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Performance of TcI/TcVI/TcII Chagas-Flow ATE-IgG2a for universal and genotype-specific serodiagnosis of Trypanosoma cruzi infection

Fig 2

Overall reactivity profile of TcI/TcVI/TcII Chagas-Flow ATE-IgG2a for universal and genotypic-specific diagnosis of T. cruzi infection.

The Chagas-Flow ATE-IgG2a reactivity was determined for sera samples from T. cruzi-infected mice, including TcI/TcVI/TcII genotype-representative strains, including: TcI/Colombiana strain (black dotted frame, n = 29), TcVI/CL strain (light gray dotted frame, n = 29) and TcII/Y strain (dark gray dotted frame, n = 35) as well as non-infected mice (white dotted frame, n = 10). Genotype-specific IgG2a reactivity to each target-antigen (amastigote-AMA, trypomastigote-TRYPO and epimastigote-EPI) from T. cruzi genotype I (left panels), genotype VI (middle panels) and genotype II (right panels) was assessed at eight serum dilutions (1:500 to 1:64,000). The results are expressed as the percentage of positive fluorescent parasites (PPFP), using the box plot format, stretching from min to max values with outliers represented by gray-shaded dots and the box defining the 25th and 75th percentile and the median value (line across the box). Comparative analyses were performed by the Kruskal-Wallis followed by Dunn’s post test for multi-group comparisons. Significant differences were considered at p<0.05. The light gray continuous rectangle selects the pair of attributes (“target antigen/serum dilution”) with the most consistent ability to discriminate non-infected mice from all T. cruzi-infected hosts (Colombiana, CL and Y strains). Therefore, these features (anti-TcII TRYPO reactivity at 1:500) were selected for universal diagnosis of T. cruzi infection. The dark gray dotted frame select the pair of attributes “target antigen/serum dilution” with the most promising perspective to distinguish the reactivity of sera samples amongst host infected with Colombiana, CL or Y T. cruzi strains. Therefore, these features (anti-TcII AMA reactivity at 1:1,000; anti-TcI TRYPO reactivity at 1:4,000 and anti-TcVI EPI reactivity at 1:1,000) were selected for genotype-specific diagnosis of T. cruzi infection.

Fig 2

doi: https://doi.org/10.1371/journal.pntd.0005444.g002