We have evaluated the diagnostic utility of six antigenic regions of the Toxoplasma gondii MIC2, MIC3, M2AP, GRA3, GRA7, and SAG1 gene products, assembled in recombinant chimeric antigens by genetic engineering, in order to replace the soluble, whole-cell tachyzoite extract in serological assays. Serum samples from 100 adults with acquired T. gondii infection and from 30 infants born to mothers with primary toxoplasmosis contracted during pregnancy, of whom 20 were congenitally infected, were included. Immunoglobulin G (IgG) and IgM antibodies against epitopes carried by chimeric antigens were measured by performing parallel enzyme immunoassays (recombinant enzyme-linked immunosorbent assays [Rec-ELISAs]), and the results obtained by standard commercial assays with the whole-cell Toxoplasma antigen and assays with the chimeric antigens were compared. Our results demonstrate that IgG and IgM Rec-ELISAs with individual chimeric antigens have performance characteristics comparable to those of the corresponding commercial assays. Furthermore, we show that IgM-capture assays based on chimeric antigens improve the ability to diagnose congenital toxoplasmosis postnatally compared with the ability to diagnose congenital toxoplasmosis by the use of standard assays. The use of recombinant chimeric antigens is effective in distinguishing T. gondii-infected individuals from T. gondii-uninfected individuals and shows that immunoassays based on recombinant products could provide the basis for standardized commercial tests for the serodiagnosis of toxoplasmosis.Human infection by Toxoplasma gondii is generally asymptomatic and induces a self-limiting disease. In contrast, primary T. gondii infection acquired during gestation can be transmitted to the fetus through the placenta and may cause miscarriage, permanent neurological damage, premature birth, and visual impairment (15,29,32). Toxoplasmosis during gestation represents a formidable task for the clinician due to its subclinical course in the majority of pregnant women and the unpredictable long-term outcome of congenital infection (11,16,32). To implement suitable therapies in good time and to avoid neonatal malformations or reduced eyesight in newborns, it is essential to establish when the primary infection has been acquired in the mother and to determine if vertical transmission to the fetus has occurred.The diagnosis of T. gondii infection can be established by detecting parasite-specific DNA sequences in body fluids and tissues or Toxoplasma-specific immunoglobulins in sera from infected individuals (2,20,30). Serological methods are generally preferred, since the sensitivities and the specificities of other methods can be affected by the appropriateness of sample handling and shipping and storage conditions. Furthermore, parasitemia may be of short duration, further limiting the value of detection of DNA in amniotic fluid and peripheral blood.The diagnosis of toxoplasmosis by serological methods routinely uses immunoenzymatic assays to detect the presence of the var...
