New Histoplasma Diagnostic Assays Designed via Whole Genome Comparisons

ABSTRACT: Histoplasmosis is a systemic fungal disease caused by the pathogen Histoplasma spp. that results in significant morbidity and mortality in persons with HIV/AIDS and can also affect immunocompetent individuals. Although some PCR and antigen-detection assays have been developed, conventional diagnosis has largely relied on culture, which can take weeks. Our aim was to provide a proof of principle for rationally designing and standardizing PCR assays based on Histoplasma-specific genomic sequences. Via automated comparisons of aligned genome contigs/scaffolds and gene (sub)sequences, we identified protein-coding genes that are present in existing sequences of Histoplasma strains but not in other genera. Two of the genes, PPK and CFP4, were used for designing primer sets for conventional and real-time PCR assays. Both resulted in a 100% analytical specificity in vitro and detected 62/62 H. capsulatum isolates using purified DNA. We also obtained positive detections of 2/2 confirmed H. capsulatum clinical FFPE (formalin-fixed paraffin-embedded) samples using both primer sets. Positive control plasmid 10-fold serial dilutions confirmed the analytical sensitivity of the assays. The findings suggest that these novel primer sets should allow for detection sensitivity and reduce false positive results/cross-reactions. New assays for detecting pathogenic fungi, constructed along these lines, could be simple and affordable to implement.

• Autores: Gallo Bonilla, Juan Esteban; Torres Gómez, Isaura Patricia; Gómez Guzmán, Oscar Mauricio; McEwen Ochoa, Juan Guillermo; Keatinge Clay, Oliver; Rishishwar, Lavanya; Vannberg, Fredrik; King Jordan, I.
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2021
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: eng
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/42106
• Acceso en línea: https://hdl.handle.net/10495/42106
• Palabra clave: Reacción en Cadena de la Polimerasa; Polymerase Chain Reaction; Reacciones Cruzadas; Cross Reactions; Histoplasma; Secuenciación Completa del Genoma; Whole Genome Sequencing; Genoma Fúngico; Genome, Fungal; Histoplasmosis; Reacción en Cadena en Tiempo Real de la Polimerasa; Real-Time Polymerase Chain Reaction; https://id.nlm.nih.gov/mesh/D016133; https://id.nlm.nih.gov/mesh/D003429; https://id.nlm.nih.gov/mesh/D006658; https://id.nlm.nih.gov/mesh/D000073336; https://id.nlm.nih.gov/mesh/D016681; https://id.nlm.nih.gov/mesh/D006660; https://id.nlm.nih.gov/mesh/D060888
• Rights: openAccess
• License: https://creativecommons.org/licenses/by/4.0/