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Improved DNA extraction technique from clot for the diagnosis of Chagas disease

The detection of Trypanosoma cruzi genetic material in clinical samples is considered an important diagnostic tool for Chagas disease. We have previously demonstrated that PCR using clot samples yields greater sensitivity than either buffy coat or whole blood samples. However, phenol-chloroform DNA...

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Published in:PLoS neglected tropical diseases 2019-01, Vol.13 (1), p.e0007024
Main Authors: Mayta, Holger, Romero, Yomara K, Pando, Alejandra, Verastegui, Manuela, Tinajeros, Freddy, Bozo, Ricardo, Henderson-Frost, Josephine, Colanzi, Rony, Flores, Jorge, Lerner, Richard, Bern, Caryn, Gilman, Robert H
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cites cdi_FETCH-LOGICAL-c624t-7a64a3705f649240726e518a5ca7b7e1f011e7e4e8d8964750bf64f374651f033
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container_title PLoS neglected tropical diseases
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creator Mayta, Holger
Romero, Yomara K
Pando, Alejandra
Verastegui, Manuela
Tinajeros, Freddy
Bozo, Ricardo
Henderson-Frost, Josephine
Colanzi, Rony
Flores, Jorge
Lerner, Richard
Bern, Caryn
Gilman, Robert H
description The detection of Trypanosoma cruzi genetic material in clinical samples is considered an important diagnostic tool for Chagas disease. We have previously demonstrated that PCR using clot samples yields greater sensitivity than either buffy coat or whole blood samples. However, phenol-chloroform DNA extraction from clot samples is difficult and toxic. The objective of the present study was to improve and develop a more sensitive method to recover parasite DNA from clot samples for the diagnosis of Chagas disease. A total of 265 match pair samples of whole blood-guanidine (GEB) and clot samples were analyzed; 150 were from Chagas seropositive subjects. DNA was extracted from both whole blood-guanidine samples, using a previously standardized methodology, and from clot samples, using a newly developed methodology based on a combination of the FastPrep technique and the standard method for GEB extraction. A qPCR targeting the nuclear satellite sequences was used to compare the sample source and the extraction method. Of the 150 samples from Chagas positive individuals by serology, 47 samples tested positive by qPCR with DNA extracted by both GEB and clot, but an additional 13 samples tested positive only in DNA extracted from clot. No serology-negative samples resulted positive when tested by qPCR. The new methodology for DNA extraction from clot samples improves the molecular diagnosis of Chagas disease.
doi_str_mv 10.1371/journal.pntd.0007024
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subjects Biology and Life Sciences
Blood
Blood clots
Buffy coat
Cardiomyopathy
Chagas disease
Chagas Disease - diagnosis
Chagas Disease - parasitology
Chloroform
Clinical trials
Congenital diseases
Deoxyribonucleic acid
Detection
Diagnosis
Diagnostic software
Diagnostic systems
Diagnostic Tests, Routine - methods
Diseases
DNA
DNA, Protozoan - blood
DNA, Protozoan - genetics
Genetic research
Guanidine
Hospitals
Humans
Infectious diseases
Laboratories
Medical schools
Medicine and Health Sciences
Methodology
Methods
Molecular Diagnostic Techniques
Nucleotide sequence
Parasites
PCR
Phenols
Phenols (Class of compounds)
Philosophy
Public health
Real-Time Polymerase Chain Reaction - methods
Research and analysis methods
Samples
Sensitivity and Specificity
Serologic Tests - methods
Serology
Systematic review
Tropical diseases
Trypanosoma
Trypanosoma cruzi - genetics
Trypanosoma cruzi - isolation & purification
Vector-borne diseases
Working groups
title Improved DNA extraction technique from clot for the diagnosis of Chagas disease
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