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Journal of Clinical Microbiology, February 2000, p. 737-744, Vol. 38, No. 2
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Differential Diagnosis of Taenia
saginata and Taenia solium Infection by PCR
Luis Miguel
González,1
Estrella
Montero,1
Leslie J. S.
Harrison,2,*
R. Michael E.
Parkhouse,3 and
Teresa
Garate1
Ministerio de Sanidad y Consumo, Instituto de
Salud Carlos III, Centro Nacional de Microbiologia, 28220 Majadahonda,
Madrid, Spain1; University of Edinburgh,
Centre for Tropical Veterinary Medicine, Easter Bush, Roslin,
Midlothian, Scotland EH25 9RG2; and
Institute for Animal Health, Pirbright Laboratories, Pirbright,
Woking, Surrey, England GU24 0NF3
Received 16 June 1999/Returned for modification 21 July
1999/Accepted 3 November 1999
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ABSTRACT |
We have designed species-specific oligonucleotides which permit the
differential detection of two species of cestodes, Taenia saginata and Taenia solium. The oligonucleotides
contain sequences established for two previously reported, noncoding
DNA fragments cloned from a genomic library of T. saginata.
The first, which is T. saginata specific (fragment HDP1),
is a repetitive sequence with a 53-bp monomeric unit repeated 24 times
in direct tandem along the 1,272-bp fragment. From this sequence the
two oligonucleotides that were selected (oligonucleotides PTs4F1 and
PTs4R1) specifically amplified genomic DNA (gDNA) from T. saginata but not T. solium or other related cestodes
and had a sensitivity down to 10 pg of T. saginata gDNA.
The second DNA fragment (fragment HDP2; 3,954 bp) hybridized to both
T. saginata and T. solium DNAs and was not a
repetitive sequence. Three oligonucleotides (oligonucleotides PTs7S35F1, PTs7S35F2, and PTs7S35R1) designed from the sequence of HDP2
allowed the differential amplification of gDNAs from T. saginata, T. solium, and Echinococcus
granulosus in a multiplex PCR, which exhibits a sensitivity of 10 pg.
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INTRODUCTION |
Taenia saginata and
Taenia solium are the two taeniids of greatest economic and
medical importance, causing bovine and porcine cysticercosis and
taeniasis in humans. In addition, T. solium eggs can infect
humans, often giving rise to fatal neurocysticercosis (12,
39). Infections with these cestodes are therefore a serious public health problem in areas of endemicity. In addition, an increase
in the number of cases in areas of nonendemicity has been observed in
recent years (36).
At present, there is no rapid, facile means of diagnosis of human
taeniasis and there is an obvious need for sensitive and specific
differential tests for T. solium and T. saginata
detection and interruption of human cysticercosis transmission.
Conventional coproscopical examination has a low specificity and
sensitivity (29), whereas coproantigen detection by
enzyme-linked immunosorbent assay, although sensitive, suffers from
poor specificity due to cross-reactions with other taeniids and related
helminths (1, 8, 23, 24). A recently developed Western blot
assay measures antibody to adult Taenia and thus does not
necessarily detect an active infection (43). Furthermore,
this assay requires the preparation of secreted antigens from immature
adult tapeworms recovered from immunosuppressed hamsters, which is
impractical for routine use. The use of DNA probes, as successfully
used for species-specific detection of various parasites (2, 11,
14, 35, 37, 44), including T. solium and T. saginata (5, 13, 19, 32), is time-consuming and
relatively insensitive. More recently, however, PCR with
oligonucleotide primers derived from such species-specific probes
(15, 16, 26, 27) has provided a truly rapid and sensitive
method for the identification of helminth parasites in general.
This paper describes the design of oligonucleotides, based on the
sequences of two previously described diagnostic DNA tests (19), which permitted positive identification of T. saginata and T. solium. The first DNA probe, probe
HDP1, is a repetitive sequence that yielded PCR probes specific for
T. saginata, while the second sequence, probe HDP2, yielded
a multiplex PCR probes which allowed the simultaneous identification of
T. solium, T. saginata, and Echinococcus
granulosus.
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MATERIALS AND METHODS |
Extraction and sources of DNA.
Genomic DNAs (gDNAs) of
T. saginata, T. solium, Taenia
taeniformis (Belgian isolate), T. taeniformis
(Malaysian isolate), and E. granulosus were obtained by a
phenol extraction and ethanol precipitation protocol (34).
Bovine and human DNAs were purchased commercially (Sigma Chemical
Company, St. Louis, Mo.).
Subcloning strategy.
The HDP1 and HDP2 genomic sequences
were cloned following the differential screening of a T. saginata
gt10 genomic library (19). Since one of the
HDP1 EcoRI restriction enzyme digestion sites was damaged,
the HDP1 fragment was isolated from the recombinant phage by
EcoRI-BamHI (Promega Corporation, Madison, Wis.)
digestion. A 5,100-bp fragment which was composed of a 1,272-bp
fragment of T. saginata gDNA and a 3,800-bp
fragment from the short arm of
gt10 phage was obtained. The
insert was subcloned into the EcoRI and BamHI
restriction sites of pBluescript KS+ (Stratagene, La Jolla,
Calif.), and the recombinant plasmid (pBluescript KS+,
gt10 fragment, HDP1) was named pPTs4. The HDP2 sequence was isolated
from the recombinant phage by EcoRI digestion (Promega Corporation), yielding a 3,954-bp fragment which was
subcloned into the EcoRI site of pBluescript KS+
(Stratagene, La Jolla, Calif.).
HDP1 and HDP2 sequencing.
A designated progressive
unidirectional erase strategy (Promega Corporation) was used in order
to sequence the T. saginata DNA inserts. Sequencing of HDP1
and HDP2 was carried out with two automated sequencing systems:
fluorescence-based labeling with the ABI PRISM system (Perkin-Elmer,
Langen, Germany) and the ALF system (Pharmacia, Uppsala, Sweden). The
HDP1 and HDP2 DNA sequences were compared with those available in the
EMBL databank by using software packages from the Genetics Computer
Group (9).
Slot blot hybridization.
Samples of either gDNA or plasmid
DNA were prepared after first diluting the DNA to the required
concentrations and then denaturation with 0.3 M NaOH and incubation at
80°C for 10 min, followed by neutralization with 0.25 M Tris-HCl (pH
7.5)-0.25 M HCl-12.5× SSC (1× SSC is 0.15 M NaCl plus 0.015 M
sodium citrate [pH 7.0]) buffer. The samples were then transferred by
vacuum onto nitrocellulose membranes with a slot blot manifold
apparatus (Shleicher & Schuell, Dassel, Germany), in accordance with
the manufacturer's instructions.
Electrophoresis, Southern blotting, labeling, and hybridization
procedures.
The genomic organizations of the HDP1 and the HDP2 DNA
sequences were examined as follows. First, 3-µg aliquots of T. saginata gDNA were digested to completion with different
restriction endonucleases (Amersham Life Science, Buckinghamshire,
England; Boehringer Mannheim GmbH, Mannheim, Germany; Promega
Corporation) by following the procedures recommended by the
manufacturers. Electrophoresis of the digested DNA samples and
subsequent transfer to positively charged nylon membranes (Boehringer
Mannheim GmbH) were carried out by standard procedures (40).
The HDP1 and HDP2 DNA probes were nonradioactively labeled with
digoxigenin-11-dUTP (Boehringer Mannheim GmbH) by a random
oligonucleotide primer method, in accordance with the manufacturer's
instructions. Hybridizations were conducted overnight under
high-stringency conditions at 68°C. After hybridization, the filters
were washed at 68°C for 10 min in 2× SSC-0.1% sodium dodecyl
sulfate (SDS) and then for a further 40 min in 0.1× SSC-0.1% SDS.
The immunodetection was carried out with antidigoxigenin conjugated
with alkaline phosphatase, and the immune complexes were visualized
with the chemiluminescence substrate CSPD (Boehringer Mannheim GmbH) on
X-ray film with an intensifying screen at room temperature for 15 min,
as described in the manufacturer's instructions.
In order to identify unique sequences of HDP2 that do not occur in the
T. solium genome, 5-µg samples of T. saginata
and T. solium gDNAs were digested to completion with the
ClaI restriction endonuclease (Amersham Life Science), as recommended
by the manufacturer. Southern blotting, probe labeling, and
hybridization were carried out as described above. The probes used were
three nonoverlapping fragments derived from the HDP2 sequence and were
designated 5PHDP2, IPHDP2, and 3PHDP2.
Design of HDP1 and HDP2 primers.
DNA sequence analysis was
carried out with the Primer Select Lasergene program (DNASTAR Inc.,
Madison, Wis.). The HDP1 sequence was used to design two
oligonucleotide primers, primers PTs4F1 (5'-GCAGTGTGCTGAAGATGAATA-3') and PTs4R1
(5'-GAATTTGGCTCTCACTGAATG-3'). An internal primer, primer
PTs4I1 (5'-ATACTACCAAATCGCAT-3'), was also prepared. The
HDP2 sequence was used to design three oligonucleotide primers, primers
PTs7S5F1 (5'-CAGTGGCATAGCAGAGGAGGAA-3'), PTs7S35F2 (5'-CTTCTCAATTCTAGTCGCTGTGGT-3'), and PTs7S35R1
(5'-GGACGAAGAATGGAGTTGAAGGT-3'). The primers were
synthesized by Gibco BRL.
DNA amplification.
PCR with HDP1-based primers was performed
in a total volume of 25 µl containing PCR buffer (PCR buffer I;
Perkin-Elmer), 0.4% glycerol, each deoxynucleoside triphosphate
(Pharmacia, Uppsala, Sweden) at a concentration of 200 mM, 0.25 µM
PTs4F1, and 2.5 U of Taq polymerase (Perkin-Elmer). PCR
conditions were 94°C for 5 min (initial denaturation), followed by 35 cycles at 94°C for 1 min, 60°C for 30 s, 72°C for 30 s,
and 72°C for 10 min (final extension). PTs4R1 (0.5 µM) was added to
the reaction mixture at the 25th cycle. Multiplex PCR with HDP2-based
primers was performed in a total volume of 25 µl with PCR buffer (PCR
buffer I; Perkin-Elmer) and final concentrations of 0.4% glycerol,
each deoxynucleoside triphosphate (Pharmacia) at a concentration of 200 mM, 0.5 µM primer PTs7S35F1, 0.5 µM primer PTs7S35F2, 1 mM primer
PTs7S35R1, and 2.5 U of Taq polymerase (Perkin-Elmer).
Conditions for the multiplex PCR with HDP2-based primers were 94°C
for 5 min (initial denaturation), followed by 35 cycles at 94°C for 1 min, 56.5°C for 30 s, 72°C for 30 s, and 72°C for 10 min (final extension). Amplifications were carried out in a GeneAmp TM
PCR System 2400 Thermocycler (Perkin-Elmer). The amplification products
were separated on 2% agarose gels and were visualized under UV light
by ethidium bromide staining.
Nucleotide sequence accession numbers.
The HDP1 sequence was
assigned accession no. AJ133764 and the HDP2 sequence was assigned
accession no. AJ133740 (EBI, EMBL GenBank, and DDJB database).
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RESULTS |
HDP1 and HDP2 sequencing.
For sequencing, the HDP2 DNA
fragment was directly subcloned from
gt10 phage into the pBluescript
SK+ plasmid, and then 25 nested deleted clones were
selected and sequenced. A different strategy was necessary for HDP1, as
one of the two EcoRI digestion sites had been lost from the
recombinant phage (see Materials and Methods), and so five nested
deleted clones were selected and sequenced to determine the full
sequence of HDP2. The full sequences of HDP1 and HDP2 are shown in Fig. 1 and Fig.
2, respectively.

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FIG. 1.
Repetitive T. saginata HDP1 sequence (1,272 bp). Each monomeric unit is represented by a line. Twenty-four repeats
are included. Substitution point mutations are indicated by an arrow
below each mutation. The restriction enzyme recognition sites are
indicated by the lines. Direct and inverted internal repeats are
indicated by arrows above and below the consensus sequence (con),
respectively.
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FIG. 2.
Nonrepetitive T. saginata HDP2 sequence
(3,954 bp). The restriction enzyme recognition sites are indicated by
the lines.
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HDP1 and HDP2 sequence analysis.
The 1,272-bp nucleotide
sequence of HDP1 was highly repetitive, with 24 sequences, each of 53 bp, in tandem array. An unambiguous consensus sequence was derived from
the 24 monomeric motifs (Fig. 1). All of the motifs were remarkably
similar, with a maximum difference of only four bases. Strikingly, the
same adenine-to-guanine transition occurred at nucleotide 19 in three
of the motifs located in the 4th, 7th, and 17th positions within the
sequence. The fourth mutation, which appeared in the 18th motif, was a
cytidine-to-guanine transversion. These mutations yielded three new
ScaI recognition sites and one BglI recognition
site within the mutated motifs. Thus, there was only a 0.3% sequence
divergence from the established consensus sequence.
The HDP1 fragment had an A+T content of 55%. It showed internal
repeats as one direct repeat (1/1') of 6 bp and one of 5 bp
(2/2'), two
of 4 bp (3/3', 4/4'), and three of inverted repeats,
one of 5 bp (5/5')
and one of 4 bp (6/6' and 7/7'). The 3,954-bp
HDP2 nucleotide sequence
was nonrepetitive, with an A+T content
of 45% and no significant
internal repeats. Stop codons occurred
frequently in both sequences,
and therefore, no open reading frames
of significant length were
identified. Finally, no significant
homologies were found with
sequences reported in either the GenBank
or the EMBL data
bank.
Genomic organization of HDP1 and HDP2 probes in T. saginata genome.
In order to study the genomic organization
of the HDP1 and the HDP2 sequences, taeniid gDNA was digested to
completion with several restriction enzymes, transferred to membranes,
and hybridized with both HDP1 and HDP2 under high-stringency
conditions. With the HDP1 probe, different patterns were obtained
depending on the restriction enzyme used (Fig.
3). Thus, ScaI,
EcoRI, and RsaI digestions yielded a regular
ladder pattern with hybridization fragments of different sizes. In
contrast, digestion of gDNA with restriction enzymes specific for
sequences not located within the HDP1 sequence (PstI,
HindIII, SalI, XhoI, and
BamHI) yielded a single band that was larger than 23 kb and
that hybridized with the HDP1 probe. Taking into account the
hybridization patterns, the HDP1 restriction map, and the sequence
information, we calculated that the 53-bp monomers are arranged in
direct tandem arrays along 23 kb or more in the T. saginata
genome.

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FIG. 3.
Southern blot of T. saginata gDNA (3 µg)
cleaved with various restriction enzymes (ScaI [lane 1],
PstI [lane 2], HindIII [lane 3],
EcoRI [lane 4], SalI [lane 5],
XhoI [lane 6], BamHI [lane 7], and
RsaI [lane 8]) and probed with the digoxigenin-labeled
T. saginata HDP1 probe.
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When similar experiments were done by Southern blotting with the HDP2
probe, digestion of
T. saginata gDNA with
ClaI,
PstI,
EcoRI, and
RsaI enzymes yielded
different restriction patterns,
depending on the enzyme used, and an
irregular ladder distribution.
These data suggested that the HDP2
fragment did not contain repeated
sequences within the
T. saginata genome (Fig.
4). It is
important
to note that complete digestion of
T. saginata
gDNA with all the
enzymes mentioned above was confirmed by analyzing
the digested
samples by agarose gel electrophoresis (data not shown).

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FIG. 4.
Southern blot of T. saginata gDNA (3 µg)
cleaved with various restriction enzymes (ClaI [lane 1],
PstI [lane 2], EcoRI [lane 3], and
RsaI [lane 4]) and probed with the digoxigenin-labeled
HDP2 probe.
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Copy number of the 53-bp monomers in T. saginata
genome.
The copy number of the 53-bp monomer in the T. saginata genome was determined by slot blot analysis (Fig.
5) by titrating DNA purified from
T. saginata metacestodes and from the HDP1-containing pBluescript KS+ plasmid pPTs4 (the HDP1 sequence accounts
for 15.9% of the recombinant plasmid) and using the
digoxigenin-labeled HDP1 sequence as the probe. The slots containing
100 ng of T. saginata gDNA and 2.85 ng of pPTs4 DNA
showed identical hybridization intensities, whereas the pBluescript
KS+ nonrecombinant vector did not hybridize (data not
shown). These results indicated that the HDP1 sequence represented
approximately 0.4% of the T. saginata DNA. Assuming that
the size of the T. saginata genome is similar to that of the
closely related organism E. granulosus (genome size,
1.5 × 108-bp) (32), we calculated 11,321 repeats of the 53-bp monomer per haploid genome of the parasite.

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FIG. 5.
Sensitivity of the T. saginata HDP1 probe.
Dilutions of T. saginata gDNA (200 ng [slot 1a], 100 ng
[slot 1b], 50 ng [slot 1c], 25 ng [slot 1d], 12.5 ng [slot 1e],
6.25 ng [slot 1f], 3 ng [slot 1g], 1.5 ng [slot 1h]) and pPTs4
recombinant plasmid DNA (50 ng [slot 2a], 10 ng [slot 2b], 5 ng
[slot 2c], 2.5 ng [slot 2d], 1.25 ng [slot 2e], 0.6 ng [slot
2f], 0.3 ng [slot 2g], 0.15 ng [slot 2h]) were probed in a slot
blot system with the digoxigenin-labeled T. saginata HDP1
probe.
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Design of PCR primers derived from HDP1 and HDP2 sequences.
The two oligonucleotide primers (primers PTs4F1 and PTs4R1) designed
from the HDP1 sequence (Fig. 6A) were
manually selected because the repetitive nature of the DNA sequence
precluded use of the Primer Select Lasergene program. The three
oligonucleotide primers prepared from the HDP2 sequence (primers
PTs7S35F1, PTs7S35F2, and PTs7S35R1) were designed after demonstrating
that digestion of HDP2 with SphI and ClaI
restriction endonucleases yielded three nonoverlapping fragments
(fragments 5PHDP2, IPHDP2, and 3PHDP2) (Fig. 6B). When these were
tested by Southern blotting with T. saginata and T. solium gDNAs digested with ClaI, hybridization of
T. solium DNA occurred with the fragment IPHDP2 and 3PHDP2 sequences but not with the fragment 5PHDP2 sequence (Fig.
7). As this suggested that the
5PHDP2 sequence was not included in the T. solium
genome, we used the Primer Select Lasergene program to synthesize
three primers (primers PTs7S35F1, PTs7S35F2, and PTs7S35R1).
Primer PTs7S35F1 was based on the 5PHDP2 sequence, and primers
PTs7S35F2 and PTs7S35R1 were designed from the IPHDP2 sequence (Fig.
6B).

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FIG. 6.
(A) Locations of the PTs4F1 and PTs4R1 oligonucleotide
primers within the 1,272-bp T. saginata HDP1 repetitive DNA
sequence. The 24 repetitive units are indicated by continuous arrows.
The restriction enzyme sites are indicated by lines, and the PTs4F1 and
PTs4R1 oligonucleotide primers are indicated by arrows. (B) Locations
of probes 5PHDP2, 1PHDP2, and 3PHDP2 within the 3,954-bp sequence of
the T. saginata and T. solium HDP2 genomic clone.
The restriction enzyme sites are indicated by the lines, and the probes
(5PHDP2, 1PHDP2, and 3PHDP2) used in Southern blots assays are
indicated by wider lines below the HDP2 DNA sequence. The locations of
the PTs7S35F1, PTs7S35F2, and PTs7S35R1 oligonucleotide primers are
indicated by arrows.
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FIG. 7.
Demonstration of a unique T. saginata
sequence (fragment 5HDP2) and shared T. saginata and
T. solium sequences (fragment IPHDP2 and 3PHDP2) within the
T. saginata genomic sequence HDP2. Southern blotting was
done with T. saginata (lanes 1) and T. solium
(lanes 2) gDNAs (5 µg) cleaved with the ClaI restriction
enzyme. The digested gDNAs were probed with three nonoverlapping
fragments derived from the HDP2 sequence fragments: 5PHDP2 (A), IPHDP2
(B), and 3PHDP2 (C). The probes were labeled with digoxigenin.
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Design of a T. saginata species-specific PCR with
HDP1-based primers.
Use of conventional PCR protocols with the
primers described above yielded nonspecific results, probably due to
the repetitive nature of the sequences and the high degree of
complementarity between the forward and reverse primers (see HDP1 and
HDP2 sequence analysis). After testing a number of different protocols,
we empirically observed that the addition of primer PTs4R1 at 24 cycles
after the initial addition of primer PTs4F1 greatly improved the
specificity of the PCR, yielding a characteristic ladder pattern of 10 to 11 bands, with an approximately 50-bp size difference between them.
The specificity of the amplifications was confirmed by Southern blot
hybridization with the internal primer PTs4I1
(5'-ATACTACCAAATCGCAT-3') (data not shown). We suggest that
the highly repetitive nature of the HDP1 sequence is responsible for
the observed sensitivity, despite the expected reduction in
amplification due to the late addition of one of the primers.
The potential diagnostic properties of this modified PCR protocol were
evaluated with purified gDNAs from
T. saginata,
T. solium, and other related cestodes. With amounts of
T. saginata and
T. solium DNA in the 10- to 40-ng range,
the ladder amplification
was observed only with
T. saginata
DNA (Fig.
8). Similarly, with
10 ng of
DNA, amplification was positive for
T. saginata but negative
for
T. solium,
T. taeniformis,
E. granulossus, human, and bovine
DNAs (Fig.
9).

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FIG. 8.
Specificity of the PCR assay with HDP1-based primers
and restricted T. saginata DNA. Samples of genomic DNA from
T. saginata (A) in quantities of 40 ng (lane 1), 30 ng (lane
2), 20 ng (lane 3), and 10 ng (lane 4) and from T. solium
(B) in quantities of 40 ng (lane 5), 30 ng (lane 6), and 20 ng (lane 7)
were amplified with the PTs4F1 and PTs4R1 primers. A negative non-DNA
containing-control was also included (lane 8). The reactions were
carried out as described in Materials and Methods. The amplification
products were fractionated on a 2% agarose gel and were stained with
ethidium bromide. Promega PCR molecular markers were used (lanes M).
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FIG. 9.
Specificity of the PCR assay with HDP1-based primers
and restricted T. saginata DNA. Samples of genomic DNA (10 ng) from T. saginata (lane 1), T. solium (lane
2), T. taeniformis B (lane 3), T. taeniformis M
(lane 4), E. granulosus (lane 5), a calf (lane 6), and a
human (lane 7) were amplified with the PTs4F1 and PTs4R1 primers as
described in Materials and Methods. A negative control without DNA was
also included (lane 8). The amplification products were fractionated on
a 2% agarose gel and were stained with ethidium bromide. Promega PCR
molecular markers were used (lane M).
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Finally, the sensitivity of the PCR with HDP1-based primers was
determined with decreasing quantities of
T. saginata gDNA
as
templates (Fig.
10). The PCR could
detect 10 pg of
T. saginata DNA and yielded the
characteristic ladder pattern, but a partial
amplification could be
observed even with as little as 1 pg of
T. saginata DNA.

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FIG. 10.
Sensitivity of PCR amplification with HDP1-based
primers. Samples of genomic DNA of T. saginata, with input
quantities of 10 ng (lane 1), 1 ng (lane 2), 100 pg (lane 3), 10 pg
(lane 4), 1 pg (lane 5), 100 fg (lane 6), 10 fg (lane 7), and 1 fg
(lane 8) were amplified with the PTs4F1 and PTs4R1 primers for the PCR
with HDP1-based primers. A negative control without DNA was also
included (lane 9). The reactions were carried out as described in
Materials and Methods. The amplification products were fractionated on
a 2% agarose gel and were stained with ethidium bromide. Promega PCR
molecular markers were used (lanes M).
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Design of a T. saginata- and T. solium-specific multiplex PCR with HDP2-based primers.
The
HDP2-based primers PTs7S35F1, PTs7S35F2, and PTs7S35R1 were used to
establish a T. saginata- and T. solium-specific
multiplex PCR. The clearest results were obtained at an annealing
temperature of 56.5°C (data not shown). With 1 ng of gDNA from
T. saginata, T. solium, T. taeniformis, E. granulossus, a human, and a calf, T. saginata, T. solium, and E. granulossus gDNAs yielded positive but species-specific patterns
for each of the three parasites (Fig.
11): two bands (of 600 and 170 bp) with
T. saginata, one band (of 170 bp) with T. solium,
and two bands (of 900 and 550) with E. granulosus. These
data demonstrated the T. saginata species specificity of the
PTs7S35F1-PTs7S35R1 primer combination on the 600-bp target sequence,
as well as the T. saginata and T. solium specificity of the PTs7S35F2-PTs7S35R1 primer combination on the 150-bp
target sequence. Finally, the sensitivity of the multiplex PCR with
HDP2-based primers was shown to be 10 pg of DNA when T. saginata, T. solium, and E. granulossus
gDNAs were used as templates (data not shown).

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FIG. 11.
Differential detection of T. saginata,
T. solium, and E. granulossus by multiplex PCR.
Samples of genomic DNA (1 ng) from T. saginata (lane 1),
T. solium (lane 2), T. taeniformis B (lane 3),
T. taeniformis M (lane 4), E. granulosus (lane
5), a calf (lane 6), and a human (lane 7) were amplified by the
multiplex PCR based on the PTs7S35F1, PTs7S35F2, and PTs7S35R1 primers
derived from the T. saginata genomic sequence HDP2. A
negative control without DNA was also included (lane 8). The reactions
were carried out as described in Materials and Methods. The
amplification products were fractionated on a 2% agarose gel and were
stained with ethidium bromide. Promega PCR molecular markers were used
(lanes M).
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DISCUSSION |
This paper describes the design and development of two PCR tests
for the specific and sensitive detection of T. solium,
T. saginata, and E. granulosus. One PCR specific
for T. saginata detection uses primers based on the sequence
of the published HDP1 T. saginata DNA fragment
(19). The other is a multiplex PCR with primers derived from
the sequence of another T. saginata DNA sequence, HDP2
(19), and which specifically amplified T. saginata, T. solium, and E. granulosus DNAs.
The genomic characteristics of each probe, their performance in the PCR
tests, and their potential applications are discussed.
The DNA sequences of HDP1 and HDP2 consisted of two entirely distinct
sequences of 1,272 and 3,954 bp, respectively. Stop codons were present
at the beginning of each potential reading frame (data not shown), and
thus, there were no significant open reading frames that coded for
proteins. No similarities were found between the HDP1 and HDP2
sequences and any other sequence included in the EMBL and GenBank
databases. The HDP1 fragment was composed of 53-bp monomers tandemly
repeated 24 times, with a 55% A+T content and with direct and inverse
internal repeats in each monomer. An evaluation of the genomic
organization by Southern blot analysis, restriction enzyme mapping, and
sequencing indicated that the 53-bp monomers were arranged in an
estimated 11,321 clustered tandem repeats along 23 kb or more of the
T. saginata genome. The 53-bp monomer sequence was
remarkably conserved in comparison to other repetitive sequences from
parasite DNA that have been described (18, 42), with only
0.3% divergence among the 24 sequenced units and with only four base
changes from the 53-bp consensus sequence. However, the degree of
variation appeared to be increased at particular sites along the HDP1
sequence. For example, the 19th base of the monomer unit appeared to be
a hot-spot site, and this mutation yielded a new ScaI
recognition site, which in turn resulted in alteration of the consensus
sequence, perhaps explaining the Southern blot pattern obtained by
ScaI digestion of T. saginata DNA and HDP1 probe
hybridization (Fig. 3). These observations suggested that the HDP1
sequence was satellite DNA, and indeed, the 53-bp HDP1 monomer sequence
showed a high degree of similarity to satellite DNAs (22).
Satellite DNA is defined as the DNA component which renatures rapidly
in a eukaryotic genome, which consists of short sequences (5 to 200 bp)
repeated many times in tandem in large clusters, and which is located
in the heterochromatic regions of the chromosomes at both centromeric and telomeric regions (6, 20, 22). Their abundance can vary
from less than 1% to more than 66% of the genome (38). Interestingly, three of the HDP1 monomeric units had the same point
mutation in the same nucleotide and at the same position, suggesting
that these mutations were not random variations. Possibly some
mechanism analogous to similar previously described mechanisms acting
on the satellite DNA was responsible (7, 18, 28, 41, 42).
Although the HDP1 genomic representation of 0.4% of T. saginata was very low for satellite DNA, a similarly low percentage had also been found in Caenorhabditis elegans
satellite DNA (21). In summary, therefore, we may conclude
that the HDP1 sequence is satellite DNA that has repeats organized in
tandem arrays, that is characterized by a small unit size and high copy number (22), and that perhaps has a structural function, as has already been suggested (4, 18, 22, 30, 33, 42). This is
not the first time that highly repetitive DNAs, such as satellite DNAs,
which undergo rapid evolutionary changes, have been used as
species-specific probes (17, 18, 38). Indeed, the
specificity of the T. saginata 1,272-bp HDP1 target sequence is exquisite, as Harrison et al. described before (19),
indicating that satellite DNA is, in general, species specific
(38). However, there are few published data on these
repetitive elements in cestodes (5, 25, 31, 33).
The HDP2 probe with an A+T content of 45% was not a repetitive
sequence. This fact and Southern blot analysis (Fig. 4) suggested that
HDP2 could be intergenic spacer DNA (22). Its dual
specificity for DNAs of both T. saginata and T. solium has considerable practical potential, similar to the
previous employment of interspersed DNA fragments with large unit sizes
and low to moderate copy numbers (10).
Taking into account the complete sequences and other characteristics of
the two DNA probes (HDP1 specificity for T. saginata and
HDP2 reactivity with both T. saginata and T. solium), primer sets were designed for the differential detection
of these two parasites by PCR. Thus, a T. saginata
species-specific PCR with primers based on the sequence of the HDP1
probe (19) and a multiplex PCR with primers based on the
sequence of the HDP2 probe, which specifically amplified T. saginata, T. solium, and E. granulossus DNA
sequences, were developed.
The oligonucleotides designed from HDP1 provided a species-specific PCR
amplification of T. saginata gDNA with a characteristic ladder of 10 or 11 bands and with a difference between the bands of
about 50 bp. This pattern suggested that the oligonucleotide primers
hybridize to all the complementary sequences along the tandemly
arranged repetitions in the HDP1 sequence. The PCR detected down to 10 pg of T. saginata gDNA, and this high degree of sensitivity could be attributed to the repetitive nature of the HDP1 sequence, as
well as to the amplification power of the PCR. By calculating that one
Taenia sp. egg contains approximately 8 pg of gDNA
(32), the PCR should be able to detect the gDNA from one
T. saginata egg. Thus, the PCR with HDP1-based primers
offers the possibility of a sensitive, rapid, and specific method for
the reliable identification of T. saginata in the absence of
a signal from T. solium and other taeniids.
In order to achieve, in addition, a positive identification of
T. solium by PCR, a multiplex PCR was established by
taking advantage of both sequence specificity and the peculiar
specificity of the HDP2 probe. The test was based on T. saginata genomic clone HDP2 and, moreover, distinguished T. saginata, T. solium, and E. granulosus
through different amplification patterns, while it was negative for
other taeniids. Specifically, these data demonstrated the T. saginata species specificity of the PTs7S35F1-PTs7S35R1 primer set
and the T. saginata and T. solium specificity of
the PTs7S35F2-PTs7S35R1 primer set. The exact nature of the specific products amplified from T. saginata, T. solium,
and E. granulosus by primers PTs7S35F1, PTs7S35F2, and
PTs7S35R1 remains to be determined and may shed some light on the
evolution of these organisms. The sensitivity of the multiplex PCR was
excellent, detecting as little as 10 pg of the taeniid gDNAs.
Both the PCR with HDP1-based primers and the multiplex PCR with
HDP2-based primers are now ready for application to the differential detection of both T. saginata and T. solium in
humans and are clearly more efficient, specific, and sensitive than
previously reported Southern hybridization techniques (5, 13,
19).
The most immediate priority is to distinguish T. saginata
and T. solium infections in the clinical situation in order
to rapidly identify human carriers of T. solium. Use of the
PCR assays for the positive identification of the parasites in dubious
cysts, lesions, or cyst residues in domestic animals at the
slaughterhouse would aid in the appropriate treatment of the carcasses
and in the control of these parasites in domestic livestock. In the
future, the assays described in this paper could have a major impact on epidemiological studies through the identification of tapeworm eggs in
the environment, i.e., in water supplies or on contaminated pasture, in
addition to identifying human tapeworm carriers. Importantly, in recent
preliminary experiments we have been able to efficiently extract DNA
from taeniid eggs. Finally, the sequences and primers used in these
studies might also be used to determine the possible occurrence of
strains or geographical isolates of these parasites, perhaps via
restriction enzyme polymorphism analyses of the amplified products as
has been reported by McManus and colleagues (3, 32).
 |
ACKNOWLEDGMENTS |
We thank J. M. Rubio for technical help in the design of the
PCR with HDP1-based primers and L. Benítez and E. Rodríguez for helpful discussions.
This work was supported by grants from UE-INCO (grant DCIC 18CT950002),
FISS (grant 97/0141), and MEC/British Council (grant HB96-43).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: University of
Edinburgh, Centre for Tropical Veterinary Medicine, Easter Bush,
Roslin, Midlothian, Scotland, EH25 9RG. Phone: 44-131-6506217. Fax:
44-131-6506217. E-mail: Leslie.Harrison{at}ed.ac.uk.
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