比较用于利什曼病分子诊断的采样程序。
Comparison of Sampling Procedures for the Molecular Diagnosis of Leishmaniases.
机构信息
Department of Physiology, Institute of Biosciences, University of São Paulo, São Paulo, Brazil.
Department of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
出版信息
Am J Trop Med Hyg. 2023 Jan 30;108(3):548-554. doi: 10.4269/ajtmh.21-1137. Print 2023 Mar 1.
The present work evaluates sampling protocols, storage procedures, and DNA purification methods for Leishmania spp. detection and quantification in different biological samples. The efficiency of three preservation solutions, a phosphate buffer solution, an ethylenediaminetetraacetic acid (EDTA) buffer solution, and 70% ethanol, was compared in combination with three DNA extraction protocols: a commercial silica column kit, salting-out protein precipitation, and organic extraction with phenol-chloroform. Tissue samples from BALB/c mice experimentally infected with Leishmania (Leishmania) amazonensis, Leishmania (Viannia) braziliensis, or Leishmania (Leishmania) infantum were stored in the three preservation solutions and subsequently subjected to the three different DNA extraction methods. The extracted DNA was then used in real-time polymerase chain reaction (PCR) assays for the detection and quantification of parasite ribosomal small subunit DNA targets as well as mammalian glyceraldehyde-3-phosphate dehydrogenase (gapdh) targets. The results of the optimized protocols showed that the DNA extraction method did not influence test quality, but DNA from samples preserved with the EDTA buffer solution produced higher amounts of target amplicons. Based on these results, we concluded that samples from suspected cases of leishmaniasis for submission to molecular diagnostic procedures should be preferentially preserved in EDTA, followed by any one of the DNA purification methods evaluated.
本研究评估了用于不同生物样本中利什曼原虫属检测和定量的采样方案、储存程序和 DNA 纯化方法。比较了三种保存液(磷酸盐缓冲液、乙二胺四乙酸(EDTA)缓冲液和 70%乙醇)与三种 DNA 提取方案(商业硅胶柱试剂盒、盐析蛋白沉淀和酚-氯仿有机提取)联合使用的效果。将实验感染了利什曼原虫(Leishmania)亚马逊亚种、利什曼原虫(Viannia) braziliensis 或利什曼原虫(Leishmania) infantum 的 BALB/c 小鼠的组织样本分别保存在三种保存液中,然后用三种不同的 DNA 提取方法提取 DNA。提取的 DNA 随后用于实时聚合酶链反应(PCR)检测寄生虫核糖体小亚基 DNA 靶标和哺乳动物甘油醛-3-磷酸脱氢酶(gapdh)靶标。优化后的方案结果表明,DNA 提取方法不影响检测质量,但用 EDTA 缓冲液保存的样本 DNA 产生的靶标扩增子数量更多。基于这些结果,我们得出结论,疑似利什曼病病例样本应优先保存在 EDTA 中,然后再使用评估的任何一种 DNA 纯化方法。
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