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A semi-automated magnetic capture probe based DNA extraction and real-time PCR method applied in the Swedish surveillance of Echinococcus multilocularis in red fox (Vulpes vulpes) faecal samples

Identifieur interne : 000130 ( Main/Exploration ); précédent : 000129; suivant : 000131

A semi-automated magnetic capture probe based DNA extraction and real-time PCR method applied in the Swedish surveillance of Echinococcus multilocularis in red fox (Vulpes vulpes) faecal samples

Auteurs : Mats Isaksson [Suède] ; Sa Hagström [Suède] ; Maria Teresa Armua-Fernandez [Suisse] ; Helene Wahlström [Suède] ; Erik Olof Gren [Suède] ; Andrea Miller [Suède] ; Anders Holmberg [Suède] ; Morten Lukacs [Suède] ; Adriano Casulli [Italie] ; Peter Deplazes [Suisse] ; Mikael Juremalm [Suède]

Source :

RBID : PMC:4282741

Abstract

Background

Following the first finding of Echinococcus multilocularis in Sweden in 2011, 2985 red foxes (Vulpes vulpes) were analysed by the segmental sedimentation and counting technique. This is a labour intensive method and requires handling of the whole carcass of the fox, resulting in a costly analysis. In an effort to reduce the cost of labour and sample handling, an alternative method has been developed. The method is sensitive and partially automated for detection of E. multilocularis in faecal samples. The method has been used in the Swedish E. multilocularis monitoring program for 2012–2013 on more than 2000 faecal samples.

Methods

We describe a new semi-automated magnetic capture probe DNA extraction method and real time hydrolysis probe polymerase chain reaction assay (MC-PCR) for the detection of E. multilocularis DNA in faecal samples from red fox. The diagnostic sensitivity was determined by validating the new method against the sedimentation and counting technique in fox samples collected in Switzerland where E. multilocularis is highly endemic.

Results

Of 177 foxes analysed by the sedimentation and counting technique, E. multilocularis was detected in 93 animals. Eighty-two (88%, 95% C.I 79.8-93.9) of these were positive in the MC-PCR. In foxes with more than 100 worms, the MC-PCR was positive in 44 out of 46 (95.7%) cases. The two MC-PCR negative samples originated from foxes with only immature E. multilocularis worms. In foxes with 100 worms or less, (n = 47), 38 (80.9%) were positive in the MC-PCR.

The diagnostic specificity of the MC-PCR was evaluated using fox scats collected within the Swedish screening. Of 2158 samples analysed, two were positive. This implies that the specificity is at least 99.9% (C.I. = 99.7 -100).

Conclusions

The MC-PCR proved to have a high sensitivity and a very high specificity. The test is partially automated but also possible to perform manually if desired. The test is well suited for nationwide E. multilocularis surveillance programs where sampling of fox scats is done to reduce the costs for sampling and where a test with a high sensitivity and a very high specificity is needed.


Url:
DOI: 10.1186/s13071-014-0583-6
PubMed: 25522844
PubMed Central: 4282741


Affiliations:


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<name sortKey="Casulli, Adriano" sort="Casulli, Adriano" uniqKey="Casulli A" first="Adriano" last="Casulli">Adriano Casulli</name>
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<name sortKey="Deplazes, Peter" sort="Deplazes, Peter" uniqKey="Deplazes P" first="Peter" last="Deplazes">Peter Deplazes</name>
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<nlm:aff id="Aff1">Department of Virology Immunobiology and Parasitology, National Veterinary Institute, Uppsala, Sweden</nlm:aff>
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<title>Background</title>
<p>Following the first finding of
<italic>Echinococcus multilocularis</italic>
in Sweden in 2011, 2985 red foxes (
<italic>Vulpes vulpes</italic>
) were analysed by the segmental sedimentation and counting technique. This is a labour intensive method and requires handling of the whole carcass of the fox, resulting in a costly analysis. In an effort to reduce the cost of labour and sample handling, an alternative method has been developed. The method is sensitive and partially automated for detection of
<italic>E. multilocularis</italic>
in faecal samples. The method has been used in the Swedish
<italic>E. multilocularis</italic>
monitoring program for 2012–2013 on more than 2000 faecal samples.</p>
</sec>
<sec>
<title>Methods</title>
<p>We describe a new semi-automated magnetic capture probe DNA extraction method and real time hydrolysis probe polymerase chain reaction assay (MC-PCR) for the detection of
<italic>E. multilocularis</italic>
DNA in faecal samples from red fox. The diagnostic sensitivity was determined by validating the new method against the sedimentation and counting technique in fox samples collected in Switzerland where
<italic>E. multilocularis</italic>
is highly endemic.</p>
</sec>
<sec>
<title>Results</title>
<p>Of 177 foxes analysed by the sedimentation and counting technique,
<italic>E. multilocularis</italic>
was detected in 93 animals. Eighty-two (88%, 95% C.I 79.8-93.9) of these were positive in the MC-PCR. In foxes with more than 100 worms, the MC-PCR was positive in 44 out of 46 (95.7%) cases. The two MC-PCR negative samples originated from foxes with only immature
<italic>E. multilocularis</italic>
worms. In foxes with 100 worms or less, (
<italic>n</italic>
 = 47), 38 (80.9%) were positive in the MC-PCR.</p>
<p>The diagnostic specificity of the MC-PCR was evaluated using fox scats collected within the Swedish screening. Of 2158 samples analysed, two were positive. This implies that the specificity is at least 99.9% (C.I. = 99.7 -100).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The MC-PCR proved to have a high sensitivity and a very high specificity. The test is partially automated but also possible to perform manually if desired. The test is well suited for nationwide
<italic>E. multilocularis</italic>
surveillance programs where sampling of fox scats is done to reduce the costs for sampling and where a test with a high sensitivity and a very high specificity is needed.</p>
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<name sortKey="Mackenstedt, U" uniqKey="Mackenstedt U">U Mackenstedt</name>
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<name sortKey="Hegglin, D" uniqKey="Hegglin D">D Hegglin</name>
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<author>
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<name sortKey="Ajzenberg, D" uniqKey="Ajzenberg D">D Ajzenberg</name>
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<name sortKey="Cliquet, F" uniqKey="Cliquet F">F Cliquet</name>
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<name sortKey="Kapel, Cm" uniqKey="Kapel C">CM Kapel</name>
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<name sortKey="Mathis, A" uniqKey="Mathis A">A Mathis</name>
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<li>Canton de Zurich</li>
<li>Latium</li>
<li>Svealand</li>
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<li>Rome</li>
<li>Stockholm</li>
<li>Zurich</li>
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<name sortKey=" Gren, Erik Olof" sort=" Gren, Erik Olof" uniqKey=" Gren E" first="Erik Olof" last=" Gren">Erik Olof Gren</name>
<name sortKey="Hagstrom, Sa" sort="Hagstrom, Sa" uniqKey="Hagstrom " first=" Sa" last="Hagström"> Sa Hagström</name>
<name sortKey="Holmberg, Anders" sort="Holmberg, Anders" uniqKey="Holmberg A" first="Anders" last="Holmberg">Anders Holmberg</name>
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<name sortKey="Lukacs, Morten" sort="Lukacs, Morten" uniqKey="Lukacs M" first="Morten" last="Lukacs">Morten Lukacs</name>
<name sortKey="Miller, Andrea" sort="Miller, Andrea" uniqKey="Miller A" first="Andrea" last="Miller">Andrea Miller</name>
<name sortKey="Wahlstrom, Helene" sort="Wahlstrom, Helene" uniqKey="Wahlstrom H" first="Helene" last="Wahlström">Helene Wahlström</name>
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<country name="Suisse">
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<name sortKey="Deplazes, Peter" sort="Deplazes, Peter" uniqKey="Deplazes P" first="Peter" last="Deplazes">Peter Deplazes</name>
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<name sortKey="Casulli, Adriano" sort="Casulli, Adriano" uniqKey="Casulli A" first="Adriano" last="Casulli">Adriano Casulli</name>
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</record>

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