PCR-its/滤纸在寄生虫和耐药锥虫诊断中的应用

E. Talaki, I. Sidibé, O. Diall, A. Zoungrana, A. Belem, L. Pangui
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摘要

动物锥虫病常用的最可靠的诊断方法是显微镜检查运动锥虫。然而,该方法的灵敏度仍然相对低于经典的PCR(聚合酶链反应)。后者除了成本高外,还需要一些有时难以在现场应用的条件(在+4°C或-20°C下保存样品)。在这项研究中,将灰褐色皮毛(BCT)标本在滤纸上点缀,并在室温下保存12个月(2004年9月- 2005年10月),直到用Chelex®5%进行处理。采用独特的“泛锥虫病”PCR与ITS(内部转录间隔)引物进行检测。采用多特异性引物的PCR结果表明,该菌株的寄生虫流行率比显微镜下对同一样品进行肉皮分析的结果高1.2 ~ 6.2倍。该方法除了可以通过一次PCR反应检测到混合感染外,还可以区分刚果锥虫的热带草原型和森林型。该方法灵敏度高,样品易于保存,可用于低寄生虫流行地区的化学耐药检测。
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The benefits of the PCR-its/filter paper in the diagnosis of parasites and chemoresistant trypanosomes
The most reliable diagnosis method of animal trypanosomoses often used is the microscopic examination for motile trypanosomes. However, the sensitivity of this method remains relatively lower than the classic PCR (Polymerase Chain Reaction). This latter, besides of its high cost, requires some conditions which sometimes are difficult to apply on the field (conservation of samples at +4°C or -20°C). In this study, buffy coat (BCT) specimens were dotted on the filter paper and conserved during 12 months (September 2004 - October 2005) at ambient temperature until their treatment with Chelex® 5%. Samples were tested using unique “pantrypanosomique” PCR with ITS (Internal Transcribed Spacer) primers. This PCR using polyspecific primers indicated parasitological prevalences of 1.2 to 6.2 times higher than those recorded by the microscopic analysis of the buffy coat on the same samples. Beside the mixed infections which could be detected by one PCR reaction, this method could also distinguish Trypanosoma congolense savanna type from Trypanosoma congolense forest type. The gain of sensitivity and the easy conservation of samples in this method could be used for the detection of the  chemoresistance in low parasitological prevalence areas.
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