Establishment of a two-step duplex fluorescence quantitative PCR method for simultaneous detection of Giardia lamblia and Cryptosporidium parvum
LI Jia1, 2, 3, HUANG Da-na2, ZHANG Xiao-min2, NIU Cong1, 2, 3, WAN Cheng-song1, 3, ZHANG Ren-li1, 2
1.School of Public Health, Southern Medical University, Guangzhou 510515,China; 2. Shenzhen Center for Disease Control and Prevention, Shenzhen 518055,China; 3. Guangdong Province Key Laboratory of Tropical Disease Research, Guangzhou 510515,China
Abstract:Aimed to establish a two-step duplex fluorescence quantitative PCR method for simultaneous detection of Giardia lamblia and Cryptosporidium parvum. Specific primers and TaqMan probes were designed according to the gdh gene sequence of Giardia lamblia and the cowp gene sequence of Cryptosporidium parvum. Then we constructed the standard plasmids. The reaction system and conditions were determined after optimizing the concentration of the primers and probes. The sensitivity, specificity, stability and repeatability of the method were evaluated. What’s more, we compared this established method with gold immunochromat ographic assay by detecting iatrogenic diarrhea samples suspected of "two insects" infection to evaluate its practical application value. The established method could specifically detect Giardia lamblia and Cryptosporidium parvum, and had no amplification curves for other non-target species, which showed good specificity of the method. The sensitivity of the method for simultaneous quantitative amplification of positive plasmids pMDTM19-T-GIA and pMDTM19-T-CRY was 45.1 copies/μl and 52.8 copies/μl, respectively; the standard curve showed good linearity (R2=0.99) between 109 copies/μL101 copies/μL. The coefficient of variation for both intra- and inter-assay replicates was less than 5%. At the same time, the coincidence rate between the established method and gold immunochromat ographic assay is 100%. Resultsof this study suggested that the two-step duplex fluorescence quantitative PCR method not only can be used to detect Giardia lamblia and Cryptosporidium parvum simultaneously, quickly, sensitively and specifically, but also has good practical application value.
[1] 徐宁,尹建海,沈玉娟,等.隐孢子虫和蓝氏贾第鞭毛虫分子流行病学研究进展[J].中国寄生虫学与寄生虫病杂志,2018,36(06):661-665,672. [2] 李少东,周英斌,刘晓莉,等.C2株蓝氏贾第鞭毛虫SUMO特异性蛋白酶基因的克隆、生物信息学分析及其催化活性区的原核表达[J].中国人兽共患病学报,2015,31(03):203-207.DOI:10.3969/j.issn.1002-2694.2015.03.003 [3] Li J, Wang H, Wang R, et al.Giardia duodenalis infections in humans and other animals in China[J]. Front Microbiol, 2017, 8: 2004. DOI: 10.3389/fmicb.2017.02004 [4] Ryan U, Fayer R, Xiao L.Cryptosporidium species in humans and animals: current understanding and research needs[J]. Parasitology, 2014, 141(13): 1667-1685. DOI: 10.1017/S0031182014001085 [5] Striepen B.Parasitic infections: time to tackle cryptosporidiosis[J]. Nature, 2013, 503(7475): 189-191. [6] Parasitic zoonoses. Report of a WHO expert committee with the participation of FAO[J]. World Health Organ Tech Rep Ser, 1979(637): 1-107. [7] 张小萍,何艳燕,朱倩,等.上海市饮用水和环境水中隐孢子虫和蓝氏贾第鞭毛虫污染状况调查[J].中国寄生虫学与寄生虫病杂志,2010,28(06):435-438. [8] Elsafi SH, Al-Maqati TN, Hussein MI, et al.Comparison of microscopy, rapid immunoassay, and molecular techniques for the detection of Giardia lamblia and Cryptosporidium parvum[J]. Parasitol Res, 2013, 112(4): 1641-1646. DOI: 10.1007/s00436-013-3319-1 [9] 张小萍,朱倩,蒋守富,等.两种检测方法应用于城市水源中蓝氏贾第鞭毛虫和隐孢子虫污染的比较研究[J].国际医学寄生虫病杂志,2015,42(06):346-351.DOI: 10.3760/cma.j.issn.1673-4122.2015.06.009 [10] 方远航,李嘉妮.贾第虫和隐孢子虫检测及灭活方法研究现状[J].辽宁化工,2017,46(04):399-401. [11] Fletcher SM, Stark D, Harkness J, et al.Enteric protozoa in the developed world: a public health perspective[J]. Clin Microbiol Rev, 2012, 25(3): 420-449. DOI: 10.1128/CMR.05038-11 [12] 刘晓洁,毛铁波,吴鹏,等.武汉市腹泻婴幼儿隐孢子虫感染的分子流行病学调查[J].中国血吸虫病防治杂志,2017,29(02):188-191,205. [13] Shin JH, Lee SE, Kim TS, et al.Multiplex-touchdown PCR to simultaneously detect Cryptosporidium parvum, Giardia lamblia, and Cyclospora cayetanensis, the major causes of traveler’s diarrhea[J]. Korean J Parasitol, 2016, 54(5): 631-636. [14] Chamberlain JS, Gibbs RA, Ranier JE, et al.Deletion screening of the Duchenne muscular dystrophy locus via multiplex DNA amplification[J]. Nucleic Acids Res, 1988, 16(23): 11141-11156. [15] 杨晓华,侯炎昌.实时荧光PCR检测蓝氏贾第鞭毛虫和隐孢子虫方法的建立[J].热带医学杂志,2013,13(06):741-744. [16] Shin JH, Lee SE, Kim TS, et al.Development of molecular diagnosis using multiplex real-time PCR and T4 phage internalcontrol to simultaneously detect Cryptosporidium parvum, Giardia lamblia, and Cyclosporacayetanensis from human stool samples[J]. Korean J Parasitol, 2018, 56(5): 419-427. DOI: 10.3347/kjp.2018.56.5.419 [17] 高宇航. 实验用牛、羊贾第虫与隐孢子虫多重PCR方法的建立与应用[D].长春:吉林大学,2018. [18] Jex AR, Gasser RB.Diagnostic and analytical mutation scanning of Cryptosporidium: utility and advantages[J]. Expert Rev Mol Diagn, 2009, 9(2): 179-185. DOI: 10.1586/14737159.9.2.179 [19] Read CM, Monis PT, Thompson RC.Discrimination of all genotypes of Giardia duodenalis at the glutamate dehydrogenase locususing PCR-RFLP[J]. Infect Genet Evol, 2004, 4(2): 125-130.