Evaluation of therapeutic efficacy by detection of specific IgG and IgG4 against KLH in schistosomiasis japonica]

The specific IgG and IgG4 antibodies in the sera of patients with Schistosoma japonicum were determined by KLH-ELISA and SEA-ELISA. The results showed that KLH-ELISA was as sensitive and specific as SEA-ELISA. The negative conversion rates of IgG and IgG4 12 months after treatment detected by KLH-ELISA were significantly higher than those by SEA-ELISA. The negative conversion rate of IgG was 92.9%, and that of IgG4 was 97.6% 24 months after treatment. Therefore, it is regarded that detecting specific IgG and IgG4 by KLH has high value in both diagnosing schistosomiasis japonica and assessing its therapeutic efficacy. Particularly the specific IgG4 may be a short-duration antibody which can indicate successful chemotherapy of patients with chronic Schistosoma japonicum infection.