机构:[1]Bethune Int Peace Hosp, Dept Nephrol, 398 West Zhongshan Rd, Shijiazhuang 050082, Hebei, Peoples R China[2]Southern Theater Gen Hosp, Blood Transfus, 111 Liuhua Rd, Guangzhou 510180, Peoples R China[3]Hebei Med Univ, Hosp 4, Lab Med, 12 Jiankang Rd, Shijiazhuang 050011, Hebei, Peoples R China河北医科大学第四医院[4]Bethune Int Peace Hosp, Lab Med, 398 West Zhongshan Rd, Shijiazhuang 050082, Hebei, Peoples R China[5]Bethune Int Peace Hosp, Basic Med Lab, 398 West Zhongshan Rd, Shijiazhuang 050082, Hebei, Peoples R China
Purpose This study aimed to develop a double antigen sandwich ELISA (DAgS-ELISA) method for more efficient, accurate, and quantitative detection of total antibodies against Candida albicans enolase1 (CaEno1) for diagnosing invasive candidiasis (IC). Methods DAgS-ELISA was developed using recombinant CaEno1 and a monoclonal antibody as the standard. Performance evaluation included limit of detection, accuracy, and repeatability. Dynamic changes in antibody levels against CaEno1 in serum from systemic candidiasis mice were analyzed using DAgS-ELISA. Patient serum samples from IC, Candida colonization, bacterial infections, and healthy controls were analyzed with DAgS-ELISA and indirect ELISA. Results DAgS-ELISA outperformed indirect ELISA in terms of linear range and test background. In systemic candidiasis mice, a distinctive 'double-peak' pattern in dynamic antibody levels was observed. Additionally, there was a high level of consistency in the positive rates of CaEno1 antibodies detected by both DAgS-ELISA and indirect ELISA. While the positivity rates differed among patient groups, no significant variations in antibody levels were detected among the various positive patient groups. Conclusions DAgS-ELISA offers a reliable novel approach for IC diagnosis, enabling rapid, accurate, and quantitative detection of CaEno1 antibodies. Further validation and optimization are needed for its clinical application and effectiveness.