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Clinical and Diagnostic Laboratory Immunology, September 1998, p. 613-616, Vol. 5, No. 5
Institute of Parasitology, University of
Zurich, Zürich, Switzerland
Received 29 September 1997/Returned for modification 11 February
1998/Accepted 10 June 1998
The potential roles of specific antibodies of the different
immunoglobulin G (IgG) subclasses in the serological diagnosis of
cystic echinococcosis (CE) and alveolar echinococcosis (AE) were
investigated by an enzyme-linked immunosorbent assay based on hydatid
fluid as antigen. Specific antibodies of subclass 1 were found to be of
major importance. In sera collected at the time of diagnosis (i.e.,
before any therapeutic intervention was initiated) they could be
demonstrated in 14 of 15 sera from patients with CE and in all 12 sera
from patients with AE. The most discriminatory and the most specific
antibodies found in this study belonged to IgG subclass 4. Only one
false-positive reaction was observed with 253 sera from healthy
volunteers, and no cross-reactions occurred in 80 sera from patients
with different parasitic infections. Specific IgG4 antibodies could be
demonstrated in 61.0 to 66.7% (CE) or 47.6 to 66.7% (AE) of the
cases. Antibody levels of IgG subclass 2 were elevated only moderately,
and subclass 3 antibodies were detected in a few cases only. In
addition, nonspecific reactions in sera of healthy volunteers or
patients with other parasitic infections could partially be attributed
to antibodies of subclasses 2 and 3.
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Analysis of Specific Immunoglobulin G Subclass
Antibodies for Serological Diagnosis of Echinococcosis by a
Standard Enzyme-Linked Immunosorbent Assay

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Corresponding author. Mailing address: Institute of
Parasitology, University of Zurich, Winterthurerstrasse 266a, CH-8057 Zürich, Switzerland. Phone: (01) 635 85 05: Fax: (01) 635 89 15. E-mail: fgrimm{at}vetparas.unizh.ch.
Present address: Institute of Clinical Chemistry, University
Hospital Zurich, CH-8091 Zürich, Switzerland.
Present address: Department of General Surgery, The First
Affiliated Hospital, Xinjiang Medical College, Urumqi, Xinjiang 83000, China.
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