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Journal of Clinical Microbiology, Oct 1997, 2551-2555, Vol 35, No. 10
P Minodier, R Piarroux, F Gambarelli, C Joblet and H Dumon
Conventional methods for the identification of species of Leishmania
parasite causing infections have limitations. By using a DNA-based
alternative, the present study tries to develop a new tool for this
purpose. Thirty-three patients living in Marseilles (in the south of
France) were suffering from visceral or cutaneous leishmaniasis. DNA of the
parasite in clinical samples (bone marrow, peripheral blood, or skin) from
these patients were amplified by PCR and were directly sequenced. The
sequences observed were compared to these of 30 strains of the genus
causing Old World leishmaniasis collected in Europe, Africa, or Asia. In
the analysis of the sequences of the strains, two different sequence
patterns for Leishmania infantum, one sequence for Leishmania donovani, one
sequence for Leishmania major, two sequences for Leishmania tropica, and
one sequence for Leishmania aethiopica were obtained. Four sequences were
observed among the strains from the patients: one was similar to the
sequence for the L. major strains, two were identical to the sequences for
the L. infantum strains, and the last sequence was not observed within the
strains but had a high degree of homology with the sequences of the L.
infantum and L. donovani strains. The L. infantum strains from all
immunocompetent patients had the same sequence. The L. infantum strains
from immunodeficient patients suffering from visceral leishmaniasis had
three different sequences. This fact might signify that some variants of L.
infantum acquire pathogenicity exclusively in immunocompromised patients.
To dispense with the sequencing step, a restriction assay with HaeIII was
used. Some restriction patterns might support genetic exchanges in members
of the genus Leishmania.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Rapid identification of causative species in patients with Old World leishmaniasis
Laboratoire de Parasitologie-Mycologie, CHU Timone, Marseille, France.
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