Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1988 Jan;26(1):121–125. doi: 10.1128/jcm.26.1.121-125.1988

Antibodies to cysts of Giardia lamblia in primary giardiasis and in the absence of giardiasis.

L Jokipii 1, A Miettinen 1, A M Jokipii 1
PMCID: PMC266212  PMID: 3343303

Abstract

The significance of serum antibodies binding to cysts of Giardia lamblia was evaluated by indirect immunofluorescence. Titers of 10 or higher were found in 85.6% of adults, who had probably never had giardiasis. Titers in 118 adults (geometric mean, 29.9) were higher than in 35 children (16.4), and titers in women (42.3) were higher than in men (20.0). Titers in 150 patients with primary giardiasis (80.4) were higher than in control adults, but overlapping precluded serological diagnosis. Titers increased with the duration of infection. Female patients had higher titers (100.5) than did males (66.1), but men who had been infected longer than 45 days had high titers (132). Titers in second serum samples taken from 26 patients 2 weeks to 3 months after successful nitroimidazole treatment (58.1) were lower than before treatment (151.7) but higher than in 118 controls. We conclude that most people have antibodies which cross-react with G. lamblia but which are induced by other immunogens and that primary giardiasis induces protracted systemic antibody responses.

Full text

PDF
122

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bienenstock J., Befus A. D. Mucosal immunology. Immunology. 1980 Oct;41(2):249–270. [PMC free article] [PubMed] [Google Scholar]
  2. Challacombe S. J., Tomasi T. B., Jr Systemic tolerance and secretory immunity after oral immunization. J Exp Med. 1980 Dec 1;152(6):1459–1472. doi: 10.1084/jem.152.6.1459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Danciger M., Lopez M. Numbers of Giardia in the feces of infected children. Am J Trop Med Hyg. 1975 Mar;24(2):237–242. doi: 10.4269/ajtmh.1975.24.237. [DOI] [PubMed] [Google Scholar]
  4. Ganguly N. K., Mahajan R. C., Vasudev V., Radha Krishna V., Anand B. S., Dilawari J. B., Chandanani R. E. Comparative evaluation of indirect haemagglutination and immunofluorescence tests in serodiagnosis of giardiasis. Indian J Med Res. 1981 Jan;73 (Suppl):111–113. [PubMed] [Google Scholar]
  5. Goka A. K., Rolston D. D., Mathan V. I., Farthing M. J. Diagnosis of giardiasis by specific IgM antibody enzyme-linked immunosorbent assay. Lancet. 1986 Jul 26;2(8500):184–186. doi: 10.1016/s0140-6736(86)92487-6. [DOI] [PubMed] [Google Scholar]
  6. Haralabidis S. T. Immunodiagnosis of giardiasis by ELISA and studies on cross-reactivity between the anti-Giardia lamblia antibodies and some heterologous parasitic antigens and fractions. Ann Trop Med Parasitol. 1984 Jun;78(3):295–300. doi: 10.1080/00034983.1984.11811819. [DOI] [PubMed] [Google Scholar]
  7. Islam A., Stoll B. J., Ljungström I., Biswas J., Nazrul H., Huldt G. Giardia lamblia infections in a cohort of Bangladeshi mothers and infants followed for one year. J Pediatr. 1983 Dec;103(6):996–1000. doi: 10.1016/s0022-3476(83)80739-2. [DOI] [PubMed] [Google Scholar]
  8. Jokipii A. M., Hemilä M., Jokipii L. Prospective study of acquisition of Cryptosporidium, Giardia lamblia, and gastrointestinal illness. Lancet. 1985 Aug 31;2(8453):487–489. doi: 10.1016/s0140-6736(85)90412-x. [DOI] [PubMed] [Google Scholar]
  9. Jokipii A. M., Jokipii L. Comparative evaluation of two dosages of tinidazole in the treatment of giardiasis. Am J Trop Med Hyg. 1978 Jul;27(4):758–761. doi: 10.4269/ajtmh.1978.27.758. [DOI] [PubMed] [Google Scholar]
  10. Jokipii A. M., Jokipii L. Prepatency of giardiasis. Lancet. 1977 May 21;1(8021):1095–1097. doi: 10.1016/s0140-6736(77)92345-5. [DOI] [PubMed] [Google Scholar]
  11. Jokipii L. Giardiaasia leningradista. Duodecim. 1972;88(7):522–526. [PubMed] [Google Scholar]
  12. Jokipii L., Jokipii A. M. Comparison of four dosage schedules in the treatment of giardiasis with metronidazole. Infection. 1978;6(2):92–94. doi: 10.1007/BF01642166. [DOI] [PubMed] [Google Scholar]
  13. Jokipii L., Jokipii A. M. Single-dose metronidazole and tinidazole as therapy for giardiasis: success rates, side effects, and drug absorption and elimination. J Infect Dis. 1979 Dec;140(6):984–988. doi: 10.1093/infdis/140.6.984. [DOI] [PubMed] [Google Scholar]
  14. Jokipii L., Jokipii A. M. Treatment of giardiasis: comparative evaluation of ornidazole and tinidazole as a single oral dose. Gastroenterology. 1982 Aug;83(2):399–404. [PubMed] [Google Scholar]
  15. Jokipii L. Occurrence of Giardia lamblia in adult patients with abdominal symptoms and in symptomless young adults. Ann Clin Res. 1971 Oct;3(5):286–289. [PubMed] [Google Scholar]
  16. Jokippii L., Jokipii A. M. Giardiasis in travelers: a prospective study. J Infect Dis. 1974 Sep;130(3):295–299. doi: 10.1093/infdis/130.3.295. [DOI] [PubMed] [Google Scholar]
  17. Linder E., Miettinen A., Törnroth T. Fibronectin as a marker for the glomerular mesangium in immunohistology of kidney biopsies. Lab Invest. 1980 Jan;42(1):70–75. [PubMed] [Google Scholar]
  18. Moody A. H. Improved method for the pure preparation of faecal cysts for use as antigen. Trans R Soc Trop Med Hyg. 1976;70(4):338–338. doi: 10.1016/0035-9203(76)90093-6. [DOI] [PubMed] [Google Scholar]
  19. Moody A. H., Ridley D. S., Tomkins A. M., Wright S. G. The specificity of serum antibodies to Giardia lamblia and to enterobacteria in gastrointestinal disease. Trans R Soc Trop Med Hyg. 1982;76(5):630–632. doi: 10.1016/0035-9203(82)90227-9. [DOI] [PubMed] [Google Scholar]
  20. Ridley M. J., Ridley D. S. Serum antibodies and jejunal histology in giardiasis associated with malabsorption. J Clin Pathol. 1976 Jan;29(1):30–34. doi: 10.1136/jcp.29.1.30. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Rowland M. G., Cole T. J., McCollum J. P. Weanling diarrhoea in The Gambia: implications of a jejunal intubation study. Trans R Soc Trop Med Hyg. 1981;75(2):215–218. doi: 10.1016/0035-9203(81)90319-9. [DOI] [PubMed] [Google Scholar]
  22. Smith P. D., Gillin F. D., Brown W. R., Nash T. E. IgG antibody to Giardia lamblia detected by enzyme-linked immunosorbent assay. Gastroenterology. 1981 Jun;80(6):1476–1480. [PubMed] [Google Scholar]
  23. Speelman P., Ljungström I. Protozoal enteric infections among expatriates in Bangladesh. Am J Trop Med Hyg. 1986 Nov;35(6):1140–1145. doi: 10.4269/ajtmh.1986.35.1140. [DOI] [PubMed] [Google Scholar]
  24. Taylor G. D., Wenman W. M. Human immune response to Giardia lamblia infection. J Infect Dis. 1987 Jan;155(1):137–140. doi: 10.1093/infdis/155.1.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Vinayak V. K., Jain P., Naik S. R. Demonstration of antibodies in giardiasis using the immunodiffusion technique with Giardia cysts as antigen. Ann Trop Med Parasitol. 1978 Dec;72(6):581–582. doi: 10.1080/00034983.1978.11719366. [DOI] [PubMed] [Google Scholar]
  26. Visvesvara G. S., Smith P. D., Healy G. R., Brown W. R. An immunofluorescence test to detect serum antibodies to Giardia lamblia. Ann Intern Med. 1980 Dec;93(6):802–805. doi: 10.7326/0003-4819-93-6-802. [DOI] [PubMed] [Google Scholar]
  27. Winiecka J., Kasprzak W., Kociecka W., Płotkowiak J., Myjak P. Serum antibodies to Giardia intestinalis detected by immunofluorescence using trophozoites as antigen. Tropenmed Parasitol. 1984 Mar;35(1):20–22. [PubMed] [Google Scholar]
  28. Wittner M., Maayan S., Farrer W., Tanowitz H. B. Diagnosis of giardiasis by two methods. Immunofluorescence and enzyme-linked immunosorbent assay. Arch Pathol Lab Med. 1983 Oct;107(10):524–527. [PubMed] [Google Scholar]
  29. Zaki A. M., DuPont H. L., el Alamy M. A., Arafat R. R., Amin K., Awad M. M., Bassiouni L., Imam I. Z., el Malih G. S., el Marsafie A. The detection of enteropathogens in acute diarrhea in a family cohort population in rural Egypt. Am J Trop Med Hyg. 1986 Sep;35(5):1013–1022. doi: 10.4269/ajtmh.1986.35.1013. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES