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A pilot study demonstrating the identification of Trypanosoma brucei gambiense and T. b. rhodesiense in vectors using a multiplexed high-resolution melt qPCR.
PLoS Negl Trop Dis. 2020 11; 14(11):e0008308.PN

Abstract

Human African Trypanosomiasis (HAT) is a potentially fatal parasitic infection caused by the trypanosome sub-species Trypanosoma brucei gambiense and T. b. rhodesiense transmitted by tsetse flies. Currently, global HAT case numbers are reaching less than 1 case per 10,000 people in many disease foci. As such, there is a need for simple screening tools and strategies to replace active screening of the human population which can be maintained post-elimination for Gambian HAT and long-term for Rhodesian HAT. Here, we describe the proof of principle application of a novel high-resolution melt assay for the xenomonitoring of Trypanosoma brucei gambiense and T. b. rhodesiense in tsetse. Both novel and previously described primers which target species-specific single copy genes were used as part of a multiplex qPCR. An additional primer set was included in the multiplex to determine if samples had sufficient genomic material for detecting genes present in low copy number. The assay was evaluated on 96 wild-caught tsetse previously identified to be positive for T. brucei s. l. of which two were known to be positive for T. b. rhodesiense. The assay was found to be highly specific with no cross-reactivity with non-target trypanosome species and the assay limit of detection was 104 tryps/mL. The qPCR successfully identified three T. b. rhodesiense positive flies, in agreement with the reference species-specific PCRs. This assay provides an alternative to running multiple PCRs when screening for pathogenic sub-species of T. brucei s. l. and produces results in less than 2 hours, avoiding gel electrophoresis and subjective analysis. This method could provide a component of a simple and efficient method of screening large numbers of tsetse flies in known HAT foci or in areas at risk of recrudescence or threatened by the changing distribution of both forms of HAT.

Authors+Show Affiliations

Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33237917

Citation

Garrod, Gala, et al. "A Pilot Study Demonstrating the Identification of Trypanosoma Brucei Gambiense and T. B. Rhodesiense in Vectors Using a Multiplexed High-resolution Melt QPCR." PLoS Neglected Tropical Diseases, vol. 14, no. 11, 2020, pp. e0008308.
Garrod G, Adams ER, Lingley JK, et al. A pilot study demonstrating the identification of Trypanosoma brucei gambiense and T. b. rhodesiense in vectors using a multiplexed high-resolution melt qPCR. PLoS Negl Trop Dis. 2020;14(11):e0008308.
Garrod, G., Adams, E. R., Lingley, J. K., Saldanha, I., Torr, S. J., & Cunningham, L. J. (2020). A pilot study demonstrating the identification of Trypanosoma brucei gambiense and T. b. rhodesiense in vectors using a multiplexed high-resolution melt qPCR. PLoS Neglected Tropical Diseases, 14(11), e0008308. https://doi.org/10.1371/journal.pntd.0008308
Garrod G, et al. A Pilot Study Demonstrating the Identification of Trypanosoma Brucei Gambiense and T. B. Rhodesiense in Vectors Using a Multiplexed High-resolution Melt QPCR. PLoS Negl Trop Dis. 2020;14(11):e0008308. PubMed PMID: 33237917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A pilot study demonstrating the identification of Trypanosoma brucei gambiense and T. b. rhodesiense in vectors using a multiplexed high-resolution melt qPCR. AU - Garrod,Gala, AU - Adams,Emily R, AU - Lingley,Jessica K, AU - Saldanha,Isabel, AU - Torr,Stephen J, AU - Cunningham,Lucas J, Y1 - 2020/11/25/ PY - 2020/04/16/received PY - 2020/09/24/accepted PY - 2020/12/09/revised PY - 2020/11/26/pubmed PY - 2021/1/26/medline PY - 2020/11/25/entrez SP - e0008308 EP - e0008308 JF - PLoS neglected tropical diseases JO - PLoS Negl Trop Dis VL - 14 IS - 11 N2 - Human African Trypanosomiasis (HAT) is a potentially fatal parasitic infection caused by the trypanosome sub-species Trypanosoma brucei gambiense and T. b. rhodesiense transmitted by tsetse flies. Currently, global HAT case numbers are reaching less than 1 case per 10,000 people in many disease foci. As such, there is a need for simple screening tools and strategies to replace active screening of the human population which can be maintained post-elimination for Gambian HAT and long-term for Rhodesian HAT. Here, we describe the proof of principle application of a novel high-resolution melt assay for the xenomonitoring of Trypanosoma brucei gambiense and T. b. rhodesiense in tsetse. Both novel and previously described primers which target species-specific single copy genes were used as part of a multiplex qPCR. An additional primer set was included in the multiplex to determine if samples had sufficient genomic material for detecting genes present in low copy number. The assay was evaluated on 96 wild-caught tsetse previously identified to be positive for T. brucei s. l. of which two were known to be positive for T. b. rhodesiense. The assay was found to be highly specific with no cross-reactivity with non-target trypanosome species and the assay limit of detection was 104 tryps/mL. The qPCR successfully identified three T. b. rhodesiense positive flies, in agreement with the reference species-specific PCRs. This assay provides an alternative to running multiple PCRs when screening for pathogenic sub-species of T. brucei s. l. and produces results in less than 2 hours, avoiding gel electrophoresis and subjective analysis. This method could provide a component of a simple and efficient method of screening large numbers of tsetse flies in known HAT foci or in areas at risk of recrudescence or threatened by the changing distribution of both forms of HAT. SN - 1935-2735 UR - https://www.unboundmedicine.com/medline/citation/33237917/A_pilot_study_demonstrating_the_identification_of_Trypanosoma_brucei_gambiense_and_T__b__rhodesiense_in_vectors_using_a_multiplexed_high_resolution_melt_qPCR_ DB - PRIME DP - Unbound Medicine ER -