We conducted a study of serodiagnosis of experimental sparganum
infections of mice and human
sparganosis by
enzyme-linked
immunosorbent assay (ELISA) using excretory-secretory (ES)
antigens of Spirometra mansoni spargana and compared the sensitivity and specificity of crude and ES
antigens for detecting the specific anti-sparganum
IgG antibodies. By crude
antigen ELISA and ES
antigen ELISA, anti-sparganum
IgG was detected in all of 30 serum samples of the infected mice; no cross-reactions were observed in serum samples of the mice infected with Trichinella spiralis, Schistosoma japanicum, Toxoplasma gondii, and normal mice. Anti-sparganum
IgG was detected by ES
antigen ELISA in sera of mice infected with one, two, four, six, and eight spargana at 3 weeks post-
infection (wpi), with a detection rate of 100%, and lasted to 18 wpi when the experiment was ended. The difference in anti-sparganum antibody levels among five groups of the infected mice was statistically significant (F=245.296, p<0.05); the antibody levels were correlated with infecting doses of spargana (r=0.323, p<0.05). The sensitivity of both ELISA in detecting the serum samples of patients with
sparganosis was 100% (20/20), but 96.72% (59/61) of specificity of ES
antigen ELISA in detecting serum samples of patients with
cysticercosis,
echinococcosis, paragonimiosis, clonorchiosis, and
schistosomiasis, and healthy persons was significantly greater than 72.13% (44/61) of crude
antigen ELISA (χ (2) = 14.027, p<0.05). Our finding indicates that ELISA using ES
antigens of S. mansoni spargana may be applied to the specific early serodiagnosis of
sparganosis.