Immunocytochemical and immunohistochemical methods as auxiliary techniques for histopathological diagnosis of
Sandro N Lunedo1, Vanete Thomaz-Soccol, Edilene A de Castro
1Programa de Pós-graduação em Processos Biotecnológicos, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Insights
New immunocytochemical (ICC) and immunohistochemical (IHC) techniques offer improved diagnosis for cutaneous leishmaniasis (CL). These methods utilize specific polyclonal antibodies for accurate detection of Leishmania parasites, aiding public health laboratories.
Area of Science:
- Medical Parasitology
- Immunology
- Diagnostic Pathology
Background:
- Cutaneous leishmaniasis (CL) is increasing globally, necessitating advanced diagnostic tools.
- Current diagnostic methods for CL may lack sufficient sensitivity or specificity.
- Development of novel laboratory techniques is crucial for effective CL management.
Purpose of the Study:
- To develop and evaluate immunocytochemical (ICC) and immunohistochemical (IHC) techniques for diagnosing cutaneous leishmaniasis (CL).
- To assess the sensitivity and specificity of newly developed polyclonal antibodies against Leishmania species.
- To provide a reliable laboratory method for identifying CL in clinical samples.
Main Methods:
- Development of polyclonal antibodies against Leishmania (V.) braziliensis and Leishmania (L.) amazonensis.
- Application of ICC and IHC techniques to in vitro cultures and experimentally infected tissues.
- Evaluation of antibody specificity, stability, and immunostaining performance.
- Purification of antibodies using chromatography (Sephadex®).
Main Results:
- The developed polyclonal antibodies demonstrated 83.3% sensitivity in detecting Leishmania antigens, outperforming traditional methods like histopathology and in vitro culture.
- The antibodies exhibited 100% specificity against Leishmania species commonly found in CL lesions.
- ICC/IHC techniques successfully identified amastigotes and antigens in various sample types, including biopsies and cultures.
Conclusions:
- The novel ICC/IHC techniques provide a valuable aid for the laboratory diagnosis of cutaneous leishmaniasis.
- These methods offer enhanced sensitivity and specificity compared to existing diagnostic approaches.
- Adoption of this methodology in public health laboratories could significantly improve CL diagnosis and patient care.
Abstract:
A significant increase in cutaneous leishmaniasis (CL) and its geographic expansion has motivated the development of techniques to help with diagnosis of the disease. Here we describe immunocytochemical (ICC) and immunohistochemical (IHC) techniques for the diagnosis of CL in the laboratory. Polyclonal antibodies and a modified avidin-biotin complex (Ultra Streptavidin(®)) for Leishmania (V.) braziliensis or Leishmania (L.) amazonensis were developed for the present study. In vitro culture and histological sections from experimentally infected tissues were submitted to ICC/IHC techniques. The polyclonal antibody specificity, stability and immunostaining were evaluated. The polyclonal antibodies purified by chromatography (Sephadex(®)) and obtained from L. (V.) braziliensis and L. (L.) amazonensis insoluble antigens presented 83.3% sensitivity, when the presence of antigens was evaluated, i.e., higher than histopathology or any equivalent method (in vitro culture). The polyclonal antibody presented 100% specificity when used against species frequently found in CL lesions. The ICC/IHC techniques developed in the current study were able to recognize amastigotes and antigens from in vivo and in vitro cultures and from biopsies, offering additional help in the diagnosis of CL. This methodology could be beneficially adopted in public health laboratories.
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