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Advancing Toxoplasma gondii multiplex serology.

Rima Jeske1, Nico Becker1,2, Lea Kroeller1,3

  • 1Division of Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Microbiology Spectrum
|February 22, 2024
PubMed
Summary

This study improved a multiplex serology assay for Toxoplasma gondii (T. gondii) detection. The enhanced assay provides accurate and reproducible antibody measurements, crucial for large-scale seroprevalence studies and understanding T. gondii infection.

Keywords:
Toxoplasma gondiihigh-throughput serologymultiplex serologypublic healthseroepidemiology

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Area of Science:

  • Immunology
  • Infectious Diseases
  • Public Health

Background:

  • Toxoplasma gondii is a prevalent zoonotic pathogen with significant public health implications.
  • Current understanding of long-term consequences, risk factors, and co-infections related to T. gondii remains limited.
  • Large-scale seroepidemiological studies are essential for addressing these knowledge gaps but require robust diagnostic tools.

Purpose of the Study:

  • To significantly advance a previously developed multiplex serology assay for T. gondii.
  • To improve assay characteristics for high-throughput, large-scale seroprevalence studies.
  • To enable reliable detection of T. gondii antibodies under diverse assay conditions.

Main Methods:

  • Development of truncated versions of immunodominant antigens (SAG1D1 and P22trunc) for enhanced assay performance.
  • Evaluation of assay performance using magnetic and non-magnetic beads at various sample dilutions (1:100 and 1:1,000).
  • Comparison with the gold-standard Sabin-Feldman dye test and derivation of seropositivity thresholds using finite mixture models and ROC analysis.

Main Results:

  • The improved assay using SAG1D1 and P22trunc demonstrated significantly enhanced signal-to-noise ratios and near-perfect concordance with the Sabin-Feldman dye test.
  • High diagnostic accuracy was achieved at 1:100 dilution (Sensitivity: 98% for SAG1D1, 94% for P22trunc; Specificity: 93% for SAG1D1, 95% for P22trunc).
  • Reproducible performance metrics were confirmed at 1:1,000 dilution with both magnetic and non-magnetic beads.

Conclusions:

  • The revised multiplex serology assay provides robust and reproducible T. gondii antibody measurements across various conditions.
  • This advancement facilitates the inclusion of T. gondii detection in multi-pathogen multiplex serology panels for large-scale research.
  • The improved assay is a valuable tool for enhancing insights into T. gondii epidemiology, risk factors, and public health impact.