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ORIGINAL ARTICLE
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Evaluation of a new multi-epitope sequence of eight known Leishmania infantum antigens for HVL diagnosis by ELISA and Western blot


1 Islamic Azad University of Shiraz, Shiraz, Iran
2 Department of Microbiology and Parasitology, Persian Gulf Tropical and Infectious Diseases Research Center, Bushehr University of Medical Sciences, Bushehr, Iran
3 Cellular and Molecular Biology Research Center, Shahid beheshti University of Medical Sciences, Tehran, Iran

Correspondence Address:
Moradali Fouladvand,
Next to Salman Farsi Hospital, Rishehr St., Bushehr University of Medical Sciences, Postal Code: 7514633341
Iran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-9062.318310

Background & objectives: Leishmaniasis, known as a disease with high prevalence proportion throughout the world, is caused by protozoan parasites. Visceral leishmaniasis is the most severe form of this condition reported sporadically from all regions in Iran. Between different diagnostic tests, serodiagnosis of this infection is of utmost importance in both humans and dogs. Although rK39 ELISA test has been extensively validated in endemic areas, there are currently challenges regarding a more appropriate serodiagnostic test. Methods: A novel multi-epitope construct was designed consisting of high exposed B cell epitopes using eight important antigens of Leishmania infantum (Gp63, KMP-11, HSP70, CPA, H2A, H3, LACK and TRYP) . Our artificial sequence, a Multi-epitope Recombinant Protein (MRP), was consequently produced and purified. Then, immunoreactivity was investigated by ELISA test and western blotting as well. Results: In the present study, the cutoff value (1.052) for the new MRP-ELISA was determined by receiver operator characteristic (ROC) curve analysis using 35 known positive and 20 known negative HVL sera previously tested for antibodies to L. infantum by DAT, showing a sensitivity of 93.1% and a specificity of 77.4%. The blotting test also showed a favorable band to detect visceral leishmaniasis. Interpretation & conclusion: According to the results, this new antigen had acceptable potential in detecting VL positive cases once western blotting was utilized, but the ELISA test did not proceed as expected for detecting true negative cases, probably due to some optimization issues. The present study is a promising start.


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    -  Taherzadeh M
    -  Fouladvand M
    -  Kazemi B
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