Parasite Burden of Trypanosoma cruzi in Whole Blood and Buffy Coat Determined by Real-Time PCR in Individuals with Chronic Chagas Disease

Author:

Liempi Daniela12,Zulantay Inés3ORCID,Varela Nelson M.4,Canals Mauricio5ORCID,Guevara Andrés6,Poulsen Nicolás6,Apt Werner3

Affiliation:

1. Institute of Parasitology, Faculty of Medicine, Austral University of Chile, Valdivia 5090000, Chile

2. Master’s Program in Parasitology, Graduate School, Faculty of Medicine, University of Chile, Santiago 8380453, Chile

3. Basic-Clinical Parasitology Laboratory, Cellular and Molecular Biology Program, Institute of Biomedical Sciences, Faculty of Medicine, University of Chile, Santiago 8380453, Chile

4. Basic-Clinical Oncology Department, Faculty of Medicine, University of Chile, Santiago 8500000, Chile

5. Department of Eastern Medicine and Environmental Health Program, School of Public Health, Faculty of Medicine, University of Chile, Santiago 8380453, Chile

6. School of Medical Technology, Faculty of Medicine, University of Chile, Santiago 8380000, Chile

Abstract

The objective of this study was to compare, by qPCR, the circulating blood parasite load of Trypanosoma cruzi in the buffy coat, and in whole blood mixed with boiled and unboiled guanidine hydrochloride-EDTA buffer, of individuals with chronic ChD. The concentration and purity of DNA were evaluated in a Nanodrop Denovix DS-11FX Series Spectrophotometer (DeNovix Inc., Wilmington, NC, USA). The parasite load was determined with the Taqman® qPCR system using a Stratagene Mx3000P thermocycler (Agilent Technologies, Santa Clara, CA, USA) with Cruzi 1 and Cruzi 2 satellite primers. Student’s t-test with Bonferroni correction, Chi-squared (χ2) tests and Spearman’s correlation coefficient were applied. The concentration and purity of DNA were higher in the buffy coat. Parasite DNA was detected and quantifiable in the three types of samples in seven patients, without statistically significant differences in the parasite load obtained. Higher correlations were found between the total DNA concentrations and the parasite loads obtained in the samples of the buffy coat.

Funder

Agencia Nacional de Investigación y Desarrollo

Institute of Biomedical Sciences, Faculty of Medicine, University of Chile

Publisher

MDPI AG

Reference47 articles.

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3. Inequalities in the social determinants of health and Chagas disease transmission risk in indigenous and creole households in the Argentine Chaco;Gaspe;Parasites Vectors,2019

4. World Health Organization (2023, October 03). Chagas Disease. (Also Known As American Trypanosomiasis). Available online: https://www.who.int/es/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis).

5. Ramírez, J.C., Parrado, R., Sulleiro, E., de la Barra, A., Rodríguez, M., Villarroel, S., Irazu, L., Alonso-Vega, C., Alves, F., and Curto, M.A. (2017). First external quality assurance program for bloodstream Real-Time PCR monitoring of treatment response in clinical trials of Chagas disease. PLoS ONE, 12.

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