1. Spliced-Leader RNA as a Dynamic Marker for Monitoring Viable Leishmania Parasites During and After Treatment.
- Author
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Hendrickx R, Melkamu R, Tadesse D, Teferi T, Feijens PB, Vleminckx M, van Henten S, Alves F, Shibru T, van Griensven J, Caljon G, and Pareyn M
- Subjects
- Humans, RNA, Protozoan genetics, RNA, Protozoan analysis, Animals, Leishmania genetics, Antiprotozoal Agents therapeutic use, Biomarkers, Leishmaniasis, Visceral diagnosis, Leishmaniasis, Visceral drug therapy, Leishmaniasis, Visceral parasitology, DNA, Kinetoplast genetics, RNA, Spliced Leader genetics, RNA, Spliced Leader metabolism
- Abstract
Accurate detection of viable Leishmania parasites is critical for evaluating visceral leishmaniasis (VL) treatment response at an early timepoint. We compared the decay of kinetoplast DNA (kDNA) and spliced-leader RNA (SL-RNA) in vitro, in vivo, and in a VL patient cohort. An optimized combination of blood preservation and nucleic acid extraction improved efficiency for both targets. SL-RNA degraded more rapidly during treatment than kDNA, and correlated better with microscopic examination. SL-RNA quantitative polymerase chain reaction emerges as a superior method for dynamic monitoring of viable Leishmania parasites. It enables individualized treatment monitoring for improved prognoses and has potential as an early surrogate endpoint in clinical trials., Competing Interests: Potential conflicts of interest. All authors: No reported conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed., (© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
- Published
- 2024
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