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Vol. 28. Núm. S1.
Programa Externo de Control de Calidad SEIMC. Año 2008
Páginas 33-39 (enero 2009)
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Vol. 28. Núm. S1.
Programa Externo de Control de Calidad SEIMC. Año 2008
Páginas 33-39 (enero 2009)
Acceso a texto completo
Diagnóstico de las parasitosis intestinales mediante detección de coproantígenos
Diagnostic of intestinal parasitosis by coproantigen detection
Visitas
18773
Isabel Fuentes Corripio
Autor para correspondencia
ifuentes@isciii.es

Autor para correspondencia.
, María José Gutiérrez Cisneros, Teresa Gárate Ormaechea
Servicio de Parasitología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, España
Este artículo ha recibido
Información del artículo
Resumen

Las parasitosis intestinales presentan una alta prevalencia en áreas tropicales y países en desarrollo, pero también son frecuentes en países industrializados. Tradicionalmente, su diagnóstico se ha realizado por el examen microscópico de las heces del paciente. Estas determinaciones muestran una sensibilidad pobre, exigen la toma de muestras seriadas, son muy laboriosas y requieren especialización técnica. En los últimos años, el avance en el estudio molecular de estos parásitos y la investigación de la respuesta inmune específica del paciente, junto con el empleo de las nuevas metodologías diagnósticas, han posibilitado el desarrollo de sistemas de detección más eficaces que apoyan al clínico, permiten el seguimiento de los tratamientos y facilitan los estudios epidemiológicos. Entre ellos, cabe destacar los métodos de detección de coproantígenos, que, en general, presentan buena especificidad y sensibilidad, y además se desarrollan en formatos sencillos, unas propiedades que los convierten en una herramienta útil en los laboratorios de microbiología.

Palabras clave:
Coproantígenos
Diagnóstico
Parasitosis intestinales
Abstract

Intestinal parasites are highly prevalent in tropical areas and developing countries, but are also common in industrialised countries as well. Traditionally, their diagnosis has been made by microscopic examinations of the faeces of the patient. These have been shown to have poor sensitivity, require serial samples, are very time-consuming and require a specialised technique. In the last few years, advances in the molecular biology of these parasites and research into the specific immune response of the patient, has made it possible to develop more efficient detection systems that help the clinician, allow treatments to be followed up and make it easier to carry out epidemiological studies. Among these systems are the methods for detecting faecal antigens, which, in general, have good specificity and sensitivity; properties which make them a useful tool in microbiology laboratories.

Keywords:
Faecal antigens
Diagnosis
Intestinal parasites
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Bibliografía
[1.]
P. Dorny, N. Praet, N. Deckers, S. Gabriel.
Emerging food-borne parasites.
Vet Parasitol, 163 (2009), pp. 196-206
[2.]
D. Mupfasoni, B. Karibushi, A. Koukounari, E. Ruberanziza, T. Kaberuka, M.H. Kramer, et al.
Polyparasite helminth infections and their association to anaemia and undernutrition in Northern Rwanda.
PloS Negl Trop Dis, 15 (2009), pp. e517
[3.]
M. Portús, G. Prats.
Contribution to the knowledge of intestinal protozoa infestation in the hospital population of Barcelona.
Med Clin (Barc), 76 (1981), pp. 203-205
[4.]
R.J. Ten Hove, J.J. Verweij, K. Vereecken, K. Polman, L. Dieye, L. Van Lieshout.
Multiplex real-time PCR for the detection and qualification of Schistosoma mansoni and S. haematobium infection in stool samples collected in northern Senegal.
Trans R Soc Trop Med Hyg, 102 (2008), pp. 179-185
[5.]
F.M. Ubeira, L. Muiño, A. Valero, M.V. Periago, I. Pérez-Crespo, M. Mezo, et al.
MM3- ELISA detection of Fasciola hepatica coproantigens in preserved human stool samples.
Am J Trop Med Hyg, 81 (2009), pp. 156-162
[6.]
J.C. Allan, P.P. Wilkins, V.C.W. Tsang, P.S. Craig.
Immunodiagnostic tools for taeniasis.
Acta Trop, 87 (2003), pp. 87-93
[7.]
M.A. Valero, F.M. Ubeira, M. Khoubbane, P. Artigas, L. Muiño, M. Mezo, et al.
MM-3 ELISA evaluation of coproantigen release and serum antibody production in sheep experimentally infected with Fasciola hepatica and F. gigantica.
Vet Parasitol, 159 (2009), pp. 77-81
[8.]
J.C. Allan, P.S. Craig.
Coproantigen in taeniasis and echinococcosis.
Parasitol Int, 55 (2006), pp. S75-S80
[9.]
J.C. Allan, G. Avila, J. García Noval, A. Flisser, P.S. Craig.
Immunodiagnosis of taeniasis by coproantigen detection.
Parasitology, 101 (1990), pp. 473-477
[10.]
M. Maass, E. Delgado, J. Knobloch.
Detection of Taenia solium antigens in merthiolate-form preserved stool samples.
Trop Med Parasitol, 42 (1991), pp. 112-114
[11.]
A. Flisser, T.W. Gyorkos.
Contribution of immunodiagnostic tests to epidemiological/ intervention studies of cysticercosis/taeniosis in Mexico.
Parasite Immunol, 29 (2007), pp. 637-649
[12.]
M. Maass, E. Delgado, J. Knobloch.
Isolation of an immunodiagnostic Taenia solium coproantigen.
Trop Med Parasitol, 43 (1992), pp. 201-202
[13.]
T. Wandra, P. Sutisna, N.S. Dharmawan, S.S. Margono, R. Sudewi, T. Suroso, et al.
High prevalence of Taenia saginata taeniasis and status of Taenia solium cysticercosis in Bali, Indonesia, 2002-2004.
Trans R Soc Trop Med Hyg, 100 (2006), pp. 346-353
[14.]
M.C. Guezala, S. Rodríguez, H. Zamora, H.H. García, A.E. González, A. Tembo, et al.
Development of a species-specific coproantigen ELISA for human Taenia solium taeniasis.
Am Trop Med Hyg, 81 (2009), pp. 433-437
[15.]
A.M. Espino, C.M. Finlay.
Sandwich enzyme-linked immunosorbent assay for detection of excretory secretory antigens in humans with fascioliasis.
J Clin Microbiol, 32 (1994), pp. 190-193
[16.]
M. Mezo, M. González-Warleta, C. Carro, F.M. Ubeira.
An ultrasensitive capture ELISA for detection of Fasciola hepatica corpoantigens in sheep and cattle using a new monoclonal antibody (MM3).
J Parasitol, 90 (2004), pp. 845-852
[17.]
S.M. Abdel-Rahman, K.L. O’Reilly, J.B. Malone.
Evaluation of a diagnostic monoclonal antibody-based capture enzyme-linked immunosorbent assay for detection of a 26- to 28-kd Fasciola hepatica coproantigen in cattle.
Am J Vet Res, 59 (1998), pp. 533-537
[18.]
S. Sirisinha, R. Chawengkirttikul, R. Sermswan, S. Amornpant, S. Mongkolsuk, S. Panyim.
Detection of Opistorchis viverrini by monoclonal antibody-based ELISA and DNA hybridization.
Am J Trop Med Hyg, 44 (1991), pp. 140-145
[19.]
S. Sirisinha, R. Chawengkirttikul, M.R. Haswell-Elkins, D.B. Elkins, S. Kaewkes, P. Sithithaworn.
Evaluation of a monoclonal antibody-based enzyme linked immunosorbent assay for the diagnosis of Opistorchis viverrini infection in an endemic area.
Am J Trop Med Hyg, 52 (1995), pp. 521-524
[20.]
W. Chaicumpa, Y. Ruangkunaporn, T. Kalambaheti, S. Limayongprance, V. Kitikoon, S. Khusmith, et al.
Specific monoclonal antibodies to Opistorchis viverrini.
Int J Parasitol, 21 (1991), pp. 969-974
[21.]
W. Chaicumpa, I. Ybanez, V. Kitikoon, S. Pungpak, Y. Ruangkunaporn, M. Chongsa-nguan, et al.
Detection of Opistorchis viverrini antigens in stools using specific monoclonal antibody.
Int J Parasitol, 22 (1992), pp. 527-531
[22.]
R. Toledo, A.M. Espert, C. Muñoz-Antoli, A. Marcilla, B. Fried, J.G. Esteban.
Development of an antibody-based capture enzyme-linked immunosorbent assay for detecting Echinostoma caproni (Trematoda) in experimentally infected rats: kinetics of coproantigen excretion.
J Parasitol, 89 (2003), pp. 1227-1231
[23.]
R. Toledo, A.M. Espert, C. Muñoz-Antoli, A. Marcilla, B. Fried, J.G. Esteban.
Kinetics of Echinostoma caproni (Trematoda: Echinostomatidae) antigens in feces and serum of experimentally infected hamsters and rats.
J Parasitol, 90 (2004), pp. 752-758
[24.]
G.G. Nuñez, S.N. Costantino, S.M. Venturiello.
Detection of coproantibodies and fecal immune complexes in human trichinellosis.
Parasitology, 134 (2007), pp. 723-727
[25.]
R.D. Bungiro, M. Cappello.
Detection of excretory/secretory coproantigens in experimental hookworm infection.
Am J Trop Med Hyg, 73 (2005), pp. 915-920
[26.]
P. Dorny Dorny, N. Praet, N. Deckers, S. Gabriel.
Emerging food-borne parasites.
Vet Parasitol, 163 (2009), pp. 196-206
[27.]
P.T. Monis, S.M. Caccio, R.C. Thompson.
Variation in Giardia: towards a taxonomic revision of the genus Trends Parasitol, 25 (2009), pp. 93-100
[28.]
K.L. Hanson, C.P. Cartwright.
Use of an enzyme immunoassay does not eliminate the need to analyze multiple stool specimens for sensitive detection of Giardia lamblia.
J Clin Microbiol, 39 (2001), pp. 474-477
[29.]
T.B. Gardner, D.R. Hill.
Treatment of giardiasis.
Clin Microbiol Rev, 14 (2001), pp. 114-128
[30.]
L.S. Garcia, A.C. Shum, D.A. Bruckner.
Evaluation of a new monoclonal antibody combination reagent for direct fluorescence detection of Giardia cysts and Cryptosporidium oocysts in human fecal specimens.
J Clin Microbiol, 30 (1992), pp. 3255-3257
[31.]
D.P. Fedorko, E.C. Williams, N.A. Nelson, L.B. Calhoun, S.S. Yan.
Performance of three enzyme immunoassays and two direct fluorescence assays for detection of Giardia lamblia in stool specimens preserved in ECOFIX.
J Clin Microbiol, 38 (2001), pp. 2781-2783
[32.]
L. Nishi, M.L. Baesso, R.G. Santana, P. Fregadolli, D.L. Falavigna, A.L. Falavigna-Guilherme.
Investigation of Cryptosporidium spp. and Giardia spp. in a public water-treatment system.
Zoonoses Public Health, 56 (2009), pp. 221-228
[33.]
M. Le Bailly, M.L. Gonçalves, S. Harter-Lailheugue, F. Prodéo, A. Araujo, F. Bouchet.
New finding of Giardia intestinalis (Eukaryote, Metamonad) in Old World archaeological site using immunofluorescence and enzyme-linked immunosorbent assays.
Mem Inst Oswaldo Cruz, 103 (2008), pp. 298-300
[34.]
W.E. Aldeen, K. Carroll, A. Robinson, M. Morrison, D. Hale.
Comparison of nine commercially available enzyme-linked immunosorbent assays for detection of Giardia lamblia in fecal specimens.
J Clin Microbiol, 36 (1998), pp. 1338-1340
[35.]
T. Weitzel, S. Dittrich, I. Möhl, E. Adusu, T. Jelinek.
Evaluation of seven commercial antigen detection tests for Giardia and Cryptosporidium in stool samples.
Clin Microbiol Infect, 12 (2006), pp. 656-659
[36.]
L.S. Garcia, J.P. Garcia.
Detection of Giardia lamblia antigens in human fecal specimens by a solid-phase qualitative immunochromatographic assay.
J Clin Microbiol, 44 (2006), pp. 4587-4588
[37.]
N. Oster, H. Gehrig-Feistel, H. Jung, J. Kammer, J.E. McLean, M. Lanzer.
Evaluation of the immunochromatographic CORIS Giardia-Strip test for rapid diagnosis of Giardia lamblia.
Eur J Clin Microbiol Infect Dis, 25 (2006), pp. 112-115
[38.]
D. Stark, J.L. Barratt, S. Van Hal, D. Marriott, J. Harkness, J.T. Ellis.
Clinical significance of enteric protozoa in the immunosuppressed human population.
Clin Microbiol Rev, 22 (2009), pp. 634-650
[39.]
K. Kaushik, S. Khurana, A. Wanchu, N. Malla.
Evaluation of staining techniques, antigen detection and nested PCR for the diagnosis of cryptosporidiosis in HIV seropositive and seronegative patients.
[40.]
R. Weber, R.T. Bryan, H.S. Bishop, S.P. Wahlquist, J.J. Sullivan, D.D. Juranek.
Threshold of detection of Cryptosporidium oocysts in human stool specimens: evidence for low sensitivity of current diagnostic methods.
J Clin Microbiol, 29 (1991), pp. 1323-1327
[41.]
T.K. Graczyk, M.R. Cranfield, R. Fayer.
Evaluation of commercial enzyme immunoassay (EIA) and immunofluorescent antibody (FA) test kits for detection of Cryptosporidium oocysts of species other than Cryptosporidium parvum.
Am J Trop Med Hyg, 54 (1996), pp. 274-279
[42.]
K. Bandyopadhyay, K.L. Kellar, I. Moura, M.C. Casaqui Carollo, T.K. Graczyk, S. Slemenda, et al.
Rapid microsphere assay for identification of Cryptosporidium hominis and Cryptosporidium parvum in stool and environmental samples.
J Clin Microbiol, 45 (2007), pp. 2835-2840
[43.]
K. Griffin, E. Mattsahi, M. Hommel, J.C. Weitz, D. Baxby, C.A. Hart.
Antigenic diversity among oocysts of clinical isolates of Cryptosporidium parvum.
J Protozool Res, 2 (1992), pp. 97-101
[44.]
L.S. Garcia, R.Y. Shimizu.
Evaluation of nine immunoassay kits (enzyme immunoassay and direct fluorescence) for detection of Giardia lamblia and Cryptosporidium parvum in human fecal specimens.
J Clin Microbiol, 35 (1997), pp. 1526-1529
[45.]
M.T. Katanik, S.K. Schneider, J.E. Rosenblatt, G.S. Hall, G.W. Procop.
Evaluation of Color-PAC Giardia/Cryptosporidium rapid assay and ProSpecT Giardia/Cryptosporidium microplate assay for detection of Giardia and Cryptosporidium in fecal specimens.
J Clin Microbiol, 39 (2001), pp. 4523-4525
[46.]
S.P. Johnston, M.M. Ballard, M.J. Beach, L. Causer, P.P. Wilkins.
Evaluation of three commercial assays for detection of Giardia and Cryptosporidium organisms in fecal specimens.
J Clin Microbiol, 41 (2003), pp. 623-626
[47.]
L.S. Garcia, R.Y. Shimizu.
Detection of Giardia lamblia and Cryptosporidium parvum antigens in human fecal specimens using the ColorPAC combination rapid solidphase qualitative immunochromatographic assay.
J Clin Microbiol, 38 (2000), pp. 1267-1268
[48.]
L.S. Garcia, R.Y. Shimizu, S. Novak, M. Carroll, F. Chan.
Commercial assay for detection of Giardia lamblia and Cryptosporidium parvum antigens in human fecal specimens by rapid solid-phase qualitative immunochromatography.
J Clin Microbiol, 41 (2003), pp. 209-212
[49.]
L. Xiao, R.P. Herd.
Quantitation of Giardia cysts and Cryptosporidium oocysts in fecal samples by direct immunofluorescence assay.
J Clin Microbiol, 31 (1993), pp. 2944-2946
[50.]
M.A. Gutiérrez-Cisneros, P. Martín-Rabadán, L. Menchén, J.M. García-Lechuz, I. Fuentes, T. Gárate, et al.
Autochthonous amebic liver abscess in Spain: An emerging disease: Case report and description of a PCR-based diagnostic test.
Enferm Infecc Microbiol Clin, 27 (2009), pp. 326-330
[51.]
L.S. Diamond, C.G. Clark.
A redescription of Entamoeba histolytica Schaudinn, 1903 (Emended Walker, 1911) separating it from Entamoeba dispar Brumpt, 1925J.
Eukaryot Microbiol, 40 (1993), pp. 340-344
[52.]
R. Fotedar, D. Stark, N. Beebe, D. Marriott, J. Ellis, J. Harkness.
Laboratory diagnostic techniques for Entamoeba species.
Clin Microbiol Rev, 20 (2007), pp. 511-532
[53.]
M. Tanyuksel, W.A. Petri Jr.
Laboratory diagnosis of amebiasis.
Clin Microbiol Rev, 16 (2003), pp. 713-729
[54.]
S. Anane, S. Khaled.
Entamoeba histolytica and Entamoeba dispar: differentiation methods and implications.
Ann Biol Clin (Paris), 63 (2005), pp. 7-13
[55.]
S. Gatti, G. Swierczynski, F. Robinson, M. Anselmi, J. Corrales, J. Moreira, et al.
Amebic infections due to the Entamoeba histolytica-Entamoeba dispar complex: a study of the incidence in a remote rural area of Ecuador.
Am J Trop Med Hyg, 67 (2002), pp. 123-127
[56.]
D. Stark, S. Van Hal, R. Fotedar, A. Butcher, D. Marriott, J. Ellis, et al.
Comparison of stool antigen detection kits to PCR for diagnosis of amebiasis.
J Clin Microbiol, 46 (2008), pp. 1678-1681
[57.]
L.S. Garcia, R.Y. Shimizu, C.N. Bernard.
Detection of Giardia lamblia, Entamoeba histolytica/Entamoeba dispar, and Cryptosporidium parvum antigens in human fecal specimens using the triage parasite panel enzyme immunoassay.
J Clin Microbiol, 38 (2000), pp. 3337-3340
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