Genetic diversity and epidemiological insights into cutaneous leishmaniasis in Pakistan: a comprehensive study on clinical manifestations and molecular characterization of Leishmania species

Cutaneous leishmaniasis (CL) stands out as a significant vector-borne endemic in Pakistan. Despite the rising incidence of CL, the genetic diversity of Leishmania species in the country’s endemic regions remains insufficiently explored. This study aims to uncover the genetic diversity and molecular...

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Veröffentlicht in:Parasitology research (1987) 2024-09, Vol.123 (9), p.320, Article 320
Hauptverfasser: Naz, Shumaila, Nalcaci, Muhammed, Hayat, Obaid, Toz, Seray, Minhas, Azhar, Waseem, Shahid, Ozbel, Yusuf
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container_issue 9
container_start_page 320
container_title Parasitology research (1987)
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creator Naz, Shumaila
Nalcaci, Muhammed
Hayat, Obaid
Toz, Seray
Minhas, Azhar
Waseem, Shahid
Ozbel, Yusuf
description Cutaneous leishmaniasis (CL) stands out as a significant vector-borne endemic in Pakistan. Despite the rising incidence of CL, the genetic diversity of Leishmania species in the country’s endemic regions remains insufficiently explored. This study aims to uncover the genetic diversity and molecular characteristics of Leishmania species in CL-endemic areas of Baluchistan, Khyber Pakhtunkhwa (KPK), and Punjab in Pakistan. Clinical samples from 300 CL patients were put to microscopic examination, real-time ITS-1 PCR, and sequencing. Predominantly affecting males between 16 to 30 years of age, with lesions primarily on hands and faces, the majority presented with nodular and plaque types. Microscopic analysis revealed a positivity rate of 67.8%, while real-time PCR identified 60.98% positive cases, mainly L. tropica , followed by L. infantum and L. major. Leishmania major ( p  = 0.009) showed substantially greater variation in nucleotide sequences than L. tropica ( p  = 0.07) and L. infantum ( p  = 0.03) . Nucleotide diversity analysis indicated higher diversity in L. major and L. infantum compared to L. tropica. This study enhances our understanding of CL epidemiology in Pakistan, stressing the crucial role of molecular techniques in accurate species identification. The foundational data provided here emphasizes the necessity for future research to investigate deeper into genetic diversity and its implications for CL control at both individual and community levels.
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Despite the rising incidence of CL, the genetic diversity of Leishmania species in the country’s endemic regions remains insufficiently explored. This study aims to uncover the genetic diversity and molecular characteristics of Leishmania species in CL-endemic areas of Baluchistan, Khyber Pakhtunkhwa (KPK), and Punjab in Pakistan. Clinical samples from 300 CL patients were put to microscopic examination, real-time ITS-1 PCR, and sequencing. Predominantly affecting males between 16 to 30 years of age, with lesions primarily on hands and faces, the majority presented with nodular and plaque types. Microscopic analysis revealed a positivity rate of 67.8%, while real-time PCR identified 60.98% positive cases, mainly L. tropica , followed by L. infantum and L. major. Leishmania major ( p  = 0.009) showed substantially greater variation in nucleotide sequences than L. tropica ( p  = 0.07) and L. infantum ( p  = 0.03) . 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subjects Adolescent
Adult
Aged
Biomedical and Life Sciences
Biomedicine
Child
Child, Preschool
Cutaneous leishmaniasis
DNA, Protozoan - genetics
Endemic species
Epidemiology
Female
Genetic diversity
Genetic Variation
Humans
Immunology
Leishmania
Leishmania - classification
Leishmania - genetics
Leishmania - isolation & purification
Leishmania major - classification
Leishmania major - genetics
Leishmania major - isolation & purification
Leishmania tropica - classification
Leishmania tropica - genetics
Leishmania tropica - isolation & purification
Leishmaniasis, Cutaneous - epidemiology
Leishmaniasis, Cutaneous - parasitology
Male
Medical Microbiology
Microbiology
Middle Aged
Molecular Epidemiology
Pakistan - epidemiology
Parasitic diseases
Phylogeny
Real-Time Polymerase Chain Reaction
Sequence Analysis, DNA
Young Adult
title Genetic diversity and epidemiological insights into cutaneous leishmaniasis in Pakistan: a comprehensive study on clinical manifestations and molecular characterization of Leishmania species
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