Parvizi P, Ready P D
Molecular Systematics Laboratory, Pasteur Institute of Iran, Tehran, Iran.
Trop Med Int Health. 2008 Sep;13(9):1159-71. doi: 10.1111/j.1365-3156.2008.02121.x. Epub 2008 Jul 8.
OBJECTIVE: To identify and understand the natural transmission cycles of Leishmania in Iranian sandflies. METHOD: Nested PCR protocols were developed to amplify two regions of the ribosomal RNA amplicon of Leishmania (ITS1-5.8S rRNA gene, and a microsatellite DNA region of ITS2), which were species-specific by DNA sequence or fragment size. RESULTS: The PCR assays detected in Iranian sandflies not only Leishmania major but also for the first time L. turanica and L. gerbilli sensu lato, two other parasites of the great gerbil. All three parasites were found in the northeast and centre of Iran, in two foci of rural Zoonotic Cutaneous Leishmaniasis (ZCL) caused by L. major. Fifty infections were detected in common sandfly species: at least six geographically differentiated haplotypes of L. major in four to five sandfly species; one strain of L. gerbilli s.l. in five to six sandfly species and one strain of L. turanica in one sandfly species. CONCLUSION: Past conclusions about the transmission cycles of L. major in Iran should be treated with caution. Careful molecular eco-epidemiological investigations are essential for modelling the roles of different sandfly species in maintaining and spreading ZCL foci. Even if non-pathogenic to humans, frequent inoculations of L. turanica by sandflies might alter the efficacy of vaccines against L. major. Phlebotomus papatasi is probably the key vector in many ZCL foci because of its abundance and high infection rates with both L. major and L. turanica.
目的:识别并了解利什曼原虫在伊朗白蛉中的自然传播周期。 方法:开发了巢式PCR方案,以扩增利什曼原虫核糖体RNA扩增子的两个区域(ITS1-5.8S rRNA基因以及ITS2的微卫星DNA区域),这些区域通过DNA序列或片段大小具有种特异性。 结果:PCR检测在伊朗白蛉中不仅发现了硕大利什曼原虫,还首次发现了图兰利什曼原虫和广义沙鼠利什曼原虫,这是大沙鼠的另外两种寄生虫。在伊朗东北部和中部,由硕大利什曼原虫引起的两个农村动物源性皮肤利什曼病(ZCL)疫点中发现了所有这三种寄生虫。在常见白蛉物种中检测到50次感染:在四到五种白蛉物种中至少有六种地理上不同的硕大利什曼原虫单倍型;在五到六种白蛉物种中有一株广义沙鼠利什曼原虫,在一种白蛉物种中有一株图兰利什曼原虫。 结论:过去关于伊朗硕大利什曼原虫传播周期的结论应谨慎对待。仔细的分子生态流行病学调查对于模拟不同白蛉物种在维持和传播ZCL疫点中的作用至关重要。即使对人类无致病性,白蛉频繁传播图兰利什曼原虫也可能改变针对硕大利什曼原虫疫苗的效力。由于巴氏白蛉数量众多且对硕大利什曼原虫和图兰利什曼原虫的感染率高,它可能是许多ZCL疫点的关键传播媒介。
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