Abstract
Paraffin-embedded samples commonly stored at educational and research institutions constitute tissues banks for follow-up or epidemiological studies; however, the paraffin inclusion process involves the use of substances that can cause DNA degradation. In this study, a PCR protocol was applied to identify Leishmania strains in 33 paraffin-embedded skin samples of patients with American cutaneous leishmaniasis. DNA was obtained by the phenol-chloroform protocol following paraffin removal and then used in PCR or nested PCR based on the nucleotide sequence of the small subunit ribosomal RNA (SSU rDNA). The amplicons obtained were cloned and sequenced to determine the single nucleotide polymorphism that distinguishes between different Leishmania species or groups. This assay allowed to distinguish organisms belonging to the subgenus Viannia and identify L. (Leishmania) amazonensis and L. (L.) chagasi of the Leishmania subgenus. Of the 33 samples, PCR and nested PCR identified 91% of samples. After sequencing the PCR product of 26 samples, 16 were identified as L. (L.) amazonensis, the other 10 contain organisms belonging to the L. (Viannia) sub-genus. These results open a huge opportunity to study stored samples and promote relevant contributions to epidemiological studies.
Similar content being viewed by others
References
Akkafa F, Dilmee F, Alpua Z (2008) Identification of Leishmania parasites in clinical samples obtained from cutaneous leishmaniasis patients using PCR-RFLP technique in endemic region, Sanliurfa province, in Turquey. Parasitol Res 103:583–586. doi:10.1007/s00436-008-1013-5
Amato VS, Tuon FF, Andrade HF Jr, Bacha H, Pagliari C, Fernandes ER, Duarte MIS, Neto VA, Zampieri RA, Floeter-Winter LM et al (2009) Immunohistochemistry and polymerase chainreaction on paraffin embedded material improve the diagnosis of cutaneous leishmaniasis in theAmazon region. Int J Dermatol 48:1091–1095
Andrade HM, Reis AB, Santos SL, Volpini AC, Marques MJ, Romanha AJ (2006) Use of PCR RFLP to identify Leishmania species in naturally-infected dogs. Vet Parasitol 140:231–238. doi:10.1016/j.vetpar.2006.03.031
Antinori S, Calattini S, Piolini R, Longhi E, Bestetti G, Cascio A, Parravicini C, Corbellino M (2009) Is real-time polymerase chain reaction (PCR) more useful than a conventional pcr for the clinical management of leishmaniasis? Am J Trop Med Hyg 81(1):46–51
Basano AS, Camargo LMA (2004) Leishmaniose tegumentar americana: histórico, epidemiologia e perspectivas. Rev Bras Epidemiol 7(3):328–337
Brasil Ministério da Saúde. Secretaria de Vigilância em Saúde Departamento de Vigilância Epidemiológica (2007) Manual de Vigilância da Leishmaniose Tegumentar Americana Brasília. Editora do Ministério da Saúde
Castilho TM, Shaw JJ, Floeter-Winter LM (2002) New PCR assay using glucose-6-phosphate dehydrogenase for identification of Leishmania Species. J Clin Microbiol 41(2):540–546. doi:10.1128/JCM.41.2.540-546.2003
Coelho LIC, Paes M, Guerra JA, Barbosa MG, Coelho C, Lima B, Brito ME, Brandão Filho SP (2010) Characterization of Leishmania spp. causing cutaneous leishmaniasis in Manaus, Amazonas, Brazil. Parasitol Res. doi:10.1007/s00436-010-2193-9
Floeter-Winter LM, Uliana SRB (1993) Molecular Biology applied to parasitology: the ribosomal cistron as a tool in taxonomic and phylogenetic studies and as model for gene expression analysis. Cienc Cult 45(3):210–215
Foulet F, Botterel F, Buffet P, Morizot G, Rivollet MD, Pratlong F et al (2007) Detection and identification of Leishmania Species from clinical specimens by using real-time PCR assayand sequencing of the cytocrome b Gene. J Clin Microbiol 45(7):2110–2115. doi:10.1128/JCM.02555-06
Gomes AHS, Armelin IM, Menon SZ, Pereira-Chioccola VL (2008) Leishmania (V.) braziliensis: detection by PCR in biopsies from patients with cutaneous leishmaniasis. Exp Parasitol 119:319–324
Ishikawa EAY, Silveira FT, Magalhães ALP, Guerra RB Jr, Mello MN, Gomes R, Silveira TG, Shaw JJ (2002) Genetic variation in populations of Leishmania species in Brazil. Trans Roy Soc Trop Med Hyg 96:S1111–S1121
Lanús EC, Piñero JE, González AC, Valladares B, Grosso ML, Salomón O (2005) Detection of Leishmania braziliensis in human paraffin-embedded tissues from Tucumán, Argentina by polymerase chain reaction. Mem Inst Oswaldo Cruz 100(2):187–192
Laskay T, Mikó TL, Negesse Y, Solbach W, Rollinghoff M, Frommel D (1995) Detection of cutaneous leishmaniasis infection in paraffin-embedded skin biopsies using the polymerase chain reaction. Trans R Soc Trop Med Hyg 89:273–275
Lehmann U, Kreipe H (2001) Real-Time PCR analysis of DNA and RNA extracted from formalin-fixed and paraffin-embededd biopsies. Methods 25(4):409–418. doi:10.1006/meth.2001.1263
Marfurt J, Nasereddin A, Niederwieser I, Jaffe CL, Beck HP, Felger I (2003) Identification and differentiation of Leishmania species in clinical samples by PCR amplification of the Miniexon Sequence and Subsequent Restriction Fragment Length Polymorphism Analysis. J Clin Microbiol 41(7):3147–3153. doi:10.1128/JCM.41.7.3147-3153.2003
Meide WM, Guerra J, Choone G, Farenhorst M, Coelho L, Faber W, Peeckel I, Schalling H (2008) Comparison between quantitative nucleic acid sequence-based amplification, real-time reverse transcriptase PCR, and real-time PCR for quantification of Leishmania parasites. J Clin Microbiol 46(1):73–78. doi:10.1128/JCM.01416-07
Muller N, Zimmermann V, Forster U, Bienz M, Gottstein B, Welle M (2003) PCR-based detection of canine Leishmania infections in formalin-fixed and paraffin-embedded skin biopsies:elaboration of a protocol for qualify assessment of the diagnosis amplification reaction. Vet Parasitol 114:223–229. doi:10.1016/S0304-4017(03)00139-0
Mullis KB (1990) The unusual origin of the polymerase chain reaction: a surprisingly simple method for making unlimited copies of DNA fragments was conceived under unlikely circumstances—during a moonlit drive through the mountains of California. Sci Am April:36–43
Rivero ERC, Neves AC, Silva-Valenzuela MG, Sousa SOM, Nunes FD (2006) Simple saltingout method for DNA detection from formalin-fixed, paraffin embedded tissues. Pathol Res Pract 202(7):523–529. doi:10.1016/j.prp.2006.02.007
Rodgers MR, Popper J, Wirth DF (1990) Amplification of Kinetoplast DNA as a tool in the detection and diagnosis of Leishmania. Exp Parasitol 71:267–275
Savani ESMM, Camargo MCGO, Carvalho MR, Zampieri RA, Santos MG, D’Áuria SRN, Shaw JJ, Floeter-Winter LM (2004) The first record in the Américas of na authochthonous case of Leishmania (Leishmania) infantum chagasi in a domestic cat (Felix catus) from Cotia County, SãoPaulo State, Brazil. Vet Parasitol 120:229–233. doi:10.1016/j.vetpar.2004.01.008
Savani ESMM, Nunes VLB, Galati EAB, Castilho TMC, Araujo FS, Ilha IMN, Camargo MCGO, D’Auria SRN, Floeter-Winter LM (2005) Ocurrence of co-infection by Leishmania (Leishmania) chagasi and Trypanosoma (Trypanozoon) evansi in a dog in the state of MatoGrosso do Sul, Brazil. Mem Inst Oswaldo Cruz 100(7):739–741
Scott JAG, Marston EL, Hall AJ, Marsh K (2003) Diagnosis of pneumococcal pneumonia by psaA PCR analysis of lunf aspirates from adult patients in Kenya. J Clin Pathol 41(6):2554–2559. doi:10.1128/JCM.41.6.2554-2559.2003
Shahbazi F, Shahabi S, Bahram K, Mohebali M, Abadi AR, Zare Z (2008) Evaluation of PCR assay in diagnosis and identification of cutaneous leishmaniasis: a comparison with the parasitological methods. Parasitol Res 103:1159–1162. doi:10.1007/s00436-008-1111-4
Silveira FT, Lainson R, Corbett CEP (2004) Clinical and immunopathological spectrum of American cutaneous leishmaniasis with special reference to the disease in amazonian Brazil - a review. Mem Inst Oswaldo Cruz 99(3):239–251
Silveira FT, Lainson R, Corbett CEP (2005) Further observations on clinical, histopathological, and immunological features of borderline disseminated cutaneous leishmaniasis caused by Leishmania (Leishmania) amazonensis. Mem Inst Oswaldo Cruz 100(5):525–534
Silveira FT, Muller SR, Souza AA, Lainson RL, Gomes CMC, Laurenti MD, Corbett CEP (2008) Revisão sobre a patogenia da Leishmaniose Tegumentar Americana na Amazônia, com ênfase à doença causada por Leishmania (V.) braziliensis e Leishmania (L.) amazonensis. Rev Para Med 22(1):9–20
Silveira FT, Lainson R, Corbett CE (2010) Leishmaniose tegumentar americana In: Belda Jr., Di Chiacchio N & Criado PR (Eds). Tratado de Dermatologia. Ed. Atheneu, Vol. 1, São Paulo, São Paulo, pp 1.423–1.455
Srinivasan M, Sedmak D, Jewell S (2002) Effect of fixatives and tissue processing on the content and integrity of nucleic acids. Am J Pathol 161(6):1961–1971
Tokuda Y, Nakamura T, Satonaka K, Maeda S, Doi K, Baba S, Sugiyama T (1990) Fundamental study on the mechanism of DNA degradation in tissues in formaldehyde. J Clin Pathol 43:748–751
Uliana SRB, Affonso MHT, Camargo EP, Floeter-Winter LM (1991) Leishmania: genus identification based on a specific sequence of the 18S ribosomal RNA sequence. Exp Parasitol 72:157–163
Uliana SRB, Nelson K, Beverley SM, Camargo EP, Floeter-Winter LM (1994) Discrimination amongst Leishmania by Polimerase chain reaction and hybridization with small subunit ribosomal DNA derived oligonucleotides. J Euk Microbiol 41(4):324–330
Volpini AC, Passos VMA, Oliveira GC, Romanha AJ (2006) PCR-RFLP to identify Leishmania (Viannia) braziliensis and L. (Leishmania) amazonensis causing American cutaneous leishmaniasis. Acta Trop 90:31–37. doi:10.1016/j.actatropica.2003.10.008
Weigle KA, Labrada LA, Lozano C, Santrich C, Barker DC (2002) PCR-based diagnosis of acute and chronic cutaneous leishmaniasis caused by Leishmania (Viannia). J Clin Microbiol 40(2):601–606. doi:10.1128./JCM.40.2.601-606.2002
Yagi S, Schuster FL, Visvesvara GS (2008) Demonstration of Balamuthia and Acanthamoeba mitochondrial DNA in sectioned archival brain and others tissues by polimerase chain reaction. Parasitol Res 102:491–497. doi:10.1007/s00436-007-0789-z
Acknowledgements
The authors would like to thank the Fundação de Amparo à Pesquisa do Estado de São Paulo (Proc. FAPESP 06/56319-1) and the Laboratório de Patologia de Moléstias Infecciosas (LIM-50/ HC-FMUSP) for their financial support of this project and the Coordenadoria de Aperfeiçoamento Pessoal and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for the grant conceded.
Conflicts of interest statement
The authors have no conflicts of interest concerning the work reported in this paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
de Lima, A.C.S., Zampieri, R.A., Tomokane, T.Y. et al. Leishmania sp. identification by PCR associated with sequencing of target SSU rDNA in paraffin-embedded skin samples stored for more than 30 years. Parasitol Res 108, 1525–1531 (2011). https://doi.org/10.1007/s00436-010-2208-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00436-010-2208-0