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Detection, genotyping, and phylogenetic analysis of Leishmania isolates collected from infected Jordanian residents and Syrian refugees who suffered from cutaneous leishmaniasis.

作者信息

Hijawi Kamal J F, Hijjawi Nawal S, Ibbini Jwan H

机构信息

Department of Medical Laboratory Sciences, Faculty of Applied Health Sciences, The Hashemite University, PO Box 150459, Zarqa, 13115, Jordan.

Department of Land Management and Environment, Faculty of Natural Resources and Environment, Hashemite University, Zarqa, 13115, Jordan.

出版信息

Parasitol Res. 2019 Mar;118(3):793-805. doi: 10.1007/s00436-019-06222-z. Epub 2019 Feb 7.


DOI:10.1007/s00436-019-06222-z
PMID:30729301
Abstract

Leishmania is a parasitic protozoan which is transmitted to humans through the bite of an infected female Phlebotomus and Lutzomyia sand flies. Cutaneous leishmaniasis (CL), caused by Leishmania major and L. tropica, is an endemic disease in many areas of Jordan and considered as a major public health problem. The political instability in the Syrian Arab Republic has resulted in the immigration of large number of refugees into Jordan where most of them resided in camps near the Syrian borders. Therefore, the main objective of the present study was to inspect Leishmania species/genotypes which are responsible for CL infections among Syrian refugees and compare them with the recovered species/genotypes isolated from Jordanian patients. Three molecular-based assays (ITS1-PCR-RFLP, Nested ITS1-5.8S rDNA PCR, and Kinetoplast DNA PCR) followed by sequencing and phylogenetic analysis were undertaken and compared for their efficiency to confirm CL diagnosis and genotype the infecting Leishmania species. Thereafter, the evolutionary relationships among various Leishmania isolates from Syrian and Jordanian CL patients were elucidated. Results from the present study indicated that 20 and 9 out of the inspected 66 patients (39 Jordanian and 27 Syrian) were infected with L. major and L. tropica respectively. ITS1-PCR RFLP typing proved to be more sensitive in the detection of Leishmania species (positive in 44% of the isolates) compared to both ITS1-5.8S rDNA gene and Kinetoplast DNA PCR which were successful in identifying Leishmania species only in 23% and 33% of the isolates respectively. Sequencing and phylogenetic analysis of ITS1 and ITS1-5.8S rDNA genes revealed high levels of heterogeneity among the sequenced isolates. One sample typed as L. tropica from Jordanian patient showed high similarity with L. tropica sample isolated from a Syrian patient in a Lebanon refugee camp; therefore, the need for comprehensive studies to confirm if any new L. tropica strains might be introduced to Jordan by Syrian refugees is urgently indicated. These observations highlighted the need for further studies to clarify the risk status of species and strains which might be introduced from Syria to Jordan.

摘要

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[1]
Detection, genotyping, and phylogenetic analysis of Leishmania isolates collected from infected Jordanian residents and Syrian refugees who suffered from cutaneous leishmaniasis.

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[3]
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本文引用的文献

[1]
Molecular typing of phlebotomine sand flies in al-madinah and asir regions, Saudi Arabia using PCR-RFLP of 18S ribosomal RNA gene.

Saudi J Biol Sci. 2017-11

[2]
Detection, molecular typing and phylogenetic analysis of isolated from cases of leishmaniasis among Syrian refugees in Lebanon.

Parasite Epidemiol Control. 2016-2-27

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Molecular Diagnosis and Identification of Leishmania Species in Jordan from Saved Dry Samples.

Biomed Res Int. 2016

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PLoS Negl Trop Dis. 2016-3-3

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Cutaneous leishmaniasis in the central provinces of Hama and Edlib in Syria: Vector identification and parasite typing.

Parasit Vectors. 2015-10-12

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Am J Clin Dermatol. 2015-4

[10]
The Jordanian Mid Jordan Valley is a classic focus of Leishmania major as revealed by RFLP of 56 isolates and 173 ITS-1-PCR-positive clinical samples.

Exp Parasitol. 2015-1

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