1. Semi-quantitative measurement of asymptomatic L. infantum infection and symptomatic visceral leishmaniasis in dogs using Dual-Path Platform® CVL
- Author
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Javan Esfandiari, Malcolm S. Duthie, Mandy Larson, Aarthy C. Vallur, Angela J. Toepp, Epid, Randall F. Howard, Christine A. Petersen, Benjamin Scott, Hailie Fowler, and Melissa A. Kurtz
- Subjects
0301 basic medicine ,Time Factors ,030106 microbiology ,030231 tropical medicine ,Population ,Antibodies, Protozoan ,Fluorescent Antibody Technique ,Real-Time Polymerase Chain Reaction ,Immunofluorescence ,Applied Microbiology and Biotechnology ,Asymptomatic ,Article ,Chromatography, Affinity ,03 medical and health sciences ,Dogs ,0302 clinical medicine ,parasitic diseases ,medicine ,Animals ,Dog Diseases ,Leishmania infantum ,education ,education.field_of_study ,medicine.diagnostic_test ,biology ,Diagnostic Tests, Routine ,business.industry ,General Medicine ,DNA, Protozoan ,medicine.disease ,Leishmania ,biology.organism_classification ,United States ,Titer ,Blood ,Real-time polymerase chain reaction ,Visceral leishmaniasis ,Asymptomatic Diseases ,Immunology ,biology.protein ,Leishmaniasis, Visceral ,medicine.symptom ,Antibody ,business ,Biotechnology - Abstract
Infection with Leishmania causes diseases with variable presentation. The most severe form is visceral leishmaniasis (VL), caused by either L. donovani or L. infantum. Despite efforts to eliminate VL, to date, molecular detection in resource-poor settings have lacked the accuracy and rapidity that would enable widespread field use and the need for accurate, sensitive assays to detect asymptomatic Leishmania infection has become apparent. The domestic dog serves as the primary reservoir host of L. infantum. Study of this reservoir population provides an opportunity to evaluate the sensitivity and specificity of diagnostics for well-defined, symptomatic, canine visceral leishmaniasis (CVL) and asymptomatic L. infantum infection. Blood samples from an L. infantum-endemic population of US hunting dogs were evaluated with Dual-Path Platform (DPP®) CVL compared to those obtained via direct detection methods (culture- and Leishmania-specific quantitative polymerase chain reaction, qPCR) and immunofluorescence anti-Leishmania antibody test (IFAT). Statistically significant correlations were found between DPP® CVL development time and clinical status, culture status, circulating DNA levels, and IFAT titer. DPP® CVL results correlated with both clinical severity of disease and serological evidence of asymptomatic L. infantum infection. By precisely documenting the minimum time required for the development of a clear positive result in DPP® CVL, this test could be used in a rapid, semi-quantitative manner for the evaluation of asymptomatic and symptomatic CVL. Our results also indicate that a similar test could be used to improve our understanding of human VL.
- Published
- 2016
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