Utility of a protein fraction with cathepsin L-Like activity purified from cysticercus fluid of Taenia solium in the diagnosis of human cysticercosis

Am J Trop Med Hyg. 2009 Jun;80(6):964-70.

Abstract

Neurocysticercosis, an endemic parasitic disease in most developing countries, is caused by Taenia solium and compromises the human central nervous system. Cathepsin L-like proteases are secreted by several parasites including T. solium and constitute important antigens for immunodiagnostics. A protein fraction with cathepsin L-like activity was purified from the cysticercus fluid by size exclusion and ion exchange chromatography. Cathepsin L-like activity was measured fluorometrically by detecting the hydrolysis of the fluorogenic substrate Z-Phe-Arg-AMC. The purified protein fraction included antigens of 53 and 25 kD that were tested in a Western immunoblot and in an enzyme-linked immunosorbent assay (ELISA) for detection of human cysticercosis. The sensitivity of the Western immunoblot was 96% for patients infected with multiple cysts and 78% for patients with a single cyst. Specificity was 98%. The sensitivity of the ELISA was 98% in patients with multiple cysts and 84% in patients with a single cyst. Specificity was 92.7%.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Blotting, Western
  • Cathepsin L
  • Cathepsins / immunology
  • Cathepsins / isolation & purification
  • Cathepsins / metabolism*
  • Chromatography, Gel
  • Chromatography, Ion Exchange
  • Cysteine Endopeptidases / immunology
  • Cysteine Endopeptidases / isolation & purification
  • Cysteine Endopeptidases / metabolism*
  • Cysticercosis / diagnosis*
  • Cysticercus / metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Helminth Proteins / immunology
  • Helminth Proteins / isolation & purification
  • Helminth Proteins / metabolism*
  • Humans
  • Sensitivity and Specificity
  • Swine
  • Taenia solium / metabolism*

Substances

  • Helminth Proteins
  • Cathepsins
  • Cysteine Endopeptidases
  • CTSL protein, human
  • Cathepsin L