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Development, Optimisation and Validation of a Novel Multiplex Real-Time PCR Method for the Simultaneous Detection of Cryptosporidium spp., Giardia duodenalis and Dientamoeba fragilis.


ABSTRACT: The enteric protozoan parasites Cryptosporidium spp., Giardia duodenalis and Dientamoeba fragilis are-to various extents-contributors to the burden of gastrointestinal illness in high-income countries. Detection of these pathogens by microscopy examination is challenging because of the limited sensitivity and need for specific staining procedures. We developed and optimised a new multiplex real-time PCR assay for the simultaneous detection of Cryptosporidium spp., G. duodenalis and D. fragilis in clinical (stool) samples. The diagnostic performance of the assay was evaluated against a large panel of well-characterised DNA samples positive for Cryptosporidium spp. (n = 126), G. duodenalis (n = 132) and D. fragilis (n = 49). The specificity of the test was assessed against a DNA panel from other intestinal or phylogenetically related parasites (n = 105) and faecal DNA from individuals without clinical manifestations (n = 12). The assay exhibited a diagnostic sensitivity of 0.90-0.97 and a diagnostic specificity of 1. The limit of detection was estimated for Cryptosporidium (1 oocyst) and G. duodenalis (5 × 10-4 cysts). The method allowed the detection of four Cryptosporidium species (C. hominis, C. parvum, C. meleagridis and C. cuniculus) and five G. duodenalis assemblages (A-E) without cross-reacting with other parasites belonging to the phyla Amoebozoa, Apicomplexa, Euglenozoa, Microsporidia, Nematoda and Platyhelminthes. This newly developed multiplex real-time PCR assay represents a novel alternative for the rapid and accurate detection of Cryptosporidium, G. duodenalis and D. fragilis in clinical settings.

SUBMITTER: Sanchez I 

PROVIDER: S-EPMC9693193 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Development, Optimisation and Validation of a Novel Multiplex Real-Time PCR Method for the Simultaneous Detection of <i>Cryptosporidium</i> spp., <i>Giardia duodenalis</i> and <i>Dientamoeba fragilis</i>.

Sánchez Isbene I   Dashti Alejandro A   Köster Pamela C PC   Bailo Begoña B   González Nuria N   Allende Janire J   Stensvold Christen Rune CR   Carmena David D   González-Barrio David D  

Pathogens (Basel, Switzerland) 20221031 11


The enteric protozoan parasites <i>Cryptosporidium</i> spp., <i>Giardia duodenalis</i> and <i>Dientamoeba fragilis</i> are-to various extents-contributors to the burden of gastrointestinal illness in high-income countries. Detection of these pathogens by microscopy examination is challenging because of the limited sensitivity and need for specific staining procedures. We developed and optimised a new multiplex real-time PCR assay for the simultaneous detection of <i>Cryptosporidium</i> spp., <i>  ...[more]

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