›› 1997, Vol. 15 ›› Issue (1): 2-10.

• 论著 • Previous Articles     Next Articles

STUDIES ON DIAGNOSIS OF VISCERAL LEISHMANIASIS BASED ON PCR AMPLIFICATION OF LEISHMANIA DONOVANI kDNA FRAGMENT FROM BONE MARROW AND BLOOD SAMPLES OF VISCERAL LEISHMANIASIS PATIENTS

Hu Xiaosu1, Yang Wentian1, Ma Ying1, Chen Jianping1, He Shengquan2, Xu Tingxi3, Xie Xiaoquan3   

  1. 1 Laboratory of Parasitology , West China University of Medical Sciences, Chengdu 6100412 Nanping County People's Hospital, Nanping 6234003 Wenchuan County People's Hospital, Wenchuan 623000
  • Received:1900-01-01 Revised:1900-01-01 Online:1997-02-28 Published:1997-02-28

Abstract:

AIM: To develop a simple and accurate technique for the diagnosis of visceral leishmaniasis (VL) and identification of Leishmania pathogen. METHODS: Based on a set of oligonucleotide primers I and II designed by the authors with L. donovani specificity, a polymerase chain react ion (PCR ) was conducted to amplify a minicircle kDNA fragment (297 bp ) for identification and detection of L. donovani in the bone marrow , blood and serum samples from 22 confirmed VL patients and 4 bone marrow samples from 4 clinically diagnosed cases (59 samples collected from 26 cases). RESULTS: (1) The coincidence rate between PCR and bone marrow smear method was 96.2% (25/26) ; (2) The total positivity of PCR with the bone marrow , blood and serum was 95.4% (21/22) ; (3) The positive rate of PCR amplification with bone marrow , blood and serum specimens were 91.0% (20/22) , 68.8% (11/16)and 29.4% ( 5/17) , respectively. The controls included 15 bone marrow samples from 9 leukemia patients and 6 normal persons; 5 blood and 5 serum samples of normal persons. No amplification product was showed from all of the controls. CONCLUSION: The result shows that the diagnosis of visceral leishmaniasis based on detecting kDNA in blood by PCR amplification with primers I and II is promising.

Key words: Visceral leishmaniasis, diagnosis, PCR, kDNA, bone marrow, blood, serum