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ArticleMolecular biology reports2024

Evaluation of blood based quantitative PCR as a molecular diagnostic tool for post kala-azar dermal leishmaniasis (PKDL).

Awnish Kumar, Vishal K Singh, Prasoon Madhukar, Rahul Tiwari, Ritirupa Roy, Rajneesh, Sanjana Mehrotra, Shyam Sundar, Rajiv Kumar

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Article in Molecular biology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Awnish KumarCentre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
Vishal K SinghCentre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
Prasoon MadhukarDepartment of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Rahul TiwariCentre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
Ritirupa RoyDepartment of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
RajneeshCentre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
Sanjana MehrotraDepartment of Human Genetics, Guru Nanak Dev University, Amritsar, Punjab, India.
Shyam SundarDepartment of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Rajiv KumarCentre of Experimental Medicine & Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India. Rajiv.kumar@bhu.ac.in.

Funding

Banaras Hindu University Institute of Eminence- Seed Grant (IoE-21546)Indian Council of Medical Research 2020-9898
6 · The paper itself

Abstract

backgroundPost kala-azar dermal leishmaniasis (PKDL) is a consequential dermal manifestation of visceral leishmaniasis (VL), serving as a parasite reservoir. The traditional diagnostic approach, which requires an invasive skin biopsy is associated with inherent risks and necessitates skilled healthcare practitioners in sterile settings. There is a critical need for a rapid, less invasive method for Leishmania detection. The main objective of this study was to evaluate and compare the diagnostic efficacy of PCR and qPCR in detecting PKDL, utilizing both skin and blood samples and to assess the utility of blood samples for molecular diagnosis. METHODS AND

results73 individuals exhibiting clinical symptoms of PKDL and who had tested positive for rK39 rapid diagnostic test (RDT) were enrolled in this study. For the diagnosis of PKDL, both PCR and real-time quantitative PCR (qPCR), employing SYBR Green and TaqMan assays, were performed on blood and skin matched samples. qPCR results using both TaqMan and SYBR Green assay, indicated higher parasite loads in the skin compared to blood, as evident by the Ct values. Importantly, when blood samples were used for PKDL diagnosis by qPCR, an encouraging sensitivity of 69.35% (TaqMan assay) and 79.36% (SYBR Green) were obtained, compared to 8.2% with conventional PCR.

conclusionThe findings of the study suggest the potential utility of blood for molecular diagnosis by qPCR, offering a less invasive alternative to skin biopsies in field setting for the early detection of parasitaemia in PKDL patients and effective management and control of the disease.

Indexed as

Leishmaniasis, CutaneousLeishmaniasis, VisceralReal-Time Polymerase Chain ReactionAdolescentAdultChildDNA, ProtozoanFemaleHumansMaleMiddle AgedMolecular Diagnostic TechniquesParasite LoadSensitivity and SpecificitySkinYoung AdultDNA, ProtozoanElimination goalLeishmania donovaniPost Kala-Azar dermal leishmaniasis (PKDL)Rapid diagnostic test (RDT) quantitative PCR (qPCR)

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.