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Methods in Anopheles Research - MR4

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Chapter 8 : Field Techniques8.2 Plasmodium falciparum Sporozoite ELISAPage 1 of 128.2 Plasmodium Sporozoite ELISARobert Wirtz, Melissa Avery, Mark Benedict, Alice SutcliffeIntroductionEnzyme-l<strong>in</strong>ked immunosorbent assays (ELISAs) were developed to detect Plasmodium falciparum, P.vivax-210, and P. vivax-247 circumsporozoite (CS) prote<strong>in</strong>s <strong>in</strong> malaria-<strong>in</strong>fected mosquitoes. Thesensitivity and specificity of the ELISAs are based on the monoclonal antibodies (Mabs) used. TheELISAs detect CS prote<strong>in</strong>s, which can be present <strong>in</strong> the develop<strong>in</strong>g oocysts, dissolved <strong>in</strong> haemolymph,and on sporozoites present <strong>in</strong> the haemocoel or <strong>in</strong> the salivary glands. A positive ELISA on a mosquitodoes not establish that species as a vector, and ELISA results may not be synonymous with salivarygland sporozoite dissections.ELISAs can be carried out on fresh, frozen, or dried mosquitoes. If specimens are to be dried, they mustbe processed quickly and kept dry (stored with desiccant) to prevent microbial growth that can result <strong>in</strong>high background values. Before collection of the mosquitoes is <strong>in</strong>itiated, consideration should be given tothe possibility of conduct<strong>in</strong>g other tests (e.g., molecular, host blood meal, etc.) that may require differentstorage conditions or extraction buffers. Voucher specimens should also be collected and saved.The "sandwich" ELISA is begun by adsorption of the capture Mab to the wells of a microtiter plate (Figure3.3.1). After the capture Mab has bound to the plate, the well contents are aspirated and the rema<strong>in</strong><strong>in</strong>gb<strong>in</strong>d<strong>in</strong>g sites are blocked with block<strong>in</strong>g buffer. Mosquitoes to be tested are ground <strong>in</strong> block<strong>in</strong>g bufferconta<strong>in</strong><strong>in</strong>g IGEPAL CA-630, and an aliquot is tested. Positive and negative controls are also added tospecific plate wells at this time. If CS antigen is present (depicted as diamond <strong>in</strong> Fig. 1.B) it will form anantigen-antibody complex with the capture mAb. After a 2-hour <strong>in</strong>cubation at room temperature, themosquito homogenate is aspirated and the wells are washed. Peroxidase-l<strong>in</strong>ked Mab is then added to thewells, complet<strong>in</strong>g the formation of the "sandwich" (Fig. 1.C). After 1 hour, the well contents are aspirated,the plate is washed aga<strong>in</strong> and the clear peroxidase substrate solution is added (Fig 1.D). As theperoxidase enzyme reacts with the substrate, a dark green product is formed (Fig 1.D), the <strong>in</strong>tensity ofthe color is proportional to the amount of CS antigen present <strong>in</strong> the test sample.Results are read visually or at 405-414 nm us<strong>in</strong>g an ELISA plate reader 30 and/or 60 m<strong>in</strong>utes after thesubstrate has been added.The assay <strong>in</strong>volves 2 steps:1. Screen<strong>in</strong>g phase where the ELISA is used to identify positive samples (Worksheet 1).2. Quantification ELISA - where the ELISA positive samples from the <strong>in</strong>itial screen<strong>in</strong>g are retestedto: a) confirm positives and b) quantify the amount of CS prote<strong>in</strong> per sample (Worksheet 2).If it is necessary to test for all three Plasmodium species (Pf, Pv210 and Pv247) these tests can be runconcurrently on 3 plates or if there is not enough material, the 3 assays may be run consecutively.For technical advice or recommendations regard<strong>in</strong>g the use of this protocol, please contact:Robert A. Wirtz, Ph.D., Chief, Entomology Branch, MS F-42, Phone: 770-488-4240, Fax: 770-488-4258Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Atlanta, GA 30341-3724 USAE-mail: rwirtz@cdc.govAcknowledgmentsDevelopment of these assays was a cooperative effort among the National Academy of Sciences,National Institutes of Health, Centers for Disease Control and Prevention, Naval Medical <strong>Research</strong>Institute, New York University, Walter Reed Army Institute of <strong>Research</strong>, Prote<strong>in</strong> Potential and the WorldHealth Organization. These <strong>in</strong>structions were developed by Robert Wirtz, Melissa Avery and MarkBenedict.

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