Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Parasitol Res. 2012 Jul;111(1):89-96. doi: 10.1007/s00436-011-2804-7. Epub 2012 Jan 13.
We developed a single step duplex real-time fluorescence resonance energy transfer (FRET) PCR merged with melting curve analysis for the fast detection and differentiation of Clonorchis sinensis and Opisthorchis viverrini eggs in human fecal samples. Two species of mitochondrial NADH dehydrogenase subunit 2 (nad2) DNA elements, the 165-bp nad2 product of C. sinensis and the 209-bp nad2 product of O. viverrini, were amplified by species-specific primers, and the fluorescence melting curve analyses were generated from hybrid of amplicons and two pairs of species-specific fluorophore-labeled probes. By their different fluorescence channels and melting temperatures, both C. sinensis and O. viverrini eggs in infected human fecal samples were detected and differentiated with high (100%) sensitivity and specificity. Detection limit was as little as a single C. sinensis egg and two O. viverrini eggs in 100 mg of fecal sample. The assay could distinguish the DNA of both parasites from the DNA of negative fecal samples and fecal samples with other parasitosis, as well as from the well-defined genomic DNA of human leukocytes and other parasites. It can reduce labor time of microscopic examination and is not prone to carry over contamination of agarose electrophoresis. Our duplex real-time FRET PCR method would be useful to determine the accurate range of endemic areas and/or to discover the co-endemic areas of two liver flukes, C. sinensis and O. viverrini, in Asia. This method also would be helpful for the differential diagnosis of the suspected cases of liver fluke infections among travelers who had visited the endemic countries of those parasites.
我们开发了一种一步法双管实时荧光共振能量转移(FRET)PCR 合并熔解曲线分析,用于快速检测和区分人体粪便样本中的华支睾吸虫和肝片形吸虫卵。两种线粒体 NADH 脱氢酶亚单位 2(nad2)DNA 元件,华支睾吸虫的 165-bp nad2 产物和肝片形吸虫的 209-bp nad2 产物,通过物种特异性引物扩增,并通过扩增子与两对物种特异性荧光标记探针杂交生成荧光熔解曲线分析。通过它们不同的荧光通道和熔解温度,可以检测和区分感染人体粪便样本中的华支睾吸虫和肝片形吸虫卵,具有高(100%)灵敏度和特异性。检测限低至单个华支睾吸虫卵和 100mg 粪便样本中的两个肝片形吸虫卵。该检测可以从阴性粪便样本和其他寄生虫病的粪便样本以及人类白细胞和其他寄生虫的明确基因组 DNA 中区分两种寄生虫的 DNA。它可以减少显微镜检查的劳动时间,并且不易发生琼脂糖电泳的交叉污染。我们的双管实时 FRET PCR 方法将有助于确定两种肝吸虫(华支睾吸虫和肝片形吸虫)的流行地区的确切范围和/或发现它们的共同流行地区。该方法还将有助于对来自这些寄生虫流行国家的旅行者中疑似肝吸虫感染病例进行鉴别诊断。