Sensitive detection of specific cell-free DNA in serum samples from sheep with cystic echinococcosis

PLoS Negl Trop Dis. 2023 Oct 19;17(10):e0011715. doi: 10.1371/journal.pntd.0011715. eCollection 2023 Oct.

Abstract

Background: Developing more sensitive methods for the diagnosis of echinococcosis is essential. In this study PCR assay for sensitive detection of specific cell-free DNA (cfDNA) of Echinococcus granulosus sensu lato in the sera of the sheep naturally infected with echinococcosis was investigated.

Methods: To extract cfDNA from 35 infected sheep, the modified phenol-chloroform method was used for two different volumes (0.5 and 2 ml) of serum samples. From each extracted sample, two DNA volumes (5 and 10 μl) were amplified using both standard PCR and semi-nested PCR targeting NADH dehydrogenase subunit I.

Results: Standard and semi-nested PCR on 0.5 ml of serum samples detected Echinococcus DNA in 8 and 12 out of 35 sheep, respectively; however, using 2 ml of serum samples, they detected 24 and 27 samples. By increasing the volume of template DNA, the PCRs could detect 29 and 33 out of 35 samples. The results were confirmed by sequencing of randomly selected PCR amplicons and comparing them with GenBank databases.

Conclusions: Larger volumes of serum for DNA extraction, greater volumes of DNA template for PCR, and employing a semi-nested PCR protocol, increased the sensitivity of PCR to 95%. This approach can also be applied to the diagnosis of echinococcosis in humans.

MeSH terms

  • Animals
  • Cell-Free Nucleic Acids*
  • DNA
  • Echinococcosis* / diagnosis
  • Echinococcosis* / genetics
  • Echinococcosis* / veterinary
  • Echinococcus granulosus* / genetics
  • Echinococcus* / genetics
  • Electron Transport Complex I / genetics
  • Genotype
  • Humans
  • Sheep

Substances

  • Electron Transport Complex I
  • DNA
  • Cell-Free Nucleic Acids

Grants and funding

This work was supported by the deputy of research and technology, Isfahan University of Medical Sciences, Isfahan, Iran, Grant No. 3991123, to HY. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.