Abstract

BackgroundVisceral leishmaniasis is the most severe form of leishmaniasis. Worldwide, approximately 20% of zoonotic human visceral leishmaniasis is caused by Leishmania infantum, also known as Leishmania chagasi in Latin America. Current diagnostic methods are not accurate enough to identify Leishmania-infected animals and may compromise the effectiveness of disease control. Therefore, we aimed to produce and test two recombinant multiepitope proteins as a means to improve and increase accuracy in the diagnosis of canine visceral leishmaniasis (CVL).Methodology/Principal FindingsTen antigenic peptides were identified by CVL ELISA in previous work. In the current proposal, the coding sequences of these ten peptides were assembled into a synthetic gene. Furthermore, other twenty peptides were selected from work by our group where good B and T cell epitopes were mapped. The coding sequences of these peptides were also assembled into a synthetic gene. Both genes have been cloned and expressed in Escherichia coli, producing two multiepitope recombinant proteins, PQ10 and PQ20. These antigens have been used in CVL ELISA and were able to identify asymptomatic dogs (80%) more effectively than EIE-LVC kit, produced by Bio-Manguinhos (0%) and DPP kit (10%). Moreover, our recombinant proteins presented an early detection (before PCR) of infected dogs, with positivities ranging from 23% to 65%, depending on the phase of infection in which sera were acquired.Conclusions/SignificanceOur study shows that ELISA using the multiepitope proteins PQ10 and PQ20 has great potential in early CVL diagnosis. The use of these proteins in other methodologies, such as immunochromatographic tests, could be beneficial mainly for the detection of asymptomatic dogs.

Highlights

  • Visceral leishmaniasis is caused by a protozoan parasite and affects approximately 500,000 million individuals annually worldwide [1]

  • Conclusions/Significance: Our study shows that ELISA using the multiepitope proteins PQ10 and PQ20 has great potential in early canine visceral leishmaniasis (CVL) diagnosis

  • Canine sera Serological tests were performed in 3 steps: 1) First, we used a sera panel (n = 52) in ELISA with the multiepitope proteins, tested in parallel with DualPath Platform (DPP) and EIE-LVC kit; 2) To validate ELISA with the multiepitope proteins, we used a multicentric panel with 131 serum samples and 231 serum samples that were positive in RIFI and EIE-LVC kit; 3) A panel of 42 serum samples was tested in ELISA with the multiepitope proteins; these sera were acquired from dogs which were followed for 18 months and were initially negative in PCR and EIE-LVC kit

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Summary

Introduction

Visceral leishmaniasis is caused by a protozoan parasite and affects approximately 500,000 million individuals annually worldwide [1]. Dogs are the main domestic reservoir of the causative agent of zoonotic visceral leishmaniasis, Leishmania infantum ( = L. chagasi) [2,3]. Measures employed to control visceral leishmaniasis in Brazil since the 80’s involve the elimination of infected dogs, among other actions [4]. Canine visceral leishmaniasis (CVL) represents a serious public health issue given the frequency of asymptomatic infections (up to 85%) [10], and given that both asymptomatic and symptomatic dogs are infectious to the vectors [11,12]. The development of accurate diagnostic methods for canine infection, mainly for asymptomatic animals, is essential for visceral leishmaniasis surveillance programs, in addition to understanding immunological responses in resistant or susceptible animals. Approximately 20% of zoonotic human visceral leishmaniasis is caused by Leishmania infantum, known as Leishmania chagasi in Latin America. We aimed to produce and test two recombinant multiepitope proteins as a means to improve and increase accuracy in the diagnosis of canine visceral leishmaniasis (CVL)

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