Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
Braz J Infect Dis. 2010 Jan-Feb;14(1):47-53.
Leprosy is still a worldwide public health problem. Brazil and India show the highest prevalence rates of the disease. Natural infection of armadillos Dasypus novemcinctus with Mycobacterium leprae has been reported in some regions of the United States. Identification of bacilli is difficult, particularly due to its inability to grow in vitro. The use of molecular tools represents a fast and sensitive alternative method for diagnosis of mycobacteriosis. In the present study, the diagnostic methods used were bacilloscopy, histopathology, microbiology, and PCR using specific primers for M. leprae repetitive sequences. PCR were performed using genomic DNA extracted from 138 samples of liver, spleen, lymph nodes, and skin of 44 D. novemcinctus, Euphractus sexcinctus, Cabassous unicinctus, and C. tatouay armadillos from the Middle Western region of the state of São Paulo and from the experimental station of Embrapa Pantanal, located in Pantanal da Nhecolândia of Mato Grosso do Sul state. Also, the molecular analysis of 19 samples from internal organs of other road killed species of wild animals, such as Nasua nasua (ring-tailed coati), Procyon cancrivoros (hand-skinned), Cerdocyon thous (dog-pity-bush), Cavia aperea (restless cavy), Didelphis albiventris (skunk), Sphigurrus spinosus (hedgehog), and Gallictis vittata (ferret) showed PCR negative data. None of the 157 analyzed samples had shown natural mycobacterial infection. Only the armadillo inoculated with material collected from untreated multibacillary leprosy patient presented PCR positive and its genomic sequencing revealed 100% identity with M. leprae. According to these preliminary studies, based on the used methodology, it is possible to conclude that wild mammals seem not to play an important role in the epidemiology of leprosy in the Middle Western region of the São Paulo state and in the Pantanal of Mato Grosso do Sul state.
麻风病仍然是一个全球性的公共卫生问题。巴西和印度的麻风病发病率最高。在美国的一些地区,已经报道了犰狳 Dasypus novemcinctus 自然感染麻风分枝杆菌。由于其不能在体外生长,因此杆菌的鉴定很困难。分子工具的使用代表了一种快速而敏感的分枝杆菌病诊断替代方法。在本研究中,使用的诊断方法包括杆菌镜检、组织病理学、微生物学和使用麻风分枝杆菌重复序列特异性引物的 PCR。PCR 是使用从来自巴西圣保罗州中西部地区和马托格罗索州潘塔纳尔的 44 只犰狳、Euphractus sexcinctus、Cabassous unicinctus 和 C. tatouay 以及 138 个肝、脾、淋巴结和皮肤样本中提取的基因组 DNA 进行的。此外,对来自其他野生动物(如环尾浣熊 Nasua nasua、浣熊 Procyon cancrivoros、狗皮浣熊 Cerdocyon thous、豚鼠 Cavia aperea、臭鼬 Didelphis albiventris、刺猬 Sphigurrus spinosus 和雪貂 Gallictis vittata)的 19 个内脏器官样本的分子分析显示 PCR 结果为阴性。在分析的 157 个样本中,均未显示出自然的分枝杆菌感染。只有接种了未经处理的多菌型麻风病患者材料的犰狳 PCR 呈阳性,其基因组测序显示与麻风分枝杆菌的同源性为 100%。根据这些初步研究,基于使用的方法,我们可以得出结论,野生哺乳动物在巴西圣保罗州中西部地区和马托格罗索州潘塔纳尔的麻风病流行病学中似乎没有发挥重要作用。