Dib Juan, Barnabe Christian, Tibayrenc Michel, Triana Omar
Grupo de Chagas, Instituto de Biología, Sede de Investigación Universitaria-SIU Universidad de Antioquia, Colombia.
Acta Trop. 2009 Sep;111(3):237-42. doi: 10.1016/j.actatropica.2009.05.004. Epub 2009 May 13.
Following the report of two cases of acute Chagas' disease and the appearance of several triatomine species in human dwellings in an area considered non-endemic for domestic transmission of Trypanosoma cruzi; a epidemiological, entomological and T. cruzi molecular epidemiology analysis was performed in order to establish the transmission dynamic of the parasite in the studied area. 2 T. cruzi isolates from human patients, 5 from Eratyrus cuspidatus, 4 from Rhodnius pallescens, 4 from Panstrongylus geniculatus and 7 reference stocks were analyzed by mini-exon gene, random amplified polymorphic DNA (RAPD) and multilocus enzyme electrophoresis (MLEE). All isolates from vectors and human resulted T. cruzi group I by mini-exon, RAPD and MLEE. While mini-exon and MLEE did not showed any differences between the studied isolates, RAPD analysis identified a common T. cruzi genotype for the E. cuspidatus isolates and human isolates and distinguished different strains from R. pallescens and P. geniculatus isolates. The presence of the same T. cruzi genotype in isolates from patients and E. cuspidatus suggests that this species can be responsible for the transmission of Chagas' disease in the study area. RAPD analysis showed better resolution and discrimination of T. cruzi strains than mini-exon and MLEE and can be considered a useful tool for molecular epidemiology studies. Incrimination of sylvatic triatomine species in the transmission of Chagas' disease indicates that more knowledge about the ecology of these vectors is necessary to improve control strategies.
在报告了两例急性恰加斯病病例以及在一个被认为并非克氏锥虫家庭传播流行地区的人类住所中出现了几种锥蝽物种之后;开展了一项流行病学、昆虫学和克氏锥虫分子流行病学分析,以确定该寄生虫在研究地区的传播动态。通过小外显子基因、随机扩增多态性DNA(RAPD)和多位点酶电泳(MLEE)对来自人类患者的2株克氏锥虫分离株、来自尖喙大猎蝽的5株、来自苍白猎蝽的4株、来自膝形长红猎蝽的4株以及7个参考菌株进行了分析。通过小外显子、RAPD和MLEE分析,来自媒介和人类的所有分离株均为克氏锥虫I组。虽然小外显子和MLEE在研究的分离株之间未显示出任何差异,但RAPD分析确定了尖喙大猎蝽分离株和人类分离株具有共同的克氏锥虫基因型,并区分了苍白猎蝽和膝形长红猎蝽分离株的不同菌株。患者和尖喙大猎蝽分离株中存在相同的克氏锥虫基因型,这表明该物种可能是研究地区恰加斯病传播的原因。RAPD分析显示出比小外显子和MLEE更好的克氏锥虫菌株分辨率和鉴别能力,可被视为分子流行病学研究的有用工具。在恰加斯病传播中判定野生锥蝽物种意味着,有必要更多地了解这些媒介的生态学,以改进控制策略。