Key result
Novel Spin-Tube assay detects and discriminates Trypanosoma cruzi and Leishmania major at ~9 copies per µL.
Why the study?
Leishmaniasis and Chagas disease are endemic and re-emerging, making rapid and accurate diagnosis important for early treatment and preventing complications.
A novel colorimetric molecular assay using a micro Spin-Tube device provides rapid, sensitive, and specific discrimination of Leishmania major and Trypanosoma cruzi.
May support portable diagnostics for neglected tropical diseases; leaves open clinical validation in humans.
Leishmaniasis and Chagas disease are endemic in many countries, and re-emerging in the developed countries. A rapid and accurate diagnosis is important for early treatment for reducing the duration of infection as well as for preventing further potential health complications. In this work, we have developed a novel colorimetric molecular assay that integrates nucleic acid analysis by dynamic chemistry (ChemNAT) with reverse dot-blot hybridization in an array format for a rapid and easy discrimination of Leishmania major and Trypanosoma cruzi. The assay consists of a singleplex PCR step that amplifies a highly homologous DNA sequence which encodes for the RNA component of the large ribosome subunit. The amplicons of the two different parasites differ between them by single nucleotide variations, known as "Single Nucleotide Fingerprint" (SNF) markers. The SNF markers can be easily identified by naked eye using a novel micro Spin-Tube device "Spin-Tube", as each of them creates a specific spot pattern. Moreover, the direct use of ribosomal RNA without requiring the PCR pre-amplification step is also feasible, further increasing the simplicity of the assay. The molecular assay delivers sensitivity capable of identifying up to 8.7 copies per µL with single mismatch specificity. The Spin-Tube thus represents an innovative solution providing benefits in terms of time, cost, and simplicity, all of which are crucial for the diagnosis of infectious disease in developing countries.
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Tabraue-Chávez et al. (2019) studied Leishmaniasis and Chagas disease. Spin-Tube colorimetric assay was evaluated on Limit of detection and specificity for Trypanosomatid species. The novel Spin-Tube colorimetric assay successfully detected and discriminated Leishmania major and Trypanosoma cruzi with a sensitivity of 8.7 copies per µL and single mismatch specificity.
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