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Studying Cryptosporidium Infection in 3D Tissue-derived Human Organoid Culture Systems by Microinjection
Published on: September 14, 2019
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.
Background:
Cryptosporidiosis is a significant cause of diarrheal illness in both immunocompetent and immunocompromised populations. Cryptosporidium species infect a wide range of hosts including humans. Different species are morphologically indistinguishable, and molecular techniques have become the key to detection and source tracking. The present study was designed to study the genetic diversity of human Cryptosporidium isolates in North India.
Methods:
Cryptosporidium oocysts were detected in stool samples by special staining of fecal smears. DNA was extracted with a Qiagen kit and all samples were genotyped by small subunit ribosomal ribonucleic acid (SSU rRNA)-based nested PCR-restriction fragment length polymorphism (RFLP) tool using enzymes SspI and VspI. Cryptosporidium hominis and Cryptosporidium parvum isolates were subtyped by sequence analysis of the nested PCR amplified gp60 gene.
Results:
Fifty-three fecal samples were found to be positive for Cryptosporidium oocysts. RFLP analysis revealed 39 isolates as C. hominis and 13 isolates of C. parvum; one sample failed amplification. gp60-based sequencing of C. hominis and C. parvum divided them into eight subgenotype families and 17 subtypes. gp60-based sequencing identified seven cases of mixed infection with C. hominis and C. parvum/Cryptosporidium meleagridis and showed the presence of C. meleagridis in six HIV-positive patients that were indistinguishable in RFLP.
Conclusions:
Cryptosporidium isolates obtained in the present study from patients in North India belonged to three species, eight subgenotype families, and 17 subtypes. The existence of many Cryptosporidium species, subgenotypes, and subtypes along with mixed infections reveals the complexity of Cryptosporidium transmission; this heterogeneity indicates stable cryptosporidiosis transmission in North India. The results may have further implications in understanding the epidemiology and control of this infection.
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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