Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-26T06:44:47.306Z Has data issue: false hasContentIssue false

Evidence for widespread occurrence of antibodies to Encephalitozoon cuniculi (Microspora) in man provided by ELISA and other serological tests

Published online by Cambridge University Press:  06 April 2009

W. S. Hollister
Affiliation:
Department of Biology, Imperial College, London SW7 2AZ
E. U. Canning
Affiliation:
Department of Biology, Imperial College, London SW7 2AZ
A. Willcox
Affiliation:
Department of Biology, Imperial College, London SW7 2AZ

Summary

The enzyme-linked immunosorbent assay (ELISA) was used to survey human sera for antibodies to Encephalitozoon cuniculi using spores obtained from in vitro cultures as antigen. Sera were obtained from patients with tropical diseases, neurological and renal disorders, patients who were HIV positive and those who had been tested for HIV but found to be negative. Sera from inhabitants of the village of Jali, The Gambia and from healthy blood donors were also examined. Numerous sera from all groups except the blood donors gave positive ELISA reactions at dilutions of 1:400. On titration, those with titres of 1:400 were reclassified as negative. Antibody titres of 1:800 and above were considered to be indicative of past or present infections with E. cuniculi. Many of these ELISA seropositives were also positive by IFAT or PAP. When examined by Western blotting of SDS–PAGE protein profiles of E. cuniculi spores, sera from many patients who had a tropical association reacted with the characteristic profiles shown by known positive mouse and rabbit sera. Others in the tropical group showed antibody binding to some but not all of the immunodominant polypeptides and yet others were negative in spite of their reactivity in the ELISA, IFAT or PAP test. Less agreement between ELISA and Western blotting results was obtained with the other groups of patients, although reactivity with one or more of the major polypeptide bands was sometimes seen. Serum from one blood donor, examined by ELISA and Western blotting, was positive. Differences in the methods of antigen preparation and of epitopes recognized by individuals may account for different reactivities in the tests. It is concluded that infections of E. cuniculi are common in the tropics and that reactivations of these infections might be a hazard to AIDS patients.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bergquist, N. R., Stintzing, G., Smedman, L., Waller, T. & Andersson, T. (1984). Diagnosis of encephalitozoonosis in man by serological tests. British Medical Journal 288, 902.CrossRefGoogle Scholar
Bergquist, N. R., Waller, T., Mravak, S. & Meyer, U. (1983). Report of two recent cases of human microsporidiosis. American Society of Tropical Medicine and Hygiene, Annual Meeting (abstract).Google Scholar
Botha, W. S., Van Dellen, A. F. & Stewart, C. G. (1979). Canine encephalitozoonosis in South Africa. Journal of the South African Veterinary Association 50, 135–44.Google ScholarPubMed
Canning, E. U. & Lom, J. (1986). The Microsporidia of Vertebrates. London: Academic Press.Google Scholar
Cole, J. R. Jr, Sangster, L. T., Sulzer, C. R., Pursell, A. R. & Ellinghausen, H. C. (1982). Infections with Encephalitozoon cuniculi and Leptospira interrogans servovars grippotyphosa and ballum, in a kennel of foxhounds. Journal of the American Veterinary Medicine Association 180, 435–7.Google Scholar
Desportes, I., Le Charpentier, Y., Galian, A., Bernard, F., Cochand-Priollet, B., Lavergne, A., Ravisse, P. & Modigliani, R. (1985). Occurrence of a new microsporidian: Enterocytozoon bieneusi n.g., n.sp., in the enterocytes of a human patient with AIDS. Journal of Protozoology 32, 250–4.CrossRefGoogle Scholar
Eeftinck Schattenkerk, J. K. M., Van Ketel, R. J., Kuijper, E. J. & Bartelsman, J. F. M. H. (1990). Is small intestinal microsporidiosis another opportunistic infection of importance in AIDS? Second European Conference on Clinical Aspects of HIV infection, Brussels (abstract).Google Scholar
Friedberg, D. N., Stenson, S. M., Orenstein, J. M., Tierno, P. M. & Charles, N. C. (1990). Microsporidial keratoconjunctivitis in acquired immunodeficiency syndrome. Archives of Ophthalmology 108, 504–8.Google Scholar
Hollister, W. S. & Canning, E. U. (1987). An enzyme-linked immunosorbent assay (ELISA) for detection of antibodies to Encephalitozoon cuniculi and its use in determination of infections in man. Parasitology 94, 209–19.CrossRefGoogle ScholarPubMed
Hollister, W. S., Canning, E. U. & Viney, M. (1989). Prevalence of antibodies to Encephalitozoon cuniculi in stray dogs as determined by an ELISA. Veterinary Record 124, 332–6.Google Scholar
Irby, W. S., Huang, Y. S., Kawanishi, C. Y. & Brooks, W. M. (1986). Immunoblot analysis of exospore polypeptides from some entomophilic microsporidia. Journal of Protozoology 33, 1420.Google Scholar
Lowder, C. Y., Meisler, D. M., McMahon, J. T., Longworth, D. L. & Rutherford, I. (1990). Microsporidia infection in the cornea in a man seropositive for human immunodeficiency virus. American Journal of Ophthalmology 109, 242–4.Google Scholar
Matsubayashi, H., Koike, T., Mikata, I., Takei, H. & Hagiwara, S. (1959). A case of Encephalitozoon-like body infection in man. Archives of Pathology 67, 181–7.Google Scholar
Mohn, S. F., Nordstoga, K. & Dishington, I. W. (1982). Experimental encephalitozoonosis in the blue fox. Clinical, serological and pathological examination of vixens after oral and intrauterine inoculation. Acta Veterinaria Scandinavica 23, 490502.CrossRefGoogle ScholarPubMed
Nordstoga, K. (1972). Nosematosis in blue foxes. Nordisk Veterinaermedicin 24, 21–4.Google ScholarPubMed
Nordstoga, K., Aamdal, J. & Helgebostad, A. (1978). Nosematosis (encephalitozoonosis) in a litter of blue foxes after intrauterine injection of Nosema spores. Acta Veterinaria Scandinavica 19, 150–2.Google Scholar
Orenstein, J. M., Seedor, R., Friedberg, D. N., Stenson, S. M., Tierno, P. M., Charles, N. C., Meisler, D. M., Lowder, C. Y., McMahon, J. T., Longworth, D. L., Rutherford, I., Yee, R. W., Martinez, A., Tio, F. & Held, K. (1990 a). Microsporidian keratoconjunctivitis in patients with AIDS. Morbidity and Mortality Weekly Reports 39, 188–9.Google Scholar
Orenstein, J., Steinberg, W., Chiang, J., Smith, P., Rotterdam, H. & Kotler, D. (1990 b). Intestinal microsporidiosis as a cause of diarrhoea in HIV-infected patients, a report of 20 cases. Human Pathology 21, 475–81.Google Scholar
Plowright, W. (1952). An encephalitis–nephritis syndrome in the dog, probably due to congenital Encephalitozoon infection. Journal of Comparative Pathology 62, 8392.Google Scholar
Plowright, W. & Yeoman, G. (1952). Probable encephalitozoonosis infection of the dog. Veterinary Record 64, 381–3.Google Scholar
Rijpstra, A. C., Canning, E. U., Van Ketel, R. J., Eeftinck Schattenkerk, J. K. M. & Laarman, J. (1988). Use of light microscopy to diagnose small-intestinal microsporidiosis in patients with AIDS. Journal of Infectious Diseases 157, 827–31.Google Scholar
Schmidt, E. & Shadduck, J. A. (1983). Murine encephalitozoonosis model for studying the host parasite relationship of a chronic infection. Infection and Immunity 40, 936–42.Google Scholar
Schmidt, E. & Shadduck, J. A. (1984). Mechanisms of resistance to the intracellular protozoan Encephalitozoon cuniculi in mice. Journal of Immunology 133, 2712–19.Google Scholar
Shadduck, J. A., Bendele, R. & Robinson, G. T. (1978). Isolation of the causative organism of canine encephalitozoonosis. Veterinary Pathology 15, 449–60.Google Scholar
Singh, M., Kane, G. J., Mackinlay, L., Yap, E. H., Ho, B. C., Ho, L. C. & Lim, K. C. (1982). Detection of antibodies to Nosema cuniculi (Protozoa, Microsporidia) in human and animal sera by the indirect fluorescent antibody technique. Southeast Asian Journal of Tropical Medicine and Public Health 13, 110–13.Google Scholar
Stewart, C. G. & Botha, W. S. (1989). Canine encephalitozoonosis. Zimbabwe Veterinary Journal 20, 8993.Google Scholar
Stewart, C. G., Collett, M. G. & Synman, H. (1986). The immune response in a dog to Encephalitozoon cuniculi infection. Onderstepoort Journal of Veterinary Research 53, 35–7.Google Scholar
Stewart, C. G., Van Dellen, A. F. & Botha, W. S. (1981). Antibodies to a canine isolate of Encephalitozoon in various species. South African Journal of Science 77, 572.Google Scholar
Terada, S., Reddy, K. R., Jeffers, L. J., Cali, A. & Schiff, E. R. (1987). Microsporidian hepatitis in the acquired immunodeficiency syndrome. Annals of Internal Medicine 107, 61–2.Google Scholar
Van Dellen, A. F., Stewart, C. G. & Botha, W. S. (1989). Studies of encephalitozoonosis in vervet monkeys (Cercopithecus pygerythrus) orally inoculated with spores of Encephalitozoon cuniculi isolated from dogs (Canis familiaris). Onderstepoort Journal of Veterinary Research 56, 122.Google Scholar
Van Heerden, J., Bainbridge, N., Burroughs, R. E. J. & Kriek, N. P. J. (1989). Distemper-like disease and encephalitozoonosis in wild dogs (Lycaon pictus). Journal of Wildlife Diseases 25, 70–5.CrossRefGoogle ScholarPubMed
Voller, A., Bidwell, D. E. & Bartlett, A. (1979). The Enzyme Linked Immunosorbent Assay (ELISA). A Guide with Abstracts of Microplate Applications. Guernsey: Dynatech Europe.Google Scholar
Weidner, E. (1975). Some aspects of microsporidian physiology. In Biology of the Microsporidia. Comparative Pathology, Vol. 1 (ed. Bulla, L. A. & Cheng, T. C.), pp. 111–26. New York: Plenum Press.Google Scholar
WORLD HEALTH ORGANIZATION (1983). Antibody to Encephalitozoon cuniculi in man. Weekly Epidemiological Record 58, 30–2.Google Scholar
Zeman, D. H. & Baskin, G. B. (1985). Encephalitozoonosis in squirrel monkeys (Saimiri sciureus). Veterinary Pathology 22, 2431.Google Scholar
Zender, H. O., Arrigoni, E., Eckert, J. & Kapanci, Y. (1989). A case of Encephalitozoon cuniculi peritonitis in a patient with AIDS. American Journal of Clinical Pathology 92, 352–6.Google Scholar