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Table 3 Ability of markers to classify T.b. rhodesiense patients according to the presence of parasites in CSF

From: New biomarkers for stage determination in Trypanosoma brucei rhodesiense sleeping sickness patients

Marker

p value*

AUC% (95% CI)

Cut-off

SP% (95% CI)

SE% (95% CI)

IgM [μg/mL]

< 0.0001

84.5 (73.9-95.2)

17.8

85.7 (66.7-100)

81.3 (71.9-90.6)

MMP-9 [pg/mL]

< 0.0001

85.2 (74.3-96)

499.8

90.5 (76.2-100)

76.6 (65.6-85.9)

CXCL13 [pg/mL]

< 0.0001

80.4 (69.1-91.8)

200.3

90.5 (76.2-100)

73.4 (62.5-84.4)

VCAM-1 [ng/mL]

< 0.0001

83.2 (73.7-92.7)

43.9

76.2 (57.1-90.5)

78.1 (67.2-87.5)

B2MG [ng/mL]

< 0.0001

82.0 (71.3-92.7)

1462

66.7 (47.6-85.7)

85.9 (76.6-93.8)

ICAM-1 [ng/mL]

< 0.0001

83.3 (73–93.6)

4.7

81.0 (61.9-95.2)

73.4 (62.5-84.4)

Neopterin [nmol/L]

< 0.0001

75.5 (63.9-87.1)

69.4

81.0 (61.9-95.2)

65.6 (54.7-76.6)

CXCL10 [ng/mL]

0.002

73.1 (59.3-86.8)

7.5

47.6 (28.6-66.7)

92.2 (84.4-98.4)

WBC (Cells/μL)

< 0.0001

87.4 (77.4-97.4)

6.5

71.4 (52.4-90.5)

95.3 (89.1-100)

  1. Patients without parasites detected in CSF, n=21; patients with parasite detected in CSF, n=64.
  2. * Mann–Whitney U test.
  3. SP% = specificity%; SE% = sensitivity%; 95% CI = 95% confidence interval.