Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1989 Nov;27(11):2582–2588. doi: 10.1128/jcm.27.11.2582-2588.1989

Monoclonal antibody-based enzyme immunoassay for Giardia lamblia antigen in human stool.

H H Stibbs 1
PMCID: PMC267080  PMID: 2681257

Abstract

A visually readable monoclonal antibody-based antigen-capture enzyme immunoassay for the detection of Giardia lamblia antigen in human stool specimens was developed and found to be 97% (30 of 31 stool specimens) sensitive for formalinized stools and 82% (49 of 60 stool specimens) sensitive for unfixed stool specimens by visual reading. The storage of specimens in 10% Formalin resulted in increased absorbance in 20 of 26 G. lamblia-positive specimens tested as both formalinized and unfixed specimens; the increase averaged 1,336%. The assay was specific for antigens of this organism and for antigens derived from the cyst, as opposed to the trophozoite, stage. The assay could detect the antigens of five cysts per well, but could not detect antigen in in vitro-cultured trophozoites. A mouse monoclonal antibody of the immunoglobulin G1 (IgG1) subclass, which was prepared against cysts of G. lamblia, was used as the solid-phase capture antibody. The antibody was reactive with the cyst wall, as determined by immunofluorescence. Polyclonal rabbit anti-cyst IgG was used as the secondary antibody, and peroxidase-labeled goat anti-rabbit IgG was used as the tertiary antibody in the assay format. Maximal capture of antigen from stool specimens occurred by 30 min. Optimal dilution of specimens was in the range of 1:60 to 1:600. Preliminary characterization of affinity-purified antigen recognized by the monoclonal antibody showed that it is heat stable (100 degrees C, 12 min) and resistant to sodium periodate treatment and that it may exist in multiple molecular weights from 45,000 to 110,000.

Full text

PDF
2582

Images in this article

Selected References

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

  1. Bradford M. M. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976 May 7;72:248–254. doi: 10.1006/abio.1976.9999. [DOI] [PubMed] [Google Scholar]
  2. Chester A. C., MacMurray F. G., Restifo M. D., Mann O. Giardiasis as a chronic disease. Dig Dis Sci. 1985 Mar;30(3):215–218. doi: 10.1007/BF01347886. [DOI] [PubMed] [Google Scholar]
  3. Craft J. C., Nelson J. D. Diagnosis of giardiasis by counterimmunoelectrophoresis of feces. J Infect Dis. 1982 Apr;145(4):499–504. doi: 10.1093/infdis/145.4.499. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Fomsgaard A., Conrad R. S., Galanos C., Shand G. H., Høiby N. Comparative immunochemistry of lipopolysaccharides from typable and polyagglutinable Pseudomonas aeruginosa strains isolated from patients with cystic fibrosis. J Clin Microbiol. 1988 May;26(5):821–826. doi: 10.1128/jcm.26.5.821-826.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Galfrè G., Milstein C. Preparation of monoclonal antibodies: strategies and procedures. Methods Enzymol. 1981;73(Pt B):3–46. doi: 10.1016/0076-6879(81)73054-4. [DOI] [PubMed] [Google Scholar]
  7. Green E. L., Miles M. A., Warhurst D. C. Immunodiagnostic detection of Giardia antigen in faeces by a rapid visual enzyme-linked immunosorbent assay. Lancet. 1985 Sep 28;2(8457):691–693. doi: 10.1016/s0140-6736(85)92932-0. [DOI] [PubMed] [Google Scholar]
  8. Laemmli U. K. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature. 1970 Aug 15;227(5259):680–685. doi: 10.1038/227680a0. [DOI] [PubMed] [Google Scholar]
  9. Nash T. E., Herrington D. A., Levine M. M. Usefulness of an enzyme-linked immunosorbent assay for detection of Giardia antigen in feces. J Clin Microbiol. 1987 Jul;25(7):1169–1171. doi: 10.1128/jcm.25.7.1169-1171.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Petersen H. Giardiasis (lambliasis). Scand J Gastroenterol Suppl. 1972;14:1–44. [PubMed] [Google Scholar]
  11. Riley L. W., Junio L. N., Libaek L. B., Schoolnik G. K. Plasmid-encoded expression of lipopolysaccharide O-antigenic polysaccharide in enteropathogenic Escherichia coli. Infect Immun. 1987 Sep;55(9):2052–2056. doi: 10.1128/iai.55.9.2052-2056.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Rosoff J. D., Stibbs H. H. Isolation and identification of a Giardia lamblia-specific stool antigen (GSA 65) useful in coprodiagnosis of giardiasis. J Clin Microbiol. 1986 May;23(5):905–910. doi: 10.1128/jcm.23.5.905-910.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Schaefer F. W., 3rd, Rice E. W., Hoff J. C. Factors promoting in vitro excystation of Giardia muris cysts. Trans R Soc Trop Med Hyg. 1984;78(6):795–800. doi: 10.1016/0035-9203(84)90024-5. [DOI] [PubMed] [Google Scholar]
  14. Schneider H., Hammack C. A., Shuman B. A., Griffiss J. M. Stability of expression of Neisseria gonorrhoeae lipooligosaccharides. Infect Immun. 1986 Dec;54(3):924–927. doi: 10.1128/iai.54.3.924-927.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Steinbuch M., Audran R. The isolation of IgG from mammalian sera with the aid of caprylic acid. Arch Biochem Biophys. 1969 Nov;134(2):279–284. doi: 10.1016/0003-9861(69)90285-9. [DOI] [PubMed] [Google Scholar]
  16. Stibbs H. H., Samadpour M., Manning J. F. Enzyme immunoassay for detection of Giardia lamblia cyst antigens in formalin-fixed and unfixed human stool. J Clin Microbiol. 1988 Sep;26(9):1665–1669. doi: 10.1128/jcm.26.9.1665-1669.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Towbin H., Staehelin T., Gordon J. Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. Proc Natl Acad Sci U S A. 1979 Sep;76(9):4350–4354. doi: 10.1073/pnas.76.9.4350. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Ungar B. L., Yolken R. H., Nash T. E., Quinn T. C. Enzyme-linked immunosorbent assay for the detection of Giardia lamblia in fecal specimens. J Infect Dis. 1984 Jan;149(1):90–97. doi: 10.1093/infdis/149.1.90. [DOI] [PubMed] [Google Scholar]
  19. Vinayak V. K., Kum K., Chandna R., Venkateswarlu K., Mehta S. Detection of Giardia lamblia antigen in the feces by counterimmunoelectrophoresis. Pediatr Infect Dis. 1985 Jul-Aug;4(4):383–386. doi: 10.1097/00006454-198507000-00010. [DOI] [PubMed] [Google Scholar]
  20. Ward H. D., Alroy J., Lev B. I., Keusch G. T., Pereira M. E. Identification of chitin as a structural component of Giardia cysts. Infect Immun. 1985 Sep;49(3):629–634. doi: 10.1128/iai.49.3.629-634.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Young K. H., Bullock S. L., Melvin D. M., Spruill C. L. Ethyl acetate as a substitute for diethyl ether in the formalin-ether sedimentation technique. J Clin Microbiol. 1979 Dec;10(6):852–853. doi: 10.1128/jcm.10.6.852-853.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]

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

RESOURCES