Skip to main content
Log in

Human schistosomiasis haematobium: effective diagnosis of active infection using a pair of monoclonal antibodies against soluble egg antigen

  • Original Paper
  • Published:
Parasitology Research Aims and scope Submit manuscript

Abstract

The present study was designed to prepare monoclonal antibodies (MAbs) against Schistosoma haematobium soluble egg antigen (SEA) with immunodiagnostic potential for urinary schistosomiasis. From a panel of MAbs, a pair of IgG1 MAbs (2D/11C and 10B/2C) specific for S. haematobium SEA was selected. Both MAbs recognized one band with a 42-kDa molecular weight by western blots. The pair of MAbs was employed in sandwich ELISA for the detection of circulating schistosome antigen (CSA), one as antigen-capturing antibody and the other as peroxidase-conjugated antigen-detecting antibody. The lower detection limit of the assay was 1 ng/ml of S. haematobium SEA. The assay was performed on sera of 65 S. haematobium-infected patients, 25 patients infected with other parasites (Fasciola hepatica, Echinococcus granulosus), and 20 noninfected individuals. CSA was demonstrated in 89% of the S. haematobium-infected group. However, CSA was negative in the sera of healthy individuals and patients infected with other parasites, giving an overall specificity of 100% for the CSA assay. A positive correlation (r=0.37, p<0.01) was detected between the number of S. haematobium eggs excreted in 10 ml urine and the CSA level detected in the sera of S. haematobium-infected patients. Our data show that the use of anti-S. haematobium MAbs for the detection of CSA provides a sensitive and specific method for the immunodiagnosis of active S. haematobium-infected patients. Moreover, CSA assay using this anti-S. haematobium MAb/ELISA system was proven to correlate with intensity of infection and hence morbidity assessment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Amanor JD, Bosompen KM, Arishma T, Arishma T, Assoxu RK, Kojima S (1996) Characterization of monoclonal antibodies reactive with Schistosoma haematobium soluble egg and infected human urinary antigens. Hybridoma 15:219–224

    PubMed  CAS  Google Scholar 

  • Bosompem KM, Ayi I, Anyan WK, Nkrumah FK, Kojima S (1996) Limited field evaluation of a rapid monoclonal antibody-based dipstick assay for urinary schistosomiasis. Hybridoma 15:443–447

    PubMed  CAS  Google Scholar 

  • Braun-Munzinger RA and Southgate BA (1992) Repeatability and reproducibility of egg counts of Schistosoma haematobium in urine. Trop Med Parasitol 43:149–154

    PubMed  CAS  Google Scholar 

  • Capron A, Biguet J, Rose F, Vernes A (1965) The antigens of Schistosoma mansoni. II. Comparative immunoelectrophoretic study on various larval stages and of adults of both sexes. Immunological aspects of the host parasite relationships of S. mansoni. Ann Inst Pasteur 109:798–810

    CAS  Google Scholar 

  • Cianfriglia M, Armellini D, Masson A, Mariani M (1983) Simple immunization protocol for high frequency production of soluble antigen specific hybridomas. Hybridoma 2:451–457

    Article  PubMed  CAS  Google Scholar 

  • De Jonge N, Gryseels B, Hilberath GW, Polderman AM, Deelder AM (1988) Detection of circulating anodic antigen by ELISA for seroepidemiology of schistosomiasis mansoni. Trans R Soc Trop Med Hyg 82:591–594

    Article  PubMed  CAS  Google Scholar 

  • De Jonge N, Schommer G, Krijger FW, Feldemeir H, Zwingenberger K, Steiner A, Bienzle U, Deelder AM (1989) Presence of circulating anodic antigen in serum of Schistosoma intercalatum-infected patients from Gabon. Acta Trop 46:115–120

    Article  PubMed  CAS  Google Scholar 

  • De Jonge N, Kermsner PG, Krijger FW, Schommer G, Fillie YE, Kornelis D, Van Zeyl RJ, Van Dam GJ, Feldmeier H, Deelder AM (1990) Detection of the schistosome circulating cathodic antigen by enzyme immunoassay using biotinylated monoclonal antibodies. Trans R Soc Trop Med Hyg 84:815–818

    Article  PubMed  CAS  Google Scholar 

  • Deelder AM, De Jonge N, Boerman OC, Fillie YE, Hilberath GW, Rotmans TP, Gerritse MJ, Schut DWOA (1989) Sensitive determinations of circulating anodic antigens in Schistosoma mansoni-infected individuals by an enzyme-linked immunosorbent assay monoclonal antibodies. Am J Trop Med Hyg 40:268–272

    PubMed  CAS  Google Scholar 

  • Demerdash ZA, Mohamed SH, Shaker ZA, Hassan SI, El Attar GM, Saad-El Din A, Abadeer NI, Mansour MM (1995) Detection of circulating schistosome antigens in serum and urine of schistosomiasis patients and assessment of cure by a monoclonal antibody. J Egypt Soc Parasitol 25:471–484

    PubMed  CAS  Google Scholar 

  • Doehring E, Vester U, Ehrich JHH, Feldmeier H, (1985) Circadian variation of ova excretion, proteinuria, hematuria, and leukocyturia in urinary schistosomiasis. Kidney Int 27:667–671

    Article  PubMed  CAS  Google Scholar 

  • Fu C and Carter CH (1990) Detection of a circulating antigen in human Schistosoma japonica using a monoclonal antibody. Am J Trop Med Hyg 42:347–351

    PubMed  CAS  Google Scholar 

  • Galfre G and Milstein C (1981) Properties of monoclonal antibodies: strategies and procedures. Methods Enzymol 73:3–7

    Article  PubMed  CAS  Google Scholar 

  • Grysels B. (1994) Human resistance to schistosoma infections: age or experience? Parasitol Today 10:380–384

    Article  Google Scholar 

  • Goding JW (1986) Monoclonal antibodies: principles and practice. Alden, Oxford, pp 112–116

    Google Scholar 

  • Hanalla SB, Mohamed SH, Maher KM, Amer NM, Sayed HA, Demerdash ZA, Shaker ZA (2003) A monoclonal antibody against tegument of adult S. mansoni worms detects active schistosomal infection. Kaser El Aini Med J 9:209–221

    Google Scholar 

  • Kahama AI, Kermsner PG, Van Dam GJ, Deelder AM (1998) The dynamics of soluble egg antigen of Schistosoma haematobium in relation to egg counts, circulating anodic and cathodic antigens and pathology markers before and after chemotherapy. Trans R Soc Trop Med Hyg 92:629–633

    Article  PubMed  CAS  Google Scholar 

  • Kahama AI, Odek AE, Kihdra RK, Vennervald BJ, Kombe Y, Nkulita T, Hatz CE, Ouma JH, Deelder AM (1999) Urine circulating soluble egg antigen (SEA) in relation to egg counts, hematuria and urinary tract pathology before and after treatment in children infected with Schistosoma haematobium in Kenya. Am J Trop Med Hyg 61:215–219

    PubMed  CAS  Google Scholar 

  • King CH, Muchiri EM, Ouma JH (1992) Age-targeted chemotherapy for control of urinary schistosomiasis in endemic populations. Mem Inst Oswaldo Cruz 87:203–210

    Article  PubMed  Google Scholar 

  • Kremsner PG, De Jonge N, Simarro PP, Muhlschlegel F, Mir M, Sima FO, Feldmeier H, Bienzle U, Deelder AM (1993) Quantitative determination of circulating anodic and cathodic antigens in serum and urine of individuals infected with Schistosoma intercalatum. Trans R Soc Trop Med Hyg 87:167–169

    Article  PubMed  CAS  Google Scholar 

  • Kremsner PG, Enyong P, Krijger FW, De Jonge N, Zotter GM, Thalhammer F, Muhlschlegel F, Bienzle U, Feldmeier H, Deelder AM (1994) Circulating anodic and cathodic antigen in serum and urine of Schistosoma haematobium infected Cameroonian children receiving praziquantel: a longitudinal study. Clin Infect Dis 18:408–413

    PubMed  CAS  Google Scholar 

  • Krijger FW, Van Lieshout L, Deelder AM (1994) A simple technique to pretreat urine and serum samples for quantitation of schistosome circulating anodic and cathodic antigen. Acta Trop 56:55–63

    Article  PubMed  CAS  Google Scholar 

  • Laemmli UK (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680–688

    Article  PubMed  CAS  Google Scholar 

  • Mohamed SH, Demerdash ZA, Shaker ZA, Mansour MM, Saad El Din AA, Abader NI (1995) Production and characterization of monoclonal antibody reactive with a repetitive of concanavalin A bound glycoprotein fraction of S. mansoni soluble egg antigen. J Egypt Med Assoc 78:37–49

    Google Scholar 

  • Mott PK and Dixon H (1982) Collaborative study on antigens for immunodiagnosis of schistosomiasis mansoni. Bull WHO 63:729–753

    Google Scholar 

  • Muchiri EM, Ouma JH, King CH (1996) Dynamics and control of Schistosoma haematobium transmission in Kenya: an overview of the Msambweni Project. Am J Trop Med Hyg 55:127–134

    PubMed  CAS  Google Scholar 

  • Nakane PK and Kawaoi A (1974) Peroxidase labeled antibodies: a new of conjugation method. J Histochem Cytochem 22:1084–1091

    PubMed  CAS  Google Scholar 

  • Nibbeling HA, Kahama AI, Van Zeyl RJ, Deelder AM (1998) Use of monoclonal antibodies prepared against Schistosoma haematobium circulating egg antigens in urine. Am J Trop Med Hyg 85:453–550

    Google Scholar 

  • Peter PA, Warren KS, Mahmoud AAF (1979) Rapid, accurate quantification of schistosome eggs via nuclepore filters. J Parasitol 62:154–155

    Article  Google Scholar 

  • Polderman AM, Mpamila JP, Bouwhuis-Hooger ML (1985) Methodology and interpretation of parasitological surveillance of intestinal schistosomiasis in Maniema, Kivu Province, Zaire. Ann Soc Belge Med Trop 65:243–249

    CAS  Google Scholar 

  • Pugh RN (1979) Periodicity of output of Schistosoma haematobium eggs in the urine. Ann Trop Med Parasitol 73:89–90

    PubMed  CAS  Google Scholar 

  • Salah F, Demerdash Z, Shaker Z, El-Bassiouny A, El-Attar G, Ismail S, Badir N, El Din AS, Mansour M (2000) A monoclonal antibody against Schistosoma haematobium soluble egg antigen: efficacy for diagnosis and monitoring of cure of S. haematobium infection. Parasitol Res 86:74–80

    Article  PubMed  CAS  Google Scholar 

  • Savioli L, Hatz C, Dixon H, Kisumku UM, Mott KE (1990) Control of morbidity due to Schistosoma haematobium on Pemba Island: egg excretion and hematuria as indicators of infection. Am J Trop Med Hyg 43:289–295

    PubMed  CAS  Google Scholar 

  • Shaker ZA, Hassanein HI, Demerdash ZA, El-Behariy NM, El-Kaliouby AH, El-Garem AA, De Jonge N, Deelder AM (1992) Effect of praziquantel of schistosomal circulating anodic antigen serum levels in Egyptian rural students. Egypt J Bilharz 14:91–104

    Google Scholar 

  • Shaker Z, Demerdash Z, Kaddah M, EL Bassiouny A, Hassan S, Salah F, Hanallah S, Abdel Sattar I, Mansour M (1998) Detection of circulating antigens in human schistosomiasis by monoclonal antibodies. In: Toda I, Kojima S, Tsuji M (eds) IX International Congress of Parasitol. Manduzzi Editore S.P.A., Bologna (Italy), pp 913–917

    Google Scholar 

  • Tijssen P and Kurstak P (1984) Highly efficient and simple methods for the preparation of peroxidase and active peroxidase–antibody conjugates for enzyme immunoassays. Anal Biochem 136:451–458

    Article  PubMed  CAS  Google Scholar 

  • Tsang VCW, Peralta JM, Simons AR (1983) Enzyme linked immunoelectrotransfer blot techniques (EITB) for studying electrophoresis. In: Langone JJ, Vunakie HV (eds) Methods in enzymology, vol 5. Immunochemical techniques. Academic, New York, pp 377–391

    Google Scholar 

  • Van Lieshout L, De Jonge N, El Masry NA, Mansour MM, Krijger FW, Deelder AM (1992) Improved diagnostic performance of the circulating antigen assay in human schistosomiasis by parallel testing for circulating anodic and cathodic antigens in serum and urine. Am J Trop Med Hyg 47:463–469

    PubMed  CAS  Google Scholar 

  • Van Lieshout L, Panday UG, De Jonge N, Krijger FW, Oostburg BFJ, Polderman AM, Deelder AM (1995) Immunodiagnosis of schistosomiasis mansoni in a low endemic area in Surinam by determination of the circulating antigens CAA. Acta Trop 59:19–29

    Article  PubMed  CAS  Google Scholar 

  • Van Lieshout L, Polderman AM, Deelder AM (2000) Immunodiagnosis of schistosomiasis by determination of the circulating antigens CAA and CCA, in particular in individuals with recent or light infections. Acta Trop 77:69–80

    Article  PubMed  CAS  Google Scholar 

  • Van Etten L, Engels D, Krijger FW, Nkulikiyinka L, Gryseels B, Deelder AM (1996) Fluctuation of schistosoma circulating antigen levels in urine of individuals with Schistosoma mansoni infection in Burundi. Am J Trop Med Hyg 54:348–351

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. Salah.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Salah, F., El Bassiouny, A., Rabia, I. et al. Human schistosomiasis haematobium: effective diagnosis of active infection using a pair of monoclonal antibodies against soluble egg antigen. Parasitol Res 99, 528–533 (2006). https://doi.org/10.1007/s00436-005-0016-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00436-005-0016-8

Keywords

Navigation