26:2147–51. Thorne N, Klingman LL, Teresi GA, Cook DJ. Effects of heat inactivation and DTT treatment of serum on immunoglobulin binding. Human Immunol. 1995;37(Suppl 1):123. Cooke JV. Immunity tests in coccidioidal granuloma. Proc Soc Exp Biol Med. 1914;12:35. Smith CE, Saito MT, Beard RR, Kepp RM, Clark RW, Eddie BU. Serological tests in the diagnosis and prognosis of coccidioidomycosis. Am J Hyg. 1950;52:1–20. Smith CE, Saito MT, Campbell CC, Hill GB, Saslaw S, Salvin SB, Fenton JE, Krupp MA. Comparison of complement fixation tests for coccidioidomycosis. Public Health Rep. 1957;72:888–94. de Cordeiro RA, Fechine MA, Brilhante RS, Rocha MF, da Costa AK, Nagao MA, de Camargo ZP, Sidrim JJ. Serologic detection of coccidioidomycosis antibodies in northeast Brazil. Mycopathologia. 2009;167:187–90. Blair JE, Coakley B, Santelli AC, Hentz JG, Wengenack NL. Serologic testing for symptomatic coccidioidomycosis in immunocompetent and immuno suppressed hosts. Mycopathologia. 2006;162:317–24. Yeo SF, Wong B. Current status of nonculture methods for diagnosis of invasive fungal infections. Clin Microbiol Rev. 2012;15:465–84. Blair JE, Currier JT. Significance of isolated positive IgM serologic results by enzyme immunoassay for coccidioidomycosis. Mycopathologia. 2008;166:77–82. Pappagianis D, Zimmer BL. Serology of coccidioidomycosis. Clin Microbiol Rev. 1990;3:247–68. Johnson JE, Jeffery B, Huppert M. Evaluation of five commercially available immunodiffusion kits for detection of Coccidioides immitis and Histoplasma capsulatum antibodies. J Clin Microbiol. 1984;20:530–2. Yang MC, Magee DM, Kaufman L, Zhu Y, Cox RA. Recombinant Coccidioides immitis complement-fixing antigen: detection of an epitope shared by C. immitis, Histoplasma capsulatum, and Blastomyces dermatitidis. Clin Diagn Lab Immunol. 1997;4:19–22. Durkin M, Connolly P, Kuberski T, Myers R, Kubak BM, Bruckner D, Pegues D, Wheat LJ. Diagnosis of coccidioidomycosis with use of the Coccidioides antigen enzyme immunoassay. Clin Infect Dis. 2008;47:e69–73. Martins TB, Jaskowski TD, Mouritsen CL, Hill HR. Comparison of commercially available enzyme immunoassay with traditional serological tests for detection of antibodies to Coccidioides immitis. J Clin Microbiol. 1995;33:940–3. Zartarian M, Peterson EM, de la Maza LM. Detection of antibodies to Coccidioides immitis by enzyme immunoassay. Am J Clin Pathol. 1997;107:148–53. Tiraboschi IN, Marticorena B, Negroni R. ELISA in human coccidioidomycosis. Rev Inst Med Trop Sao Paulo. 1991;33:281–5. Wieden MA, Lundergan LL, Blum J, Delgado KL, Coolbaugh R, Howard R, Peng T, Pugh E, Reis N, Theis J, Galgiani JN. Detection of coccidioidal antibodies by 33-kDa spherule antigen, Coccidioides EIA, and standard serologic tests in sera from patients evaluated for coccidioidomycosis. J Infect Dis. 1996;173:1273–7. Kaufman L, Sekhon AS, Moledina N, Jalbert M, Pappagianis D. Comparative evaluation of commercial premier EIA and micro immuno diffusion and complement fixation tests for Coccidioides immitis antibodies. J Clin Microbiol. 1995;33:618–9. Kuberski T, Herrig J, Pappagianis D. False-positive IgM serology in coccidioidomycosis. J Clin Microbiol. 2010;48:2047–9. Wheat LJ. Nonculture diagnostic methods for invasive fungal infections. Curr Infect Dis Rep. 2007;9:465–71. Bonifaz A, Vázquez-González D, Perusquía-Ortiz AM. Endemic systemic mycoses: coccidioidomycosis, histoplasmosis, paracoccidioidomycosis and blastomycosis. J Dtsch Dermatol Ges. 2011;9:705–14.