Veronesi Fabrizia, Santoro Azzurra, Milardi Giovanni L, Diaferia Manuela, Morganti Giulia, Ranucci David, Gabrielli Simona
Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126, Perugia, Italy.
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 12, 00185, Rome, Italy.
Parasitol Res. 2017 Mar;116(3):1063-1069. doi: 10.1007/s00436-017-5388-z. Epub 2017 Jan 27.
Toxoplasma gondii infection is a worldwide parasitic zoonosis with a high-health risk for humans. The key epidemiological role played by felids is related to oocyst shedding. The present study compared two amplification protocols for the molecular diagnosis of Toxoplasma infection in owned cats. A total of 78 owned cats referred to an Italian university-teaching hospital and exposed to various T. gondii-associated risk factors were sampled for blood and faeces. Faecal specimens were processed by flotation and tested using 2 copro-PCRs targeting the widely used B1 gene and the 529-bp repetitive element (RE). The sera were tested by the indirect immunofluorescent antibody test (IFAT) for the detection of immunoglobulins against T. gondii. Sixteen faeces (20.52%) tested positive for T. gondii DNA; 12 samples were positive only at B1-PCR, two at 529-bp RE-PCR and two at both genetic targets (overall agreement = 82.11%). The amplicons obtained were sequenced, and the Basic Local Alignment Search Tool analysis showed a high homology with the T. gondii strains available in reference databases. Two stool samples were microscopically positive for T. gondii-like oocysts and also tested positive by both B1 and 529-bp RE-PCRs. Thirty-three (42.3%) sera tested positive for antibodies; of which, seven were found to have T. gondii DNA-positive results using the B1 genetic target (overall agreement = 57.77%). The amplification sets targeting B1 and 529-bp RE showed substantially different yields. Further research is needed to better understand the significance and the sensitivities of using these multi-copy-targeted molecular methods from cat faeces before being used for routine diagnosis.
弓形虫感染是一种全球性的寄生性人畜共患病,对人类健康构成高风险。猫科动物在流行病学中发挥的关键作用与卵囊排出有关。本研究比较了两种用于家养猫弓形虫感染分子诊断的扩增方案。共有78只转诊至意大利大学教学医院且暴露于各种弓形虫相关危险因素的家养猫被采集血液和粪便样本。粪便标本通过浮选法处理,并使用两种针对广泛使用的B1基因和529 bp重复元件(RE)的粪便聚合酶链反应(copro-PCR)进行检测。血清通过间接免疫荧光抗体试验(IFAT)检测抗弓形虫免疫球蛋白。16份粪便(20.52%)弓形虫DNA检测呈阳性;12份样本仅在B1-PCR检测中呈阳性,2份在529 bp RE-PCR检测中呈阳性,2份在两个基因靶点检测中均呈阳性(总体一致性=82.11%)。对获得的扩增子进行测序,基本局部比对搜索工具分析显示与参考数据库中可用的弓形虫菌株具有高度同源性。两份粪便样本在显微镜下检测到类似弓形虫的卵囊呈阳性,并且在B1和529 bp RE-PCR检测中也呈阳性。33份(42.3%)血清抗体检测呈阳性;其中,7份使用B1基因靶点检测发现弓形虫DNA呈阳性结果(总体一致性=57.77%)。针对B1和529 bp RE的扩增组显示出产量有很大差异。在用于常规诊断之前,需要进一步研究以更好地了解使用这些来自猫粪便的多拷贝靶向分子方法的意义和敏感性。