Genetic diversity of Cryptosporidium isolates from patients in North India

Poonam Sharma1, Aman Sharma, Rakesh Sehgal

  • 1Department of Parasitology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Insights

Genetic diversity analysis of Cryptosporidium in North India reveals three species, eight subgenotypes, and 17 subtypes. This heterogeneity suggests stable cryptosporidiosis transmission and highlights the complexity of parasite spread.

Area of Science:

  • Medical Parasitology
  • Molecular Epidemiology
  • Infectious Diseases

Background:

  • Cryptosporidiosis, a significant cause of diarrheal illness, affects diverse populations globally.
  • Morphological identification of Cryptosporidium species is challenging, necessitating molecular techniques for accurate detection and tracking.
  • Human Cryptosporidium infections are caused by various species, with differing impacts on immunocompetent and immunocompromised individuals.

Purpose of the Study:

  • To investigate the genetic diversity of human Cryptosporidium isolates in North India.
  • To identify different Cryptosporidium species, subgenotypes, and subtypes circulating in the region.
  • To understand the implications of genetic heterogeneity on cryptosporidiosis transmission dynamics.

Main Methods:

  • Detection of Cryptosporidium oocysts in stool samples using special staining.
  • DNA extraction followed by genotyping via nested PCR-restriction fragment length polymorphism (PCR-RFLP) targeting the SSU rRNA gene with SspI and VspI enzymes.
  • Subtyping of Cryptosporidium hominis and Cryptosporidium parvum isolates using gp60 gene sequence analysis.

Main Results:

  • Fifty-three positive Cryptosporidium stool samples were analyzed.
  • PCR-RFLP identified 39 isolates as C. hominis and 13 as C. parvum.
  • gp60 sequencing revealed eight subgenotype families and 17 subtypes, including mixed infections and Cryptosporidium meleagridis in HIV-positive patients.

Conclusions:

  • Cryptosporidium isolates from North India exhibit significant genetic diversity, encompassing three species, eight subgenotype families, and 17 subtypes.
  • The observed genetic heterogeneity and mixed infections indicate complex and stable transmission patterns of cryptosporidiosis in the region.
  • Understanding this molecular diversity is crucial for effective epidemiology and control strategies against Cryptosporidium infections.

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