Antibody response to Pneumocystis jirovecii major surface glycoprotein

Kieran R Daly1, Laurence Huang, Alison Morris

  • 1Research Service 151, Veterans Affairs Medical Center, 3200 Vine Street, Cincinnati, OH 45220, USA.

Emerging Infectious Diseases
|September 13, 2006
PubMed

Insights

Antibody levels to Pneumocystis jirovecii major surface glycoprotein (Msg) fragments were similar in HIV patients. However, MsgC antibodies rose significantly after Pneumocystis pneumonia recovery, indicating its potential as a diagnostic marker.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Microbiology

Background:

  • Pneumocystis jirovecii pneumonia (PCP) is a significant opportunistic infection in HIV-infected individuals.
  • Diagnosis of PCP can be challenging, particularly in resource-limited settings.
  • The major surface glycoprotein (Msg) of P. jirovecii is a key target for immune responses.

Purpose of the Study:

  • To investigate the serologic responses to recombinant fragments of P. jirovecii Msg in HIV-infected patients.
  • To identify potential serologic markers for PCP diagnosis and monitoring.

Main Methods:

  • Prospective pilot study design.
  • Enzyme-linked immunosorbent assay (ELISA) to measure antibody levels against overlapping Msg fragments.
  • Comparison of antibody levels between HIV patients with PCP and those with other pneumonias.

Main Results:

  • Similar baseline antibody levels to Msg fragments were observed in both patient groups.
  • A significant rise in serum antibodies to the MsgC fragment was detected 3-4 weeks post-recovery in PCP patients (p<0.001).
  • Higher baseline CD4+ counts (> or =50 cells/microL) and a first episode of PCP were associated with this antibody rise (p<0.001).

Conclusions:

  • The MsgC fragment shows promise as a serologic reagent for P. jirovecii infection.
  • Further clinical and epidemiologic studies are warranted to validate MsgC's utility.
  • Serologic responses to MsgC may aid in diagnosing and monitoring PCP in HIV-infected populations.

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