多重实时聚合酶链反应检测法检测不同水源中的棘阿米巴属、变形虫、福氏耐格里阿米巴和曼氏利什曼原虫。
Multiplex Real-Time Polymerase Chain Reaction Assay To Detect Acanthamoeba spp., Vermamoeba vermiformis, Naegleria fowleri, and Balamuthia mandrillaris in Different Water Sources.
机构信息
Instituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, La Laguna, Tenerife, Islas Canarias, Spain.
Consorcio Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
出版信息
Am J Trop Med Hyg. 2024 Aug 6;111(4):785-790. doi: 10.4269/ajtmh.24-0028. Print 2024 Oct 2.
Free-living amoebae (FLA) are widely distributed in the environment. Among these, Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris, and Vermamoeba vermiformis have been reported as human pathogens with health effects ranging from lethal encephalitis to different epithelial disorders. Despite this, FLA still present many diagnostic challenges. The aim of this study was to develop a rapid and efficient multiplex real-time quantitative polymerase chain reaction (qPCR) to simultaneously detect Acanthamoeba spp., N. fowleri, B. mandrillaris, and V. vermiformis in different water sources. For the validation of the qPCR assay, 38 samples (19 tap water and 19 stagnant water sources) were analyzed. The qPCR assay accurately identified the four types of FLA with no cross-reactivity. Considering water samples with results subsequently confirmed by conventional PCR, the multiplex qPCR assay detected 18/38 (47.4%) positive samples (Acanthamoeba spp. in 44.7% and V. vermiformis in 31.6%) and growth in nonnutritive agar (NNA) cultures identified 7/38 (18.4%) positive samples. Of the tap water samples analyzed, 26.3% of samples positive for FLA were detected by growth in NNA culture whereas 31.6% were identified by qPCR. In addition, FLA were detected in 2/19 stagnant water samples (10.5%) by growth in NNA culture and in 12/19 stagnant water samples (63.2%) by qPCR. Neither N. fowleri nor B. mandrillaris was detected in the water samples analyzed. In conclusion, the qPCR developed showed its potential as a rapid tool for detection of Acanthamoeba spp., N. fowleri, B. mandrillaris, and V. vermiformis. Moreover, FLA species were detected in half of the water sources evaluated, suggesting the importance of the surveillance of these potential infectious agents.
自由生活阿米巴(FLA)广泛分布于环境中。其中,棘阿米巴属、福氏耐格里阿米巴、狒狒巴拉姆希阿米巴和弯曲变形虫已被报道为人类病原体,其健康影响范围从致命性脑炎到不同的上皮紊乱。尽管如此,FLA 仍然存在许多诊断挑战。本研究旨在开发一种快速高效的多重实时定量聚合酶链反应(qPCR),以同时检测不同水源中的棘阿米巴属、福氏耐格里阿米巴、狒狒巴拉姆希阿米巴和弯曲变形虫。为了验证 qPCR 检测方法的准确性,分析了 38 个样本(19 个自来水和 19 个静止水源)。qPCR 检测方法准确地鉴定了四种 FLA,无交叉反应。考虑到随后通过常规 PCR 证实的水样,多重 qPCR 检测到 18/38(47.4%)阳性样本(棘阿米巴属占 44.7%,弯曲变形虫占 31.6%),并在非营养琼脂(NNA)培养物中检测到生长,鉴定出 7/38(18.4%)阳性样本。在分析的自来水样本中,通过 NNA 培养物检测到 26.3%的 FLA 阳性样本,而通过 qPCR 检测到 31.6%的阳性样本。此外,在 19 个静止水样中,有 2 个(10.5%)通过 NNA 培养物检测到 FLA,12 个(63.2%)通过 qPCR 检测到 FLA。在分析的水样中均未检测到福氏耐格里阿米巴或狒狒巴拉姆希阿米巴。综上所述,所开发的 qPCR 显示出作为一种快速检测棘阿米巴属、福氏耐格里阿米巴、狒狒巴拉姆希阿米巴和弯曲变形虫的工具的潜力。此外,在评估的一半水源中检测到了 FLA 种,这表明对这些潜在感染因子进行监测的重要性。
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