Td. Nguyen et al., DETECTION OF TOXOPLASMA-GONDII TACHYZOITES AND BRADYZOITES IN BLOOD, URINE, AND BRAINS OF INFECTED MICE, Clinical and diagnostic laboratory immunology, 3(6), 1996, pp. 635-639
Different techniques for identifying Toxoplasma gondii were compared.
PCR was used to amplify part of the major surface antigen P30 gene of
T. gondii. Amplified-DNA detection with the DNA enzyme immunoassay (PC
R-DEIA) was more sensitive than ethidium bromide staining after agaros
e gel electrophoresis and as sensitive as nested PCR. PCR-DEIA, using
common enzyme-linked immunosorbent assay (ELISA) methods, avoids agaro
se gel electrophoresis for the identification of amplified products. T
. gondii can also be detected with equal sensitivity in infected fibro
blasts, but only after at least 8 days of cell culture. PCR-DEIA is th
us recommended because of its sensitivity and convenience for detectin
g early parasitemia in the surveillance of toxoplasmosis among pregnan
t women and immunocompromised hosts. The courses of infection in mice
infected with two strains of T. gondii were compared. Tachyzoites of t
he virulent strain T. gondii RH, killing the host in 4 days, were iden
tified in urine specimens and blood samples of mice 24 to 94 h after i
noculation but not in brains, but no antibodies were detected, After i
ntraperitoneal inoculation with cysts of the low-level virulence Bever
ley strain of T. gondii, parasites were identified in blood samples 4
days later and up to 17 days (but not in urine specimens) and in the b
rain from day 6 through day 525. By ELISA, high antibody titers were f
ound from day II to day 525, with parasitemia preceding the appearance
of antibodies. The usefulness of PCR-DEIA tests in conjunction with t
he search for circulating antibodies for the early diagnosis of toxopl
asmosis in humans is discussed.