Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions

Objective: To evaluate the immunodiagnostic potential of crude Fasciola gigantica-worm (FWA) and egg antigen (FEA) in detecting anti-Schistosoma (S.) haematobium antibodies in sera and urine samples. Methods: This is a cross-sectional diagnostic study. Employing an indirect ELISA, antibodies against...

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Main Authors: Adedayo Adesida, Tajudeen Oriade, Kabirat Sulaiman, Funmilayo Afolayan, Timothy Auta, Ibikunle Akanbi, Mercy Aladegboye, Roseangela Nwuba, Alexander Odaibo, Oyetunde Oyeyemi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Asian Pacific Journal of Tropical Medicine
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Online Access:https://journals.lww.com/10.4103/apjtm.apjtm_80_24
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author Adedayo Adesida
Tajudeen Oriade
Kabirat Sulaiman
Funmilayo Afolayan
Timothy Auta
Ibikunle Akanbi
Mercy Aladegboye
Roseangela Nwuba
Alexander Odaibo
Oyetunde Oyeyemi
author_facet Adedayo Adesida
Tajudeen Oriade
Kabirat Sulaiman
Funmilayo Afolayan
Timothy Auta
Ibikunle Akanbi
Mercy Aladegboye
Roseangela Nwuba
Alexander Odaibo
Oyetunde Oyeyemi
author_sort Adedayo Adesida
collection DOAJ
description Objective: To evaluate the immunodiagnostic potential of crude Fasciola gigantica-worm (FWA) and egg antigen (FEA) in detecting anti-Schistosoma (S.) haematobium antibodies in sera and urine samples. Methods: This is a cross-sectional diagnostic study. Employing an indirect ELISA, antibodies against these antigens were assessed in samples from infected and non-infected individuals in both schistosomiasis endemic (NE) and non-endemic (NNE) areas, using microscopy as the diagnostic standard. Results: FWA-sera exhibited excellent diagnostic accuracy with an area under the curve (AUC) of 0.957, a sensitivity of 93.75%, and a specificity of 85.42% for discriminating between infected and non-infected individuals in non-endemic areas. FWA-urine also demonstrated robust performance, achieving AUC>0.95, sensitivity>97.0%, and specificity>85.0% in both NE and NNE categories. Notably, S. haematobium-specific antibody levels against FWA were significantly elevated in infected individuals in both endemic and non-endemic areas. FEA-sera exhibited outstanding diagnostic performance with sensitivity exceeding 90% and an AUC of 0.968 in non-endemic samples but not in FEA-urine. Conclusions: FWA-based ELISAs, applicable to both sera and urine, emerge as promising tools for S. haematobium diagnosis in resource-limited settings, offering advantages of high sensitivity and specificity with shared antigens with Fasciola. The superior diagnostic metrics of urine samples suggest their potential as a noninvasive biological sample for diagnostic purposes.
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spelling doaj-art-3adc2ba231ca43a4869cfce51fe75f382025-08-20T02:30:38ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462024-11-01171150150710.4103/apjtm.apjtm_80_24Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regionsAdedayo AdesidaTajudeen OriadeKabirat SulaimanFunmilayo AfolayanTimothy AutaIbikunle AkanbiMercy AladegboyeRoseangela NwubaAlexander OdaiboOyetunde OyeyemiObjective: To evaluate the immunodiagnostic potential of crude Fasciola gigantica-worm (FWA) and egg antigen (FEA) in detecting anti-Schistosoma (S.) haematobium antibodies in sera and urine samples. Methods: This is a cross-sectional diagnostic study. Employing an indirect ELISA, antibodies against these antigens were assessed in samples from infected and non-infected individuals in both schistosomiasis endemic (NE) and non-endemic (NNE) areas, using microscopy as the diagnostic standard. Results: FWA-sera exhibited excellent diagnostic accuracy with an area under the curve (AUC) of 0.957, a sensitivity of 93.75%, and a specificity of 85.42% for discriminating between infected and non-infected individuals in non-endemic areas. FWA-urine also demonstrated robust performance, achieving AUC>0.95, sensitivity>97.0%, and specificity>85.0% in both NE and NNE categories. Notably, S. haematobium-specific antibody levels against FWA were significantly elevated in infected individuals in both endemic and non-endemic areas. FEA-sera exhibited outstanding diagnostic performance with sensitivity exceeding 90% and an AUC of 0.968 in non-endemic samples but not in FEA-urine. Conclusions: FWA-based ELISAs, applicable to both sera and urine, emerge as promising tools for S. haematobium diagnosis in resource-limited settings, offering advantages of high sensitivity and specificity with shared antigens with Fasciola. The superior diagnostic metrics of urine samples suggest their potential as a noninvasive biological sample for diagnostic purposes.https://journals.lww.com/10.4103/apjtm.apjtm_80_24schistosoma haematobiumnon-invasiveworm antigenelisaimmuno-diagnosis
spellingShingle Adedayo Adesida
Tajudeen Oriade
Kabirat Sulaiman
Funmilayo Afolayan
Timothy Auta
Ibikunle Akanbi
Mercy Aladegboye
Roseangela Nwuba
Alexander Odaibo
Oyetunde Oyeyemi
Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
Asian Pacific Journal of Tropical Medicine
schistosoma haematobium
non-invasive
worm antigen
elisa
immuno-diagnosis
title Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
title_full Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
title_fullStr Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
title_full_unstemmed Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
title_short Fasciola worm and egg-derived antigens: Exploring their diagnostic potential for urogenital schistosomiasis in resource-limited endemic regions
title_sort fasciola worm and egg derived antigens exploring their diagnostic potential for urogenital schistosomiasis in resource limited endemic regions
topic schistosoma haematobium
non-invasive
worm antigen
elisa
immuno-diagnosis
url https://journals.lww.com/10.4103/apjtm.apjtm_80_24
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