Multilocus sequence analysis for Leishmania braziliensis outbreak investigation

PLoS Negl Trop Dis. 2014 Feb 13;8(2):e2695. doi: 10.1371/journal.pntd.0002695. eCollection 2014 Feb.

Abstract

With the emergence of leishmaniasis in new regions around the world, molecular epidemiological methods with adequate discriminatory power, reproducibility, high throughput and inter-laboratory comparability are needed for outbreak investigation of this complex parasitic disease. As multilocus sequence analysis (MLSA) has been projected as the future gold standard technique for Leishmania species characterization, we propose a MLSA panel of six housekeeping gene loci (6pgd, mpi, icd, hsp70, mdhmt, mdhnc) for investigating intraspecific genetic variation of L. (Viannia) braziliensis strains and compare the resulting genetic clusters with several epidemiological factors relevant to outbreak investigation. The recent outbreak of cutaneous leishmaniasis caused by L. (V.) braziliensis in the southern Brazilian state of Santa Catarina is used to demonstrate the applicability of this technique. Sequenced fragments from six genetic markers from 86 L. (V.) braziliensis strains from twelve Brazilian states, including 33 strains from Santa Catarina, were used to determine clonal complexes, genetic structure, and phylogenic networks. Associations between genetic clusters and networks with epidemiological characteristics of patients were investigated. MLSA revealed epidemiological patterns among L. (V.) braziliensis strains, even identifying strains from imported cases among the Santa Catarina strains that presented extensive homogeneity. Evidence presented here has demonstrated MLSA possesses adequate discriminatory power for outbreak investigation, as well as other potential uses in the molecular epidemiology of leishmaniasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil / epidemiology
  • Disease Outbreaks / statistics & numerical data*
  • Humans
  • Leishmania braziliensis / classification*
  • Leishmania braziliensis / genetics*
  • Leishmania braziliensis / isolation & purification
  • Leishmaniasis, Cutaneous / epidemiology
  • Leishmaniasis, Cutaneous / parasitology*
  • Molecular Epidemiology / methods*
  • Multilocus Sequence Typing / methods*
  • Phylogeny

Grants and funding

MAM and MS were funded by CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico) and MCB, GEMF, and EC were funded by FIOCRUZ (Fundação Oswaldo Cruz), CNPq and FAPERJ (Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.