Design and optimization of an improved qPCR assay for the detection of Histoplasma capsulatum

Author:

da Silva Bianca Kelly Neves Izidro1,Alves Cortez Ana Cláudia2,Oliveira Luciana Aires2,de Almeida Juan Diego Ribeiro2,de Souza Érica Simplício3,Cruz Katia Santana4,Jackisch Matsuura Ani Beatriz5,Ogusku Mauricio Morishi6,Solórzano Chavarría Karolina Jeaneth78,Baía-da-Silva Djane178910,Bassat Quique1112131415,Guimarães Lacerda Marcus Vinícius78916,Frickmann Hagen1718,de Souza João Vicente Braga2ORCID

Affiliation:

1. Graduate Program in Pharmaceutical Sciences, Universidade Federal do Amazonas-UFAM, Manaus, Brazil

2. Mycology Laboratory, Instituto Nacional de Pesquisas da Amazonia–INPA, Manaus, Brazil

3. Superior School of Technology, Universidade do Estado do Amazonas -UEA, Manaus, Brazil

4. Medical Mycology Laboratory, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado-FMT-HVD, Manaus, Brazil

5. Microbial Diversity Laboratory of the Amazon with Health Importance, Leônidas and Maria Deane Institute-Fiocruz-AM, Manaus, Amazonas, Brazil

6. Mycobacteriology Laboratory, Instituto Nacional de Pesquisas da Amazonia–INPA, Manaus, Brazil

7. Graduate Program in Tropical Medicine, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado-FMT-HVD, Manaus, Brazil

8. Carlos Borborema Clinical Research Unit, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado-FMT-HVD, Manaus, Brazil

9. Instituto Leônidas Maria Deane- ILMD, Fiocruz-AM, Manaus, Brazil

10. Pharmacy Faculty, Universidade Nilton Lins, Manaus, Brazil

11. ISGlobal, Hospital Clínic – Universitat de Barcelona, Barcelona, Spain

12. Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique

13. ICREA, Pg. Lluís Companys 23, 080100 Barcelona, Spain

14. Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain

15. Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain

16. University of Texas Medical Branch, Galveston, USA

17. Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, Rostock, Germany

18. Department of Microbiology and Hospital Hygiene, Bundeswehr Hospital, Hamburg, Germany

Abstract

AbstractBackgroundThis study aimed at improving a real-time polymerase-chain-reaction (qPCR) assay for the detection of Histoplasma capsulatum, a fungal pathogen that can cause severe respiratory infections in humans, in clinical and soil samples.MethodsPrimer and probes were in-silico designed, in-silico and in-vitro evaluated including clinical biopsy materials and finally subjected to a real-world application with collected soil samples.ResultsApplying the qPCR assay with liver and lung biopsies from 71 patients each, including 59 patients infected with human immunodeficiency virus (HIV), as well as with Sabouraud (SAB) agar culture as the diagnostic reference standard, diagnostic accuracy of the qPCR assay of 100% (5/5) sensitivity and 96% (63/66) specificity for liver samples and 100% (4/4) sensitivity and 94% (63/67) specificity for the lung samples was recorded. When applying the assay with soil samples from caves near of Presidente Figueiredo city, Amazonas, Brazil, one sample from the Maroaga cave was confirmed as positive.ConclusionsThe improved qPCR assessed in this study was successful in detecting H. capsulatum with high efficiency and accuracy in in-vitro evaluation, including the identification of the target pathogen in both clinical and environmental samples.

Funder

CNPQ

Fundação de Amparo a Pesquisa do Amazonas

Publisher

Akademiai Kiado Zrt.

Subject

Applied Mathematics,General Mathematics

Reference25 articles.

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3. The Fungal PCR Initiative’s evaluation of in-house and commercial Pneumocystis jirovecii qPCR assays: toward a standard for a diagnostics assay;Gits-Muselli M,2020

4. Comparison between two molecular techniques: nested and real-time polymerase chain reaction targeting 100-kDa Hc protein for detection of Histoplasma capsulatum in environmental samples;Gomez LF,2022

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