PCR-RFLP analyses of Leishmania species causing cutaneous and mucocutaneous leishmaniasis revealed distribution of genetically complex strains with hybrid and mito-nuclear discordance in Ecuador

PLoS Negl Trop Dis. 2019 May 6;13(5):e0007403. doi: 10.1371/journal.pntd.0007403. eCollection 2019 May.

Abstract

PCR-Restriction Fragment Length Polymorphism (RFLP) analyses targeting multiple nuclear genes were established for the simple and practical identification of Leishmania species without using expensive equipment. This method was applied to 92 clinical samples collected at 33 sites in 14 provinces of Ecuador, which have been identified at the species level by the kinetoplast cytochrome b (cyt b) gene sequence analysis, and the results obtained by the two analyses were compared. Although most results corresponded between the two analyses, PCR-RFLP analyses revealed distribution of hybrid strains between Leishmania (Viannia) guyanensis and L. (V.) braziliensis and between L. (V.) guyanensis and L. (V.) panamensis, of which the latter was firstly identified in Ecuador. Moreover, unexpected parasite strains having the kinetoplast cyt b gene of L. (V.) braziliensis and nuclear genes of L. (V.) guyanensis, L. (V.) panamensis, or a hybrid between L. (V.) guyanensis and L. (V.) panamensis were identified. This is the first report of the distribution of a protozoan parasite having mismatches between kinetoplast and nuclear genes, known as mito-nuclear discordance. The result demonstrated that genetically complex Leishmania strains are present in Ecuador. Since genetic exchanges such as hybrid formation were suggested to cause higher pathogenicity in Leishmania and may be transmitted by more species of sand flies, further country-wide epidemiological studies on clinical symptoms, as well as transmissible vectors, will be necessary.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Base Pair Mismatch
  • Cell Nucleus / genetics*
  • DNA, Kinetoplast
  • Ecuador
  • Humans
  • Leishmania / genetics*
  • Leishmania / isolation & purification
  • Leishmania / physiology
  • Leishmaniasis, Cutaneous / parasitology*
  • Leishmaniasis, Cutaneous / transmission
  • Leishmaniasis, Mucocutaneous / parasitology*
  • Leishmaniasis, Mucocutaneous / transmission
  • Mitochondria / genetics*
  • Polymerase Chain Reaction
  • Polymorphism, Restriction Fragment Length
  • Protozoan Proteins / genetics
  • Psychodidae / parasitology
  • Psychodidae / physiology

Substances

  • DNA, Kinetoplast
  • Protozoan Proteins

Grants and funding

This study was financially supported by the Ministry of Education, Culture and Sports, Science and Technology (MEXT) of Japan (Grant Nos. 25257501 and 17H01685). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.