Abstract
Paracoccidioidomycosis (PCM) is a systemic mycosis caused by the fungus Paracoccidioides brasiliensis (S1, PS2, and PS3) and by the new species, P. lutzii. Considering that genetic differences in the Paracoccidioides genus could elicit distinct immune responses by the host, current research investigated serum IgG levels to antigens from P. brasiliensis B339 (S1), P. brasiliensis LDR3 (PS2), and atypical strain LDR2 (P. lutzii), in patients with chronic PCM from the northern and west regions of Paraná, Brazil (n = 35). Cell-free antigen (CFA) and high molecular mass fraction (hMM) were produced from each strain. Samples were analyzed by ELISA and immunodiffusion (ID). ELISA positivity using CFA: B339-100 %, LDR3-83 %, and LDR2-74 %. Response to CFA from B339 was more intense (p < 0.05), while there was no difference between LDR3-LDR2. IgG anti-hMM was higher for antigens from B339 or LDR3, when compared with LDR2 (p < 0.05). There was a positive correlation for each strain between CFA-hMM and for hMM between B339-LDR3 and LDR3-LDR2. ID positivity with CFA: B339-63 %, LDR3-66 %, and LDR2-60 %. We conclude that the intensity of reaction of the patients’ sera varies with the strain used; hMM influences tests that use CFA, independently of strain; using ID, positive rates were very similar, but there was a large number of false negative results; ELISA tests using antigens from P. brasiliensis S1 were able to detect a larger number of patients than PS2 and P. lutzii (which had a considerable number of false negative results), and therefore, its use may be more appropriate in this region of Brazil.
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References
Teixeira MM, Theodoro RC, de Carvalho MJ, Fernandes L, Paes HC, Hahn RC, et al. Phylogenetic analysis reveals a high level of speciation in the Paracoccidioides genus. Mol Phylogenet Evol. 2009;52(2):273–83. doi:10.1016/j.ympev.2009.04.005.
Wanke B, Londero AT. Epidemiology and Paracoccidioidomycosis infection. In: Del Negro G, Franco M, Lacaz CdS, Restrepo Moreno A, editors. Paracoccidioidomycosis. Boca Raton: CRC Press; 1994. p. 109–20.
Shikanai-Yasuda MA, Telles Filho Fde Q, Mendes RP, Colombo AL, Moretti ML. Guidelines in paracoccidioidomycosis. Rev Soc Bras Med Trop. 2006;39(3):297–310.
Del Negro GM, Benard G, de Assis CM, Vidal MS, Garcia NM, Otani C, et al. Lack of reactivity of paracoccidioidomycosis sera in the double immunodiffusion test with the gp43 antigen: report of two cases. J Med Vet Mycol. 1995;33(2):113–6.
Singer-Vermes LM, Caldeira CB, Burger E, Calich LG. Experimental murine paracoccidioidomycosis: relationship among the dissemination of the infection, humoral and cellular immune responses. Clin Exp Immunol. 1993;94(1):75–9.
Puccia R, Schenkman S, Gorin PA, Travassos LR. Exocellular components of Paracoccidioides brasiliensis: identification of a specific antigen. Infect Immun. 1986;53(1):199–206.
Camargo ZP, Unterkircher C, Campoy SP, Travassos LR. Production of Paracoccidioides brasiliensis exoantigens for immunodiffusion tests. J Clin Microbiol. 1988;26(10):2147–51.
Camargo ZP, Taborda CP, Rodrigues EG, Travassos LR. The use of cell-free antigens of Paracoccidioides brasiliensis in serological tests. J Med Vet Mycol. 1991;29(1):31–8.
Puccia R, Travassos LR. 43-kilodalton glycoprotein from Paracoccidioides brasiliensis: immunochemical reactions with sera from patients with paracoccidioidomycosis, histoplasmosis, or Jorge Lobo’s disease. J Clin Microbiol. 1991;29(8):1610–5.
Blotta MH, Camargo ZP. Immunological response to cell-free antigens of Paracoccidioides brasiliensis: relationship with clinical forms of paracoccidioidomycosis. J Clin Microbiol. 1993;31(3):671–6.
Marques da Silva SH, Colombo AL, Blotta MH, Lopes JD, Queiroz-Telles F, Pires de Camargo Z. Detection of circulating gp43 antigen in serum, cerebrospinal fluid, and bronchoalveolar lavage fluid of patients with paracoccidioidomycosis. J Clin Microbiol. 2003;41(8):3675–80.
Marquez AS, Vicentini AP, Ono MA, Watanabe MA, de Camargo ZP, Itano EN. Reactivity of antibodies from patients with acute and chronic paracoccidioidomycosis to a high molecular mass antigen from Paracoccidioides brasiliensis. J Clin Lab Anal. 2005;19(5):199–204. doi:10.1002/jcla.20078.
Franco M, Bagagli E, Cunha M, Chamma LG, Fecchio D. Paracoccidioides brasiliensis antigen batches from the same isolate show immunological and biochemical differences. Mycopathologia. 1996;135(1):13–9.
Caldini CP, Xander P, Kioshima ES, Bachi AL, de Camargo ZP, Mariano M, et al. Synthetic peptides mimic gp75 from Paracoccidioides brasiliensis in the diagnosis of paracoccidioidomycosis. Mycopathologia. 2012;174(1):1–10. doi:10.1007/s11046-011-9518-3.
Calcagno AM, Nino-Vega G, San-Blas F, San-Blas G. Geographic discrimination of Paracoccidioides brasiliensis strains by randomly amplified polymorphic DNA analysis. J Clin Microbiol. 1998;36(6):1733–6.
Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, et al. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol. 2006;23(1):65–73. doi:10.1093/molbev/msj008.
Soares CM, Madlun EE, da Silva SP, Pereira M, Felipe MS. Characterization of Paracoccidioides brasiliensis isolates by random amplified polymorphic DNA analysis. J Clin Microbiol. 1995;33(2):505–7.
Hahn RC, Macedo AM, Santos NL, Resende JC, Hamdan JS. Characterization of Paracoccidioides brasiliensis atypical isolates by random amplified polymorphic DNA analysis. Rev Iberoam Micol. 2002;19(1):49–51.
Carrero LL, Nino-Vega G, Teixeira MM, Carvalho MJ, Soares CM, Pereira M, et al. New Paracoccidioides brasiliensis isolate reveals unexpected genomic variability in this human pathogen. Fungal Genet Biol. 2008;45(5):605–12. doi:10.1016/j.fgb.2008.02.002.
Takayama A, Itano EN, Sano A, Ono MA, Kamei K. An atypical Paracoccidioides brasiliensis clinical isolate based on multiple gene analysis. Med Mycol. 2010;48(1):64–72. doi:10.3109/13693780902718065.
Rigobello FF, Marquez AS, Lopes JD, Nakanishi-Ito FA, Itano EN. Patients with chronic-form paracoccidioidomycosis present high serum levels of IgE anti-Paracoccidioides brasiliensis gp70. Mycopathologia. 2013;175(3–4):307–13. doi:10.1007/s11046-013-9624-5.
Neves AR, Mamoni RL, Rossi CL, de Camargo ZP, Blotta MH. Negative immunodiffusion test results obtained with sera of paracoccidioidomycosis patients may be related to low-avidity immunoglobulin G2 antibodies directed against carbohydrate epitopes. Clin Diagn Lab Immunol. 2003;10(5):802–7.
Batista J Jr, de Camargo ZP, Fernandes GF, Vicentini AP, Fontes CJ, Hahn RC. Is the geographical origin of a Paracoccidioides brasiliensis isolate important for antigen production for regional diagnosis of paracoccidioidomycosis? Mycoses. 2010;53(2):176–80. doi:10.1111/j.1439-0507.2008.01687.x.
Sano A, Nishimura K, Horie Y, Franco M, Mendes RP, Coelho KI, et al. Antigenic similarities to Paracoccidioides brasiliensis in thermo-dependent dimorphic fungi isolated from soil in Botucatu, SP, Brazil. Mycopathologia. 1997;138(1):37–41.
Del Negro GM, Garcia NM, Rodrigues EG, Cano MI, de Aguiar MS, Lirio Vde S, et al. The sensitivity, specificity and efficiency values of some serological tests used in the diagnosis of paracoccidioidomycosis. Rev Inst Med Trop Sao Paulo. 1991;33(4):277–80.
Panunto-Castelo A, Freitas-da-Silva G, Bragheto IC, Martinez R, Roque-Barreira MC. Paracoccidioides brasiliensis exoantigens: recognition by IgG from patients with different clinical forms of paracoccidioidomycosis. Microbes Infect. 2003;5(13):1205–11.
Camargo ZP. Serology of paracoccidioidomycosis. Mycopathologia. 2008;165(4–5):289–302.
Berzaghi R, da Silva SH, de Camargo ZP. Variable gp43 secretion by Paracoccidioides brasiliensis clones obtained by two different culture methods. J Clin Microbiol. 2005;43(1):491–3. doi:10.1128/JCM.43.1.491-493.2005.
Mendes-Giannini MJ, Bueno JP, Shikanai-Yasuda MA, Ferreira AW, Masuda A. Detection of the 43,000-molecular-weight glycoprotein in sera of patients with paracoccidioidomycosis. J Clin Microbiol. 1989;27(12):2842–5.
Benard G, Mendes-Giannini MJ, Juvenale M, Miranda ET, Duarte AJ. Immunosuppression in paracoccidioidomycosis: T cell hypo responsiveness to two Paracoccidioides brasiliensis glycoproteins that elicit strong humoral immune response. J Infect Dis. 1997;175(5):1263–7.
Pavanelli WR, Kaminami MS, Geres JR, Sano A, Ono MA, Camargo IC, et al. Protection induced in BALB/c mice by the high-molecular-mass (hMM) fraction of Paracoccidioides brasiliensis. Mycopathologia. 2007;163(3):117–28. doi:10.1007/s11046-007-0095-4.
Acknowledgments
Current work was supported by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Fundação Araucária/PR, Ministério da Educação e Cultura/Programa de Extensão Universitária (MEC/PROEXT), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Pró-reitorias de Pós-graduação e Extensão from Londrina State University (PROPPG/PROEX/UEL). The authors thank Mari S. Kaminami and Nilson de Jesus Carlos for their technical assistance; Dra. Berenice Tomoko Tatibana for her advices about this manuscript.
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Lenhard-Vidal, A., Assolini, J.P., Ono, M.A. et al. Paracoccidioides brasiliensis and P. lutzii Antigens Elicit Different Serum IgG Responses in Chronic Paracoccidioidomycosis. Mycopathologia 176, 345–352 (2013). https://doi.org/10.1007/s11046-013-9698-0
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DOI: https://doi.org/10.1007/s11046-013-9698-0