Description: PleaseclickhereforMSD SPDFDatasheet ProductName: Chagas(Trypanosomacruzi)IgG
ELISA #ofSamples: 1x96Assays
IntendedUse: TheChagas(Trypanosomacruzi)IgG-ELISAisintendedforthequalitativedeterminationofIgGclassantibodiesagainstTrypanosomacruziinhumanserumorplasma(citrate).
Introduction: ChagasdiseaseoccursinMiddleandSouthAmerica.Itisaninfectiousdiseasetransmittedtohumansthroughthebitewoundcausedbyaninfectedbugofthefamilyreduviidae.TheinfectioniscausedbyTrypanosomacruziaunicellularparasite.Theinfectionpassesthroughdifferentphasesandcausesanoftenchronicdisease.4to5millionpeopleinSouthAmericaaresufferingfromit.Peoplelivingunderpoorconditionsaremainlyjeopardized.Upto10%ofallinfectionsarefatal;b
ABI esandneonateshaveaspecialrisk.
Theinfectionistransmittedtohumansbydifferentbugspeciesofthefamilyreduviidae.Theparasitedoesnotenterthehumanbodywiththebitofthebug.Trypanosomacruzilivesinfaecesofthebugandinvadesintohumansbyskinwounds.Newbornsareatriskbyinfectioninutero.Aninfectionviabloodtransfusionisalsoposs
IBL e.
1-2%ofallinfectedpeopleshowsymptomsafteranincubationtimeofonetofourweeks.Childrenupto15yearsoldaremainlyaffected.Thediseasepassesthroughthreedifferentphases.
Duringacutephasefever,diarrhoea,gripes,swollenlymphnodesandswellingofthewholebodyappears.Especiallyinneonatesandinfantsinflammationofheartorbrainarepossible.Theacutephaselastsforca.4weeks.TheacuteChagasdiseaseismostlyadiseaseofchildren.Inmanycasesthediseaseishealedup.
Thefollowinglatencyperiodischaracterizedbylackofsymptomsformostofthepatients.Occasionallyaweakeningoftheimmunesystemtakesplace.Thisphasecanlastseveralyears.
10to20%ofinfectedpeoplereachthechronicphase.Differentinnerorganslikeheart,intestinaltractorneuronalsystemcanbeaffected.Patientsoftendiebesuddencardiacdeathorastheresultofachronicheartinsufficiency.Theprognosisdependsuponthedegreeofheartvariance.
Avarietyofdiagnosticmethodshavebeenused,butdetectionofantibodiestoT.cruziantigensremainsthestrongestmethodtodiagnoseinfection.
Principlesoftheassay: ThequalitativeimmunoenzymaticdeterminationofIgG-classantibodiesagainstChagas(Trypanosomacruzi)isbasedontheELISA(Enzyme-linkedImmunosorbentAssay)technique.
MicrotiterstripwellsareprecoatedwithTrypanosomacruziantigenstobindcorrespondingantibodiesofthespecimen.Afterwashingthewellstoremoveallunboundsamplematerialhorser
ADI shperoxidase(HRP)labelledProteinAconjugateisadded.Thisconjugatebindstoantigen-antibodycomplexes.TheimmunecomplexformedbytheboundconjugateisvisualizedbyaddingTetramethylbenzidine(TMB)substratewhichgivesabluereactionproduct.
TheintensityofthisproductisproportionaltotheamountofTrypanosomacruzi-specificIgGantibodiesinthespecimen.Sulphuricacidisaddedtostopthereaction.Thisproducesayellowendpointcolour.Absorbanceat450nmisreadusinganELISAmicrowellplatereader.
StorageandStability: Thereagentsarestableuptotheexpirydatestatedonthelabelwhenstoredat2...8°C.
LimitationsoftheTest: Bacterialcontaminationorrepeatedfreeze-thawcyclesofthespecimenmayaffecttheabsorbancevalues.Diagnosisofaninfectiousdiseaseshouldnotbeestablishedonthebasisofasingletestresult.Aprecisediagnosisshouldtakeintoconsiderationclinicalhistory,symptomatologyaswellas
SERO logicaldata.
Inimmunocompromisedpatientsandnewbornsserologicaldataonlyhaverestrictedvalue.
CrossreactionoftheantigenswithantibodiesagainstLeishmania,TrypanosomabruceirhodesienseandTrypanosomabruceigambiensecannotbeexcluded.
References SOARES,M.B.P.,PONTES-DE-CARAVALHO,L.ANDRIBEIRO-DOS-SANTOS,R.(2001)THEPATHOGENESISOFCHAGAS´DISEASE:WHENAUTOIMMUNEANDPARASITE-SPECIFICIMMUNERESPONSESMEET.AN.ACAD.BRAS.CIENC.73,547-559FERREIRA,M.S.ANDBORGES,A.S.(2002)SOMEASPECTSOFPROTOZOANINFECTIONSINIMMUNOCOMPROMISEDPATIENTS-AREVIEW.MEM.INST.OSWALDOCRUZ,RIODEJANEIRO97,443-457AÑEZ,N.,CRISTANTE,G.ANDROJAS,A.(2004)UPDATEONCHAGASDISEASEINVENEZUELA-AREVIEW.MEM.INST.OSWALDOCRUZ,RIODEJANEIRO99,781-787MACEDO,A.M.,MACHADO,C.R.,OLIVEIRA,R.P.ANDPENA,S.D.J.(2004)TRYPANOSOMACRUZI:GENETICSTRUCTUREOFPOPULATIONSANDRELEVANCEOFGENETICVARIABILITYTOTHEPATHOGENESISOFCHAGASDISEASE.MEM.INST.OSWALDOCRUZ,RIODEJANEIRO99,1-12
AdditionalInformation: Name Chagas(Trypanosomacruzi)IgG–ELISA RelatedProductNames Chagas(Trypanosomacruzi)IgG–ELISA Storage Thereagentsarestableuptotheexpirydatestatedonthelabelwhenstoredat2...8°C. IntendedUse ResearchUseOnly
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