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Published on: February 24, 2023
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.
Abstract:
We conducted a prospective pilot study of the serologic responses to overlapping recombinant fragments of the Pneumocystis jirovecii major surface glycoprotein (Msg) in HIV-infected patients with pneumonia due to P. jirovecii and other causes. Similar baseline geometric mean antibody levels to the fragments measured by an ELISA were found in both groups. Serum antibodies to MsgC in P. jirovecii patients rose to a peak level 3-4 weeks (p<0.001) after recovery from pneumocystosis; baseline CD4+ count > or =50 cells/microL and first episode of pneumocystosis were the principal host factors associated with this rise (both p<0.001). Thus, MsgC shows promise as a serologic reagent and should be tested further in clinical and epidemiologic studies.
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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