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Hybridoma cell agglutination as a novel test to detect circulating antigen: diagnosis of infections with Schistosoma japonicum

YONG-LONG Li1, WENQI Liu1 and Andreas RUPPEL2
1
Department of Parasitology, Tongji Medical University, Wuhan, P. R. China
2 Department of Tropical Hygiene and Public Health, University of Heidelberg, Heidelberg, Germany

Serodiagnostic techniques used most widely to detect parasitic infections include enzyme-linked immunol assays, immunofluorescent and haemagglutination tests. The detection of circulating parasite antigen(s) opens the possibility to differenciate between actual and past infections. We used a monoclonal antibody (H226) against schistosome 31/32 kD antigens (Ruppel et al., 1987) to develop a sandwich-ELISA, which is able to detect circulating schistosome antigen in sera of patients infected with Schistosoma japonicum, S. mansoni, S. haematobium or S. intercalatum (Li et al. 1996). This test has shown that the epitope corresponding to H226 circulates in patient serum and is highly specific for schistosomes. Using the hybridoma cells, which secrete H226, we have now developed a novel serodiagnostic test, which is based on the agglutination of hybridoma cells. In the presence of specific antigen, agglutination of the fixed and stained cells occurs and can be visualized in analogy to traditional erythrocyte agglutination. The circulating antigen, which can be detected by the test, appeared to be relational with the stages and dosages of infection in the mice. The sensitivity of this test was high with acute schistosomiasis japonica (97%, n = 32) and moderate with chronic cases (75%, n = 57). No positive reactions were obtained with healthy persons (n = 78) or patients infected with other parasites (Clonorchis sinensis, n = 20; Paragonimus westermani, n =20; Plasmodium vivax, n = 10) or suffering from lupus erythomatodus (n = 5) or mononucleosis (n = 10). The test procedure may become useful to diagnose also other infections.

Acknowledgements:
Prof. Michael Kirschfink (Dept. of Immunology at Heidelberg University) kindly provided the sera from healthy Germans and lupus erythomatodus patients and helped with valuable discussions. This work was supported by the Ministry of Science and Art Baden-Württemberg (Germany), by the German Academic Exchange Council (DAAD), by Science & Technology Committee of Hubei Provinve (P.R. China) and by the Ministry of Health of Hubei province (P.R. China). We gratefully acknowledge these sources of support.

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created 21/12/00