Evaluation of a gp63-PCR based assay as a molecular diagnosis tool in canine leishmaniasis in Tunisia

PLoS One. 2014 Aug 25;9(8):e105419. doi: 10.1371/journal.pone.0105419. eCollection 2014.

Abstract

A gp63PCR method was evaluated for the detection and characterization of Leishmania (Leishmania) (L.) parasites in canine lymph node aspirates. This tool was tested and compared to other PCRs based on the amplification of 18S ribosomal genes, a L. infantum specific repetitive sequence and kinetoplastic DNA minicircles, and to classical parasitological (smear examination and/or culture) or serological (IFAT) techniques on a sample of 40 dogs, originating from different L. infantum endemic regions in Tunisia. Sensitivity and specificity of all the PCR assays were evaluated on parasitologically confirmed dogs within this sample (N = 18) and control dogs (N = 45) originating from non-endemic countries in northern Europe and Australia. The gp63 PCR had 83.5% sensitivity and 100% specificity, a performance comparable to the kinetoplast PCR assay and better than the other assays. These assays had comparable results when the gels were southern transferred and hybridized with a radioactive probe. As different infection rates were found according to the technique, concordance of the results was estimated by (κ) test. Best concordance values were between the gp63PCR and parasitological methods (74.6%, 95% confidence intervals CI: 58.8-95.4%) or serology IFAT technique (47.4%, 95% CI: 23.5-71.3%). However, taken together Gp63 and Rib assays covered most of the samples found positive making of them a good alternative for determination of infection rates. Potential of the gp63PCR-RFLP assay for analysis of parasite genetic diversity within samples was also evaluated using 5 restriction enzymes. RFLP analysis confirmed assignment of the parasites infecting the dogs to L. infantum species and illustrated occurrence of multiple variants in the different endemic foci. Gp63 PCR assay thus constitutes a useful tool in molecular diagnosis of L. infantum infections in dogs in Tunisia.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dog Diseases / diagnosis*
  • Dog Diseases / genetics
  • Dog Diseases / metabolism
  • Dogs
  • Leishmania infantum*
  • Leishmaniasis / diagnosis
  • Leishmaniasis / metabolism
  • Leishmaniasis / veterinary*
  • Pathology, Molecular / methods*
  • Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Tunisia

Grants and funding

This work received financial support from the EU-DGXII STD3 (CT930253) and INCO-DC (CT970256) programs and from the Ministry of Higher Education and Research in Tunisia (LR00SP04 & LR11IPT04). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.