Laboratório de Estudos da Relação Parasito-Hospedeiro, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás - UFG, Goiânia, GO, Brasil.
Laboratório de Bioquímica Clínica e Líquidos Corporais, Unidade Acadêmica Especial de Saúde, Regional Jataí, Universidade Federal de Goiás - UFG, Jataí, GO, Brasil.
Rev Bras Parasitol Vet. 2021 May 10;30(2):e000621. doi: 10.1590/S1984-29612021022. eCollection 2021.
Molecular methods such as Copro-PCR stand out in the diagnosis of T. gondii, because they are highly sensitive and specific, and can distinguish T. gondii from other morphologically similar coccids. The purpose was the detection of Toxoplasma gondii copro-prevalence by polymerase chain reaction in 149 fecal samples from stray and domiciled cats, using three distinct markers (B5-B6, 18S and 529bp RE). Oocysts of T. gondii/H. hammondi were detected in 15.4% by parasitology fecal tests (PFT), and 4% of these oocysts were positively identified as T. gondii by Copro-PCR. The presence of T. gondii genetic material was detected in 16.1%, but 12% of the samples that tested positive by Copro-PCR were negative in PFT. Samples with discordant results were subjected to a new Copro-PCR with 18S marker and a 529, and of the 17 samples, 9 contained T. gondii genetic material. A comparison of the PFT and the molecular methods showed the latter was more sensitive, since it detected 22.1% while the PFT detected 15.4%. Demonstrating the high sensitivity and specificity of the Copro-PCR, particularly with the association of primers (k=0.809), but also confirms the importance of using molecular techniques in laboratories, since Copro-PCR was able to detect samples considered negative by PFT.
分子方法,如 Copro-PCR,在弓形虫的诊断中表现出色,因为它们具有高度的敏感性和特异性,可以区分弓形虫和其他形态相似的球虫。本研究的目的是通过聚合酶链反应(PCR)检测 149 份来自流浪和家养猫的粪便样本中的弓形虫共感染率,使用三个不同的标记物(B5-B6、18S 和 529bp RE)。寄生虫学粪便检查(PFT)检测到 15.4%的弓形虫/哈蒙氏球虫卵囊,其中 4%的卵囊通过 Copro-PCR 被确认为弓形虫。检测到弓形虫遗传物质的存在率为 16.1%,但 Copro-PCR 检测呈阳性的样本中,有 12%在 PFT 中呈阴性。对结果不一致的样本进行了新的 Copro-PCR 检测,使用 18S 标记物和 529bp 标记物,在 17 个样本中,有 9 个含有弓形虫遗传物质。PFT 和分子方法的比较显示,后者更敏感,因为它检测到 22.1%,而 PFT 仅检测到 15.4%。这证明了 Copro-PCR 的高灵敏度和特异性,特别是与引物的联合使用(k=0.809),同时也证实了在实验室中使用分子技术的重要性,因为 Copro-PCR 能够检测到被 PFT 认为是阴性的样本。