4.2 Article

Genetic Characterization and Detection of Angiostrongylus cantonensis by Molecular Approaches

Journal

VECTOR-BORNE AND ZOONOTIC DISEASES
Volume 21, Issue 9, Pages 643-652

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/vbz.2020.2734

Keywords

Angiostrongylus cantonensis; genetic characterization; molecular detection methods; detection

Funding

  1. Natural Science Foundation of Shanghai [18ZR1443500]
  2. General Program Shanghai Municipal Commission of Health and Family Planning of China [201840286, 201640278]
  3. Youth Science Foundation of Chinese Center for Disease Control and Prevention [2018A105]
  4. Fifth Round of Three-Year Public Health Action Plan of Shanghai [GWV-10.1-XK13]
  5. Open project of Key Laboratory of Tropical Disease Control (Sun Yat-Sen University)
  6. Ministry of Education [2019kfkt02]
  7. NHC Key Laboratory of Echinococcosis Prevention and Control [2020WZK2002]
  8. Shenzhen San-Ming Project for prevention and research on vector-borne diseases [SZSM201611064]

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The detection of Angiostrongylus cantonensis primarily relies on morphology or immunology by detecting the parasite or specific antibodies or DNA in the cerebrospinal fluid; molecular techniques, such as PCR amplification followed by DNA sequence analysis, are proposed for efficient and accurate identification. Larva release from tissue upon pepsin digestion is another method to detect A. cantonensis, but it requires live mollusks, potentially complicating large-scale analysis. Morphological assays are limited, prompting the development of molecular approaches for better detection, management, and study purposes.
Angiostrongylus cantonensis constitutes a major etiologic agent of eosinophilic meningoencephalitis. The detection methods for angiostrongyliasis mainly depend on morphology or immunology. A firmer diagnosis could be reached by directly detecting the parasite in the cerebrospinal fluid or through laboratory assays that are specific for Angiostrongylus-induced antibodies or the parasite's DNA. A. cantonensis detection could be carried out by larva release from the tissue upon pepsin digestion. However, the procedure requires live mollusks, which might complicate the analysis of large amounts of samples. Since morphological assays are limited, multiple molecular techniques have been put forward for detecting A. cantonensis, including PCR amplification of targets followed by fragment length or DNA sequence analysis. This allows rapid and accurate identification of A. cantonensis for efficient infection management and epidemiological purposes. In this study, we reviewed the current methods, concepts, and applications of molecular approaches to better understand the genetic characterization, molecular detection methods, and practical application of molecular detection in A. cantonensis.

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