Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides

Objective/background: The diagnosis of leprosy has been a challenge due to the low sensibility of the conventional methods and the impossibility of culturing the causative organism. In this study, four methods for Mycobacterium leprae nucleic-acid extraction from Ziehl–Neelsen-stained slides (ZNS sl...

Full description

Bibliographic Details
Main Authors: Jenny Laura Ruiz-Fuentes, Alexis Díaz, Anayma Elena Entenza, Yahima Frión, Odelaisy Suárez, Pedro Torres, Yaxsier de Armas, Lucrecia Acosta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:International Journal of Mycobacteriology
Subjects:
Online Access:http://www.ijmyco.org/article.asp?issn=2212-5531;year=2015;volume=4;issue=4;spage=284;epage=289;aulast=Ruiz-Fuentes
_version_ 1818309337716621312
author Jenny Laura Ruiz-Fuentes
Alexis Díaz
Anayma Elena Entenza
Yahima Frión
Odelaisy Suárez
Pedro Torres
Yaxsier de Armas
Lucrecia Acosta
author_facet Jenny Laura Ruiz-Fuentes
Alexis Díaz
Anayma Elena Entenza
Yahima Frión
Odelaisy Suárez
Pedro Torres
Yaxsier de Armas
Lucrecia Acosta
author_sort Jenny Laura Ruiz-Fuentes
collection DOAJ
description Objective/background: The diagnosis of leprosy has been a challenge due to the low sensibility of the conventional methods and the impossibility of culturing the causative organism. In this study, four methods for Mycobacterium leprae nucleic-acid extraction from Ziehl–Neelsen-stained slides (ZNS slides) were compared: Phenol/chloroform, Chelex 100 resin, and two commercial kits (Wizard Genomic DNA Purification Kit and QIAamp DNA Mini Kit). Methods: DNA was extracted from four groups of slides: a high-codification-slide group (bacteriological index [BI]≥4), a low-codification-slide group (BI = 1), a negative-slide group (BI = 0), and a negative-control-slide group (BI = 0). Quality DNA was evidenced by the amplification of specific repetitive element present in M. leprae genomic DNA (RLEP) using a nested polymerase chain reaction. Results: This is the first report comparing four different extraction methods for obtaining M. leprae DNA from ZNS slides in Cuban patients, and applied in molecular diagnosis. Good-quality DNA and positive amplification were detected in the high-codification-slide group with the four methods, while from the low-codification-slide group only the QIAGEN and phenol–chloroform methods obtained amplification of M. leprae. In the negative-slide group, only the QIAGEN method was able to obtain DNA with sufficient quality for positive amplification of the RLEP region. No amplification was observed in the negative-control-slide group by any method. Patients with ZNS negative slides can still transmit the infection, and molecular methods can help identify and treat them, interrupting the chain of transmission and preventing the onset of disabilities. Conclusion: The ZNS slides can be sent easily to reference laboratories for later molecular analysis that can be useful not only to improve the diagnosis, but also for the application of other molecular techniques.
first_indexed 2024-12-13T07:28:34Z
format Article
id doaj.art-b1ad590760504b34b1e9320058051586
institution Directory Open Access Journal
issn 2212-5531
2212-554X
language English
last_indexed 2024-12-13T07:28:34Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Mycobacteriology
spelling doaj.art-b1ad590760504b34b1e93200580515862022-12-21T23:55:16ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2015-01-014428428910.1016/j.ijmyco.2015.06.005Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slidesJenny Laura Ruiz-FuentesAlexis DíazAnayma Elena EntenzaYahima FriónOdelaisy SuárezPedro TorresYaxsier de ArmasLucrecia AcostaObjective/background: The diagnosis of leprosy has been a challenge due to the low sensibility of the conventional methods and the impossibility of culturing the causative organism. In this study, four methods for Mycobacterium leprae nucleic-acid extraction from Ziehl–Neelsen-stained slides (ZNS slides) were compared: Phenol/chloroform, Chelex 100 resin, and two commercial kits (Wizard Genomic DNA Purification Kit and QIAamp DNA Mini Kit). Methods: DNA was extracted from four groups of slides: a high-codification-slide group (bacteriological index [BI]≥4), a low-codification-slide group (BI = 1), a negative-slide group (BI = 0), and a negative-control-slide group (BI = 0). Quality DNA was evidenced by the amplification of specific repetitive element present in M. leprae genomic DNA (RLEP) using a nested polymerase chain reaction. Results: This is the first report comparing four different extraction methods for obtaining M. leprae DNA from ZNS slides in Cuban patients, and applied in molecular diagnosis. Good-quality DNA and positive amplification were detected in the high-codification-slide group with the four methods, while from the low-codification-slide group only the QIAGEN and phenol–chloroform methods obtained amplification of M. leprae. In the negative-slide group, only the QIAGEN method was able to obtain DNA with sufficient quality for positive amplification of the RLEP region. No amplification was observed in the negative-control-slide group by any method. Patients with ZNS negative slides can still transmit the infection, and molecular methods can help identify and treat them, interrupting the chain of transmission and preventing the onset of disabilities. Conclusion: The ZNS slides can be sent easily to reference laboratories for later molecular analysis that can be useful not only to improve the diagnosis, but also for the application of other molecular techniques.http://www.ijmyco.org/article.asp?issn=2212-5531;year=2015;volume=4;issue=4;spage=284;epage=289;aulast=Ruiz-FuentesDNA extraction methodsLeprosyMolecular diagnosisMycobacterium lepraeZiehl–Neelsen-stained microscopic slides
spellingShingle Jenny Laura Ruiz-Fuentes
Alexis Díaz
Anayma Elena Entenza
Yahima Frión
Odelaisy Suárez
Pedro Torres
Yaxsier de Armas
Lucrecia Acosta
Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
International Journal of Mycobacteriology
DNA extraction methods
Leprosy
Molecular diagnosis
Mycobacterium leprae
Ziehl–Neelsen-stained microscopic slides
title Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
title_full Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
title_fullStr Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
title_full_unstemmed Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
title_short Comparison of four DNA extraction methods for the detection of Mycobacterium leprae from Ziehl–Neelsen-stained microscopic slides
title_sort comparison of four dna extraction methods for the detection of mycobacterium leprae from ziehl neelsen stained microscopic slides
topic DNA extraction methods
Leprosy
Molecular diagnosis
Mycobacterium leprae
Ziehl–Neelsen-stained microscopic slides
url http://www.ijmyco.org/article.asp?issn=2212-5531;year=2015;volume=4;issue=4;spage=284;epage=289;aulast=Ruiz-Fuentes
work_keys_str_mv AT jennylauraruizfuentes comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT alexisdiaz comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT anaymaelenaentenza comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT yahimafrion comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT odelaisysuarez comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT pedrotorres comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT yaxsierdearmas comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides
AT lucreciaacosta comparisonoffourdnaextractionmethodsforthedetectionofmycobacteriumlepraefromziehlneelsenstainedmicroscopicslides