Mc. Eisler et al., SENSITIVITY AND SPECIFICITY OF ANTIGEN-CAPTURE ELISAS FOR DIAGNOSIS OF TRYPANOSOMA-CONGOLENSE AND TRYPANOSOMA-VIVAX INFECTIONS IN CATTLE, Veterinary parasitology, 79(3), 1998, pp. 187-201
Sensitivity and specificity of the FAO/IAEA antigen-ELISA kits for dia
gnosis of bovine trypanosomosis were investigated using sera from expe
rimental cattle infected by tsetse challenge with cloned populations o
f Trypanosoma congolense (three populations) or T. vivax tone populati
on). The kits are based on monoclonal antibodies that recognise intern
al antigens of tsetse-transmitted trypanosomes. Ten cattle were infect
ed with each trypanosome population for at least 60 days, and in combi
nation with uninfected cohorts (n=16) were used in a double-blind stud
y design. Sensitivity and specificity of the tests depended on the cho
ice of positive-negative thresholds expressed as percent positivity wi
th respect to the median OD of four replicates of the strong positive
reference serum provided with the kit. In general, while overall speci
ficities were high, sensitivities of the antigen-ELISAs were poor. For
example, at a cut-off of 5% positivity, the sensitivities of the anti
gen-ELISAs were 11% for samples (n=1162) from T. congolense infected c
attle (n=30), and 24% for samples (n=283) from T. vivax infected cattl
e (n=10). The corresponding specificity values were 95% and 79%, respe
ctively. At a cut-off of 2.5% positivity, sensitivity for T. congolens
e was 25%, and for T. vivax 35%; corresponding specificity values were
85% and 63% respectively. There were no values of the positive-negati
ve threshold at which both sensitivity and specificity were satisfacto
ry. Restricting the analyses to samples taken more than 2 weeks after
tsetse challenge did little to improve sensitivity estimates. Trypanos
ome species specificities of the antigen-ELISAs were also poor. Sensit
ivity and species specificity of the antigen-ELISA for Trypanosoma bru
cei infections were not investigated. In contrast to the antigen-ELISA
, the sensitivity of the buffy-coat technique when applied to the same
experimental animals was fairly high at 67% for T. congolense infecti
ons and 60% for T. vivax infections. For samples taken more than 2 wee
ks after tsetse challenge, high sensitivity estimates of 96% for T. co
ngolense and 76% for T. vivax infections were obtained. (C) 1998 Publi
shed by Elsevier Science B.V. All rights reserved.