PMID- 35491840 OWN - NLM STAT- MEDLINE DCOM- 20220520 LR - 20221104 IS - 1098-660X (Electronic) IS - 0095-1137 (Print) IS - 0095-1137 (Linking) VI - 60 IP - 5 DP - 2022 May 18 TI - Diagnosis of Congenital Toxoplasmosis: No Benefit of IgA Antibody Detection by Platelia ELISA in a Tricentric Evaluation. PG - e0011622 LID - 10.1128/jcm.00116-22 [doi] LID - e00116-22 AB - The diagnostic accuracy of a commercial Toxoplasma gondii IgA antibody enzyme-linked immunosorbent assay (ELISA) was evaluated in the context of routine practice on 289 newborns with congenital toxoplasmosis (CT) and 220 healthy controls. The performance of this assay was compared to that of the current gold-standard test for anti-Toxoplasma IgM detection, an immunosorbent agglutination assay (ISAGA). IgM and IgA sensitivity and specificity were assessed in cord and postnatal samples. The sensitivity of IgA detection by ELISA on all serum and peripheral blood samples was 60.56% and 56.52%, respectively, which is low compared with the sensitivity of IgM detection by ISAGA (73.26% on serum samples, 82.35% on peripheral blood). Adding the T. gondii IgA antibody ELISA to the diagnostic panel did not significantly increase the overall performance of the serological diagnosis based on IgM detection. FAU - Leveque, Maude F AU - Leveque MF AD - Universite de Montpellier, Centre National de la Recherche Scientifique, IRD, UMR MiVEGEC, Montpellier, France. AD - Departement de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Montpellier, Montpellier, France. FAU - Albaba, Sahar AU - Albaba S AD - Departement de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Montpellier, Montpellier, France. FAU - Arrada, Neila AU - Arrada N AD - Departement de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Montpellier, Montpellier, France. FAU - Avignon, Marine AU - Avignon M AD - Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. FAU - Sasso, Milene AU - Sasso M AUID- ORCID: 0000-0002-6539-8545 AD - Universite de Montpellier, Centre National de la Recherche Scientifique, IRD, UMR MiVEGEC, Montpellier, France. AD - Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Nimesgrid.411165.6, Nimes, France. FAU - Fillaux, Judith AU - Fillaux J AD - Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. AD - RESTORE Research Center, Universite de Toulouse, Inserm, Centre National de la Recherche Scientifique, EFS, ENVT, Toulouse, France. FAU - Lachaud, Laurence AU - Lachaud L AD - Universite de Montpellier, Centre National de la Recherche Scientifique, IRD, UMR MiVEGEC, Montpellier, France. AD - Departement de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Montpellier, Montpellier, France. LA - eng PT - Journal Article DEP - 20220502 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antibodies, Protozoan) RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin M) SB - IM CIN - J Clin Microbiol. 60. MH - Antibodies, Protozoan MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - Immunoglobulin A MH - Immunoglobulin M MH - Infant, Newborn MH - *Toxoplasma MH - *Toxoplasmosis/diagnosis MH - *Toxoplasmosis, Congenital/diagnosis PMC - PMC9116159 OTO - NOTNLM OT - IgM OT - Toxoplasma gondii OT - immunodiagnosis OT - maternal seroconversion OT - newborns OT - postnatal diagnosis COIS- The authors declare no conflict of interest. We have no competing interests to declare. EDAT- 2022/05/03 06:00 MHDA- 2022/05/21 06:00 PMCR- 2022/11/02 CRDT- 2022/05/02 04:43 PHST- 2022/05/03 06:00 [pubmed] PHST- 2022/05/21 06:00 [medline] PHST- 2022/05/02 04:43 [entrez] PHST- 2022/11/02 00:00 [pmc-release] AID - 00116-22 [pii] AID - jcm.00116-22 [pii] AID - 10.1128/jcm.00116-22 [doi] PST - ppublish SO - J Clin Microbiol. 2022 May 18;60(5):e0011622. doi: 10.1128/jcm.00116-22. Epub 2022 May 2.