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Biomedical subjects

M M Ismail

Publications and source records attributed to M M Ismail.

At least 55 records · Page 3Linked to original sources

New trends in the sero-diagnosis of schistosomiasis in Egypt.

A comparison has been made of a newly modified diffusion-in-gel enzyme-linked immunosorbent technique (DIG-ELISA) and an established, standardized ELISA, using sera as well as whole blood adsorbed on filter paper discs. With known human cases of S. mansoni and/or S. haematobium, both tests showed great sensitivity in the diagnosis of schistosomiasis; 93%-95% positive for ELISA and 92%-93% positive by DIG-ELISA on using egg antigens, while 92% positive for ELISA and 91% positive by DIG-ELISA when worm antigens were used. DIG-ELISA is characterised by its technical simplicity, high sensitivity which make it an excellent screening serological technique especially in endemic areas. Moreover, the use of whole blood on filter paper discs (paper disc DIG-ELISA), rather than serum from venipuncture should add more advantages for its field application.

Animals↗

Immunodiagnosis of bancroftian filariasis.

The development of immunodiagnostic tests (IDTs) for bancroftian filariasis must be aimed at defined objectives, such as the determination of exposure rates, the detection of microfilaraemia and the diagnosis of clinical filariasis. Assays for both antibody and antigen detection are necessary. Antigen determination may be more appropriate in the detection of microfilaraemia, but for clinical filariasis, antibody determination may prove more useful. The microfilarial surface antigens are very good candidates for this purpose. Determination of antibody to larval antigens may be the best way of establishing exposure rates for epidemiological purposes. An important prerequisite for IDT development is the characterization of antigens at epitope level. Sharing of antigen epitopes with host antigens could be a major limitation in IDT development. An understanding of the parasitological and immunological background of the endemic locality is also necessary. It is recommended that all IDTs are evaluated in follow-up case studies.

Animals↗

Detection of circulating antigen in bancroftian filariasis by using a monoclonal antibody.

A monoclonal antibody designated Gib 13-5-2 (Gib 13) and directed against the cattle parasite Onchocerca gibsoni was used in a two-site immunoradiometric assay (IRMA) for detection of circulating antigen in the sera of Wuchereria bancrofti-infected individuals from Sri Lanka and Papua New Guinea. The microfilaremic patients were, in general, serum antigen positive by the Gib 13 IRMA. Among the amicrofilaremic patients, 47% of those with lymphedema, lymphangitis, hydrocele, etc., and 25% of those with elephantiasis had circulating antigen. Correlation of the presence of serum antigen with clinical status indicated that the Gib 13 target antigen in serum is probably an indicator of either active or early infection, or of both. The antigen was also detected in the urine of some patients. By sodium dodecyl sulphate polyacrylamide gel electrophoresis immunoblotting, Gib 13 target antigens of molecular weights 67,000 and 52,000 were identified.

Antibodies, Monoclonal↗

HLA and filariasis in Sri Lankans and Indians.

Similar HLA association was found in patients with elephantiasis in Sri Lankans and Southern Indians. HLA-B15 was observed in 13/44 (30%) Sri Lankan patients with elephantiasis compared to 1/27 (4%) Sri Lankan controls (p = .0058; RR = 10.9) and in 5/8 (28%) Southern Indian elephantiasis compared to 10/101 (10%) Southern Indian controls (p = 0.04; RR = 3.5). In combining the data, the significance of the difference of the frequency of B15 between patients with elephantiasis and controls was even more marked (p = 0.00045; corrected p = 0.012; RR = 4.4).

Asian People↗