Venereal Disease Research Laboratory test

The Venereal Disease Research Laboratory test or VDRL is a blood test for syphilis and was developed by the former Venereal Disease Research Laboratory, now the Treponemal Pathogenesis and Immunology Branch, of the United States Public Health Service. The VDRL type test was invented before World War I, with its first iteration being that developed by August Paul von Wasserman with the aid of Albert Neisser in 1906.

History

The VDRL test, as it is largely still done today, was developed in 1946 by Harris, Rosenberg, and Riedel.^[1]

Mechanism

The (VDRL) is a nontreponemal serological screening for syphilis that is also used to assess response to therapy, to detect CNS involvement, and as an aid in the diagnosis of congenital syphilis. The basis of the test is that an antibody produced by a patient with syphilis reacts with an extract of ox heart (diphosphatidyl glycerol). It therefore detects anti-cardiolipin antibodies (IgG, IgM or IgA), visualized through foaming of the test tube fluid, or "flocculation".
The RPR (Rapid Plasma Reagin) test uses the same antigen as the VDRL, but in that test it has been bound to several other molecules including a carbon particle to allow visualization of the flocculation reaction without the need of a microscope.
Many other medical conditions can produce false positive results, including some viruses (mononucleosis, hepatitis), drugs, pregnancy, rheumatic fever, rheumatoid arthritis, lupus, and leprosy.
The syphilis anti-cardiolipin antibodies are beta-2 glycoprotein independent,^[2] whereas those that occur in the antiphospholipid antibody syndrome (associated to lupus for example) are beta-2 glycoprotein dependent, and this can be used to tell them apart in an ELISA assay.^[3] This test is very useful as the trend of titres are correlated to disease activity (i.e. falling titres indicate successful treatment). It has a very good sensitivity for syphilis, except in late tertiary form.

Other tests

There are a number of treponemal-specific tests such as the Fluorescent treponemal antibody-absorption (FTA-ABS) test, Treponema pallidum hemagglutination assays (TPHA and MHA-TP)(Microhemagglutination assay (MHA-TP). The MHA-TP is used to confirm a syphilis infection after another method tests positive for the syphilis bacteria. The MHA-TP test detects antibodies to the bacteria that cause syphilis and can be used to detect syphilis in all stages, except during the first 3 to 4 weeks. This test is not done on spinal fluid. The MHA-TP test is rarely used any more.,^[4] Treponema pallidum particle agglutination assay (TP-PA), and the Toluidine red unheated serum test (TRUST) which may be used to confirm a positive VDRL result. These tests are more specific for syphilis than non-treponemal tests and, in the presence of a positive test, more likely indicate active infection. Unfortunately other treponemal infections such as yaws, bejel and pinta and possibly nonpathogenic commensal treponemes can result in a positive.
However it must be noted that all treponemal specific tests will remain positive for life once a person has been infected with syphilis, even if syphilis has been adequately treated. Therefore, these types of tests cannot be used to monitor the treatment of syphilis. automated RPR test(ART)is available for large scale tests.