Naturally acquired IgM antibody response to the C-terminal region of the merozoite surface protein 1 of Plasmodium vivax in Korea: use for serodiagnosis of vivax malaria

J Parasitol. 2008 Dec;94(6):1410-4. doi: 10.1645/GE-1484.1.

Abstract

The antibody levels against the C-terminal region of the merozoite surface protein 1 of Plasmodium vivax (PvMSP1c) were measured in 276 patients with P. vivax malaria (patient group), 320 malaria-naïve healthy individuals (control group 1), and 70 malaria-naïve individuals with various disorders (control group 2) using the immunoglobulin M (IgM) capture enzyme-linked immunosorbent assay (ELISA) and the direct sandwich ELISA. To evaluate the antibody response during relapse, 5 relapsed patients were tested using the IgM capture ELISA. The IgM antibodies were negative in 99.7% of control group 1 and in 100% of control group 2; they were positive in 90.6% of the patient group. The total antibody levels were positive in 88.4% of the patient group with the direct sandwich ELISA. The sera from the second malaria episode, i.e., relapsed patients, were 100% positive on the IgM capture ELISA. The results of this study suggest that the IgM capture ELISA may be a useful diagnostic method for P. vivax malaria for both primary infection and relapse.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Protozoan / biosynthesis*
  • Antibodies, Protozoan / blood
  • Case-Control Studies
  • Enzyme-Linked Immunosorbent Assay / methods
  • Enzyme-Linked Immunosorbent Assay / standards
  • Follow-Up Studies
  • Humans
  • Immunoglobulin M / biosynthesis*
  • Immunoglobulin M / blood
  • Korea
  • Malaria, Vivax / diagnosis*
  • Mass Screening / methods
  • Merozoite Surface Protein 1 / immunology*
  • Plasmodium vivax / immunology*
  • Recurrence
  • Sensitivity and Specificity

Substances

  • Antibodies, Protozoan
  • Immunoglobulin M
  • Merozoite Surface Protein 1