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Leishmania Case Study

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All of lesions were ulcerative with different size. Isolates that caused great scars, located in the same clade in dendrogram. According to the questionnaires, all of the patients, suffering from L. major infections were from endemic areas, or had a history of travel to endemic areas. Leishmania amastigote was identified, using Giemsa stained smears, obtained from all isolated samples. Some of the PCR products represented a mix infection, from two to three species of Leishmania. All the samples were examined, using PCR. Species-specific band observed in all of samples (Fig 3).
At least 20 L. major kDNA haplotypes have been identified, by sequence alignment, in comparaison with sequences, presented in GenBank. Only 20 out of 80 (25%) PCR …show more content…

In this study, we have used kDNA gene as a tool to evaluate the genetic diversity of Leishmania Spp. The kDNA contains thousands of mini-circles and dozens of maxi-circles, concatenated in a giant network 24. The structure of kinetoplast DNA is unique for a mitochondrial genome 23,25,26. The 10,000 kinetoplast mini-circles are distributed among 10 different sequence classes 4,23,27-29. The number of mini-circles in each class is very variable, dividing into conserved and variable region 4,23,30. The high copy number (10000 to 26000) of the Leishmania mini-circles, makes it as a reliable target for molecular analysis of Leishmania Spp. 4,24,29,31,32. The conserved region of these mini-circles has been used as a diagnostic PCR target, since 1990s 33. The kDNA-PCR seems to be the most sensitive approach for diagnosis of leishmaniasis, suggested to be implemented as the standard method for routine diagnosis, if the identification of species is not required 34.
In this study, despite the fact that all isolates belonged to different county in Ilam province, but all were positive for Leishmania major. Our analysis showed an intra-species genetic diversity and 20 isolates were divided into four clades in dendrogram. So that, clad 1 contains (10fv, 11fv, 22fv, 23fv and 158fv taken from Farokhabad village in Dehloran county and 16d belongs to the Dehloran city), geographically closed to each other. Clad 2

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