Evaluation of Echinococcus DNA by polymerase chain reaction (PCR) in cystic Echinococcosis of the liver.

IF 0.5 Q4 SURGERY Turkish Journal of Surgery Pub Date : 2022-06-01 DOI:10.47717/turkjsurg.2022.5427
Mehmet Tolga Kırış, Sefa Ergün, Ozan Akıncı, Sevgi Ergin, Mehmet Velidedeoğlu, Bekir Sami Kocazeybek, Ertuğrul Göksoy
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Abstract

Objectives: The aim of this study was to determine the DNA and genotypes of Echinococcus granulosus in liver cyst hydatids isolated in humans.

Material and methods: This study was conducted prospectively at the Department of General Surgery of the Cerrahpaşa School of Medicine, University of İstanbul-Cerrahpaşa, between January 2015 and June 2016 in 30 patients who were operated on for cystic Echinococcosis. E. granulosus DNA was analyzed using the Polymerase Chain Reaction (PCR) method in the cyst samples (protoscolex and/or germinative membrane) obtained during the operation, and genotype was determined in the PCR positive samples by sequence analysis. At the same time, indirect hemagglutination (IHA) was used to test for the presence of antibodies in the patients' blood.

Results: E. granulosus DNA was found in 29 out of 30 cystic Echinococcosis of the liver samples. All of the 29 cystic Echinococcosis samples were found to be G1 (sheep) species. Also, IHA was positive in 22 patients and negative in eight patients.

Conclusion: In the present study, G1 species was the most commonly seen liver cystic Echinococcosis species. We suggest that a vaccine, which could be developed against prevalent regional genotypes, would be efficacious in the prevention of the disease with a cause of mortality and morbidity.

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聚合酶链反应(PCR)对肝囊性包虫病棘球蚴DNA的评价。
目的:测定人肝囊肿棘球蚴颗粒棘球蚴的DNA和基因型。材料与方法:本研究于2015年1月至2016年6月在İstanbul-Cerrahpaşa大学cerrahpaila医学院普外科前瞻性研究30例囊性棘球蚴病手术患者。采用聚合酶链式反应(PCR)方法对手术中获得的囊样(原头节和/或萌发膜)进行DNA分析,并对PCR阳性样品进行序列分析,确定基因型。同时,采用间接血凝(IHA)检测患者血液中是否存在抗体。结果:30例囊性包虫病肝标本中有29例检出颗粒棘球蚴DNA。29份囊性包虫病标本均为G1(羊)种。IHA阳性22例,阴性8例。结论:肝脏囊性棘球蚴病以G1种最为常见。我们认为,可以针对流行的区域基因型开发一种疫苗,将有效预防这种导致死亡和发病的疾病。
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