Rapid isothermal molecular tests to discriminate between Leishmania braziliensis and Leishmania infantum infections in dogs
- PMID: 39773298
- PMCID: PMC11705694
- DOI: 10.1186/s13071-024-06633-7
Rapid isothermal molecular tests to discriminate between Leishmania braziliensis and Leishmania infantum infections in dogs
Abstract
Background: We standardized two recombinase polymerase amplification (RPA) assays coupled with lateral flow (LF) strips for the detection of Leishmania braziliensis and Leishmania infantum kinetoplast DNA (kDNA).
Methods: The RPA-LF assays were tested at different temperatures and reaction times, using DNA from cultured L. braziliensis and L. infantum. The L. infantum RPA-LF was also tested using clinical samples (bone marrow and skin) from infected and uninfected dogs.
Results: The detection limits (analytical sensitivity) of the assays were 0.04 pg/μl and 0.04 ng/μl for L. braziliensis and L. infantum kDNA, respectively. Using clinical samples, the L. infantum RPA-LF successfully detected the parasite kDNA in bone marrow (21/30; 70.0%) and skin samples (23/30, 76.6%) from naturally infected dogs. We found an almost perfect agreement (kappa = 0.807) between RPA-LF for L. infantum and our reference quantitative real-time polymerase chain reaction (qPCR), considering clinical samples with a quantification cycle (Cq) < 30, whereas the agreement with samples with a Cq > 30 (lower parasite loads) was moderate (kappa = 0.440).
Conclusions: The RPA-LF assays developed here may be promising diagnostic tools for point-of-care diagnosis of L. infantum and L. braziliensis infection in dogs, particularly in remote rural areas lacking laboratory infrastructure.
Keywords: Isothermal amplification; Leishmaniasis; Molecular diagnosis; Point-of-care; Recombinase.
© 2025. The Author(s).
Conflict of interest statement
Declarations. Ethics approval and consent to participate: This study used samples obtained from dogs during a previous study, whose procedures were approved by the Ethics Committee on Animal Use of Andradina Educational Foundation (CEUA/FEA nº 0010). The procedures of the current study were also assessed and authorized by the Ethics Committee on Animal Use of Aggeu Magalhães Institute (CEUA nº 153/19). Consent for publication: Not applicable. Competing interests: Filipe Dantas-Torres is the Editor-in-Chief of Parasites & Vectors.
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