@article{98933,
  keywords = {anti-M. leprae PGL-I antibodies, Children, Diagnostics, Infection, leprosy, serosurvey, Transmission, upconversion},
  author = {Pierneef L and Malaviya P and van Hooij A and Sundar S and Singh A and Kumar R and de Jong D and Meuldijk M and Kumar A and Zhou Z and Cloots K and Corstjens P and Hasker E and Geluk A},
  title = {Field-friendly anti-PGL-I serosurvey in children to monitor  transmission in Bihar, India.},
  abstract = {<p><strong>Background: </strong>It has been amply described that levels of IgM antibodies against () phenolic glycolipid I (PGL-I) correlate strongly with the bacterial load in an infected individual. These findings have generated the concept of using seropositivity for antibodies against PGL-I as an indicator of the proportion of the population that has been infected. Although anti-PGL-I IgM levels provide information on whether an individual has ever been infected, their presence cannot discriminate between recent and past infections. Since infection in (young) children by definition indicates recent transmission, we piloted the feasibility of assessment of anti-PGL-I IgM seroprevalence among children in a leprosy endemic area in India as a proxy for recent transmission.</p>

<p><strong>Material and Methods: </strong>A serosurvey for anti-PGL-I IgM antibodies among children in highly leprosy endemic villages in Bihar, India, was performed, applying the quantitative anti-PGL-I UCP-LFA cassette combined with low-invasive, small-volume fingerstick blood (FSB).</p>

<p><strong>Results: </strong>Local staff obtained FSB of 1,857 children (age 3-11 years) living in 12 leprosy endemic villages in Bihar; of these, 215 children (11.58%) were seropositive for anti-PGL-I IgM.</p>

<p><strong>Conclusion: </strong>The anti-PGL-I seroprevalence level of 11.58% among children corresponds with the seroprevalence levels described in studies in other leprosy endemic areas over the past decades where no prophylactic interventions have taken place. The anti-PGL-I UCP-LFA was found to be a low-complexity tool that could be practically combined with serosurveys and was well-accepted by both healthcare staff and the population. On route to leprosy elimination, quantitative anti-PGL-I serology in young children holds promise as a strategy to monitor recent transmission in an area.</p>
},
  year = {2023},
  journal = {Frontiers in medicine},
  volume = {10},
  pages = {1-10},
  issn = {2296-858X},
  url = {https://www.frontiersin.org/articles/10.3389/fmed.2023.1260375/pdf?isPublishedV2=False},
  doi = {10.3389/fmed.2023.1260375},
  language = {eng},
}