T. cruzi OligoC-TesT : a simplified and standardized polymerase chain reaction format for diagnosis of Chagas disease

BACKGROUND: PCR has evolved into one of the most promising tools for T. cruzi detection in the diagnosis and control of Chagas disease. However, general use of the technique is hampered by its complexity and the lack of standardization.

METHODOLOGY: We here present the development and phase I evaluation of the T. cruzi OligoC-TesT, a simple and standardized dipstick format for detection of PCR amplified T. cruzi DNA. The specificity and sensitivity of the assay were evaluated on blood samples from 60 Chagas non-endemic and 48 endemic control persons and on biological samples from 33 patients, 7 reservoir animals, and 14 vectors collected in Chile.

PRINCIPAL FINDINGS: The lower detection limits of the T. cruzi OligoC-TesT were 1 pg and 1 to 10 fg of DNA from T. cruzi lineage I and II, respectively. The test showed a specificity of 100% (95% confidence interval [CI]: 96.6%-100%) on the control samples and a sensitivity of 93.9% (95% CI: 80.4%-98.3%), 100% (95% CI: 64.6%-100%), and 100% (95% CI: 78.5%-100%) on the human, rodent, and vector samples, respectively.

CONCLUSIONS: The T. cruzi OligoC-TesT showed high sensitivity and specificity on a diverse panel of biological samples. The new tool is an important step towards simplified and standardized molecular diagnosis of Chagas disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2009

Erschienen:

2009

Enthalten in:

Zur Gesamtaufnahme - volume:3

Enthalten in:

PLoS neglected tropical diseases - 3(2009), 6 vom: 02. Juni, Seite e450

Sprache:

Englisch

Beteiligte Personen:

Deborggraeve, Stijn [VerfasserIn]
Coronado, Ximena [VerfasserIn]
Solari, Aldo [VerfasserIn]
Zulantay, Ines [VerfasserIn]
Apt, Werner [VerfasserIn]
Mertens, Pascal [VerfasserIn]
Laurent, Thierry [VerfasserIn]
Leclipteux, Thierry [VerfasserIn]
Stessens, Tim [VerfasserIn]
Dujardin, Jean-Claude [VerfasserIn]
Herdewijn, Piet [VerfasserIn]
Büscher, Philippe [VerfasserIn]

Links:

Volltext

Themen:

DNA, Protozoan
Evaluation Study
Journal Article

Anmerkungen:

Date Completed 26.02.2010

Date Revised 24.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1371/journal.pntd.0000450

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM189105577