Skip to main content

Measuring Cryptosporidium Serologic Responses by Multiplex Bead Assay

  • Protocol
  • First Online:
Cryptosporidium

Part of the book series: Methods in Molecular Biology ((MIMB,volume 2052))

Abstract

For more than 35 years, various assay formats have been used to detect Cryptosporidium-specific antibodies in human and animal sera. Cryptosporidium parvum 17- and 27-kDa antigens, identified from invasive sporozoites, have been used in serologic antibody assays to identify individuals infected in outbreaks of diarrheal disease caused by this protozoan parasite and to monitor exposures in communities. During infection, immunoglobulin (Ig) A, IgM, and IgG responses are elicited by these immunodominant antigens, and the parasite-specific Ig responses diminish following the resolution of infection. Using the recombinant forms of the 17- and 27-kDa C. parvum antigens and the relatively recently developed multiplex bead assay (MBA), data from serologic antibody responses can be economically and efficiently acquired, especially when the Cryptosporidium assays are integrated with assays for antibody responses to antigens from other pathogens monitored in community-wide or nation-wide serosurveys. Here we describe the coupling of the C. parvum recombinant antigens to carboxylated polystyrene beads, the data acquisition and analysis of IgG antibodies bound to the coupled beads, and the quality control methods required for data validation using the Luminex/MBA system.

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

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, Wu Y, Sow SO, Sur D, Breiman RF, Faruque AS, Zaidi AK, Saha D, Alonso PL, Tamboura B, Sanogo D, Onwuchekwa U, Manna B, Ramamurthy T, Kanungo S, Ochieng JB, Omore R, Oundo JO, Hossain A, Das SK, Ahmed S, Qureshi S, Quadri F, Adegbola RA, Antonio M, Hossain MJ, Akinsola A, Mandomando I, Nhampossa T, Acacio S, Biswas K, O’Reilly CE, Mintz ED, Berkeley LY, Muhsen K, Sommerfelt H, Robins-Browne RM, Levine MM (2013) Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study. Lancet 382(9888):209–222. https://doi.org/10.1016/S0140-6736(13)60844-2

    Article  PubMed  Google Scholar 

  2. Sow SO, Muhsen K, Nasrin D, Blackwelder WC, Wu Y, Farag TH, Panchalingam S, Sur D, Zaidi AK, Faruque AS, Saha D, Adegbola R, Alonso PL, Breiman RF, Bassat Q, Tamboura B, Sanogo D, Onwuchekwa U, Manna B, Ramamurthy T, Kanungo S, Ahmed S, Qureshi S, Quadri F, Hossain A, Das SK, Antonio M, Hossain MJ, Mandomando I, Nhampossa T, Acacio S, Omore R, Oundo JO, Ochieng JB, Mintz ED, O’Reilly CE, Berkeley LY, Livio S, Tennant SM, Sommerfelt H, Nataro JP, Ziv-Baran T, Robins-Browne RM, Mishcherkin V, Zhang J, Liu J, Houpt ER, Kotloff KL, Levine MM (2016) The burden of Cryptosporidium diarrheal disease among children < 24 months of age in moderate/high mortality regions of sub-Saharan Africa and South Asia, utilizing data from the global enteric Multicenter study (GEMS). PLoS Negl Trop Dis 10(5):e0004729. https://doi.org/10.1371/journal.pntd.0004729

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Casemore D (2006) Towards a US national estimate of the risk of endemic waterborne disease—sero-epidemiologic studies. J Water Health 4(Suppl 2):121–163

    Article  PubMed  Google Scholar 

  4. Moss DM, Bennett SN, Arrowood MJ, Wahlquist SP, Lammie PJ (1998) Enzyme-linked immunoelectrotransfer blot analysis of a cryptosporidiosis outbreak on a United States Coast Guard cutter. Am J Trop Med Hyg 58(1):110–118

    Article  CAS  PubMed  Google Scholar 

  5. Moss DM, Montgomery JM, Newland SV, Priest JW, Lammie PJ (2004) Detection of Cryptosporidium antibodies in sera and oral fluids using multiplex bead assay. J Parasitol 90(2):397–404. https://doi.org/10.1645/GE-3267

    Article  CAS  PubMed  Google Scholar 

  6. Centers for Disease Control and Prevention (1998) Foodborne outbreak of cryptosporidiosis—Spokane, Washington, 1997. MMWR Morb Mortal Wkly Rep 47(27):565–567

    Google Scholar 

  7. Ong CS, Li AS, Priest JW, Copes R, Khan M, Fyfe MW, Marion SA, Roberts JM, Lammie PJ, Isaac-Renton JL (2005) Enzyme immunoassay of Cryptosporidium-specific immunoglobulin G antibodies to assess longitudinal infection trends in six communities in British Columbia, Canada. Am J Trop Med Hyg 73(2):288–295

    Article  CAS  PubMed  Google Scholar 

  8. Frost FJ, de la Cruz A, Moss DM, Curry M, Calderon RL (1998) Comparisons of ELISA and Western blot assays for detection of Cryptosporidium antibody. Epidemiol Infect 121(1):205–211

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Frost FJ, Muller T, Craun GF, Calderon RL, Roefer PA (2001) Paired city Cryptosporidium serosurvey in the southwest USA. Epidemiol Infect 126(2):301–307

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Frost FJ, Kunde TR, Muller TB, Craun GF, Katz LM, Hibbard AJ, Calderon RL (2003) Serological responses to Cryptosporidium antigens among users of surface- vs. ground-water sources. Epidemiol Infect 131(3):1131–1138

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Steinberg EB, Mendoza CE, Glass R, Arana B, Lopez MB, Mejia M, Gold BD, Priest JW, Bibb W, Monroe SS, Bern C, Bell BP, Hoekstra RM, Klein R, Mintz ED, Luby S (2004) Prevalence of infection with waterborne pathogens: a seroepidemiologic study in children 6-36 months old in San Juan Sacatepequez, Guatemala. Am J Trop Med Hyg 70(1):83–88

    Article  PubMed  Google Scholar 

  12. Moss DM, Chappell CL, Okhuysen PC, DuPont HL, Arrowood MJ, Hightower AW, Lammie PJ (1998) The antibody response to 27-, 17-, and 15-kDa Cryptosporidium antigens following experimental infection in humans. J Infect Dis 178(3):827–833

    Article  CAS  PubMed  Google Scholar 

  13. Sandhu SK, Priest JW, Lammie PJ, Hubbard A, Colford JM Jr, Eisenberg JN (2006) The natural history of antibody responses to Cryptosporidium parasites in men at high risk of HIV infection. J Infect Dis 194(10):1428–1437. https://doi.org/10.1086/508194

    Article  CAS  PubMed  Google Scholar 

  14. Priest JW, Bern C, Xiao L, Roberts JM, Kwon JP, Lescano AG, Checkley W, Cabrera L, Moss DM, Arrowood MJ, Sterling CR, Gilman RH, Lammie PJ (2006) Longitudinal analysis of Cryptosporidium species-specific immunoglobulin G antibody responses in Peruvian children. Clin Vaccine Immunol 13(1):123–131. https://doi.org/10.1128/CVI.13.1.123-131.2006

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Priest JW, Bern C, Roberts JM, Kwon JP, Lescano AG, Checkley W, Cabrera L, Moss DM, Arrowood MJ, Sterling CR, Gilman RH, Lammie PJ (2005) Changes in serum immunoglobulin G levels as a marker for Cryptosporidium sp. infection in Peruvian children. J Clin Microbiol 43(10):5298–5300. https://doi.org/10.1128/JCM.43.10.5298-5300.2005

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Frost FJ, Calderon RL, Muller TB, Curry M, Rodman JS, Moss DM, de la Cruz A (1998) A two-year follow-up survey of antibody to Cryptosporidium in Jackson County, Oregon following an outbreak of waterborne disease. Epidemiol Infect 121(1):213–217

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Crump JA, Mendoza CE, Priest JW, Glass RI, Monroe SS, Dauphin LA, Bibb WF, Lopez MB, Alvarez M, Mintz ED, Luby SP (2007) Comparing serologic response against enteric pathogens with reported diarrhea to assess the impact of improved household drinking water quality. Am J Trop Med Hyg 77(1):136–141

    Article  PubMed  Google Scholar 

  18. Moss DM, Bennett SN, Arrowood MJ, Hurd MR, Lammie PJ, Wahlquist SP, Addiss DG (1994) Kinetic and isotypic analysis of specific immunoglobulins from crew members with cryptosporidiosis on a U.S. Coast Guard cutter. J Eukaryot Microbiol 41(5):52S–55S

    CAS  PubMed  Google Scholar 

  19. Priest JW, Li A, Khan M, Arrowood MJ, Lammie PJ, Ong CS, Roberts JM, Isaac-Renton J (2001) Enzyme immunoassay detection of antigen-specific immunoglobulin g antibodies in longitudinal serum samples from patients with cryptosporidiosis. Clin Diagn Lab Immunol 8(2):415–423. https://doi.org/10.1128/CDLI.8.2.415-423.2001

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Becker DJ, Oloya J, Ezeamama AE (2015) Household socioeconomic and demographic correlates of Cryptosporidium seropositivity in the United States. PLoS Negl Trop Dis 9(9):e0004080. https://doi.org/10.1371/journal.pntd.0004080

    Article  PubMed  PubMed Central  Google Scholar 

  21. Hamlin KL, Moss DM, Priest JW, Roberts J, Kubofcik J, Gass K, Streit TG, Nutman TB, Eberhard ML, Lammie PJ (2012) Longitudinal monitoring of the development of antifilarial antibodies and acquisition of Wuchereria bancrofti in a highly endemic area of Haiti. PLoS Negl Trop Dis 6(12):e1941. https://doi.org/10.1371/journal.pntd.0001941

    Article  PubMed  PubMed Central  Google Scholar 

  22. Priest JW, Moss DM, Arnold BF, Hamlin K, Jones CC, Lammie PJ (2015) Seroepidemiology of Toxoplasma in a coastal region of Haiti: multiplex bead assay detection of immunoglobulin G antibodies that recognize the SAG2A antigen. Epidemiol Infect 143(3):618–630. https://doi.org/10.1017/S0950268814001216

    Article  CAS  PubMed  Google Scholar 

  23. Arnold BF, Priest JW, Hamlin KL, Moss DM, Colford JM Jr, Lammie PJ (2014) Serological measures of malaria transmission in Haiti: comparison of longitudinal and cross-sectional methods. PLoS One 9(4):e93684. https://doi.org/10.1371/journal.pone.0093684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Arnold BF, van der Laan MJ, Hubbard AE, Steel C, Kubofcik J, Hamlin KL, Moss DM, Nutman TB, Priest JW, Lammie PJ (2017) Measuring changes in transmission of neglected tropical diseases, malaria, and enteric pathogens from quantitative antibody levels. PLoS Negl Trop Dis 11(5):e0005616. https://doi.org/10.1371/journal.pntd.0005616

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Moss DM, Priest JW, Hamlin K, Derado G, Herbein J, Petri WA Jr, Lammie PJ (2014) Longitudinal evaluation of enteric protozoa in Haitian children by stool exam and multiplex serologic assay. Am J Trop Med Hyg 90(4):653–660. https://doi.org/10.4269/ajtmh.13-0545

    Article  PubMed  PubMed Central  Google Scholar 

  26. Priest JW, Moss DM, Visvesvara GS, Jones CC, Li A, Isaac-Renton JL (2010) Multiplex assay detection of immunoglobulin G antibodies that recognize Giardia intestinalis and Cryptosporidium parvum antigens. Clin Vaccine Immunol 17(11):1695–1707. https://doi.org/10.1128/CVI.00160-10

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Zambrano LD, Priest JW, Ivan E, Rusine J, Nagel C, Kirby M, Rosa G, Clasen TF (2017) Use of serologic responses against enteropathogens to assess the impact of a point-of-use water filter: a randomized controlled trial in Western Province, Rwanda. Am J Trop Med Hyg 97(3):876–887. https://doi.org/10.4269/ajtmh.16-1006

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Moss DM, Chard AN, Trinies V, Doumbia S, Freeman MC, Lammie PJ (2017) Serological responses to filarial antigens in Malian children attending elementary schools. Am J Trop Med Hyg 96(1):229–232. https://doi.org/10.4269/ajtmh.16-0560

    Article  PubMed  PubMed Central  Google Scholar 

  29. Poirier MJ, Moss DM, Feeser KR, Streit TG, Chang GJ, Whitney M, Russell BJ, Johnson BW, Basile AJ, Goodman CH, Barry AK, Lammie PJ (2016) Measuring Haitian children’s exposure to chikungunya, dengue and malaria. Bull World Health Organ 94(11):817–825A. https://doi.org/10.2471/BLT.16.173252

    Article  PubMed  PubMed Central  Google Scholar 

  30. Priest JW, Jenks MH, Moss DM, Mao B, Buth S, Wannemuehler K, Soeung SC, Lucchi NW, Udhayakumar V, Gregory CJ, Huy R, Muth S, Lammie PJ (2016) Integration of multiplex bead assays for parasitic diseases into a national, population-based serosurvey of women 15-39 years of age in Cambodia. PLoS Negl Trop Dis 10(5):e0004699. https://doi.org/10.1371/journal.pntd.0004699

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Rogier E, Moss DM, Chard AN, Trinies V, Doumbia S, Freeman MC, Lammie PJ (2017) Evaluation of immunoglobulin G responses to Plasmodium falciparum and Plasmodium vivax in Malian school children using multiplex bead assay. Am J Trop Med Hyg 96(2):312–318. https://doi.org/10.4269/ajtmh.16-0476

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Scobie HM, Mao B, Buth S, Wannemuehler KA, Sorensen C, Kannarath C, Jenks MH, Moss DM, Priest JW, Soeung SC, Deming MS, Lammie PJ, Gregory CJ (2016) Tetanus immunity among women aged 15 to 39 years in Cambodia: a national population-based serosurvey, 2012. Clin Vaccine Immunol 23(7):546–554. https://doi.org/10.1128/CVI.00052-16

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Moss DM, Handali S, Chard AN, Trinies V, Bullard S, Wiegand RE, Doumbia S, Freeman MC, Lammie PJ (2018) Detection of immunoglobulin G antibodies to Taenia solium cysticercosis antigen glutathione-s-transferase-rT24H in Malian children using multiplex bead assay. Am J Trop Med Hyg. https://doi.org/10.4269/ajtmh.17-0310

    Article  PubMed  PubMed Central  Google Scholar 

  34. Griffin SM, Chen IM, Fout GS, Wade TJ, Egorov AI (2011) Development of a multiplex microsphere immunoassay for the quantitation of salivary antibody responses to selected waterborne pathogens. J Immunol Methods 364(1–2):83–93. https://doi.org/10.1016/j.jim.2010.11.005

    Article  CAS  PubMed  Google Scholar 

  35. Plucinski MM, Candrinho B, Chambe G, Muchanga J, Muguande O, Matsinhe G, Mathe G, Rogier E, Doyle T, Zulliger R, Colborn J, Saifodine A, Lammie P, Priest JW (2018) Multiplex serology for impact evaluation of bed net distribution on burden of lymphatic filariasis and four species of human malaria in northern Mozambique. PLoS Negl Trop Dis 12(2):e0006278. https://doi.org/10.1371/journal.pntd.0006278

    Article  PubMed  PubMed Central  Google Scholar 

  36. Lammie PJ, Moss DM, Brook Goodhew E, Hamlin K, Krolewiecki A, West SK, Priest JW (2012) Development of a new platform for neglected tropical disease surveillance. Int J Parasitol 42(9):797–800. https://doi.org/10.1016/j.ijpara.2012.07.002

    Article  PubMed  Google Scholar 

  37. Moss DM, Priest JW, Boyd A, Weinkopff T, Kucerova Z, Beach MJ, Lammie PJ (2011) Multiplex bead assay for serum samples from children in Haiti enrolled in a drug study for the treatment of lymphatic filariasis. Am J Trop Med Hyg 85(2):229–237. https://doi.org/10.4269/ajtmh.2011.11-0029

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Fujii Y, Kaneko S, Nzou SM, Mwau M, Njenga SM, Tanigawa C, Kimotho J, Mwangi AW, Kiche I, Matsumoto S, Niki M, Osada-Oka M, Ichinose Y, Inoue M, Itoh M, Tachibana H, Ishii K, Tsuboi T, Yoshida LM, Mondal D, Haque R, Hamano S, Changoma M, Hoshi T, Kamo K, Karama M, Miura M, Hirayama K (2014) Serological surveillance development for tropical infectious diseases using simultaneous microsphere-based multiplex assays and finite mixture models. PLoS Negl Trop Dis 8(7):e3040. https://doi.org/10.1371/journal.pntd.0003040

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. van Gageldonk PG, von Hunolstein C, van der Klis FR, Berbers GA (2011) Improved specificity of a multiplex immunoassay for quantitation of anti-diphtheria toxin antibodies with the use of diphtheria toxoid. Clin Vaccine Immunol 18(7):1183–1186. https://doi.org/10.1128/CVI.05081-11

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Smits GP, van Gageldonk PG, Schouls LM, van der Klis FR, Berbers GA (2012) Development of a bead-based multiplex immunoassay for simultaneous quantitative detection of IgG serum antibodies against measles, mumps, rubella, and varicella-zoster virus. Clin Vaccine Immunol 19(3):396–400. https://doi.org/10.1128/CVI.05537-11

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Priest JW, Kwon JP, Moss DM, Roberts JM, Arrowood MJ, Dworkin MS, Juranek DD, Lammie PJ (1999) Detection by enzyme immunoassay of serum immunoglobulin G antibodies that recognize specific Cryptosporidium parvum antigens. J Clin Microbiol 37(5):1385–1392

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Priest JW, Kwon JP, Arrowood MJ, Lammie PJ (2000) Cloning of the immunodominant 17-kDa antigen from Cryptosporidium parvum. Mol Biochem Parasitol 106(2):261–271

    Article  CAS  PubMed  Google Scholar 

  43. Maniatis T, Fritsch EF, Sambrook J (1982) Molecular cloning: a laboratory manual. Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y

    Google Scholar 

  44. Bradford MM (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72:248–254

    Article  CAS  PubMed  Google Scholar 

  45. Corran PH, Cook J, Lynch C, Leendertse H, Manjurano A, Griffin J, Cox J, Abeku T, Bousema T, Ghani AC, Drakeley C, Riley E (2008) Dried blood spots as a source of anti-malarial antibodies for epidemiological studies. Malar J 7:195. https://doi.org/10.1186/1475-2875-7-195

    Article  PubMed  PubMed Central  Google Scholar 

  46. Westgard JO, Barry PL, Hunt MR, Groth T (1981) A multi-rule Shewhart chart for quality control in clinical chemistry. Clin Chem 27(3):493–501

    Article  CAS  PubMed  Google Scholar 

  47. Earley MC, Vogt RF Jr, Shapiro HM, Mandy FF, Kellar KL, Bellisario R, Pass KA, Marti GE, Stewart CC, Hannon WH (2002) Report from a workshop on multianalyte microsphere assays. Cytometry 50(5):239–242. https://doi.org/10.1002/cyto.10140

    Article  CAS  PubMed  Google Scholar 

  48. Waterboer T, Sehr P, Pawlita M (2006) Suppression of non-specific binding in serological Luminex assays. J Immunol Methods 309(1–2):200–204. https://doi.org/10.1016/j.jim.2005.11.008

    Article  CAS  PubMed  Google Scholar 

  49. Laemmli UK (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227(5259):680–685

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank P.J. Lammie, S.E. Gwyn, G.C. Cooley, S. Dimitrova, and K. Robinson for helpful comments and suggestions on the manuscript.

Disclosures: Use of trade names is for identification only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health and Human Services. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey W. Priest .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Science+Business Media, LLC, part of Springer Nature

About this protocol

Check for updates. Verify currency and authenticity via CrossMark

Cite this protocol

Priest, J.W., Moss, D.M. (2020). Measuring Cryptosporidium Serologic Responses by Multiplex Bead Assay. In: Mead, J., Arrowood, M. (eds) Cryptosporidium. Methods in Molecular Biology, vol 2052. Humana, New York, NY. https://doi.org/10.1007/978-1-4939-9748-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-9748-0_5

  • Published:

  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-4939-9747-3

  • Online ISBN: 978-1-4939-9748-0

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics