Salivary anti-PGL-1 IgM may indicate active transmission of Mycobacterium leprae among young people under 16 years of age
Braz. j. infect. dis; 21 (5), 2017
Publication year: 2017
Abstract Considering that the main route of Mycobacterium leprae transmission is the upper respiratory tract, detection of salivary antibodies can be a useful tool for diagnosing early infection. The study aimed to analyze salivary anti-PGL-1 IgA and IgM antibodies in 169 children aged 4-16 years old, who lived nearby or inside the house of multibacillary or paucibacillary leprosy patients in two endemic cities in Alagoas State - Brazil. Salivary anti-PGL-1 antibodies were quantified by modified ELISA method. The frequency of contact and clinical form of the index case were significantly associated with salivary antibody levels. High frequency of IgM positivity strongly suggests active transmission of M. leprae in these communities. We suggest in the present work that salivary anti-PGL IgA and IgM are important biomarkers to be used for identifying communities with probable active transmission of M. leprae.
Anticuerpos Antibacterianos/administración & dosificación, Antígenos Bacterianos/análisis, Antígenos Bacterianos/inmunología, Trazado de Contacto, Ensayo de Inmunoadsorción Enzimática, Familia, Glucolípidos/análisis, Glucolípidos/inmunología, Lepra Multibacilar/diagnóstico, Lepra Paucibacilar/diagnóstico, Mycobacterium leprae/inmunología, Saliva/química, Saliva/inmunología