Professional Documents
Culture Documents
a r t i c l e i n f o a b s t r a c t
Article history: Precise and sensitive identification methods of Leishmania are required for efficient treatment of leishma-
Received 20 December 2015 niasis. Detection of Leishmania species approves the efficiency of the applied therapy. Current diagnosis
Received in revised form 28 April 2016 methods, such as culture and microscopy methods, are time-consuming and have limited sensitivity, and
Accepted 4 May 2016
are laborious when encountering lots of samples. Although molecular methods can identify Leishmania
Available online 7 May 2016
species, their diagnosis depends on individual responsiveness. Therefore, rapid, sensitive and low-cost
methods are required for identification of Leishmania species. In this study, a new method was developed
Keywords:
based on hybridization of gold nanoparticles linked a specific single stranded DNA probe from non-
Gold nanoparticles
Leishmania major
protein coding region (AB678349.1) of Leishmania major minicircle kinetoplast DNA (kDNA). Dispersion
Genosensor or aggregation of the gold nanoparticles-probe conjugates in the presence or absence of a complementary
DNA biosensor DNA sequence leads to an obvious and sensitive change in the UV–vis spectra and the solution color. The
Hybridization assay results indicated that this method is useful for diagnosis of Leishmania major from other non-Leishmania
species with a detection limit of 7.0 pg L−1 . The efficacy of the present PCR-free assay was evaluated to
identify genomic DNA extracted from Leishmania major and clinical samples.
© 2016 Elsevier B.V. All rights reserved.
1. Introduction a long time and usually leaves a disfiguring scar [4,7]. Two cate-
gories of CL, Leishmania tropica induces anthroponotic CL in cities,
Leishmaniasis is one of the most critical epidemic-prone dis- and Leishmania major causes zoonotic CL in rural areas [8].
eases according to the World Health Organization (WHO) [1]. Up to now, a variety of diagnostic methods have been devel-
Leishmaniasis is a protozoan parasitic disease, transmitted by the oped for diagnosis and identification of Leishmania. Traditionally,
bite of sandflies, and by reusing infected needles and transportation Leishmania in clinical samples is detected microscopically, and also
of the infected blood [2]. Leishmaniasis clinical manifestations are by culturing the stained tissue specimens. Both methods are insen-
classified into three forms: visceral leishmaniasis (VL), cutaneous sitive. In addition, molecular methods are unable to differentiate
leishmaniasis (CL), and mucocutaneous leishmaniasis (MCL) [3,4]. between the infections of lesions caused by Leishmania tropica and
Infective parasites are hosted in the macrophages and produce a Leishmania major [9]. Beside, recognition of parasite species gives
broad spectrum of ulcerative lesions in the skin (in the case of CL) applicable and useful knowledge for appropriate clinical treat-
or inflammation in the mucosa (in the case of MCL and VL) [5]. 30 ment, epidemiological and taxonomic purposes in endemic areas.
different species of Leishmania genus cause leishmaniasis approx- Also, species determination can be effective in information esti-
imately yearly with an incidence rate of 1–1.5 million cases of CL mation of compromised patients [10,11]. However, isoenzymes
[6]. Although CL lesion is a self-healing disease but recovery takes electrophoresis, a gold standard method of classification of Leish-
mania species [12], is slow, culture-dependent, laborious, and
expensive, and requires 15 different enzymatic inquiries [13]. Con-
∗ Corresponding author at: Nanomedicine and Nanobiology Research Center, ventional PCR, RT-PCR, RFLP and nested PCR improve the reliability
Department of Medical Physics, School of Medicine, Shiraz University of Medical diagnosis and produce quantitative results; however, the technical
Sciences, Shiraz, Iran. complexity, equipped laboratory, and product detection reduce its
E-mail addresses: sattarahmady@yahoo.com, nsattar@sums.ac.ir usefulness [14]. Other techniques, such as ELISA using monoclonal
(N. Sattarahmady).
http://dx.doi.org/10.1016/j.snb.2016.05.023
0925-4005/© 2016 Elsevier B.V. All rights reserved.
724 N. Sattarahmady et al. / Sensors and Actuators B 235 (2016) 723–731
antibodies and molecular biology methods such as Southern, Dot, 2.3. Clinical samples
Spot, or Squash Blots suffer from lack of specificity, sensitivity and
rapidity for the isolates [15,16]. Therefore, development of sensi- Biopsy specimens of 9 Leishmaniasis patients were collected
tive, fast, reliable and economical laboratory tests is required for after sterilization of the lesion area on slides, stained by Giemsa and
identification of Leishmania species. microscopically characterized. Then, the smears were cut out and
Kinetoplast is a mitochondria-like organelle and includes a net- DNA extraction performed using YTA genomic DNA kit according to
work of maxi and mini circular DNA molecules. Maxicircles DNA the manufacturer’s instructions. The extracted DNA samples were
has a 20–30 kb containing 50–100 copies encoding proteins of dissolved in 50 L deionized distilled water and stored at −20 ◦ C,
energy production and ribosomal RNAs. Minicircles DNA contains after measurement of their optical densities at 260/280 nm. Some
thousands of smaller molecules concatenated in 0.5–2.7 kb net- of clinical samples were followed by PCR for strain diagnosis after
work, have functions in editing of maxicircle mRNA transcripts, and validation by the assay presented in this study.
represent some unknown functions [17,18]. Conserved sequence
region of 100–300 bp and variable sequence regions with limited
2.4. Preparation of AuNPs
homology exist in minicircles [19,20]. Minicircle DNA sequences
undergo rapid evolutionary change which is used in differentiation
AuNPs were synthesized by citrate reduction approach as
of Leishmania species [21].
reported elsewhere [38–40]. Briefly, sodium citrate (25 mL,
Recent researches on nanotechnology provide new and pre-
38.8 mmol L−1 ) was added to a heated chloroauric acid solution
cise tools for sensing and detection [22–27]. Along this line,
(250 mL, 1 mm mol L−1 ) in a round bottom flask and the mixture
functionalization of DNA with nanomaterials such as gold nanopar-
was refluxed for 15 min. The obtained AuNPs solution had a peak in
ticles (AuNPs) leads to the design of oligonucleotide probes
UV–vis spectra with a maximum peak at 520 nm, confirming appro-
(AuNPs-probe) in efficient molecular recognition [22,28–32]. The
priate size and size distribution of the nanoparticles. The AuNPs
mechanism is based on hybridization of AuNPs-probe with a
solution was stored in a cool and dark place. The size and morphol-
target DNA sequence, and distance dependent surface plasmon
ogy of AuNPs were also characterized by field emission electron
resonance (SPR) of AuNPs. Aggregation of functionalized probes
microscopy (FSEM, using a Zeiss, Sigma-IGMA/VP, Germany), and
induced a color change [28]. This procedure was applied for differ-
transmission electron microscopy (TEM, using a Zeiss, EM10C,
ent molecules and pathogens [29–33]. As for Leishmania detection,
Germany).
AuNPs has been conjugated with four oligonucleotide probes from
kinetoplastid minicircle DNA of Leishmania species for the detection
of Leishmania species [34]. In another study, a visual oligochro- 2.5. Probe design
matographic dipstick test for PCR products [35] has been developed
for the detection of Leishmania species based on hybridization of a A thiolated 24 base oligonucleotide was designed as the probe
short sequence of 18S rRNA gene as target in CL, MCL, or VL patients using NCBI BLAST nucleotide search tool and Primer3 based on a
[14,36]. submitted sequence in GenBank (AB678349.1) of Leishmania major
The aim of the present study was to design an AuNPs-probe minicircle kDNA (Iranian Standard strain MCAN/IR/97/LON490, iso-
assay based on kinetoplast DNA (kDNA) sequences from Leishmania late: IranJWmaj) [41]. The probe sequence was checked for any
major for diagnosis and differentiation of Leishmania major from possible homology and share sequences with any non-Leishmania
Leishmania tropica and Leishmania infantum species based on visual major species using the BLAST of NCBI. Moreover, the melting tem-
and spectrophotometry detections. perature of the probe was ensured to be within a narrow range
using Oligo software. Then, the probe sequence was checked for
potential self-dimer and formation of secondary structures using
2. Materials and methods mfold software (http://mfold.rna.albany.edu) [42] which may oth-
erwise hinder the assay.
2.1. Materials
Fig. 2. UV–vis spectra (A) and visual color changes (B) after HCl (5 L, 0.2 M) addition to AuNPs-probe solution, in the absence (blank control; i), presence of 23.38 ng non-
complementary sequence (h), and presence of different concentrations of complementary sequence of 9.1 (a), 10.6 (b), 15.1 (c), 18.6 (d), 21.40 (e), 30.20 (f) and 38.5 (g) ng
in 10 mmol L−1 sodium phosphate buffer, pH 5.0.
Fig. 4. (A) Visual and (B) UV–vis spectra of different amounts of Leishmania major genomic DNA (10.4 (b), 11.4 (c), 13.2 (d), 15.6 (e), 15.7 (e), 18.2 (f) and 20.7 (d) ng) as positive
samples, Leishmania major (6.2 ng; a), Leishmania infantum (61.5 ng; h), Leishmania tropica (86 ng; i) genomic DNA as negative samples and, after AuNPs-probes hybridization
assay. Blank control (j) contains only AuNPs-probe without any genomic DNA. (C) A calibration curve for the spectrophotometric determination of Leishmania major genomic
DNA.
Leishmania tropica, based on the standard bands of Leishmania Leishmania tropica genomic DNA and blank control showed a wide
major and Leishmania tropica, respectively. Fig. 6 shows photo- absorbance spectra with maxima at ∼580–590 nm. Based on these
graphic images (A) and UV–vis spectra (B) of the clinical samples results, AuNPs-probe hybridization assay confirmed the gel docu-
treated by the AuNPs-probe hybridization assay, after acid addi- mentation of PCR products of these samples. Therefore, detection
tion. It is observed that the colors of the 6 samples of Leishmania of genomic DNA of Leishmania major in clinical samples is achiev-
major remained red, while the colors of three samples of Leish- able without using sophisticated devices and PCR amplification;
mania tropica, and the blank control turned from red to purple. this is an efficient and rapid alternative method for conventional
The results were also confirmed by UV–vis spectra. UV–vis spectra culture-based detections of Leishmania major.
(Fig. 6B) of the samples containing Leishmania major genomic DNA
showed a maximum peak at ∼528 nm, and the samples containing
728 N. Sattarahmady et al. / Sensors and Actuators B 235 (2016) 723–731
Fig. 5. PCR result obtained from patient samples. Ladder (a), Control sample of Leishmania major (lane b); Control sample of Leishmania tropica (lane c); clinical samples
(lanes d–i); clinical samples (lanes j–l) that are agreement with the bands of standard species of Leishmania major and Leishmania tropica, respectively.
Fig. 6. (A) Photographic images of extracted DNA from clinical samples of leishmaniasis patients after AuNPs-probe hybridization assay, positive samples that contain
Leishmania major genomic DNA (samples a–f), negative samples or samples contain other Leishmania strains (samples g–i) and blank control (j). (B) UV–vis spectra of clinical
samples, samples a–f (blue lines), samples g–i (red lines) and blank control j (green line). (For interpretation of the references to colour in this figure legend, the reader is
referred to the web version of this article.)
Table 1
A comparison of different methods for the detection of Leishmania major genomic DNA.
[51] W. Wang, C. Chen, M. Qian, X.S. Zhao, Aptamer biosensor for protein [64] S. Mohan, P. Srivastava, S.N. Maheshwari, S. Sundar, R. Prakash,
detectionusing gold nanoparticles, Anal. Biochem. 373 (2008) 213–219. Nano-structured nickel oxide based DNA biosensor for detection of visceral
[52] C. Thiruppathiraja, S. Kamatchiammal, P. Adaikkappan, D.J. Santhosh, M. leishmaniasis (Kala-azar), Analyst 136 (2011) 2845–2851.
Alagar, Specific detection of Mycobacterium sp. genomic DNA using [65] M.G. Tellevik, K.E. Muller, K.R. Lokken, A.H. Nerland, Detection of a broad
duallabeled gold nanoparticle based electrochemical biosensor, Anal. range of Leishmania species and determination of parasite load of infected
Biochem. 417 (2011) 73–79. mouse by real-time PCR targeting the arginine permease gene AAP3, Acta
[53] A. Vaseghi, N. Safaie, B. Bakhshinejad, A. Mohsenifar, M. Sadeghizadeh, Trop. 137 (2014) 99–104.
Detection of Pseudomonas syringae pathovars by thiol-linked [66] K. Mikita, T. Maeda, S. Yoshikawa, T. Ono, Y. Miyahira, A. Kawana, The direct
DNA-goldnanoparticle probes, Sens. Actuators B 181 (2013) 644–651. Boil-LAMP method: a simple and rapid diagnostic method for cutaneous
[54] D. Xi, X. Luo, Q. Ning, Q. Lu, K. Yao, Z. Liu, The detection of HBV DNA with leishmaniasis, Parasitol. Int. 63 (2014) 785–789.
goldnanoparticle gene probes, J. Nanjing Med. Univ. 21 (2007) 207–212. [67] M. Andreadou, E. Liandris, M. Gazouli, A. Mataragka, I. Tachtsidis, N. Goutas, D.
[55] S.M. Shawkya, D. Bald, H.M.E. Azzazy, Direct detection of Vlachodimitropoulos, J. Ikonomopoulosa, Detection of Leishmania-specific
unamplifiedhepatitis C virus RNA using unmodified gold nanoparticles, Clin. DNA and surface antigens using a combination of functionalized magnetic
Biochem. 43 (2010) 1163–1168. beads and cadmium selenite quantum dots, J. Microbiol. Methods 123 (2016)
[56] G.J. Van Eys, G.J. Schoone, N.C. Kroon, S.B. Ebeling, Sequence analysis of small 62–67.
subunit ribosomal RNA genes and its use for detection and identification of
Leishmania parasites, Mol. Biochem. Parasitol. 51 (1992) 133–142.
[57] G. Sch nian, A. Nasereddine, N. Dinse, C. Schweynoch, H.D. Schallig, W. Biographies
Presber, C.L. Jaffe, PCR diagnosis and characterization of Leishmania in local
and imported clinical samples, Diagn. Microbiol. Infect. Dis. 47 (2003)
349–358. Dr. N. Sattarahmady received her Ph.D. in biophysics from Institute of Biochemistry
[58] N. Tupperwara, V. Vineethb, S. Rathb, T. Vaidya, Development of a real-time and Biophysics, University of Tehran, Iran. She currently is an associate professor of
polymerase chain reaction assay for the quantification of Leishmania species biophysics at Shiraz University of Medical Sciences. Her current interests include
and the monitoring of systemic distribution of the pathogen, Diagn. protein structure, design of nanostructured materials for encapsulation, drug deliv-
Microbiol. Infect. Dis. 61 (2008) 23–30. ery and biosensors, and nanomedicine.
[59] L. Nicolas, G. Milon, N. Prina, Rapid differentiation of Old World Leishmania
Mr. A. Movahedpour is a M.Sc. student in nanomedicine at Shiraz University of Med-
species by LightCycler polymerase chain reaction and melting curve analysis,
ical Sciences, Shiraz, Iran. His interests include nanobiosensors and nanomedicine.
J. Microbiol. Methods 51 (2002) 295–299.
[60] S. Brewster, D.C. Barker, Analysis of minicircle classes in Leishmania (Viannia) Dr. H. Heli received his PhD in electrochemistry from K.N. Toosi University of Tech-
species, Trans. R. Soc. Trop. Med. Hyg. 96 (2002) 55–63. nology, Tehran, Iran. He currently is an assistant professor of chemistry at Shiraz
[61] G. Anders, C.L. Eisenberger, F. Jonas, C.L. Greenblatt, Distinguishing Leishmania University of Medical Sciences, Shiraz, Iran. His major interests are synthesis of new
tropica and Leishmania major in the Middle East using the polymerase chain nanostructured and targeted materials and their applications in electrocatalysis,
reaction with kinetoplast DNA-specific primers, Trans. R. Soc. Trop. Med. Hyg. bioelectrocatalysis, and electrochemical and medical nanodevices.
96 (2002) 87–92.
[62] R. Kumar, R.A. Bumb, N.A. Ansari, R.D. Mehta, P. Salotra, Cutaneous Dr. G.R. Hatam received his Ph. D. in Parasitology from Tarbiat Modaress University,
leishmaniasis caused by Leishmania tropica in Bikaner, India: parasite Tehran, Iran. He is currently Professor in Pasasitology, Shiraz University of Medical
identification and characterization using molecular and immunologic tools, Sciences, Shiraz, Iran.
Am. J. Trop. Med. Hyg. 76 (2007) 896–901.
[63] H.I. Peng, B.L. Miller, Recent advancements in optical DNA biosensors:
exploiting the plasmonic effects of metal nanoparticles, Analyst 136 (2011)
436–447.