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Marquet F, Mora N, Incani RN, Jesus J, Méndez N, Mujica R, Trosel H, Ferrer E. Comparison of different PCR amplification targets for molecular diagnosis of Strongyloides stercoralis. J Helminthol 2023; 97:e88. [PMID: 37974436 DOI: 10.1017/s0022149x23000743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Molecular techniques are an alternative for the diagnosis of strongyloidiasis, produced by Strongyloides stercoralis. However, it is necessary to determine the best amplification target for the populations of this parasite present in a geographical area and standardize a polymerase chain reaction (PCR) protocol for its detection. The objectives of this work were the comparison of different PCR targets for molecular detection of S. stercoralis and the standardization of a PCR protocol for the selected target with the best diagnostic results. DNA extraction was performed from parasite larvae by saline precipitation. Three amplification targets of the genes encoding ribosomal RNA 18S (18S rDNA) and 5.8S (5.8S rDNA) and cytochrome oxidase 1 (COX1) of S. stercoralis were compared, and the PCR reaction conditions for the best target were standardized (concentration of reagents and template DNA, hybridization temperature, and number of cycles). The analytical sensitivity and specificity of the technique were determined. DNA extraction by saline precipitation made it possible to obtain DNA of high purity and integrity. The ideal target was the 5.8S rDNA, since the 18S rDNA yielded non-reproducible results and COX1 never amplified under any condition tested. The optimal conditions for the 5.8S rDNA-PCR were: 1.5 mM MgCl2, 100 μM dNTPs, 0.4 μM primers, and 0.75 U DNA polymerase, using 35 cycles and a hybridization temperature of 60 °C. The analytical sensitivity of the PCR was 1 attogram of DNA, and the specificity was 100%. Consequently, the 5.8S rDNA was shown to be highly sensitive and specific for the detection of S. stercoralis DNA.
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Affiliation(s)
- F Marquet
- Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED). Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
| | - N Mora
- Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED). Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
| | - R N Incani
- Departamento de Parasitología, Facultad de Ciencias de la Salud Sede Carabobo, Universidad de Carabobo, Valencia, estado Carabobo, Venezuela
| | - J Jesus
- Departamento de Parasitología, Facultad de Ciencias de la Salud Sede Carabobo, Universidad de Carabobo, Valencia, estado Carabobo, Venezuela
| | - N Méndez
- Departamento de Parasitología, Facultad de Ciencias de la Salud Sede Carabobo, Universidad de Carabobo, Valencia, estado Carabobo, Venezuela
| | - R Mujica
- Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED). Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
| | - H Trosel
- Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED). Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
| | - E Ferrer
- Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED). Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
- Departamento de Parasitología, Facultad de Ciencias de la Salud Sede Aragua, Universidad de Carabobo, Maracay, estado Aragua, Venezuela
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Kim T, Lim S. Seropositivity Rates of Strongyloides stercoralis Antibody in the Southeastern Region of Republic of Korea: A Single-Center Retrospective Study. THE KOREAN JOURNAL OF PARASITOLOGY 2022; 60:181-185. [PMID: 35772736 PMCID: PMC9256283 DOI: 10.3347/kjp.2022.60.3.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 05/25/2022] [Accepted: 05/26/2022] [Indexed: 06/15/2023]
Abstract
Strongyloides stercoralis infection is not endemic in the Republic of Korea (Korea) with a positivity rate of <1% in stool examination. However, there is a risk of hyperinfection in immunosuppressed individuals. It is necessary to determine the seropositivity of S. stercoralis antibodies in Korea. This study investigated the seropositivity of S. stercoralis antibodies in the southeastern area of Korea. From January 2019 to June 2021, serum samples were collected from participants who visited the study center in the southeastern region of Korea for routine health check-ups. We determined serum levels of specific anti-Strongyloides IgG antibodies in 834 samples by enzyme-linked immunosorbent assay. We observed that 92 samples (11.0%) tested showed a positive response. The age of the participants was 51±10.7 years, and 43.4% of them were men. The antibody positivity rate based on the location of the participants' residence were 12.3% (Gyoungsangnam-do), 10.2% (Busan), and 10.1% (Ulsan), respectively. Total eosinophil count was associated with positive test results (154.8±152.0 per mm3 versus 202.1±178.9 per mm3, P=0.006). Logistic regression analysis revealed that blood eosinophil count, age above 50 years, and residence in Sacheon were factors associated with the positive status of S. stercoralis antibody. Our finding suggests that it is necessary to test for S. stercoralis in actual clinical settings in Korea.
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Affiliation(s)
- Taehwa Kim
- Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan 50612,
Korea
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612,
Korea
| | - Seungjin Lim
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612,
Korea
- Division of Infectious Diseases, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan 50612,
Korea
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