By excluding the results of the filariasis samples, the

specificities of the IgG4- ELISA and both of the IgG-ELISAs increased to 100% and selleck products 98%, respectively. Thus, although the IgG4-ELISA is less sensitive than the IgG-ELISAs, the former is more specific. To determine whether the cross-reactivity with filariasis patient sera was influenced by the abundance of antifilarial antibodies, titrations of IgG4 were performed on the filariasis patient serum samples, followed by an analysis of the correlation with the results of the Strongyloides IgG4-ELISA (Figure 3). The two parameters were found to be weakly correlated (Spearman rho = 0·4544; P = 0·0294). Although previous investigators had reported cross-reactivity between strongyloidiasis and filariasis [4, 13, 27], this Cytoskeletal Signaling inhibitor study demonstrated that the binding of the Strongyloides antigen to the antifilarial antibodies was not much influenced by the titre of the latter. It is thus highly recommended that, in filariasis endemic area, positive serological cases of strongyloidiasis should also be tested for filariasis before confirming the serodiagnosis. For brugian filariasis, a commercially

available test called Brugia Rapid (Reszon Diagnostics International Sdn. Bhd., Selangor, Malaysia) can be used to assist with this differential diagnosis because the test has been shown to be highly specific (>95%) when tested with serum samples from patients with strongyloidiasis [28, 29]. In this regard, a 31-kDa Strongyloides recombinant antigen (NIE) has been reported to be specific against antibodies to nonlymphatic and lymphatic filariasis [27, 30, 31] and thus is potentially useful as a diagnostic reagent. In conclusion, because the detection of parasite-specific IgG4 antibodies is more specific but less sensitive than the detection of parasite-specific IgG antibodies, the combined use of IgG and IgG4 assays would be helpful in improving the serodiagnosis of strongyloidiasis.

Efforts to develop field-applicable rapid tests using recombinant antigen(s) that do not cross-react with antibodies to lymphatic and nonlymphatic filaria should be encouraged. This study was funded by Universiti Sains Malaysia Research University grant, No: 1001/CIPPM/812078 eltoprazine and USM short-term grant No. 304/PPSP/61312089. We gratefully acknowledge the contributions of Madihah Basuni and Dr Khoo Boon Yin in this study. “
“This study aimed to examine the frequency of different subsets of circulating B and T follicular helper (Tfh) cells in patients with new-onset rheumatoid arthritis (RA) and following standard therapies. Twenty-five RA patients and 15 healthy controls (HC) were recruited for characterizing the frequency of CD27+, immunoglobulin (Ig)D+, CD86+, CD95+, Toll-like receptor (TLR)-9+ B cells and inducible T cell co-stimulator (ICOS) and programmed death 1 (PD-1)-positive Tfh cells and the level of serum interleukin (IL)-21.