Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.

<h4>Background</h4>Schistosoma haematobium is the causative pathogen for urogenital schistosomiasis. To achieve progress towards schistosomiasis elimination, there is a critical need for developing highly sensitive and specific tools to monitor transmission in near-elimination settings....

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Main Authors: Mio Kokubo-Tanaka, Anna Overgaard Kildemoes, Evans Asena Chadeka, Benard Ngetich Cheruiyot, Taeko Moriyasu, Miho Sassa, Risa Nakamura, Mihoko Kikuchi, Yoshito Fujii, Claudia J de Dood, Paul L A M Corstjens, Satoshi Kaneko, Haruhiko Maruyama, Sammy M Njenga, Remco de Vrueh, Cornelis Hendrik Hokke, Shinjiro Hamano
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0012813
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author Mio Kokubo-Tanaka
Anna Overgaard Kildemoes
Evans Asena Chadeka
Benard Ngetich Cheruiyot
Taeko Moriyasu
Miho Sassa
Risa Nakamura
Mihoko Kikuchi
Yoshito Fujii
Claudia J de Dood
Paul L A M Corstjens
Satoshi Kaneko
Haruhiko Maruyama
Sammy M Njenga
Remco de Vrueh
Cornelis Hendrik Hokke
Shinjiro Hamano
author_facet Mio Kokubo-Tanaka
Anna Overgaard Kildemoes
Evans Asena Chadeka
Benard Ngetich Cheruiyot
Taeko Moriyasu
Miho Sassa
Risa Nakamura
Mihoko Kikuchi
Yoshito Fujii
Claudia J de Dood
Paul L A M Corstjens
Satoshi Kaneko
Haruhiko Maruyama
Sammy M Njenga
Remco de Vrueh
Cornelis Hendrik Hokke
Shinjiro Hamano
author_sort Mio Kokubo-Tanaka
collection DOAJ
description <h4>Background</h4>Schistosoma haematobium is the causative pathogen for urogenital schistosomiasis. To achieve progress towards schistosomiasis elimination, there is a critical need for developing highly sensitive and specific tools to monitor transmission in near-elimination settings. Although antibody detection is a promising approach, it is usually unable to discriminate active infections from past ones. Moreover, crude antigens such as soluble egg antigen (SEA) show cross-reactivity with other parasitic infections, and it is difficult to formulate the standard preparations. To resolve these issues, the performances of recombinant antigens have been evaluated. The antibody responses against recombinant S. haematobium serine-protease inhibitor (ShSerpin) and RP26 were previously shown to reflect active schistosome infection in humans. Furthermore, antibody detection using multiple recombinant antigens has been reported to improve the accuracy of antibody-based assays compared to single-target assays. Therefore, we examined the performances of ShSerpin, RP26 and the mixture of these antigens for detecting S. haematobium low-intensity infection and assessed the potential for transmission monitoring.<h4>Methodology/principal findings</h4>We collected urine and plasma samples from school-aged children in Kwale, Kenya and evaluated S. haematobium prevalence by number of eggs in urine and worm-derived circulating anodic antigen (CAA) in plasma. Among 269 pupils, 50.2% were CAA-positive by the lateral flow test utilizing up-converting phosphor particles (UCP-LF CAA), while only 14.1% were egg-positive. IgG levels to S. haematobium SEA (ShSEA), ShSerpin, RP26, and the mixture of ShSerpin and RP26 were measured by ELISA. The mixture of ShSerpin and RP26 showed the highest sensitivity, 88.7%(125/141)among the four antigens in considering indecisive UCP-LF CAA results as negative.<h4>Conclusion/significance</h4>IgG detection against the ShSerpin-RP26 mixture demonstrated better sensitivity for detection of active S. haematobium infection. This recombinant antigen mixture is simpler to produce with higher reproducibility and can potentially replace ShSEA in monitoring transmission under near-elimination settings.
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spelling doaj-art-f0481b4d09ff4f38bbb44090e9f5ff0e2025-08-20T01:48:57ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352025-01-01191e001281310.1371/journal.pntd.0012813Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.Mio Kokubo-TanakaAnna Overgaard KildemoesEvans Asena ChadekaBenard Ngetich CheruiyotTaeko MoriyasuMiho SassaRisa NakamuraMihoko KikuchiYoshito FujiiClaudia J de DoodPaul L A M CorstjensSatoshi KanekoHaruhiko MaruyamaSammy M NjengaRemco de VruehCornelis Hendrik HokkeShinjiro Hamano<h4>Background</h4>Schistosoma haematobium is the causative pathogen for urogenital schistosomiasis. To achieve progress towards schistosomiasis elimination, there is a critical need for developing highly sensitive and specific tools to monitor transmission in near-elimination settings. Although antibody detection is a promising approach, it is usually unable to discriminate active infections from past ones. Moreover, crude antigens such as soluble egg antigen (SEA) show cross-reactivity with other parasitic infections, and it is difficult to formulate the standard preparations. To resolve these issues, the performances of recombinant antigens have been evaluated. The antibody responses against recombinant S. haematobium serine-protease inhibitor (ShSerpin) and RP26 were previously shown to reflect active schistosome infection in humans. Furthermore, antibody detection using multiple recombinant antigens has been reported to improve the accuracy of antibody-based assays compared to single-target assays. Therefore, we examined the performances of ShSerpin, RP26 and the mixture of these antigens for detecting S. haematobium low-intensity infection and assessed the potential for transmission monitoring.<h4>Methodology/principal findings</h4>We collected urine and plasma samples from school-aged children in Kwale, Kenya and evaluated S. haematobium prevalence by number of eggs in urine and worm-derived circulating anodic antigen (CAA) in plasma. Among 269 pupils, 50.2% were CAA-positive by the lateral flow test utilizing up-converting phosphor particles (UCP-LF CAA), while only 14.1% were egg-positive. IgG levels to S. haematobium SEA (ShSEA), ShSerpin, RP26, and the mixture of ShSerpin and RP26 were measured by ELISA. The mixture of ShSerpin and RP26 showed the highest sensitivity, 88.7%(125/141)among the four antigens in considering indecisive UCP-LF CAA results as negative.<h4>Conclusion/significance</h4>IgG detection against the ShSerpin-RP26 mixture demonstrated better sensitivity for detection of active S. haematobium infection. This recombinant antigen mixture is simpler to produce with higher reproducibility and can potentially replace ShSEA in monitoring transmission under near-elimination settings.https://doi.org/10.1371/journal.pntd.0012813
spellingShingle Mio Kokubo-Tanaka
Anna Overgaard Kildemoes
Evans Asena Chadeka
Benard Ngetich Cheruiyot
Taeko Moriyasu
Miho Sassa
Risa Nakamura
Mihoko Kikuchi
Yoshito Fujii
Claudia J de Dood
Paul L A M Corstjens
Satoshi Kaneko
Haruhiko Maruyama
Sammy M Njenga
Remco de Vrueh
Cornelis Hendrik Hokke
Shinjiro Hamano
Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
PLoS Neglected Tropical Diseases
title Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
title_full Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
title_fullStr Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
title_full_unstemmed Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
title_short Detection and analysis of Serpin and RP26 specific antibodies for monitoring Schistosoma haematobium transmission.
title_sort detection and analysis of serpin and rp26 specific antibodies for monitoring schistosoma haematobium transmission
url https://doi.org/10.1371/journal.pntd.0012813
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