Centro para el Desarrollo de la Investigación Científica, Asunción, Central, Paraguay.
Ministerio de Salud Pública y Bienestar Social, Programa Nacional de Control de Zoonosis y Centro Antirrábico Nacional, San Lorenzo, Central, Paraguay.
Rev Soc Bras Med Trop. 2022 Dec 16;55. doi: 10.1590/0037-8682-0069-2022. eCollection 2022.
BACKGROUND: Leishmaniasis is a vector-borne disease caused by a parasite protozoon from the genus Leishmania. Among the molecular techniques applied for detecting these parasites, real-time PCR with High Resolution Melting (PCR-HRM) proved advantageous since it simultaneously determines both the presence and species of the pathogen in one step, through amplification and later analysis of curves generated by melting temperature. METHODS: Based on this molecular technique, the goal of this study was to estimate the PCR-HRM sensitivity for Leishmania spp. detection in different canine tissues by evaluating biological samples obtained from popliteal, submandibular, and pre-scapular lymph nodes, from bone marrow and ear pinnae of 28 stray dogs captured in the metropolitan area of Asunción (Paraguay). RESULTS: The rk39 immunochromatographic test showed that 25/28 tested dogs (89%) presented antibodies against L. infantum. In 20/25 dogs that tested positive for rk39 (80%), it was possible to detect Leishmania spp. by PCR-HRM and determine that the species corresponded entirely to L. infantum. Regarding the analysis of different tissues, the parasite was detected in all popliteal lymph node samples, followed by high detection in submandibular (at 95%) and pre-scapular lymph nodes (at 90%), bone marrow (at 85%), and ear pinnae (at 85%). CONCLUSIONS: This study demonstrated that the use of real-time PCR-HRM using the molecular marker hsp70 was a highly sensitive method for simultaneously detecting and identifying Leishmania species in different tissues taken from infected dogs. In addition, the usefulness of ear pinnae as easily accessible tissue for molecular diagnosis was emphasized.
背景:利什曼病是一种由利什曼原虫属寄生虫引起的虫媒病。在用于检测这些寄生虫的分子技术中,实时聚合酶链反应结合高分辨率熔解(PCR-HRM)技术具有优势,因为它可以通过扩增和随后分析熔解温度曲线来同时确定病原体的存在和种类。
方法:基于这种分子技术,本研究的目的是通过评估从 28 只流浪狗的腘窝、颌下和肩胛前淋巴结、骨髓和耳尖获得的生物样本,估计 PCR-HRM 在不同犬组织中检测利什曼原虫属的灵敏度,这些狗是在亚松森(巴拉圭)大都市区捕获的。
结果:rk39 免疫层析试验显示,28 只检测犬中有 25/28 只(89%)存在针对 L. infantum 的抗体。在 25 只 rk39 检测呈阳性的犬中(80%),可以通过 PCR-HRM 检测到利什曼原虫属,并确定该物种完全对应于 L. infantum。关于不同组织的分析,寄生虫在所有腘窝淋巴结样本中均被检出,其次是颌下(95%)和肩胛前(90%)淋巴结、骨髓(85%)和耳尖(85%)。
结论:本研究表明,使用分子标记物 hsp70 的实时 PCR-HRM 是一种高度敏感的方法,可同时检测和鉴定感染犬不同组织中的利什曼原虫属。此外,强调了耳尖作为分子诊断的容易获得的组织的用途。
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