Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Strongyloide Species Determinants in Vietnamese Human Stool Samples by Molecular Methods

Version 1 : Received: 3 January 2023 / Approved: 5 January 2023 / Online: 5 January 2023 (02:09:06 CET)

How to cite: Vinh, L.D.; Thach, N.K.; Quang, H.H.; Do, B.N.; Hanh, T.T.D.; Toan, N.M.; Lang, N.V.; Tuyen, N.T.; Huong, N.T. Strongyloide Species Determinants in Vietnamese Human Stool Samples by Molecular Methods. Preprints 2023, 2023010089. https://doi.org/10.20944/preprints202301.0089.v1 Vinh, L.D.; Thach, N.K.; Quang, H.H.; Do, B.N.; Hanh, T.T.D.; Toan, N.M.; Lang, N.V.; Tuyen, N.T.; Huong, N.T. Strongyloide Species Determinants in Vietnamese Human Stool Samples by Molecular Methods. Preprints 2023, 2023010089. https://doi.org/10.20944/preprints202301.0089.v1

Abstract

Background: Strongyloidiasis, a neglected disease caused by intestinal nematodes of the genus Strongyloides, is endemic to tropical and subtropical areas such as Vietnam. The morphological diagnosis of larvae by Hara Mori culture technique and microscopicare are considered the standard diagnostic procedures in the endemic areas of Strongyloides spp. However, they could only identify the genus, not the species of Strongyloides. DNA-molecular techniques which are highly sensitive and more cost-effective have been increasingly utilized in detection of Strongyloides species. This study aims to determine prevalence and the species of Strongyloides among resident population in Duc Hoa district, Long An province, Southern Vietnam. Methods: A cross-sectional study was conducted using 1,190 stool samples collected in Duc Hoa district, Long An province, Vietnam, from July, 2017 to November 2018. The stool specimens were transported to the Laboratory of Medical Parasitology, Pham Ngoc Thach University of Medicine within two hours of collection at an appropriate temperature of 25 oC. All samples were stored at 2 - 8°C and processed within 48 hours for microscopic examination. Molecular detection was carried out at Laboratory of Molecular Biology, Pham Ngoc Thach University of Medicine, Hochiminh city, VietNam. Results: Of the 1,190 samples tested, Strongyloides spp. larvae were detected in 79 specimens (6.6%) by two classical parasitological methods, namely direct microscopy and the modified Harada-Mori filter paper culture. DNA was extracted from 70 of the 79 samples of Strongyloides spp. larvae, which was subsequently characterized by real-time PCR amplification of the 18S and 28S regions of the rDNA gene. The results showed that 97.1% of the DNA samples were S. stercoralis, 2.9% were co-infections with S. ratti and S. stercoralis, and 2.9% belonged to S. ratti. For all 14 isolates, nucleotide sequencing was compared with other human pathogenic species of Strongyloides whose sequences are available in GenBank. The identity of 12/14 sequences were confirmed as S. stercoralis with a high level of similarity (91.3% - 100%) and over 98% for S. ratti. Between the two co-infection samples, the higher similarity belonged to S. stercoralis. Conclusion: A molecular amplification of small subunit ribosome RNA followed by sequence analysis has been proved to be a suitable method for discrimination of Strongyloides spp. retrieved from stool samples.

Keywords

Strongyloidiasis; Strongyloidesstercoralis; Strongyloidesratti; DNA-molecular techniques

Subject

Medicine and Pharmacology, Tropical Medicine

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