de Andrade Hélida Monteiro, Reis Alexandre Barbosa, dos Santos Sara Lopes, Volpini Angela Cristina, Marques Marcos José, Romanha Alvaro José
Centro de Pesquisa René Rachou/FIOCRUZ, Belo Horizonte, MG, Brazil.
Vet Parasitol. 2006 Sep 10;140(3-4):231-8. doi: 10.1016/j.vetpar.2006.03.031. Epub 2006 May 8.
Tissue imprints on Giemsa stained slides from dogs were used to investigate the presence of Leishmania amastigotes by either optical microscopy (OM) or Polymerase chain reaction (PCR) detection of DNA. Samples from skin, spleen, lymph node, liver and bone marrow from a Leishmaniasis endemic area dogs where Leishmania (Leishmania) chagasi and Leishmania (Viannia) braziliensis are sympatric were studied. Dogs were initially diagnosed by Indirect Immunofluorescence (IIF), as which 39 were IIF positive (> or = 1:40) and 16 negative. The IIF positive dogs were clinically grouped as symptomatic (n = 15), oligosymptomatic (n = 12) and asymptomatic (n = 12). Although PCR positivity was higher in symptomatic dogs, specially their skin samples, there was no significant difference among clinical groups or organs examined. Ten (62.5%) out of 16 IIF and OM negative animals were positive for PCR in at least one organ. Forty-eight positive PCR amplicons were further submitted to RFLP for Leishmania identification. All dogs were infected with L. (L.) chagasi except one, infected with L. (V.) braziliensis. PCR was more efficient than IIF and OM to diagnose canine visceral Leishmaniasis (CVL), regardless of the organ examined and the clinical form present. The use of PCR together with serology helps determining the extension of sub clinical infection in CVL endemic areas and provides a better estimate of the number of dogs to be targeted for control measures. In conclusion, our data reinforce the need for a specific diagnosis of canine infection in areas where diverse Leishmania species are sympatric and demonstrate that PCR-RFLP can be used to identify Leishmania species in dog tissue imprint stained slides.
利用来自犬类的吉姆萨染色玻片上的组织印记,通过光学显微镜(OM)或聚合酶链反应(PCR)检测DNA来研究利什曼原虫无鞭毛体的存在情况。对来自利什曼病流行地区的犬类的皮肤、脾脏、淋巴结、肝脏和骨髓样本进行了研究,在该地区,恰加斯利什曼原虫(Leishmania (Leishmania) chagasi)和巴西利什曼原虫(Leishmania (Viannia) braziliensis)同域分布。犬类最初通过间接免疫荧光法(IIF)进行诊断,其中39只为IIF阳性(≥1:40),16只为阴性。IIF阳性的犬类在临床上分为有症状组(n = 15)、症状轻微组(n = 12)和无症状组(n = 12)。尽管有症状的犬类PCR阳性率更高,尤其是它们的皮肤样本,但在不同临床组或所检查的器官之间没有显著差异。16只IIF和OM检测为阴性的动物中有10只(62.5%)至少在一个器官中PCR检测为阳性。48个PCR阳性扩增产物进一步进行限制性片段长度多态性分析(RFLP)以鉴定利什曼原虫。除了一只感染巴西利什曼原虫外,所有犬类均感染恰加斯利什曼原虫。无论所检查的器官和存在的临床形式如何,PCR在诊断犬内脏利什曼病(CVL)方面比IIF和OM更有效。将PCR与血清学结合使用有助于确定CVL流行地区亚临床感染的范围,并能更好地估计需要采取控制措施所针对的犬只数量。总之,我们的数据强调了在多种利什曼原虫同域分布的地区对犬类感染进行特异性诊断的必要性,并表明PCR-RFLP可用于鉴定犬组织印记染色玻片上的利什曼原虫种类。