Evidence map›Paper›PMID 40570150›Full record

ArticleThe Journal of infectious diseases2026

From Skin to Sequence: Pan-species Detection and Speciation of Leishmania.

Nicholas R Duncan, Elise M O'Connell, Janitzio J Guzmán, Joshua R Lacsina, Sanchita Das, Thalia Pacheco-Fernandez, Sreenivas Gannavaram, Andrea Paun, Thomas B Nutman, Sasisekhar Bennuru

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicholas R DuncanLaboratory of Parasitic Diseases.
Elise M O'ConnellLaboratory of Parasitic Diseases.
Janitzio J GuzmánLaboratory of Parasitic Diseases.ORCID 0000-0001-9002-2614
Joshua R LacsinaLaboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases.ORCID 0000-0002-9956-8039
Sanchita DasMicrobiology Service, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda.
Thalia Pacheco-FernandezCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.
Sreenivas GannavaramCenter for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-6557-8220
Andrea PaunLaboratory of Parasitic Diseases.
Thomas B NutmanLaboratory of Parasitic Diseases.
Sasisekhar BennuruLaboratory of Parasitic Diseases.ORCID 0000-0002-6117-742X

Funding

National Institute of Allergy and Infectious DiseasesNHLBI NIH HHSNIH HHS
6 · The paper itself

Abstract

backgroundLeishmaniasis remains a significant public health concern. Accurate and efficient diagnostic methods are crucial for timely intervention and management. The limitations of current diagnostic approaches necessitated the exploration of novel targets and tools. This study describes 2 tandemly repeated sequences within the Leishmania genome that allow for sensitive and specific pan-Leishmania detection and speciation via quantitative polymerase chain reaction (qPCR) and recombinase polymerase amplification (RPA) and sequencing.

methodsThrough bioinformatic analysis of highly repeated elements of all Leishmania sp genomes, pan-Leishmania qPCR targets (CL3 and CL179) were identified and validated by qPCR. Amplicons from an RPA-based assay for CL179 qPCR with DNA from clinical samples were sequenced by nanopore sequencing.

resultsThe limits of detection for CL3 and CL179 qPCRs were ∼96 and ∼217 fg of genomic DNA across available Leishmania spp known to infect humans. The CL3 and CL179 qPCR could detect a single L donovani-infected macrophage. When tested with DNA extracted from skin biopsies (n = 8) and swabs (n = 7) from patients confirmed positive by 18S qPCR, CL3 and CL179 exhibited 100% sensitivity. Microbiopsies (n = 9) were also positive, with sensitivities of 88% and 67% for CL3 and CL179 qPCRs, respectively. Nanopore sequencing of RPA products resulted in the accurate speciation of Leishmania strains in patients confirmed to have leishmaniasis.

conclusionsCL3 and CL179 demonstrated high sensitivity and specificity, showing no cross-reactivity with related parasitic intracellular protists. Our data provide an ultrasensitive approach to the rapid diagnosis and subsequent speciation of all Leishmania strains known to infect humans.

Indexed as

LeishmaniaLeishmaniasisSkinComputational BiologyDNA, ProtozoanGenome, ProtozoanHumansReal-Time Polymerase Chain ReactionSensitivity and SpecificitySequence Analysis, DNADNA, Protozoandiagnostic assayLeishmaniananoporerecombinase polymerase amplification

Identifiers

PMID40570150
PMCPMC13017571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.