Myositis is a common clinical syndrome in advanced stages of AIDS. Trochipl
eistophora hominis (phylum Microspora) has been detected in several cases o
f painful, immobilising myositis in AIDS patients. Enzyme linked immunosorb
ent assays (ELISAs) and Western blotting of protein profiles separated by S
DS PAGE were used to determine whether this species could be detected and d
ifferentiated by serology. Sixteen microsporidia, including several species
known to infect man and species infecting fish, crustaceans and a mosquito
, were used as antigen. Each species had a unique profile of SDS PAGE-separ
ated proteins. In Western blots, mouse antiserum, raised to T. hominis and
selected for its high ELISA specificity, bound to antigens ranging from les
s than 25 kDa to greater than 250 kDa with major bands at 39-44 kDa and 98-
150 kDa on T. hominis protein profiles. The serum also recognised some high
molecular weight antigens in the profiles of Vaviaia culicis, Heterosporis
anguillarum, and three species of Pleistophora but none in the remaining g
enera examined. ii was concluded that ELISA and Western blotting could be u
sed to detect and differentiate T. hominis in muscle biopsy tissue from pat
ients with myositis. However, sera from T. hominis-infected patients in the
terminal stages of AIDS would not be useful for detection of infections be
cause of a sharp decline in antibody level.