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Rapid identification of Giardia duodenalis assemblages in NSW using terminal-restriction fragment length polymorphism.

Abstract
Humans are infected by 2 genetic assemblages (A and B) of Giardia duodenalis, a protozoan parasite that causes gastro-intestinal disease. Sub-assemblages AI, AII, BIII and BIV are commonly identified in human cases. Detection requires amplification of G. duodenalis loci. Subsequent DNA sequencing or restriction fragment length polymorphism (RFLP) identifies sub-assemblages but is expensive (DNA sequencing) or insensitive (RFLP). This study investigated a fluorescence-based detection method, using terminal-restriction fragment length polymorphism (T-RFLP) of the glutamate dehydrogenase gene to characterize human infections. Clinical samples (n=73), positive for Giardia were collected in New South Wales, Australia, and were used to evaluate T-RFLP detection. The accuracy and sensitivity of T-RFLP detection was established by comparison to DNA sequencing and RFLP. Sub-assemblage assignment by T-RFLP identified BIV as the common subtype in N.S.W cases, whilst AI, AII and BIII were also detected. When compared to DNA sequencing and RFLP, analysis by T-RFLP was a reliable and reproducible method. Automated fluorescent detection enabled accurate sizing of restriction fragments and provided a sensitive alternative to RFLP. Discrimination of sub-assemblages by T-RFLP was comparable to DNA sequencing, but was efficient and inexpensive. The protocol described here provides a rapid and sensitive diagnostic tool for routine sample screenings in epidemiological research.
AuthorsA J Asher, L S Waldron, M L Power
JournalParasitology (Parasitology) Vol. 139 Issue 8 Pg. 1005-13 (Jul 2012) ISSN: 1469-8161 [Electronic] England
PMID22417457 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA, Protozoan
  • Protozoan Proteins
  • Glutamate Dehydrogenase
Topics
  • DNA, Protozoan (genetics, isolation & purification)
  • Feces (parasitology)
  • Fluorescence
  • Giardia lamblia (classification, genetics, isolation & purification)
  • Giardiasis (parasitology)
  • Glutamate Dehydrogenase (genetics)
  • Humans
  • Molecular Sequence Data
  • Molecular Typing (methods)
  • New South Wales
  • Phylogeny
  • Polymerase Chain Reaction
  • Polymorphism, Restriction Fragment Length
  • Protozoan Proteins (genetics)
  • Sensitivity and Specificity
  • Sequence Analysis, DNA

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