Original Article

Molecular Identification of Agents of Human Cutaneous Leishmaniasis and Canine Visceral Leishmaniasis in Different Areas of Iran Using Internal Transcribed Spacer 1 PCR-RFLP

Abstract

Background: Leishmaniasis is a major medical health problem and distributes in nearly half of 31 provinces of Iran. We aimed to identify cutaneous and visceral Leishmania spp. isolated from infected humans and domestic dogs in various regions of Iran, 2010‒2013.
Methods:
DNA was extracted from 108 lesion exudate samples of suspected patients to cutaneous leishmaniasis and nine liver and spleen aspirates of infected dogs cultured in RPMI-1640 and amplified using partial sequence of ITS1 gene. The PCR amplicons were digested using HaeIII endonuclease enzyme and used in restriction fragment length polymorphism (RFLP) assay. Then, 48 amplicons representing various hosts were sequenced and compared to se­quences from GenBank databases using BLAST.
Results:
PCR-RFLP analysis showed that 60 and 48 CL patients were infected by Leishmania tropica and L. major, respectively. From nine canine visceral leishmaniasis (CVL) isolates, eight isolates were identified as L. infantum and one as L. tropica. The greatest similarity of 95.7% in ITS1 region was seen between L. infantum and L. major. Furthermore, the lowest similarity with 65.7% was seen between L. tropica and L. major. Intra-species comparison of ITS1 region in L. infantum, L. major and L. tropica isolates were showed 100%, 98.2% and 72.4 % similarities, respectively.
Conclusion:
PCR-RFLP based on ITS1 region is an appropriate method to distinguish three Leishmania spp. of L. major, L. tropica, and L. infantum. In intra-species comparison of ITS1 region, genotypic variations showed that L. tropica isolates were more heterogeneous than L. major and L. infantum isolates.

- World Health Organization (2016) “Leish-maniasis Fact Sheet”. Available at: http://www.who.int/mediacentre/factsheets/fs375/en

- Shirzadi MR, Esfahani SB, Mohebali M, Yaghoobi-Ershadi MR, Gharachorlo F, Razavi MR, Postigo JAR (2015) Epi-demiological status of leishmaniasis in the Islamic Republic of Iran, 1983–2012. East Mediterr Health J. 21(10): 736–742.

- Hajjaran H, Mohebali M, Teimouri A, Oshaghi MA, Mirjalali H, Kazemi-Rad E, Shiee MR, Naddaf SR (2014) Identification and phylogenetic rela-tionship of Iranian strains of various Leishmania species isolated from cu-taneous and visceral cases of leish-maniasis based on N-acetyl glucosamine-L-phosphate transferase gene. Infect Genet Evol. 26(2014): 203–212.

- Mohebali M (2013) Visceral leishmaniasis in Iran: Review of the Epidemiological and Clinical Features. Iran J Parasitol. 8(3): 348–358.

- Yaghoobi-Ershadi MR (2012) Phlebotomine sand flies (Diptera: Psychodidae) in Iran and their role on Leishmania transmis-sion. J Arthropod-Borne Dis. 6(1): 1–17.

- Edrissian Gh H, Nadim A, Alborzi AV, Ardehali S (1998) Visceral leishmani-asis: the Iranian experiences. Arch Iran

Med. 1: 22–26.

- Mohebali M, Edrissian Gh H, Nadim A, Hajjaran H, Akhoundi B, Hooshmand B, Zarei Z, Arshi Sh, Mirsamadi N, Manouchehri Naeini K, Mamishi S, Sanati AA, Moshfe AA, Charehdar S, Fakhar M (2006) Application of direct agglutination test (DAT) for the diag-nosis and seroepidemiological studies of visceral leishmaniasis in Iran. Iran J Parasitol. 1: 15–25.

- Hajjaran H, Mohebali M, Abaei MR, Oshaghi MA, Zarei Z, Charehdar S, Mirjalali H, Sharifdini M, Teimouri A (2013) Natural infection and hylogenetic classification of Leishmania spp. Infecting Rhombomys opimus, a primary reser-voir host of zoonotic cutaneous leish-maniasis in northeast Iran. Trans R Soc Trop Med Hyg. 107: 550–557.

- Alborzi AA, Shamsizadeh A (2006) Leish-mania tropica–isolated patient with visceral leishmaniasis in southern Iran. Am J Trop Med Hyg. 74(2): 306–307.

- Shafiei R, Mohebali M, Akhoundi B, Sharifdini Galian M, Kalantar F, Ash-kan S, Fata A, Hosseini Farash BR, Ghasemian M (2014) Emergence of co-infection of visceral leishmaniasis in HIV-positive patients in northeast Iran: A preliminary study. Travel Med Infect Dis. 12(2): 173–178.

- Badirzadeh A, Mohebali M, Ghasemian M, Amini H, Zarei Z, Akhoundi B, Hajjaran H, Emdadi D, Molaei S, Kusha A, Alizadeh S (2013) Cutaneous and post kala-azar dermal leishmania-sis caused by Leishmania infantum in en-demic areas of visceral leishmaniasis, northwestern Iran 2002–2011: a case series. Pathog Glob Health. 107(4): 194–197.

- Reithinger R, Dujardin JC (2007) Mo-lecular diagnosis of leishmaniasis: current status and future applications. J Clin Microbiol. 45(1): 21–25.

- Alvar J, Vélez ID, Bern C, Herrero M,Desjeux P, Cano J, Jannin J, Den Boer M (2012) WHO Leishmaniasis Con-trol Team: leishmaniasis worldwide and global estimates of its incidence. PLoS One. 7: e35671.

- El Tai N, Osman O, El Fari M, Presber W, Schonian G (2000) Genetic heteroge-neity of ribosomal internal transcribed spacer in clinical samples of Leishma-nia donovani spotted on filter paper as revealed by single-strand con-formation polymorphisms and se-quencing. Trans R Soc Trop Med Hyg. 94(5): 575–579.

- Schonian G, Schnur L, El Fari M, Os-kam L, Kolesnikov AA, Sokolowska-Kohler W, Presber W (2001) Genetic heterogeneity in the species Leishma-nia tropica revealed by different PCR-based methods. Trans R Soc Trop Med Hyg. 95 (2): 217–224.

- Odiwuor SO, Saad AA, De Doncker S, Maes I, Laurent T, El Safi S, Mbuchi M, Büscher P, Dujardin JC, Van der Auwera G (2011) Universal PCR as-says for the differential detection of all old world Leishmania species. Eur J Clin Microbiol Infect Dis. 30(2): 209–218.

- Roelfsema JH, Nozari N, Herremans T, Kortbeek LM, Pinelli E (2011) Evalu-ation and improvement of two PCR targets in molecular typing of clinical samples of Leishmania patients. Exp Parasitol. 127(1): 36–41.

- Mohebali M, Hajjaran H, Hamzavi Y, Mobedi I, Arshi S, Zarei Z, Akhoundi B, Naeini KM, Avizeh R, Fakhar M (2005) Epidemiological aspects of canine visceral leishmaniasis in the Islamic Republic of Iran. Vet Parasitol. 129 (3–4): 243–251.

- Solano-Gallego L, Koutinas AF, Miro G, Cardoso L, Pennisi MG, Ferrer L, Bourdeau P, Oliva G, Baneth G (2009) Directions for the diagnosis, clinical stag-ing, treatment and prevention of canine leishmaniosis. Vet Parasitol. 165: 1–18.

- El Tai NO, El Fari M, Mauricio I, Miles MA, Oskam L, El Safi SH, Presber WH, Schönian G (2001) Leishmania donovani: Intraspecific Polymorphisms of Suda-nese Isolates Revealed by PCR-based Analyses and DNA Sequencing. Exp Parasitol. 97(1): 35–44.

- Tamura K, Stecher G, Peterson D, Filipski A, Kumar S (2013) MEGA6: molecular evolutionary genetics analysis version 6.0. Mol Biol Evol. 30: 2725–2729.

- Saitou N, Nei M (1987) The neighbor-joining method: a new method for re-constructing phylogenetic trees. Mol Biol Evol. 4: 406–425.

- Parvizi P, Ready PD (2008) Nested PCRs and sequencing of nuclear ITS-rDNA fragments detect three Leishmania species of gerbils in sandflies from Iranian foci of zoonotic cutaneous leishmaniasis. Tropical Med Int Health. 13(9): 1159–1171.

- Mirzaie F, Eslami G, Yosefi MH, Pes-tehchian N (2013) Molecular identifi-cation of Leishmania isolates obtained from patients suspected as having cu-taneous leishmaniasis referred to ref-erence laboratories from Yazd prov-ince in central Iran. Adv Biomed Res. 2: 92.

- Dabirzadeh M, Hashemi M, Maroufi Y (2016) Study of Genetic Variation of Leishmania major Based on Internal Transcribed Spacer1 (ITS1) in Chaba-har, Iran. Jundishapur J Microbiol. 9(6): e33498.

- Hajjaran H, Mohebali M, Mamishi S, Vasigheh F, Oshaghi MA, Naddaf SR, Teimouri A, Edrissian GH, Zarei Z (2013a) Molecular identification and pol-ymorphism determination of cutaneous and visceral leishmaniasis agents iso-lated from human and animal hosts in Iran. Biomed Res Int. 789326: 1–7.

- Khanra S, Bandopadhyay S, Chakraborty P, Datta, S, Mondal D, Chatterjee M, Naskar K, Roy S, Manna M (2011) Char-acterization of the recent clinical isolates of Indian Kala-azar patients by RAPD-PCR method. J Parasit Dis. 35(2): 116–122.

- Mahdy MA, Al-Mekhlafi HM, Al-Mekhlafi AM, Lim YA, Shuaib NOB, Azazy AA, Mahmud R (2012) Mo-lecular characterization of Leishmania spe-cies isolated from cutaneous leishman-iasis in Yemen. PLoS One. 5(9). pii: e12879

- Ghatee M, Sharifi I, Mirhendi H, Ka-nannejad Z, Hatam G (2013) Investi-gation of double-band electrophoretic pattern of ITS-rDNA region in Iranian isolates of Leishmania tropica. Iran J Parasitol. 8(2): 264–272.

- Le Blancq SM, Peters W (1986) Leish-mania in the old world: heterogeneity among L. tropica zymodemes. Trans R Soc Trop Med Hyg. 80(1): 113–119.

- Yeo M, Mauricio IL, Messenger LA, Lewis MD, Llewellyn MS, Acosta N, Bhatta-charyya T, Diosque P, Carrasco HJ, Miles MA (2011) Multilocus sequence typ-ing (MLST) for lineage assignment and high resolution diversity studies in Trypanosoma cruzi. PLoS Negl Trop Dis. 5(6): e1049.

- Azmi K, Schnur L, Schonian G, Nasereddin A, Pratlong F, El Baidouri F, Ravel C, Dedet JP, Ereqat S, Abdeen Z (2012) Genetic, serological and biochemical characterization of Leishmania tropica from foci in northern Palestine and discovery of zymodeme MON-307. Parasite Vectors. 5: 121.

- Mauricio IL, Stothard JR, Miles MA (2004) Leishmania donovani complex: geno-typing with ribosomal internal tran-scribed spacer and mini-exon. Par-asitology. 128 (03): 263–267.

- Strelkova MV, Eliseev LN, Ponirovsky EN, Dergacheva TI, Annacharyeva DK, Erokhin PI, Evans DA (2001) Mixed Leishmanial infections in Rhombomys opimus: a key to the per-sistence of Leishmania major from one transmission season to the next. Ann Trop Med Parasitol. 95(8): 811–819.

- Parvizi P, Moradi G, Akbari G, Farah-mand M, Ready PD, Piazak N, Assmar M, Amirkhani A (2008) PCR detection and sequencing of parasite ITS-rDNA gene from reservoir host of zoonotic cutaneous leishmaniasis in central Iran. Parasitol Res. 103(6): 1273–1278.

- Schönian G, Mauricio I, Cupolillo E (2010) Is it time to revise the nomen-clature of Leishmania. Trends Parasi-tol. 26(10): 466–469.

- Sallouma T, Khalifeh I, Tokajian S (2016) Detection, molecular typing and phy-logenetic analysis of Leishmania iso-lated from cases of leishmaniasis among Syrian refugees in Lebanon. Parasite Epidemiol Control. 1: 159–168.

- Waki K, Dutta S, Ray D, Kolli BK, Ak-man L, Kawazu SI, Lin CP, Chang KP (2007) Trans membrane molecules for phylogenetic analyses of pathogenic protists: Leishmania-specific informative sites in hydrophilic loops of transendoplasmic reticulum N-acetylglucosamine-1-phosphate trans-ferase. Eukaryot Cell. 6(2): 198–210.

- Gomez-Marin JE (2005) DNA Finger-printing in Protozoan Infectious Diseases, In: Read MM, editor. Trends in DNA Fingerprinting Research. Hauppauge: NOVA Science Publishers Inc. pp. 62–65.

- Toz SO, Nasereddin A, Ozbel Y, Erta-baklar H, Culha G, Sevil N, Ziya Al-kan M, Jaffe CL (2009) leishmaniasis in Turkey: molecular characterization of Leishmania from human and canine clinical samples. Trop Med Int Health. 14(11): 1401–1406.

Files
IssueVol 12 No 2 (2018) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/jad.v12i2.42
Keywords
Leishmania ITS1 gene PCR- RFLP Iran

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Teimouri A, Mohebali M, Kazemirad E, Hajjaran H. Molecular Identification of Agents of Human Cutaneous Leishmaniasis and Canine Visceral Leishmaniasis in Different Areas of Iran Using Internal Transcribed Spacer 1 PCR-RFLP. J Arthropod Borne Dis. 2018;12(2):162-171.