Low positive predictive value of anti-Brugia malayi IgG and IgG4 serology for the diagnosis of Wuchereria bancrofti

Trans R Soc Trop Med Hyg. 1994 Nov-Dec;88(6):661-2. doi: 10.1016/0035-9203(94)90217-8.

Abstract

Enzyme-linked immunosorbent assays (ELISAs) for anti-Brugia malayi immunoglobulin (Ig) G and IgG4 were evaluated on sera from 1561 subjects in French Polynesia for the serodiagnosis of Wuchereria bancrofti filariasis, compared with the test for Onchocerca gibsoni circulating antigen (Og4C3) as a 'gold standard'. The sensitivity of the ELISA-IgG and ELISA-IgG4 assays was 90.8% and 94.5%, and the specificity was 45.9% and 50.7%. The positive predictive values were 41% and 45% respectively for an antigen prevalence rate of 30%. Thus antibody prevalences exceeded by two-fold the antigen prevalence, which itself exceeded by two-fold the prevalence of microfilaraemia.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Animals
  • Antibodies, Helminth / blood*
  • Antigens, Helminth / blood
  • Brugia malayi / immunology*
  • Elephantiasis, Filarial / diagnosis*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Immunoglobulin G / blood*
  • Middle Aged
  • Onchocerca / immunology
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Wuchereria bancrofti*

Substances

  • Antibodies, Helminth
  • Antigens, Helminth
  • Immunoglobulin G