Comparison of two target genes for detection and genotyping of Giardia lamblia in human feces by PCR and PCR-restriction fragment length polymorphism

J Clin Microbiol. 2005 Dec;43(12):5940-4. doi: 10.1128/JCM.43.12.5940-5944.2005.

Abstract

A PCR assay targeting the tpi gene was developed to detect and to genotype Giardia lamblia in human feces. Our assay was specific and discriminated between G. lamblia assemblages A and B. G. lamblia cysts isolated from human feces were also analyzed with two previously described PCR-restriction fragment length polymorphism (RFLP) assays, which are based on the detection of tpi or gdh genes. These RFLP analyses distinguished groups I and II within assemblage A or groups III and IV within assemblage B. Among 26 fecal samples from patients with sporadic giardiasis diagnosed by hospital laboratories, the tpi gene was amplified from 25 (96%) with our PCR assay, whereas only 21 (81%) samples were positive when the gdh gene was targeted. Of the 25 positive samples, nine (36%) contained assemblage A and 16 (64%) contained assemblage B. Thus, RFLP analysis classified eight samples (32%) in assemblage A group II, eight (32%) in assemblage B group III, and five (20%) in assemblage B group IV. The group could not be specified for four samples. The tpi and gdh genes of G. lamblia assemblage B were amplified from 14 (93%) of 15 samples collected only from French soldiers coming back from the Ivory Coast. All of these contained assemblage B group III. The PCR method developed is sensitive, simple, and specific and shows that the tpi gene is well adapted for G. lamblia genotyping.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Child, Preschool
  • DNA, Protozoan / analysis
  • DNA, Protozoan / genetics
  • Feces / parasitology*
  • Female
  • Genotype
  • Giardia lamblia / classification*
  • Giardia lamblia / genetics
  • Giardia lamblia / isolation & purification
  • Giardiasis / parasitology
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Polymerase Chain Reaction / methods*
  • Polymorphism, Restriction Fragment Length*
  • Sensitivity and Specificity
  • Triose-Phosphate Isomerase / genetics*

Substances

  • DNA, Protozoan
  • Triose-Phosphate Isomerase