Faecal examination and PCR to detect Strongyloides venezuelensis in experimentally infected Lewis rats

Nelson Mendes Marra1, Fernanda Chiuso-Minicucci, Gabriel Capella Machado

  • 1Departamento de Microbiologia e Imunologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, SP, Brasil, 18618-000.

Insights

Sensitive molecular diagnostic methods are crucial for diagnosing strongyloidiasis. Polymerase chain reaction (PCR) using a genus primer demonstrated high sensitivity for detecting Strongyloides venezuelensis in low-burden infections in rats.

Area of Science:

  • Veterinary Parasitology
  • Molecular Diagnostics
  • Infectious Disease Research

Background:

  • Accurate diagnosis of strongyloidiasis is essential for effective treatment and control.
  • Current diagnostic methods may lack sensitivity, particularly in low-parasite-burden cases.
  • Novel molecular techniques are being explored to improve diagnostic accuracy.

Purpose of the Study:

  • To compare the diagnostic sensitivity of the McMaster modified technique and polymerase chain reaction (PCR) assays for detecting Strongyloides venezuelensis.
  • To evaluate the impact of parasite burden and primer specificity on assay performance.
  • To identify the most sensitive method for diagnosing low-level infections.

Main Methods:

  • Lewis rats were infected with varying doses of Strongyloides venezuelensis larvae (high, moderate, low).
  • Fecal samples were analyzed using the McMaster modified technique (eggs per gram - EPG) and PCR with species- and genus-specific primers.
  • Parasite burden was assessed by counting adult nematodes in the small intestine.

Main Results:

  • All methods achieved 100% sensitivity at the highest parasite load.
  • In moderate infections, EPG and genus-specific PCR maintained 100% sensitivity, while species-specific PCR sensitivity dropped to 77.7%.
  • In low infections, sensitivity was 60% for EPG, 0% for species-specific PCR, and 90% for genus-specific PCR.

Conclusions:

  • Polymerase chain reaction (PCR) with a genus primer exhibits high sensitivity for detecting Strongyloides venezuelensis.
  • This genus-specific PCR assay is a promising tool for diagnosing strongyloidiasis, especially in cases with very low parasite burdens.
  • The findings highlight the importance of primer selection in PCR-based diagnostics for parasitic infections.

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