Multiplex polymerase chain reaction amplification and differentiation of Entamoeba histolytica and Entamoeba dispar DNA from stool samples

Am J Trop Med Hyg. 2001 May-Jun;64(5-6):293-7. doi: 10.4269/ajtmh.2001.64.293.

Abstract

Due to the clinical importance of differentiating the two species of the Entamoeba histolytica/Entamoeba dispar complex, we developed a multiplex polymerase chain reaction (PCR) method that overcomes time-consuming and laborious procedures. We report here a DNA extraction protocol using non-fixed stool samples that avoid long lysis-incubation periods through the combined use of zirconium beads and a lysis-supporting buffer. We characterized 49 of 52 stool specimens from Cuban patients with amoebiosis. Among them, 36 (75.5%) were infected only with E. dispar (the nonpathogenic species), while 13 (24.5%) displayed a mixed infection with both E. dispar and E. histolytica. The multiplex PCR protocol showed a specificity of 1.00 and a sensitivity of 0.94. Furthermore, the entire procedure can be performed in one day. This approach is therefore reliable and applicable in the field for epidemiologic studies.

MeSH terms

  • Animals
  • Base Sequence
  • DNA Primers
  • DNA, Protozoan / isolation & purification*
  • Entamoeba / classification
  • Entamoeba / genetics
  • Entamoeba / isolation & purification*
  • Feces / parasitology*
  • Humans
  • Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Species Specificity

Substances

  • DNA Primers
  • DNA, Protozoan