Articles

Spatial Distribution and Molecular Identification of Leishmania Species from Endemic Foci of South-Eastern Iran

Abstract

Background: Cutaneous leishmaniasis constitutes a major public health problem in many parts of the world including Iran. The primary objective of this study was to identify Leishmania spe­cies in endemic districts of Kerman Province, south-eastern Iran.

Methods: This study was conducted by random sampling as cross- sectional descriptive between 2008 and 2010. Overall, 203 skin scraping smears were taken from the patients. Nested -PCR was performed to amplify variable minicircle fragments of Leishmania kDNA.

Results: Bam was the most infected district (71.1%), followed by Kerman (14.7%), Jiroft (5.4%), Baft (2.7%), Sirjan (1.6%), Shahr-e Babak (1.5%) and others (3.0%).  L. tropica was the most common species identified (194 cases, 95.6%), while L. major was found in only 9 cases (4.4%). Of 203 identified patients, all species in Bam (l07 cases), Kerman (32 cases), Jiroft (l6 cases) and Shahr-e- Babak (l1 cases) were detected as L. tropica, whereas infected subjects in Baft and Sir­jan showed L. tropica or L. major. Characterization of Leishmania species resulted in generation of 750 bp and 560 bp fragments, corresponding to those of L. tropica and L. major, respectively.

Conclusion: L. tropica is the main species (95.6%) caused ACL in endemic areas of Kerman Prov­ince; however L. major is present in low level (4.4%).

Desjeux P. Leishmaniasis: current situation and new perspectives. Comp Immunol Microbiol Infect Dis. 2004; 27: 305–318.

Sharifi I, Zemani F, Aflatoonian MR, Fekri AR. An epidemic of cutaneous leishmaniasis in Baft district in Kerman Province and its probable causative risk factors. Iranian J Epidemiol. 2008; 4(1):53-58.

Sharifi I, Poursmaelian S, Aflatoonian MR, Ardakani RF, Mirzaei M, Fekri AR, Khamesipour A, Hakimi PariziM, Harandi MF.Emergence of a new focus of anthroponotic cutaneous leishmaniasis due to Leishmania tropica in rural communities of Bamdistrict after the earthquake, Iran. Trop Med Int Health. 2011; 16(4):510-3.

Sharifi I, Ardehali S, Motazadian H, Aflatoonian MR .Identification and characterization of Leishmania isolates in school children in Bam, southeastern Iran. Iranian JMed Sci. 1997; 22(3, 4): 82-88.

Shahbazi F, Shahabi S, Kazemi B, Mohebali M, Abadi AR, Zare Z. Evaluation of PCR assay in diagnosis and identification of cutaneous leishmaniasis: a comparison with the parasitological methods. Parasitol Res. 2008; 103(5):1159-62.

Maraghi S, Samarbaf Zadeh A, Sarlak AA, GhasemianM, Vazirianzadeh B. Identification of cutaneous leishmaniasis agents by nested polymerase chain reaction (Nested- PCR) in Shush city, Khuzestan Province, Iran. Iranian J Parasitol. 2007; 2(3): 13-15.

Hajjaran H, Vasigheh F, Mohebali M, Rezaei S, Mamishi S, Charedar S. Direct diagnosis of Leishmania species on serosity materials punctured from cutaneous leishmaniasis patients using PCR-RFLP. JClin Lab Anal. 2011; 25(1):20-4. doi: 10.1002/jcla.20377.

Bacha HA, Tuon FF, Zampieri RA, Floeter-Winter LM, Oliveira J, Nicodemo AC, Quiroga MM, Mascheretti M, Boulos M, Amato VS. Leishmania (Viannia) braziliensis identification by PCR in the state of Para, Brazil. Trans R Soc Trop Med Hyg. 2011; 105(3):173-8.

FarahmandM, Nahrevanian H, Shirazi HA, Naeimi S, Farzanehnejad Z. An overview of a diagnostic and epidemiologic reappraisal of cutaneous leishmaniasis in Iran. Braz J Infect Dis. 2011; 15(1): 17-21.

Odiwuor SO, Saad AA, De Doncker S, Maes I, Laurent T, El Safi S, Mbuchi M, Büscher P, Dujardin JC, Van der Auwera G.Universal PCR assays for the differential detection of all Old World Leishmania species. Eur J Clin Microbiol Infect Dis. 2011; 30(2): 209-18.

Modabber F. Leishmaniasis vaccines: past, present and future. Int J Antimicrob Agents. 2010; 36 (1):S58-61.

Croft SL, Sundar S, Fairlamb AH. Drug resistance in leishmaniasis. Clin Microbiol Rev. 2006; 19(1): 11-26.

Jirku M, Zemanova E, Al- Javadbreh A, Schönian G, Lukes J. Development of a direct species-specific PCR assay for differential diagnosis of Leishmania tropica. DiagMicrobiol Infec Dis. 2006; 55:75–79.

Alvar J, Croft S, Olliaro P. Chemotherapy in the treatment and control of leishmaniasis. Adv Parasitol. 2006; 61: 223-74.

Garcia AL, Kindt A, Quispe-Tintaya KW, Bermudez H, Llanos A, Arevalo J, Bañuls AL, De Doncker S, Le Ray D, Dujardin JC.American tegumentary leishmaniasis: antigen-gene polymorphism, taxonomy and clinical pleomorphism. Infect Genet Evol. 2005; 5(2):109-16.

Sharifi I, Fekri AR, Aflatoonian MR, Khamesipour A, Mahboudi F, Dowlati Y, Nadim A, Modabber F. Leishmaniasis recidivans among school children in Bam, South-east Iran, 1994-2006. Int J Dermatol. 2010; 49(5): 557-61.

Nadim A, Aflatoonian MR. Anthroponotic cutaneous leishmaniasis in Bam, southeast Iran. Iranian J PublHealth. 1995; 24:15-24.

Sharifi I, Nakhaei N, Aflatoonian MR, Hakimi Parizi M, Fekri AR, Safizadeh H, Shirzadi MR, Gooya MM, Khamesipour A, Nadim A.Cutaneous leishmaniasis in Bam: A comparative evaluation of preand post- earthquake years (1999-2008). Iranian J PublHealth. 2011; 40(2): 49-56.

Hajjaran H, Mohebali M, Razavi MR, Rezaei S, Kazemi B, Edrissian GH,Mojtabavi J, Hooshmand B. Identification of Leishmania species isolated from human cutaneous leishmaniasis, using random amplified polymorphic DNA (RAPD-PCR). Iranian J Publ Health. 2004; 33(4): 8-15.

Motazedian H, Noamanpoor B, Ardehali S. Characterization of Leishmania parasites isolated from Provinces of the Islamic Republic of Iran. East Mediterr Health J. 2002; 8(2-3): 338-44.

Yaghoobi-ErshadiMR, Akhavan AA, Abai MR, Zahraei-Ramazani AV, Abai MR, Ebrahimi B, Vafaei-Nezhad R, Hanafi- Bojd AA, Jafari R. Epidemiological study in a new focus of cutaneous leishmaniasis in the Islamic Republic of Iran. East Mediterr Health J. 2004; 10(4-5):688.

Akhavan AA, Yaghoobi-Ershadi MR, Hasibi F, Jafari R, Abdoli H, Arandian MH, Soleimani H, Zahraei-Ramazani AR, Mohebali M, Hajjaran H. Emergence of cutaneous leishmaniasis due to Leishmania major in a new focus of southern Iran. Iranian J Arthropod-Borne Dis. 2007; 1(1): 1-8.

Katakura K. Molecular epidemiology of leishmaniasis in Asia (focus on cutaneous infections). Curr Opin Infect Dis. 2009; 22(2):126-30.

Files
IssueVol 7 No 1 (2012) QRcode
SectionArticles
Keywords
Cutaneous leishmaniasis Leishmania species Identification Nested-PCR Iran

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Sharifi F, Sharifi I, Zarean M, Hakimi Parizi M, Aflatoonian M, Fasihi Harandi M, Zahmatkesh R, Mashayekhi M, Kermanizadeh A. Spatial Distribution and Molecular Identification of Leishmania Species from Endemic Foci of South-Eastern Iran. Iran J Parasitol. 1;7(1):45-52.