Identification of Trypanosoma cruzi by DNA Amplification Using New Primers in the Polymerase Chain Reaction (PCR)
Trypanosoma cruzi. Primers 18S. COX II. NADH 1. NADH 5.
Chagas disease (CD) is a parasitic infection caused by the flagellated protozoan
Trypanosoma cruzi. The diagnosis of the chronic phase of Chagas disease is
performed mainly by serological tests, which detect specific anti-T. cruzi antibodies.
However, inconclusive or false-positive results are recurrent, mainly due to cross
reactions with other trypanosomatids. Thus, advances in molecular biology are
responsible for significantly improving the diagnosis of the infection. The objective of
this study was to identify T. cruzi from different DTUs by DNA amplification with new
primers in the Polymerase Chain Reaction (PCR). Primer design was based on DNA
sequences of T. cruzi reference strains, clones and isolates deposited in NCBI
GenBank for the kDNA genes: 9S, 18S, Cytochrome B, Cytochrome Oxidase subunit
II (COX II), NADH dehydrogenase subunit 1 (NADH 1) and NADH dehydrogenase
subunit 5 (NADH 5). Primers were designed using NCBI Primer Blast software. After
manual checking and in silico testing, the most promising primers designed for the 18S
gene (5’
–
CAAGCGGCTGGGTGGTTATT
–
3’ and 3’
–
CACGGATTTCCCACAAAGGC – 5’) produced a 104bp fragment, COX II (5’ –
TGTTATCCATTCATTTACGTTAGC – 3’ and 3’ – CATAACTCGCTGCATTGC – 5’)
produced a 122bp fragment, NADH 1 (5’ – AAGTCCAGCAACCAATTCACTT – 3’ and
3’ – CGTTACTCTGTGATGGCTTGA – 5’) formed a 71bp band and NADH 5 (5’ –
AGAGTACACAGTTTGGGTTG – 3’ and 3’ – CCACATACAACTAACGTTGC – 5’),
which produced a 100bp band were selected for the study. Initially, the PCR conditions
were tested for the four chosen primer pairs and the annealing temperatures were
defined as 60ºC (18S), 48ºC (COX II), 57ºC (NADH 1) and 55ºC (NADH 5). Then, the
analytical sensitivity test was performed with different DTUs, DNA concentrations and
parasite quantity. The primers designed for 18S detected the parasite at concentrations
of 1000fg to 0.1fg in TcI (Col 1.7), from 1000fg to 1fg in TcII (Y) and 1000fg to 10fg in
TcIII (CBS56). The analytical sensitivity of the parasite concentration in the blood
sample revealed that the 18S primers were able to detect T. cruzi DNA at
concentrations of 1000p/mL in TcI and TcII samples; and from 10pmL to 1000p/mL in
TcIII. The COXII PCR did not achieve adequate standardization. The primers used for
the NADH 1 and NADH 5 PCR were not able to detect all the DTUs tested. The
identification of T. cruzi was not very efficient in human blood samples, from
domesticated animals such as Canis familiaris, Ovis aries and Capra hircus and the
parasite DNA was identified in all T. cruzi samples from cultures of intestinal contents
of triatomines.