Dried blood spots as a source of anti-malarial antibodies for epidemiological studies

Abstract Background Blood spots collected onto filter paper are an established and convenient source of antibodies for serological diagnosis and epidemiological surveys. Although recommendations for the storage and analysis of small molecule analytes in blood spots exist, there are no published syst...

Full description

Bibliographic Details
Published in:Malaria Journal
Main Authors: Abeku Tarekegn, Cox Jonathan, Griffin Jamie, Manjurano Alphaxard, Leendertse Heleen, Lynch Caroline, Cook Jackie, Corran Patrick H, Bousema Teun, Ghani Azra C, Drakeley Chris, Riley Eleanor
Format: Article in Journal/Newspaper
Language:English
Published: BMC 2008
Subjects:
Online Access:https://doi.org/10.1186/1475-2875-7-195
https://doaj.org/article/d7b2ab18a907483d8701488500f40784
Description
Summary:Abstract Background Blood spots collected onto filter paper are an established and convenient source of antibodies for serological diagnosis and epidemiological surveys. Although recommendations for the storage and analysis of small molecule analytes in blood spots exist, there are no published systematic studies of the stability of antibodies under different storage conditions. Methods Blood spots, on filter paper or glass fibre mats and containing malaria-endemic plasma, were desiccated and stored at various temperatures for different times. Eluates of these spots were assayed for antibodies against two Plasmodium falciparum antigens, MSP-1 19 and MSP2, and calculated titres used to fit an exponential (first order kinetic) decay model. The first order rate constants ( k ) for each spot storage temperature were used to fit an Arrhenius equation, in order to estimate the thermal and temporal stability of antibodies in dried blood spots. The utility of blood spots for serological assays was confirmed by comparing antibodies eluted from blood spots with the equivalent plasma values in a series of samples from North Eastern Tanzania and by using blood spot-derived antibodies to estimate malaria transmission intensity in this site and for two localities in Uganda. Results Antibodies in spots on filter paper and glass fibre paper had similar stabilities but blood was more easily absorbed onto filter papers than glass fibre, spots were more regular and spot size was more closely correlated with blood volume for filter paper spots. Desiccated spots could be stored at or below 4°C for extended periods, but were stable for only very limited periods at ambient temperature. When desiccated, recoveries of antibodies that are predominantly of IgG1 or IgG3 subclasses were similar. Recoveries of antibodies from paired samples of serum and of blood spots from Tanzania which had been suitably stored showed similar recoveries of antibodies, but spots which had been stored for extended periods at ambient humidity and temperature ...