Suppr超能文献

用于诊断美洲皮肤利什曼病的非侵入性采样方法(拭子)与聚合酶链反应(PCR)的效率。

Efficiency of noninvasive sampling methods (swab) together with Polymerase Chain Reaction (PCR) for diagnosing American Tegumentary Leishmaniasis.

作者信息

Boni Sara Macente, Oyafuso Luiza Keiko, Soler Rita de Cassia, Lindoso José Angelo Lauletta

机构信息

Centro Universitário Cesumar, Departamento de Biomedicina, Maringá, Paraná, Brazil.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Moléstias Infecciosas, São Paulo, São Paulo, Brazil.

出版信息

Rev Inst Med Trop Sao Paulo. 2017 Jun 1;59:e38. doi: 10.1590/S1678-9946201759038.

Abstract

Traditional diagnostic methods used to detect American Tegumentary Leishmaniasis, such as histopathology using biopsy samples, culture techniques, and direct search for parasites, have low sensitivity and require invasive collection procedures. This study evaluates the efficiency of noninvasive sampling methods (swab) along with Polymerase Chain Reaction (PCR) for diagnosing American Tegumentary Leishmaniasis using skin and mucous samples from 25 patients who had tested positive for leishmaniasis. The outcome of the tests performance on swab samples was compatible with PCR results on biopsy samples. The findings have also shown that PCR-kDNA test is more efficient than PCR-HSP70 and qPCR tests (sensitivity of 92.3%, 40.7%, and 41%, respectively). Given the high sensitivity of the tests and the fact that the sampling method using swabs affords greater patient comfort and safety, it could be said that this method is a promising alternative to conventional biopsy-based methods for the molecular diagnosis of leishmaniasis.

摘要

用于检测美洲皮肤利什曼病的传统诊断方法,如使用活检样本的组织病理学、培养技术以及直接查找寄生虫,其灵敏度较低,且需要进行侵入性采集程序。本研究评估了非侵入性采样方法(拭子)与聚合酶链反应(PCR)相结合,利用25例利什曼病检测呈阳性患者的皮肤和黏膜样本诊断美洲皮肤利什曼病的效率。拭子样本的检测结果与活检样本的PCR结果相符。研究结果还表明,PCR-kDNA检测比PCR-HSP70和qPCR检测更有效(灵敏度分别为92.3%、40.7%和41%)。鉴于检测的高灵敏度以及使用拭子的采样方法能为患者带来更大的舒适度和安全性,可以说该方法是用于利什曼病分子诊断的传统活检方法的一种有前景的替代方法。

相似文献

2
Applicability of kDNA-PCR for routine diagnosis of American tegumentary leishmaniasis in a tertiary reference hospital.
Rev Inst Med Trop Sao Paulo. 2013 Nov-Dec;55(6):393-9. doi: 10.1590/S0036-46652013000600004.
3
Detection of Leishmania braziliensis DNA in American tegumentary leishmaniasis patients.
Rev Saude Publica. 2010 Jun;44(3):571-4. doi: 10.1590/s0034-89102010005000004. Epub 2010 Apr 30.
4
Use of DNA-based diagnostic methods for human leishmaniasis in Minas Gerais, Brazil.
Acta Trop. 2001 Mar 30;78(3):261-7. doi: 10.1016/s0001-706x(01)00081-x.
7
Impact assessment of different DNA extraction methods for non-invasive molecular diagnosis of tegumentary leishmaniasis.
Acta Trop. 2022 Mar;227:106275. doi: 10.1016/j.actatropica.2021.106275. Epub 2021 Dec 11.
8
Detection of Leishmania braziliensis in human paraffin-embedded tissues from Tucumán, Argentina by polymerase chain reaction.
Mem Inst Oswaldo Cruz. 2005 Apr;100(2):187-92. doi: 10.1590/s0074-02762005000200013.
9
Use of PCR in diagnosis of human american tegumentary leishmaniasis in Rio de Janeiro, Brazil.
J Clin Microbiol. 1999 Jun;37(6):1819-23. doi: 10.1128/JCM.37.6.1819-1823.1999.
10
Molecular diagnosis of cutaneous leishmaniasis in an endemic area of Acre State in the Amazonian Region of Brazil.
Rev Soc Bras Med Trop. 2018 May-Jun;51(3):376-381. doi: 10.1590/0037-8682-0232-2017.

引用本文的文献

2
Exploring real-time PCR techniques for diagnosing leishmaniasis: key insights from a systematic review.
Parasitol Res. 2025 May 21;124(5):54. doi: 10.1007/s00436-025-08503-2.
3
High detection rate of parasitic load by qPCR targeting 18S rDNA in blood of patients with active leishmaniasis lesions.
Eur J Clin Microbiol Infect Dis. 2025 Mar;44(3):717-728. doi: 10.1007/s10096-025-05037-4. Epub 2025 Jan 14.
4
"High specificity of PCR in diagnosing mucocutaneous leshminiasis: a systematic review and meta analysis".
BMC Infect Dis. 2024 Dec 28;24(1):1476. doi: 10.1186/s12879-024-10349-5.
5
Sampling is decisive to determination of Leishmania (Viannia) species.
PLoS Negl Trop Dis. 2024 Apr 25;18(4):e0012113. doi: 10.1371/journal.pntd.0012113. eCollection 2024 Apr.
6
First Report of an Asymptomatic Infection Using a Nasal Swab in Amazon, Brazil.
Int J Environ Res Public Health. 2022 May 23;19(10):6346. doi: 10.3390/ijerph19106346.
10
Comparison and clinical validation of qPCR assays targeting Leishmania 18S rDNA and HSP70 genes in patients with American Tegumentary Leishmaniasis.
PLoS Negl Trop Dis. 2020 Oct 12;14(10):e0008750. doi: 10.1371/journal.pntd.0008750. eCollection 2020 Oct.

本文引用的文献

1
High Resolution Melting Analysis Targeting hsp70 as a Fast and Efficient Method for the Discrimination of Leishmania Species.
PLoS Negl Trop Dis. 2016 Feb 29;10(2):e0004485. doi: 10.1371/journal.pntd.0004485. eCollection 2016 Feb.
3
Sensitive diagnosis of cutaneous leishmaniasis by lesion swab sampling coupled to qPCR.
Parasitology. 2014 Dec;141(14):1891-7. doi: 10.1017/S0031182014001280. Epub 2014 Aug 11.
4
Applicability of kDNA-PCR for routine diagnosis of American tegumentary leishmaniasis in a tertiary reference hospital.
Rev Inst Med Trop Sao Paulo. 2013 Nov-Dec;55(6):393-9. doi: 10.1590/S0036-46652013000600004.
9
Heat-shock protein 70 PCR-RFLP: a universal simple tool for Leishmania species discrimination in the New and Old World.
Parasitology. 2010 Jul;137(8):1159-68. doi: 10.1017/S0031182010000089. Epub 2010 May 5.
10
Detection of Leishmania braziliensis DNA in American tegumentary leishmaniasis patients.
Rev Saude Publica. 2010 Jun;44(3):571-4. doi: 10.1590/s0034-89102010005000004. Epub 2010 Apr 30.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验