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Polymerase Chain Reaction and Dot-Blot Hybridization for Leptospira Detection in Water Samples
Published on: June 14, 2024
Phylogenetic relatedness among leptospiral strains belonging to same serovar recovered from patients with different
K Natarajaseenivasan1, P Vijayachari, S Sharma
1Regional Medical Research Centre, Indian Council of Medical Research, WHO Collaborative Centre for Diagnosis, Research, Reference and Training in Leptospirosis, Port Blair 744101, Andaman and Nicobar Islands, India.
Abstract:
Leptospirosis is an emerging zoonotic disease with widespread distribution. The disease, caused by a large number of pathogenic serovars of leptospires, varies in severity from mild flu like illness to severe and fatal forms. It has often been observed that the strains of the same serovar are associated with different clinical syndromes. In this study the isolates recovered from patients with mild and severe form of leptospirosis and those isolated from rodents trapped in the same areas were analyzed by using random amplified polymorphic DNA (RAPD) fingerprinting method using the primers PB1, M16, B11 and B12. RAPD fingerprinting patterns of these strains consistently showed five different genetic clusters. Strains belonging to serovar Ratnapura that caused hepato-renal involvement in patients in South India were genetically dissimilar to strains of the same serovar isolated from patients in Andamans who had pulmonary complications. Strains of other serovars causing mild and sever illness could also be discriminated. However, isolates obtained from human patients and rodents in the same geographical areas showed identical fingerprint patterns indicating that strains circulating in different geographical regions, though belonging to same serovar, are unique to each region.
Insights
Leptospirosis strains vary genetically, even within the same serovar. This genetic diversity influences disease severity and clinical presentation, with regional strains showing unique patterns.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Leptospirosis is a widespread zoonotic disease caused by diverse Leptospira serovars.
- Clinical manifestations of leptospirosis range from mild to severe, with inconsistent correlations between serovar and disease presentation.
- Understanding the genetic diversity of Leptospira strains is crucial for disease control and epidemiology.
Purpose of the Study:
- To genetically differentiate Leptospira isolates from human leptospirosis cases with varying severity and from rodent reservoirs.
- To investigate the genetic relatedness of Leptospira strains within and between different geographical regions.
- To determine if genetic fingerprinting can discriminate between strains causing different clinical syndromes.
Main Methods:
- Random Amplified Polymorphic DNA (RAPD) fingerprinting was employed.
- Specific primers (PB1, M16, B11, B12) were used for DNA amplification.
- Isolates from human patients (mild and severe leptospirosis) and rodents from the same areas were analyzed.
Main Results:
- RAPD fingerprinting revealed five distinct genetic clusters among the analyzed Leptospira strains.
- Leptospira strains of the same serovar (Ratnapura) exhibited genetic dissimilarity between South India (hepato-renal) and Andaman (pulmonary) isolates.
- Identical fingerprint patterns were observed between human and rodent isolates from the same geographical areas, suggesting regional strain specificity.
Conclusions:
- Genetic variability among Leptospira strains, even within the same serovar, contributes to diverse clinical outcomes.
- Leptospira strains circulating in different geographical regions possess unique genetic profiles, irrespective of serovar.
- RAPD fingerprinting is a valuable tool for discriminating Leptospira strains and understanding their epidemiological patterns.
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