Department of Biomedical Sciences, Institute of Tropical Medicine Antwerp, Belgium.
J Infect Dis. 2012 Sep 1;206(5):752-5. doi: 10.1093/infdis/jis424. Epub 2012 Jun 29.
The current standard to assess pentavalent antimonial (SSG) susceptibility of Leishmania is a laborious in vitro assay of which the result has little clinical value because SSG-resistant parasites are also found in SSG-cured patients. Candidate genetic markers for clinically relevant SSG-resistant parasites identified by full genome sequencing were here validated on a larger set of clinical strains. We show that 3 genomic locations suffice to specifically detect the SSG-resistant parasites found only in patients experiencing SSG treatment failure. This finding allows the development of rapid assays to monitor the emergence and spread of clinically relevant SSG-resistant Leishmania parasites.
目前评估五价锑(SSG)对利什曼原虫敏感性的标准是一种繁琐的体外检测方法,其结果几乎没有临床价值,因为在 SSG 治愈的患者中也发现了 SSG 耐药寄生虫。通过全基因组测序确定的具有临床相关性的 SSG 耐药寄生虫候选遗传标记,在此基础上对更大的一组临床菌株进行了验证。我们表明,仅需 3 个基因组位置即可特异性检测到仅在 SSG 治疗失败的患者中发现的 SSG 耐药寄生虫。这一发现为监测具有临床相关性的 SSG 耐药利什曼原虫寄生虫的出现和传播提供了快速检测方法。