Molecular Typing of Two Suspected Cutaneous Leishmaniasis Isolates in Baghdad
Main Article Content
Abstract
Leishmaniasis is a group of parasitic diseases caused by Leishmania spp., an endemic infectious agent in developing countries, including Iraq. Diagnosis of cutaneous lesion by stained smears, serology or histopathology are inaccurate and unable to detect the species of Leishmania. Here, two molecular typing methods were examined to identify the promastigotes of suspected cutaneous leishmaniasis samples, on a species level. The first was species-specific B6-PCR and the second was ITS1-PCR followed by restriction fragment length polymorphism (RFLP) using restriction enzyme HaeIII. DNA was extracted from in vitro promastigote culture followed by amplification of kDNA by B6 or amplification and digestion of LITSR/L5.8S. PCR produced bands of ~359 bp and ~450 bp for B6 and ITS1, respectively. Digestion of ITS1 by RFLP revealed two distinct bands of ~150 bp and ~300 bp size. The results reviled that the two isolates belong to cutaneous Leishmaniasis, specifically Leishmania tropica. In conclusion, the confirmation of the studied methods will improve rapid and accurate diagnosis of Leishmania species of the most prevalent Iraqi strain of cutaneous leishmaniasis, L. tropica.
Received 26/11/2019, Accepted 24/2/2020, Published Online First 6/12/2020
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
References
Prajapati VK, Pandey RK. Recent Advances in the Chemotherapy of Visceral Leishmaniasis Drug Design: Principles and Applications. Springer Press. 2017. p 69-88.
Omidian M, Khosravi AD, Nazari M, Rashidi A. The comparison of histopathological findings and polymerase chain reaction in lesions with primary clinical diagnosis of cutaneous leishmaniasis with negative smear. Pak J Med Sci. 2008; 24(1):96.
Real F, Vidal RO, Carazzolle MF, Mondego JM, Costa GG, Herai RH, et al. The genome sequence of Leishmania (Leishmania) amazonensis: functional annotation and extended analysis of gene models. DNA Res. 2013; 20(6):567-81.
Al-Warid HS, Al-Saqur IM, Al-Tuwaijari SB, Zadawi KAM. The distribution of cutaneous leishmaniasis in Iraq: demographic and climate aspects. Asian Biomed. 2017; 11(3): 255-260.
Majeed B, Sobel J, Nawar A, Badri S , Muslim H. The persiting Burden of visceral leishmaniasis in Iraq: data of the national surveilance system, 1990-2009. Epidemiol Infect. 2013; 141(2): 443-446.
Al-Obaidi MJ, Al-Hussein MYA, Al-Saqur IM. Survey Study on the Prevalence of Cutaneous Leishmaniasis in Iraq. IJS. 2016; 57(3C):2181-2187.
Salloum T, Khalifeh I , Tokajian S. Detection, molecular typing and phylogenetic analysis of Leishmania isolated from cases of leishmaniasis among Syrian refugees in Lebanon. Parasite Epidemiol Control. 2016; 1(2): 159-168.
https://promedmail.org/promed-post/?id=20200110.6882795 (International Soscity for Infectious Diseases, 2020).
Magill AJ. Cutaneous leishmaniasis in the returning traveler. Infect Dis Clin. 2005; 19(1):241-266.
Resen J, Al-Autabbi Z. Lymphocytes Subset Phenotypes in Patients with Visceral Leshmaniesis. Iraqi J Comm Med. 2011; 24(4):308-313.
AlSamarai AM , AlObaidi HS. Cutaneous leishmaniasis in Iraq. J Infect Develop Cntris. 2009; 3(2): 123-9.
Mirahmadi H, Rezaee N, Mehravaran A, Heydarian P , Raeghi S. Detection of species and molecular typing of Leishmania in suspected patients by targeting cytochrome b gene inzahedan, southeast of Iran. Vet World. 2017; 11(5): 700-705.
Monroy-Ostria A, Nasereddin A, Monteon VM, Guzmán-Bracho C, Jaffe CL. ITS1 PCR-RFLP diagnosis and characterization of Leishmania in clinical samples and strains from cases of human cutaneous leishmaniasis in states of the Mexican Southeast. Interdiscip Perspect Infect Dis. 2014; 2014:607287.
Cruz ML, Perez A, Dominguez M, Moreno I, Garcia N, Martinez I, et al. Assessment of sensitivity and specificty of serological (IFAT) and molecular (direct-PCR) techniques for diagnosis of leishmaniasis in lagomprphs using Bayeesian approach. J Vit Med Sci. 2016; 2:211-220.
Satow MM, Yamashiro-Kanashiro EH, Rocha MC, Oyafuso LK, Soler RC, Cotrim PC, et al. Applicability of kDNA-PCR for routine diagnosis of American tegumentary leishmaniasis in a tertiary reference hospital. Rev Inst Med Trop Sao Paulo. 2013; 55(6):393-399.
Galluzzi L, Ceccarelli M, Diotallevi A, Menotta M ,Magnani M. Real-Time PCR applications for diagnosis if Leishmania. Parasit Vectors. 2018; 11(1):273-286.
Mauricio I, Stothard J, Miles M. Leishmania donovani complex: genotyping with the ribosomal internal transcribed spacer and the mini-exon. Parasitology. 2004; 128(3):263-267.
Victoire K, De Doncker S, Cabrera L, Alvarez E, Arevalo J, Llanos-Cuentas A, et al. Direct identification of Leishmania species in biopsies from patients with American tegumentary leishmaniasis. Trans R Soc Trop Med Hyg. 2003; 97(1):80-87.
Dávila A, Momen H. Internal-transcribed-spacer (ITS) sequences used to explore phylogenetic relationships within Leishmania. Ann Trop Med Parasitol. 2000; 94(6):651-654.
Al-Bajalan MMM, Al-Jaf SM, Nijrani SS, Abdulkareem DR, Al-Kayali KK , Kato H. An outbreak of Leishmania major from an endimic to non endimic region posed a public health threat in Iraq from 2014-2017; epidemiological, molecular and phylogenitic studies. PLOS Negl Trop Dis. 2018; 12(3): 6255.
Altamemy AKA. Direct diagnosis of cutaneous leishmaniasis of skin lesion specimens by PCR and evaluate the sensitivity of testing methods in Wasit Province. JCE/ Was. 2015; 1(20):543-558.
Kermanjani A, Akhlaghi L, Oormazdi H, Hadighi R. Isolation and identification of cutaneous leishmaniasis species by PCR–RFLP in Ilam province, the west of Iran. J Parasit Dis. 2017; 41(1):175-179.
Schönian G, Nasereddin A, Dinse N, Schweynoch C, Schallig HDFH, Presber W, et al. PCR diagnosis and characterization of Leishmania in local and imported clinical samples. Diagn Microbiol Infect Dis. 2003; 47(1):349-358.
Kamil MM, Ali HZ. Using PCR for detection of cutaneous leishmaniasis in Baghdad. IJS. 2016; 57(2B):1125-1130.
Li J, Zheng Z-W, Natarajan G, Chen Q-W, Chen D-L, Chen J-P. The first successful report of the in vitro life cycle of Chinese Leishmania: the in vitro conversion of Leishmania amastigotes has been raised to 94% by testing 216 culture medium compound. Acta Parasitol. 2017; 62(1):154-163.
Jirkù M, Zemanová E, Al-Jawabreh A, Schönian G, Lukeš J. Development of a direct species-specific PCR assay for differential diagnosis of Leishmania tropica. Diagn Microbiol Infect Dis. 2006; 55(1):75-79.
Miranda-Ortiz H, Fernandez-Lopez JC, Becker I, Rangel-Escareno. Down regulation of TLR and JAK/STAT pathway genes in assocciation with diffuse cutaneous leishmnaisis: a gene expression analysis in NK cells from patients infected with Leishmania meicana. PLOS Negl Trop Dis. 2016; 10(3): 4570.
Ben Abda I, De Monbrison F, Bousslimi N, Aoun K, Bouratbine A, Picot S. Advantages and limits of real-time PCR assay and PCR-restriction fragment length polymorphism for the identification of cutaneous Leishmania species in Tunisia. Trans R Soc Trop Med Hyg. 2011; 105(1):17-22.
Rahi AA. A Cloned Antigen (Recombinant K39) of Leishmania donovani Diagnostic for Visceral Leishmaniasis in Human Wassit J S S. 2010; 3(1):12-18.
Mahmood TA, Al-Dhalimi MA, Sultan BA, AL-Hucheimi SN. Tracking of Ceotaneous Leishmaniasis by Parasitological, Molecular and Biochemical Analysis. k J N S. 2015;5(1):65-74.
Schönian G, Nasereddin A, Dinse N, Schweynoch C, Schallig HD, Presber W, Jaffe CL. PCR diagnosis and characterization of Leishmania in local and imported clinical samples. Diagn Microbiol Infect Dis. 2003; 47: 149-358.
Roelfsema JH, Nozari N, Herremans T, Kortbeek LM, Pinelli E. Evaluation and improvement of two PCR targets in molecular typing of clinical samples of Leishmania patients. Exp Parasitol. 2011; 127(1):36-41.
El Tai NO, Osman OF, El Fari M, Presber W, Schönian G. Genetic heterogeneity of ribosomal internal transcribed spacer in clinical samples of Leishmania donovani spotted on filter paper as revealed by single-strand conformation polymorphisms and sequencing. Trans R Soc Trop Med Hyg. 2000; 94(5):575-579.
Koarashi Y, Cáceres AG, Saca FMZ, Flores EEP, Trujillo AC, Alvares JLA, et al. Identification of causative Leishmania species in Giemsa-stained smears prepared from patients with cutaneous leishmaniasis in Peru using PCR-RFLP. Acta Trop. 2016; 158:83-87.
Sagi O, Berkowitz A, Codish S, Novack V, Rashti A, Akad F, et al. Sensitive molecular diagnostics for cutaneous leishmaniasis. Open Forum Infect Dis. 2017; 4(2): ofx037.
El-Badry AA, El-Dwibe H, Basyoni MM, Al-Antably AS, Al-Bashier WA. Molecular prevalence and estimated risk of cutaneous leishmaniasis in Libya. J Microbiol Immunol Infect. 2016; 50(6): 505-810.
Ovalle-Bracho C, Camargo C, Diaz-Toro Y , Parra-Munoz M. Molecular typing of Leishmania (Leishmania) amazonensis and species of the subgenus Vianna associated with cutaneous and mucosal leishmaniasis in Colombia: A concordance study. Biomedica. 2018; 38(1): 86-95.
Hijjawi N, Kanani KA, Rasheed M , Atoum M. Molecular diagnosis and identification of Leishmania species in Jordan from saved dry samples. Biomed Res Int. 2016; 2016: 6871739.