Skip to main content
Erschienen in: Medical Microbiology and Immunology 6/2019

10.06.2019 | Original Investigation

Rapid differential diagnosis of vaginal infections using gold nanoparticles coated with specific antibodies

verfasst von: Hossein Hashemi, Jaleh Varshosaz, Hossein Fazeli, Seyedeh Maryam Sharafi, Hossein Mirhendi, Mostafa Chadeganipour, HosseinAli Yousefi, Kourosh Manoochehri, Zahra Aliyari Chermahini, Lobat Jafarzadeh, Nafiseh Dehghanisamani, Parvin Dehghan, Hossein Yousofi Darani

Erschienen in: Medical Microbiology and Immunology | Ausgabe 6/2019

Einloggen, um Zugang zu erhalten

Abstract

Vaginal infections caused by bacteria, Candida and Trichomonas vaginalis, affect millions of women annually worldwide. Symptoms and signs have limited value in differential diagnosis of three causes of vaginitis. Current laboratory methods for differential diagnosis are either expensive or time consuming. Therefore, in this work, development of a method based on gold nanoparticles has been investigated for rapid diagnosis of vaginal infections. Specific antibodies against three main causes of vaginal infections were raised in rabbits. The antibodies were then purified and conjugated to gold nanoparticles and used in an agglutination test for detection of vaginal infections. Finally, sensitivity and specificity of this test for diagnosis of vaginal infections were estimated using culture method as gold standard. Purification of antibodies from sera was confirmed by electrophoresis. Construction of nanoparticles was proved by TEM and FT-IR methods. Conjugation of antibodies to gold nanoparticles was confirmed using XPS method. Sensitivity and specificity of gold nanoparticles for diagnosis of Candida species were 100%, for Gardnerella were 100% and 93%, and for T. vaginalis was 53.3% and 100%, respectively. Gold nanoparticle-based method is a simple, rapid, accurate, and cost-effective test for differential laboratory diagnosis of vaginal infections.
Literatur
1.
Zurück zum Zitat Ben-Haroush A, Yogev Y, Kaplan B (2004) The importance of diagnostic work-up in the management of candidal vulvovaginitis. A prospective study. Clin Exp Obstet Gynecol 31(2):113–116PubMed Ben-Haroush A, Yogev Y, Kaplan B (2004) The importance of diagnostic work-up in the management of candidal vulvovaginitis. A prospective study. Clin Exp Obstet Gynecol 31(2):113–116PubMed
2.
Zurück zum Zitat Mylonas I, Bergauer F (2011) Diagnosis of vaginal discharge by wet mount microscopy: a simple and underrated method. Obstet Gynecol Surv 66(6):359–368PubMedCrossRef Mylonas I, Bergauer F (2011) Diagnosis of vaginal discharge by wet mount microscopy: a simple and underrated method. Obstet Gynecol Surv 66(6):359–368PubMedCrossRef
3.
Zurück zum Zitat Brown HL, Fuller DD, Jasper LT, Davis TE, Wright JD (2004) Clinical Evaluation of affirm VPIII in the detection and identification of Trichomonas vaginalis, Gardnerella vaginalis, and Candida species in vaginitis/vaginosis. Infect Dis Obstet Gynecol 12(1):17–21PubMedPubMedCentralCrossRef Brown HL, Fuller DD, Jasper LT, Davis TE, Wright JD (2004) Clinical Evaluation of affirm VPIII in the detection and identification of Trichomonas vaginalis, Gardnerella vaginalis, and Candida species in vaginitis/vaginosis. Infect Dis Obstet Gynecol 12(1):17–21PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Sumangala B, Sangannavar AB, Shetty NS, Arun KSM (2018) Study of leucorrhea cases by gram stain and aerobic bacterial culture. Int J Curr Microbiol Appl Sci 7(2):1484–1503CrossRef Sumangala B, Sangannavar AB, Shetty NS, Arun KSM (2018) Study of leucorrhea cases by gram stain and aerobic bacterial culture. Int J Curr Microbiol Appl Sci 7(2):1484–1503CrossRef
5.
Zurück zum Zitat Donders G, Bellen G, Rezeberga DJ (2011) Aerobic vaginitis in pregnancy. Gynaecology 118(10):1163–1170 Donders G, Bellen G, Rezeberga DJ (2011) Aerobic vaginitis in pregnancy. Gynaecology 118(10):1163–1170
6.
Zurück zum Zitat Leli C, Mencacci A, Meucci M, Bietolini C, Vitali M, Farinelli S et al (2013) Association of pregnancy and Candida vaginal colonization in women with or without symptoms of vulvovaginitis. Minerva Ginecologica 65(3):303–309PubMed Leli C, Mencacci A, Meucci M, Bietolini C, Vitali M, Farinelli S et al (2013) Association of pregnancy and Candida vaginal colonization in women with or without symptoms of vulvovaginitis. Minerva Ginecologica 65(3):303–309PubMed
7.
Zurück zum Zitat Fredricks DN, Fiedler TL, Marrazzo JM (2005) Molecular identification of bacteria associated with bacterial vaginosis. N Engl J Med 353(18):1899–1911PubMedCrossRef Fredricks DN, Fiedler TL, Marrazzo JM (2005) Molecular identification of bacteria associated with bacterial vaginosis. N Engl J Med 353(18):1899–1911PubMedCrossRef
8.
Zurück zum Zitat Gardner HL, Dukes CD (1955) Haemophilus vaginalis vaginitis: a newly defined specific infection previously classified “nonspecific” vaginitis. Am J Obstet Gynecol 69(5):962–976PubMedCrossRef Gardner HL, Dukes CD (1955) Haemophilus vaginalis vaginitis: a newly defined specific infection previously classified “nonspecific” vaginitis. Am J Obstet Gynecol 69(5):962–976PubMedCrossRef
9.
Zurück zum Zitat Murphy CC, Schei B, Myhr TL, Du Mont JJC (2001) Abuse: a risk factor for low birth weight? A systematic review and meta-analysis. CMAJ 164(11):1567–1572PubMedPubMedCentral Murphy CC, Schei B, Myhr TL, Du Mont JJC (2001) Abuse: a risk factor for low birth weight? A systematic review and meta-analysis. CMAJ 164(11):1567–1572PubMedPubMedCentral
10.
Zurück zum Zitat Soper DEJO (2010) Pelvic inflammatory disease. Gynecology 116(2):419–428CrossRef Soper DEJO (2010) Pelvic inflammatory disease. Gynecology 116(2):419–428CrossRef
11.
Zurück zum Zitat Watts DH, Lambert JS, Stiehm ER, Bethel J, Whitehouse J, Fowler MG et al (2000) Complications according to mode of delivery among human immunodeficiency virus-infected women with CD4 lymphocyte counts of ≤ 500/μL. Am J Obstet Gynecol 183(1):100–107PubMed Watts DH, Lambert JS, Stiehm ER, Bethel J, Whitehouse J, Fowler MG et al (2000) Complications according to mode of delivery among human immunodeficiency virus-infected women with CD4 lymphocyte counts of ≤ 500/μL. Am J Obstet Gynecol 183(1):100–107PubMed
12.
Zurück zum Zitat Kumar N, Behera B, Sagiri SS, Pal K, Ray SS, Roy S (2011) Bacterial vaginosis: etiology and modalities of treatment—a brief note. J Pharm Bioallied Sci 3(4):496PubMedPubMedCentralCrossRef Kumar N, Behera B, Sagiri SS, Pal K, Ray SS, Roy S (2011) Bacterial vaginosis: etiology and modalities of treatment—a brief note. J Pharm Bioallied Sci 3(4):496PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat Landers DV, Wiesenfeld HC, Heine RP, Krohn MA, Hillier SL (2004) Predictive value of the clinical diagnosis of lower genital tract infection in women. Am J Obstet Gynecol 190(4):1004–1008PubMedCrossRef Landers DV, Wiesenfeld HC, Heine RP, Krohn MA, Hillier SL (2004) Predictive value of the clinical diagnosis of lower genital tract infection in women. Am J Obstet Gynecol 190(4):1004–1008PubMedCrossRef
14.
Zurück zum Zitat Leitich H, Bodner-Adler B, Brunbauer M, Kaider A, Egarter C, Husslein P (2003) Bacterial vaginosis as a risk factor for preterm delivery: a meta-analysis. Am J Obstet Gynecol 189(1):139–147PubMedCrossRef Leitich H, Bodner-Adler B, Brunbauer M, Kaider A, Egarter C, Husslein P (2003) Bacterial vaginosis as a risk factor for preterm delivery: a meta-analysis. Am J Obstet Gynecol 189(1):139–147PubMedCrossRef
15.
Zurück zum Zitat Ziaei S, Sadrkhanlu M, Moeini A, Faghihzadeh SJG, Investigation o (2006) Effect of bacterial vaginosis on premature rupture of membranes and related complications in pregnant women with a gestational age of 37–42 weeks. Gynecol Obstet Investig 61(3):135–138CrossRef Ziaei S, Sadrkhanlu M, Moeini A, Faghihzadeh SJG, Investigation o (2006) Effect of bacterial vaginosis on premature rupture of membranes and related complications in pregnant women with a gestational age of 37–42 weeks. Gynecol Obstet Investig 61(3):135–138CrossRef
16.
Zurück zum Zitat Miller WC, Swygard H, Hobbs MM, Ford CA, Handcock MS, Morris M et al (2005) The prevalence of trichomoniasis in young adults in the United States. Sex Transm Dis 32(10):593–598PubMedCrossRef Miller WC, Swygard H, Hobbs MM, Ford CA, Handcock MS, Morris M et al (2005) The prevalence of trichomoniasis in young adults in the United States. Sex Transm Dis 32(10):593–598PubMedCrossRef
17.
Zurück zum Zitat Moodley P, Connolly C, Sturm AW (2002) Interrelationships among human immunodeficiency virus type 1 infection, bacterial vaginosis, trichomoniasis, and the presence of yeasts. J Infect Dis 185(1):69–73PubMedCrossRef Moodley P, Connolly C, Sturm AW (2002) Interrelationships among human immunodeficiency virus type 1 infection, bacterial vaginosis, trichomoniasis, and the presence of yeasts. J Infect Dis 185(1):69–73PubMedCrossRef
18.
Zurück zum Zitat Radonjic IV, Dzamic AM, Mitrovic SM, Arsenijevic VSA, Popadic DM, Zec IFK (2006) Diagnosis of Trichomonas vaginalis infection: the sensitivities and specificities of microscopy, culture and PCR assay. Eur J Obstet Gynecol Reprod Biol 126(1):116–120PubMedCrossRef Radonjic IV, Dzamic AM, Mitrovic SM, Arsenijevic VSA, Popadic DM, Zec IFK (2006) Diagnosis of Trichomonas vaginalis infection: the sensitivities and specificities of microscopy, culture and PCR assay. Eur J Obstet Gynecol Reprod Biol 126(1):116–120PubMedCrossRef
19.
Zurück zum Zitat Saporiti A, Gomez D, Levalle S, Galeano M, Davel G, Vivot W et al (2001) Vaginal candidiasis: etiology and sensitivity profile to antifungal agents in clinical use. Rev Argent Microbiol 33(4):217–222PubMed Saporiti A, Gomez D, Levalle S, Galeano M, Davel G, Vivot W et al (2001) Vaginal candidiasis: etiology and sensitivity profile to antifungal agents in clinical use. Rev Argent Microbiol 33(4):217–222PubMed
20.
Zurück zum Zitat Schaaf VM, Perez-Stable EJ, Borchardt K (1990) The limited value of symptoms and signs in the diagnosis of vaginal infections. Arch Intern Med 150(9):1929–1933PubMedCrossRef Schaaf VM, Perez-Stable EJ, Borchardt K (1990) The limited value of symptoms and signs in the diagnosis of vaginal infections. Arch Intern Med 150(9):1929–1933PubMedCrossRef
21.
Zurück zum Zitat Linhares IM, Witkin SS, Miranda SD, Fonseca AM, Pinotti JA, Ledger WJ et al (2001) Differentiation between women with vulvovaginal symptoms who are positive or negative for Candida species by culture. Infect Dis Obstet Gynecol 9(4):221–225PubMedPubMedCentralCrossRef Linhares IM, Witkin SS, Miranda SD, Fonseca AM, Pinotti JA, Ledger WJ et al (2001) Differentiation between women with vulvovaginal symptoms who are positive or negative for Candida species by culture. Infect Dis Obstet Gynecol 9(4):221–225PubMedPubMedCentralCrossRef
22.
23.
Zurück zum Zitat Tosun I, Aydin F, Kaklikkaya N, Yazici Y (2003) Frequency of bacterial vaginosis among women attending for intrauterine device insertion at an inner-city family planning clinic. Eur J Contracept Reprod Health Care 8(3):135–138PubMedCrossRef Tosun I, Aydin F, Kaklikkaya N, Yazici Y (2003) Frequency of bacterial vaginosis among women attending for intrauterine device insertion at an inner-city family planning clinic. Eur J Contracept Reprod Health Care 8(3):135–138PubMedCrossRef
24.
Zurück zum Zitat Weinstock H, Berman S, Cates W Jr (2004) Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000. Perspect Sex Reprod Health 36(1):6–10PubMedCrossRef Weinstock H, Berman S, Cates W Jr (2004) Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000. Perspect Sex Reprod Health 36(1):6–10PubMedCrossRef
25.
Zurück zum Zitat Wendel KA, Erbelding EJ, Gaydos CA, Rompalo AM (2002) Trichomonas vaginalis polymerase chain reaction compared with standard diagnostic and therapeutic protocols for detection and treatment of vaginal trichomoniasis. Clin Infect Dis 35(5):576–580PubMedCrossRef Wendel KA, Erbelding EJ, Gaydos CA, Rompalo AM (2002) Trichomonas vaginalis polymerase chain reaction compared with standard diagnostic and therapeutic protocols for detection and treatment of vaginal trichomoniasis. Clin Infect Dis 35(5):576–580PubMedCrossRef
26.
Zurück zum Zitat Sharafi SM, Shirzad H, Khanahmad H, Ataei B, Darani HY (2018) Monoclonal antibodies production against a 40 kDa band of hydatid cyst fluid. Recent Pat Biotechnol 12(1):57–64PubMed Sharafi SM, Shirzad H, Khanahmad H, Ataei B, Darani HY (2018) Monoclonal antibodies production against a 40 kDa band of hydatid cyst fluid. Recent Pat Biotechnol 12(1):57–64PubMed
27.
Zurück zum Zitat Laaksonen T, Ahonen P, Johans C, Kontturi K (2006) Stability and electrostatics of mercaptoundecanoic acid-capped gold nanoparticles with varying counterion size. Chem Phys Chem 7(10):2143–2149PubMedCrossRef Laaksonen T, Ahonen P, Johans C, Kontturi K (2006) Stability and electrostatics of mercaptoundecanoic acid-capped gold nanoparticles with varying counterion size. Chem Phys Chem 7(10):2143–2149PubMedCrossRef
28.
Zurück zum Zitat Di Pasqua AJ, Mishler RE II, Ship Y-L, Dabrowiak JC, Asefa T (2009) Preparation of antibody-conjugated gold nanoparticles. Mater Lett 63(21):1876–1879CrossRef Di Pasqua AJ, Mishler RE II, Ship Y-L, Dabrowiak JC, Asefa T (2009) Preparation of antibody-conjugated gold nanoparticles. Mater Lett 63(21):1876–1879CrossRef
29.
Zurück zum Zitat Zhao X, Hilliard LR, Mechery SJ, Wang Y, Bagwe RP, Jin S et al (2004) A rapid bioassay for single bacterial cell quantitation using bioconjugated nanoparticles. Proc Natl Acad Sci 101(42):15027–15032PubMedCrossRef Zhao X, Hilliard LR, Mechery SJ, Wang Y, Bagwe RP, Jin S et al (2004) A rapid bioassay for single bacterial cell quantitation using bioconjugated nanoparticles. Proc Natl Acad Sci 101(42):15027–15032PubMedCrossRef
30.
Zurück zum Zitat Karaca M, Bayram A, Kocoglu M, Gocmen A, Eksi F (2005) Comparison of clinical diagnosis and microbiological test results in vaginal infections. Clin Exp Obstet Gynecol 32(3):172–174PubMed Karaca M, Bayram A, Kocoglu M, Gocmen A, Eksi F (2005) Comparison of clinical diagnosis and microbiological test results in vaginal infections. Clin Exp Obstet Gynecol 32(3):172–174PubMed
31.
Zurück zum Zitat Mashburn J (2006) Etiology, diagnosis, and management of vaginitis. J Midwifery Womens Health 51(6):423–430PubMedCrossRef Mashburn J (2006) Etiology, diagnosis, and management of vaginitis. J Midwifery Womens Health 51(6):423–430PubMedCrossRef
32.
Zurück zum Zitat Cartwright CP, Lembke BD, Ramachandran K, Body BA, Nye MB, Rivers CA et al (2013) Comparison of nucleic-acid amplification assays with BD affirm VPIII for the diagnosis of vaginitis/vaginosis in symptomatic women. J Clin Microbiol. 51:3694–3699PubMedPubMedCentralCrossRef Cartwright CP, Lembke BD, Ramachandran K, Body BA, Nye MB, Rivers CA et al (2013) Comparison of nucleic-acid amplification assays with BD affirm VPIII for the diagnosis of vaginitis/vaginosis in symptomatic women. J Clin Microbiol. 51:3694–3699PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Ferris DG, Hendrich J, Payne PM, Getts A, Rassekh R, Mathis D et al (1995) Office laboratory diagnosis of vaginitis. Clinician-performed tests compared with a rapid nucleic acid hybridization test. J Fam Pract 41(6):575–581PubMed Ferris DG, Hendrich J, Payne PM, Getts A, Rassekh R, Mathis D et al (1995) Office laboratory diagnosis of vaginitis. Clinician-performed tests compared with a rapid nucleic acid hybridization test. J Fam Pract 41(6):575–581PubMed
34.
Zurück zum Zitat Paladine HL, Desai UA (2018) Vaginitis: diagnosis and treatment. Am Fam Physician 97(5):321–329PubMed Paladine HL, Desai UA (2018) Vaginitis: diagnosis and treatment. Am Fam Physician 97(5):321–329PubMed
35.
Zurück zum Zitat Lowe NK, Neal JL, Ryan-Wenger NA (2009) Accuracy of the clinical diagnosis of vaginitis compared to a DNA probe laboratory standard. Obstet Gynecol 113(1):89PubMedPubMedCentralCrossRef Lowe NK, Neal JL, Ryan-Wenger NA (2009) Accuracy of the clinical diagnosis of vaginitis compared to a DNA probe laboratory standard. Obstet Gynecol 113(1):89PubMedPubMedCentralCrossRef
36.
Zurück zum Zitat Neppelenbroek K, Seó R, Urban V, Silva S, Dovigo L, Jorge J et al (2014) Identification of Candida species in the clinical laboratory: a review of conventional, commercial, and molecular techniques. Oral Dis 20(4):329–344PubMedCrossRef Neppelenbroek K, Seó R, Urban V, Silva S, Dovigo L, Jorge J et al (2014) Identification of Candida species in the clinical laboratory: a review of conventional, commercial, and molecular techniques. Oral Dis 20(4):329–344PubMedCrossRef
37.
Zurück zum Zitat Trama JP, Adelson ME, Raphaelli I, Stemmer SM, Mordechai E (2005) Detection of Candida species in vaginal samples in a clinical laboratory setting. Infect Dis Obstet Gynecol 13(2):63–67PubMedPubMedCentralCrossRef Trama JP, Adelson ME, Raphaelli I, Stemmer SM, Mordechai E (2005) Detection of Candida species in vaginal samples in a clinical laboratory setting. Infect Dis Obstet Gynecol 13(2):63–67PubMedPubMedCentralCrossRef
38.
Zurück zum Zitat Jamshidi A (2016) Comparison of three methods of clinical diagnosis, microscopic and PCR techniques for detection of trichomoniasis in women in the Yasuj City. Science 5(1):12–15 Jamshidi A (2016) Comparison of three methods of clinical diagnosis, microscopic and PCR techniques for detection of trichomoniasis in women in the Yasuj City. Science 5(1):12–15
39.
Zurück zum Zitat Nye MB, Schwebke JR, Body BA (2009) Comparison of APTIMA Trichomonas vaginalis transcription-mediated amplification to wet mount microscopy, culture, and polymerase chain reaction for diagnosis of trichomoniasis in men and women. Am J Obstet Gynecol 200(2):188e1–188e7CrossRef Nye MB, Schwebke JR, Body BA (2009) Comparison of APTIMA Trichomonas vaginalis transcription-mediated amplification to wet mount microscopy, culture, and polymerase chain reaction for diagnosis of trichomoniasis in men and women. Am J Obstet Gynecol 200(2):188e1–188e7CrossRef
40.
Zurück zum Zitat Lawing LF, Hedges SR, Schwebke JR (2000) Detection of trichomonosis in vaginal and urine specimens from women by culture and PCR. J Clin Microbiol 38(10):3585–3588PubMedPubMedCentralCrossRef Lawing LF, Hedges SR, Schwebke JR (2000) Detection of trichomonosis in vaginal and urine specimens from women by culture and PCR. J Clin Microbiol 38(10):3585–3588PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat van der Schee C, van Belkum A, Zwijgers L, van der Brugge E, O’neill EL, Luijendijk A et al (1999) Improved diagnosis of Trichomonas vaginalis infection by PCR using vaginal swabs and urine specimens compared to diagnosis by wet mount microscopy, culture, and fluorescent staining. J Clin Microbiol 37(12):4127–4130PubMedCentralCrossRef van der Schee C, van Belkum A, Zwijgers L, van der Brugge E, O’neill EL, Luijendijk A et al (1999) Improved diagnosis of Trichomonas vaginalis infection by PCR using vaginal swabs and urine specimens compared to diagnosis by wet mount microscopy, culture, and fluorescent staining. J Clin Microbiol 37(12):4127–4130PubMedCentralCrossRef
42.
Zurück zum Zitat Caliendo A, Jordan J, Green A, Ingersoll J, Diclemente R, Wingood G (2005) Real-time PCR improves detection of Trichomonas vaginalis infection compared with culture using self-collected vaginal swabs. Infect Dis Obstet Gynecol 13(3):145–150PubMedPubMedCentralCrossRef Caliendo A, Jordan J, Green A, Ingersoll J, Diclemente R, Wingood G (2005) Real-time PCR improves detection of Trichomonas vaginalis infection compared with culture using self-collected vaginal swabs. Infect Dis Obstet Gynecol 13(3):145–150PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Crucitti T, Van Dyck E, Tehe A, Abdellati S, Vuylsteke B, Buve A et al (2003) Comparison of culture and different PCR assays for detection of Trichomonas vaginalis in self collected vaginal swab specimens. Sex Transm Infect 79(5):393–398PubMedPubMedCentralCrossRef Crucitti T, Van Dyck E, Tehe A, Abdellati S, Vuylsteke B, Buve A et al (2003) Comparison of culture and different PCR assays for detection of Trichomonas vaginalis in self collected vaginal swab specimens. Sex Transm Infect 79(5):393–398PubMedPubMedCentralCrossRef
Metadaten
Titel
Rapid differential diagnosis of vaginal infections using gold nanoparticles coated with specific antibodies
verfasst von
Hossein Hashemi
Jaleh Varshosaz
Hossein Fazeli
Seyedeh Maryam Sharafi
Hossein Mirhendi
Mostafa Chadeganipour
HosseinAli Yousefi
Kourosh Manoochehri
Zahra Aliyari Chermahini
Lobat Jafarzadeh
Nafiseh Dehghanisamani
Parvin Dehghan
Hossein Yousofi Darani
Publikationsdatum
10.06.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Medical Microbiology and Immunology / Ausgabe 6/2019
Print ISSN: 0300-8584
Elektronische ISSN: 1432-1831
DOI
https://doi.org/10.1007/s00430-019-00622-9

Weitere Artikel der Ausgabe 6/2019

Medical Microbiology and Immunology 6/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.