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Published Online:https://doi.org/10.2217/17460913.3.2.167

Trypanosomes are the causative agents of many diseases of medical and veterinary importance, including sleeping sickness and nagana in Africa, and Chagas disease in South America. Accurate identification of trypanosome species is essential, as some species are morphologically indistinguishable, yet differ greatly in their pathogenicity. A range of molecular tools has been developed for identification of species and strains of trypanosomes. PCR, using primer sets designed to amplify a specific DNA fragment from each trypanosome species, is frequently used. More recently, generic systems have been developed that can potentially recognize all trypanosome species, such as amplification of the internal transcribed spacer and fluorescent fragment length barcoding, both of which use interspecies size variation in PCR fragments amplified from the ribosomal RNA locus. Loop-mediated isothermal amplification is a promising technique and is able to detect trypanosomes in blood, serum and cerebrospinal fluid. The advantages of these techniques for high-throughput and sensitive molecular identification will be discussed.

Papers of special note have been highlighted as either of interest (•) or of considerable interest (••) to readers.

Bibliography

  • WHO: A new form of human trypanosomiasis in India. Description of the first human case in the world caused by Trypanosoma evansi. Wkly Epidemiol. Rec.80,62–63 (2005).Google Scholar
  • Truc P, Gibson W, Herder S: Genetic characterization of Trypanosoma evansi isolated from a patient in India. Infect. Genet. Evol.7,305–307 (2007).Crossref, Medline, CASGoogle Scholar
  • Gibson W: Resolution of the species problem in African trypanosomes. Int. J. Parasitol.37,829–838 (2007).•• Review of trypanosome taxonomy and complexity of identification.Crossref, Medline, CASGoogle Scholar
  • Gall Y, Woitag T, Bauer B et al.: Trypanocidal failure suggested by PCR results in cattle field samples. Acta Trop.92,7–16 (2004).• Shows that strains can differ significantly in drug resistance, using species-specific PCR.Crossref, Medline, CASGoogle Scholar
  • Gibson W: Epidemiology and diagnosis of African trypanosomiasis using DNA probes. Trans. R. Soc. Trop. Med. Hyg.96,141–143 (2002).CrossrefGoogle Scholar
  • Gonzalez A, Prediger E, Huecas ME, Nogueira N, Lizardi PM: Minichromosomal repetitive DNA in Trypanosoma cruzi: its use in a high-sensitivity parasite detection assay. Proc. Natl Acad. Sci. USA81,3356–3360 (1984).Crossref, Medline, CASGoogle Scholar
  • Simpson L, Thiemann OH, Savill NJ, Alfonzo JD, Maslov DA: Evolution of RNA editing in trypanosome mitochondria. Proc. Natl Acad. Sci. USA97,6986–6993 (2000).Crossref, Medline, CASGoogle Scholar
  • Solari A, Venegas J, Gonzalez E, Vasquez C: Detection and classification of Trypanosoma cruzi by DNA hybridization with nonradioactive probes. J. Protozool.38,559–565 (1991).Crossref, Medline, CASGoogle Scholar
  • Voller A, Draper C, Bidwell DE, Bartlett A: Microplate enzyme-linked immunosorbent assay for Chagas’ disease. Lancet1,426–428 (1975).Crossref, Medline, CASGoogle Scholar
  • 10  Nantulya VM, Musoke AJ, Rurangirwa FR, Saigar N, Minja SH: Monoclonal antibodies that distinguish Trypanosoma congolense, T. vivax and T. brucei. Parasite Immunol.9,421–431 (1987).Crossref, Medline, CASGoogle Scholar
  • 11  Verloo D, Holland W, My LN et al.: Comparison of serological tests for Trypanosoma evansi natural infections in water buffaloes from North Vietnam. Vet. Parasitol.92,87–96 (2000).Crossref, Medline, CASGoogle Scholar
  • 12  Ouma JO, Masake RA, Masiga DK et al.: Comparative sensitivity of dot-ELISA, PCR and dissection method for the detection of trypanosome infections in tsetse flies (Diptera: Glossinidae). Acta Trop.75,315–321 (2000).Crossref, Medline, CASGoogle Scholar
  • 13  El-Sayed NM, Myler PJ, Bartholomeu DC et al.: The genome sequence of Trypanosoma cruzi, etiologic agent of Chagas disease. Science309,409–415 (2005).Crossref, Medline, CASGoogle Scholar
  • 14  Berriman M, Ghedin E, Hertz-Fowler C et al.: The genome of the African trypanosome Trypanosoma brucei. Science309,416–422 (2005).Crossref, Medline, CASGoogle Scholar
  • 15  Chiurillo MA, Crisante G, Rojas A et al.: Detection of Trypanosoma cruzi and Trypanosoma rangeli infection by duplex PCR assay based on telomeric sequences. Clin. Diagn. Lab. Immunol.10,775–779 (2003).Medline, CASGoogle Scholar
  • 16  Xong VH, Vanhamme L, Chamekh M et al.: A VSG expression site-associated gene confers resistance to human serum in Trypanosoma rhodesiense. Cell95,839–846 (1998).Crossref, Medline, CASGoogle Scholar
  • 17  Welburn SC, Picozzi K, Fevre EM et al.: Identification of human-infective trypanosomes in animal reservoir of sleeping sickness in Uganda by means of serum-resistance-associated (SRA) gene. Lancet358,2017–2019 (2001).Crossref, Medline, CASGoogle Scholar
  • 18  Picozzi K, Carrington M, Welburn SC: A multiplex PCR that discriminates between Trypanosoma brucei brucei and zoonotic T. b. rhodesiense. Exp. Parasitol.118(1),41–46 (2007).Crossref, MedlineGoogle Scholar
  • 19  Maia da Silva F, Rodrigues AC, Campaner M et al.: Randomly amplified polymorphic DNA analysis of Trypanosoma rangeli and allied species from human, monkeys and other sylvatic mammals of the Brazilian Amazon disclosed a new group and a species-specific marker. Parasitology128,283–294 (2004).Crossref, Medline, CASGoogle Scholar
  • 20  Rodrigues AC, Campaner M, Takata CS et al.: Brazilian isolates of Trypanosoma (Megatrypanum) theileri: diagnosis and differentiation of isolates from cattle and water buffalo based on biological characteristics and randomly amplified DNA sequences. Vet. Parasitol.116,185–207 (2003).Crossref, Medline, CASGoogle Scholar
  • 21  Masiga DK, Smyth AJ, Hayes PJ, Bromidge TJ, Gibson WC: Sensitive detection of trypanosomes in tsetse flies by DNA amplification. Int. J. Parasitol.22,909–918 (1992).Crossref, Medline, CASGoogle Scholar
  • 22  Radwanska M, Claes F, Magez S et al.: Novel primer sequences for polymerase chain reaction-based detection of Trypanosoma brucei gambiense. Am. J. Trop. Med. Hyg.67,289–295 (2002).Crossref, Medline, CASGoogle Scholar
  • 23  Radwanska M, Chamekh M, Vanhamme L et al.: The serum resistance-associated gene as a diagnostic tool for the detection of Trypanosoma brucei rhodesiense. Am. J. Trop. Med. Hyg.67,684–690 (2002).Crossref, Medline, CASGoogle Scholar
  • 24  Masiga DK, McNamara JJ, Gibson WC: A repetitive DNA sequence specific for Trypanosoma (Nannomonas) godfreyi. Vet. Parasitol.62,27–33 (1996).Crossref, Medline, CASGoogle Scholar
  • 25  Majiwa PAO, Webster P: A repetitive DNA sequence distinguishes Trypanosoma simiae from T. congolense. Parasitology95,543–598 (1987).Crossref, Medline, CASGoogle Scholar
  • 26  Majiwa PAO, Maina M, Waitumbi JN, Mihok S, Zweygarth E: Trypanosoma (Nannomonas) congolense: molecular characterisation of a new genotype from Tsavo, Kenya. Parasitology106,151–162 (1993).Crossref, Medline, CASGoogle Scholar
  • 27  Masake RA, Majiwa PAO, Moloo SK et al.: Sensitive and specific detection of Trypanosoma vivax using the polymerase chain reaction. Exp. Parasitol.85,193–205 (1997).Crossref, Medline, CASGoogle Scholar
  • 28  Dickin SK, Gibson WC: Hybridisation with a repetitive DNA probe reveals the presence of small chromosomes in Trypanosoma vivax. Mol. Biochem. Parasitol.33,135–142 (1989).Crossref, Medline, CASGoogle Scholar
  • 29  Notomi T, Okayama H, Masubuchi H et al.: Loop-mediated isothermal amplification of DNA. Nucleic Acids Res.28,E63 (2000).Crossref, Medline, CASGoogle Scholar
  • 30  Thekisoe OM, Kuboki N, Nambota A et al.: Species-specific loop-mediated isothermal amplification (LAMP) for diagnosis of trypanosomiasis. Acta Trop.102,182–189 (2007).Crossref, Medline, CASGoogle Scholar
  • 31  Poon LL, Wong BW, Ma EH et al.: Sensitive and inexpensive molecular test for falciparum malaria: detecting Plasmodium falciparum DNA directly from heat-treated blood by loop-mediated isothermal amplification. Clin. Chem.52,303–306 (2006).Crossref, Medline, CASGoogle Scholar
  • 32  Njiru ZK, Mikosza AS, Matovu E et al.: African trypanosomiasis: sensitive and rapid detection of the sub-genus Trypanozoon by loop-mediated isothermal amplification (LAMP) of parasite DNA. Int. J. Parasitol. DOI: 10.10.1016/j.ijpara.2007.09.006 (2007) (Epub ahead of print).•• Significant development of loop-mediated isothermal amplification for identification of members of the Trypanozoon – may be of use in remote locations.MedlineGoogle Scholar
  • 33  Desquesnes M, McLaughlin G, Zoungrana A, Davila AMR: Detection and identification of Trypanosoma of African livestock through a single PCR based on internal transcribed spacer 1 of rDNA. Int. J. Parasitol.31,610–614 (2001).•• First development of internal transcribed spacer (ITS) methods of identification.Crossref, Medline, CASGoogle Scholar
  • 34  Njiru ZK, Constantine CC, Guya S et al.: The use of ITS1 rDNA PCR in detecting pathogenic African trypanosomes. Parasitol. Res.95,186–192 (2005).Crossref, Medline, CASGoogle Scholar
  • 35  Cox A, Tilley A, McOdimba F et al.: A PCR based assay for detection and differentiation of African trypanosome species in blood. Exp. Parasitol.111,24–29 (2005).Crossref, Medline, CASGoogle Scholar
  • 36  Adams ER, Malele II, Msangi AR, Gibson WC: Trypanosome identification in wild tsetse populations in Tanzania using generic primers to amplify the ribosomal RNA ITS-1 region. Acta Trop.100,103–109 (2006).Crossref, Medline, CASGoogle Scholar
  • 37  Adams ER, Hamilton PB, Malele II, Gibson WC: The identification, diversity and prevalence of trypanosomes in field caught tsetse in Tanzania using ITS-1 primers and fluorescent fragment length barcoding. Infect. Genet. Evol. DOI: 10.10.16/j.meegid.2007.07.013 (2007) (Epub ahead of print).• Comparison of ITS and fluorescent fragment length barcoding (FFLB) methods.Google Scholar
  • 38  Sarataphan N, Vongpakorn M, Nuansrichay B et al.: Diagnosis of a Trypanosoma lewisi-like (Herpetosoma) infection in a sick infant from Thailand. J. Med. Microbiol.56,1118–1121 (2007).• Use of ITS to diagnose infections of a sick child with Trypanosoma lewisi-like infection.Crossref, Medline, CASGoogle Scholar
  • 39  Malele I, Craske L, Knight C et al.: The use of specific and generic primers to identify trypanosome infections of wild tsetse flies in Tanzania by PCR. Infect. Genet. Evol.3,271–279 (2003).Crossref, Medline, CASGoogle Scholar
  • 40  Schares G, Mehlitz D: Sleeping sickness in Zaire: a nested polymerase chain reaction improves the identification of Trypanosoma (Trypanozoon) brucei gambiense by specific kinetoplast DNA probes. Trop. Med. Int. Health1,59–70 (1996).Crossref, Medline, CASGoogle Scholar
  • 41  Schijman AG, Lauricella MA, Marcet PL et al.: Differential detection of Blastocrithidia triatomae and Trypanosoma cruzi by amplification of 24S α ribosomal RNA genes in faeces of sylvatic triatomine species from rural northwestern Argentina. Acta Trop.99,50–54 (2006).Crossref, Medline, CASGoogle Scholar
  • 42  Yeo M, Acosta N, Llewellyn M et al.: Origins of Chagas disease: Didelphis species are natural hosts of Trypanosoma cruzi I and armadillos hosts of Trypanosoma cruzi II, including hybrids. Int. J. Parasitol.35,225–233 (2005).Crossref, Medline, CASGoogle Scholar
  • 43  Brisse S, Verhoef J, Tibayrenc M: Characterisation of large and small subunit rRNA and mini-exon genes further supports the distinction of six Trypanosoma cruzi lineages. Int. J. Parasitol.31,1218–1226 (2001).Crossref, Medline, CASGoogle Scholar
  • 44  Burgos JM, Altcheh J, Bisio M et al.: Direct molecular profiling of minicircle signatures and lineages of Trypanosoma cruzi bloodstream populations causing congenital Chagas disease. Int. J. Parasitol.37,1319–1327 (2007).Crossref, Medline, CASGoogle Scholar
  • 45  Noyes HA, Ambrose P, Barker F et al.: Host specificity of Trypanosoma (Herpetosoma) species: evidence that bank voles (Clethrionomys glareolus) carry only one T. (H.) evotomys 18S rRNA genotype but wood mice (Apodemus sylvaticus) carry at least two polyphyletic parasites. Parasitology124,185–190 (2002).Crossref, Medline, CASGoogle Scholar
  • 46  Noyes HA, Stevens JR, Teixeira M, Phelan J, Holz P: A nested PCR for the ssrRNA gene detects Trypanosoma binneyi in the platypus and Trypanosoma sp. in wombats and kangaroos in Australia. Int. J. Parasitol.29,331–339 (1999).Crossref, Medline, CASGoogle Scholar
  • 47  Delespaux V, Ayral F, Geysen D, Geerts S: PCR-RFLP using Ssu-rDNA amplification: applicability for the diagnosis of mixed infections with different trypanosome species in cattle. Vet. Parasitol.117,185–193 (2003).Crossref, Medline, CASGoogle Scholar
  • 48  Stothard JR, Frame IA, Carrasco HJ, Miles MA: On the molecular taxonomy of Trypanosoma cruzi using riboprinting. Parasitology117(Pt 3),243–247 (1998).Crossref, Medline, CASGoogle Scholar
  • 49  Marcet PL, Duffy T, Cardinal MV et al.: PCR-based screening and lineage identification of Trypanosoma cruzi directly from faecal samples of triatomine bugs from northwestern Argentina. Parasitology132,57–65 (2006).Crossref, Medline, CASGoogle Scholar
  • 50  Hamilton PB, Adams ER, Malele II, Gibson WC: A novel, high throughput technique for species identification, reveals a new species of tsetse-transmitted trypanosome related to the Trypanosoma brucei subgenus Trypanozoon.Infect. Genet. Evol.8,26–33 (2008).•• First demonstration of FFLB discovery of trypanosome related to Trypanosoma brucei.Crossref, Medline, CASGoogle Scholar
  • 51  Hebert PD, Ratnasingham S, deWaard JR: Barcoding animal life: cytochrome c oxidase subunit 1 divergences among closely related species. Proceedings270(Suppl. 1),S96–S99 (2003).CASGoogle Scholar
  • 52  Hamilton PB, Gibson WC, Stevens JR: Patterns of co-evolution between trypanosomes and their hosts deduced from ribosomal RNA and protein-coding gene phylogenies. Mol. Phylogenet. Evol.44,15–25 (2007).Crossref, Medline, CASGoogle Scholar
  • 53  Hamilton PB, Stevens JR, Holz P et al.: The inadvertent introduction into Australia of Trypanosoma nabiasi, the trypanosome of the European rabbit (Oryctolagus cuniculus), and its potential for biocontrol. Mol. Ecol.14,3167–3175 (2005).Crossref, Medline, CASGoogle Scholar
  • 54  Metzker ML: Emerging technologies in DNA sequencing. Genome Res.15,1767–1776 (2005).Crossref, Medline, CASGoogle Scholar
  • 101  WHO: African trypanosomiasis (sleeping sickness). www.who.int/mediacentre/factsheets/fs259/en/Google Scholar
  • 102  Agriculture Department, Animal Production and Health Division: PAAT: The disease. (2005). www.fao.org/ag/againfo/programmes/en/paat/disease.htmlGoogle Scholar
  • 103  The Special Programme for Research and Training in Tropical Diseases (TDR): Chagas Disease. www.who.int/tdr/dw/chagas2003.htmGoogle Scholar
  • 104  NCBI (2005). www.ncbi.nlm.nih.govGoogle Scholar