IgM Antibody Detection as a Diagnostic Marker for Acute Toxoplasmosis: Current Status of Studies and Main Limitations

Accurate dating of <i>Toxoplasma gondii</i> infection is essential for effective clinical management, particularly in pregnant women and immunocompromised individuals, where distinguishing acute from chronic infection informs treatment decisions. Serological detection of IgM antibodies i...

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Bibliographic Details
Main Authors: Karolina Sołowińska, Lucyna Holec-Gąsior
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Antibodies
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Online Access:https://www.mdpi.com/2073-4468/14/2/44
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Summary:Accurate dating of <i>Toxoplasma gondii</i> infection is essential for effective clinical management, particularly in pregnant women and immunocompromised individuals, where distinguishing acute from chronic infection informs treatment decisions. Serological detection of IgM antibodies is a key tool in diagnosing recent toxoplasmosis; however, its reliability is compromised by persistent IgM responses, cross-reactivity, and assay variability. While IgM lacks sufficient specificity to serve as a standalone marker of acute infection, it remains an important component of serological panels. This review summarizes current IgM detection methods and explores advancements aimed at improving diagnostic accuracy with a focus on recombinant antigens, which have emerged as promising alternatives to traditional <i>Toxoplasma</i> lysate antigen-based immunoassays. This paper also explores alternative methods of differentiating chronic and acute toxoplasmosis and outlines key areas for future research.
ISSN:2073-4468