Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/62481
Tipo: Artigo de Periódico
Título: Anti-serum validation for use in immunohistochemistry for trypanosoma cruzi detection
Autor(es): Paulo Hernane Rabeloazevedo
Marcelo Antônio Pascoal Xavier
Glenda Nicioli da Silva
Priscilla Almeida da Costa Mol
Cláudia Martins Carneiro
Geraldo Brasileiro Filho
Resumen: The detection of Trypanosoma cruzi in tissue samples is important in many situations, such as testing of the reactivation of the infection. The detection of T. cruzi nests in endomyocardial biopsies (EMB) may be useful to evaluate graft rejection. Given their scarcity, such nests are not routinely identified. To increase the diagnosis sensitivity, immunohistochemistry (IHC) may serve as a promising strategy. Here, we validate an antiserum for the detection of T. cruzi infection by IHC. Methods: We used 1) positive controls (PCs) – 13 EMB, 12 skin biopsies, and 1 heart with T. cruzi nests as sections stained with hematoxylin and eosin (HE); 2) negative controls – a) 10 explant hearts and 10 EMB with no amastigote nests or clinical/laboratory signs of chagasic infection; and b) eight samples with leishmaniasis, toxoplasmosis, or histoplasmosis; and 3) Cases – 31 EMB of chagasic patients with no parasite nests in HE sections but detected positive for T. cruzi DNA by polymerase chain reaction. As a primary antibody, a hyperimmune serum from T. cruzi-infected rabbits was used. Results: IHC results were positive for 21 of 26 PCs (80.8%) and one case of cutaneous leishmaniasis. In 4 of 31 cases, IHC revealed nests (12.9%), which were undetected by conventional histological examination. Conclusions: This study shows that IHC with the tested antiserum increases the sensitivity of the diagnosis and may be recommended for routine use in EMB analyses of cardiac transplant patients with Chagas disease.
Asunto: Chagas Disease
Heart Transplantation
Immunohistochemistry
Trypanosoma cruzi
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: MED - DEPARTAMENTO DE ANATOMIA PATOLÓGICA E MEDICINA LEGAL
Tipo de acceso: Acesso Aberto
Identificador DOI: 10.1590/0037-8682-0011-2018
URI: http://hdl.handle.net/1843/62481
Fecha del documento: 2018
metadata.dc.url.externa: https://doi.org/10.1590/0037-8682-0011-2018
metadata.dc.relation.ispartof: Revista da Sociedade Brasileira de Medicina Tropical
Aparece en las colecciones:Artigo de Periódico

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