Performances of ICT Toxoplasma IgG-IgM test in comparison with Vidas® toxo competition to determine the immune status against Toxoplasma gondii.

Confirmatory technique Ig G antibodies Ig M antibodies Immunochromatographic test Toxoplasmosis

Journal

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
ISSN: 1435-4373
Titre abrégé: Eur J Clin Microbiol Infect Dis
Pays: Germany
ID NLM: 8804297

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 12 07 2023
accepted: 18 09 2023
pubmed: 26 9 2023
medline: 26 9 2023
entrez: 25 9 2023
Statut: ppublish

Résumé

Toxoplasmosis is a ubiquitous parasitic infection caused by Toxoplasma gondii (Tg). In immunocompetent people, the infection may be asymptomatic with the induction of an immune response that may prevent reinfection or transmission to the fetus in immune pregnant woman. In immunocompromised persons or seronegative pregnant woman with a primary infection during pregnancy, the infection may result in the loss of life, sight, cognition, and motor function in the immune-compromised person or immunologically immature fetus. The objective of this study was to evaluate a new immunochromatographic test Toxoplasma ICT IgG-IgM (ICT) that allows detection of specific anti-Tg immunoglobulins G (Ig G) and M (Ig M). We included 1145 prospectively obtained sera and 376 samples selected for specificity or sensitivity studies. The performance of ICT was compared using Vidas® Toxo Competition (TXC) and Toxoscreen®. In case of discrepancy, Vidas® Toxo Ig G or Ig M and LDBIO Toxo II IgG western blot were used to establish definitive results by additional methods. Sensitivity and specificity of ICT were respectively 99.3% and 100%. In comparison, Toxoscreen®'s sensitivity was 100% and the specificity was 99.8%. TXC had a sensitivity of 98.7% with a specificity of 99.1%. ICT has excellent performance even for low Ig G titers, especially in immunocompromised patients, and confirms the specificity of isolated Ig M. This ICT provides reliable results easily and quickly. This screening technique is not designed to differentiate the Ig M from Ig G. When positive, additional tests may be necessary.

Identifiants

pubmed: 37749274
doi: 10.1007/s10096-023-04669-8
pii: 10.1007/s10096-023-04669-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1327-1335

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Sylvie Abraham (S)

Laboratory of Parasitology, Toxoplasma National Reference Center, Bichat-Claude Bernard Hospital, APHP Nord, 46 Rue Henri Huchard, 75018, Paris, France.

Raphael Piarroux (R)

LD Bio Diagnostics, Lyon, France.
Efor-CVO, Champagne Aux Monts d'Or, France.

Ying Zhou (Y)

Department of Ophthalmology and Visual Sciences, The University of Chicago, Chicago, IL, USA.
Toxoplasmosis Center, The University of Chicago, AMB N310, Chicago, IL, USA.

Vera Tesic (V)

Department of Pathology, The University of Chicago, Chicago, IL, USA.

Ana Abeleda (A)

Department of Pathology, The University of Chicago, Chicago, IL, USA.

Nadhira Houhou-Fidouh (N)

Laboratory of Virology, Bichat-Claude Bernard Hospital, APHP Nord, 46 Rue Henri Huchard, 75018, Paris, France.

Pascale Nicaise-Rolland (P)

Laboratory of Immunology, Bichat-Claude Bernard Hospital, APHP Nord, 46 Rue Henri Huchard, 75018, Paris Paris, France.

Luce Landraud (L)

Laboratory of Microbiology, Louis Mourier Hospital, APHP Nord, 178 Rue Des Renouillers, 92700, Colombes, France.

Rima McLeod (R)

Department of Ophthalmology and Visual Sciences, The University of Chicago, Chicago, IL, USA.
Toxoplasmosis Center, The University of Chicago, AMB N310, Chicago, IL, USA.
Department of Pediatrics, Division of Infectious Diseases, The University of Chicago, Chicago, IL, USA.

Sandrine Houzé (S)

Laboratory of Parasitology, Toxoplasma National Reference Center, Bichat-Claude Bernard Hospital, APHP Nord, 46 Rue Henri Huchard, 75018, Paris, France. sandrine.houze@aphp.fr.
Université Paris Cité, IRD, 75006, MERITParis, France. sandrine.houze@aphp.fr.

Classifications MeSH