Detection of Mycobacterium leprae DNA by PCR in blood sample f rom nine-Banded armadillo: preliminary results
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To the Editor:
Identification of Mycobacterium leprae, the agent of leprosy, is difficult, partly due to the inability of the bacillus to grow in vitro. Although M. leprae was the first agent to be linked to an infectious disease, leprosy is still today an enigmatic disease which is not fully understood. Multibacillary patients are thought to be the main source of M. leprae and the transmission is mainly aerogenic; it is generally recognized that the nasal cavity is involved in the carriage and shedding of M. leprae (13). The natural transmission among armadillos in the southern parts of the United States of America has been described (10). This discovery suggested the possibility that the ninebanded armadillo plays a role in the transmission of human leprosy in the United States of America. Reich has proposed that clinical leprosy arises from within a pool of subclinical infections found in the majority of the population in an endemic area (6). The search of the M. leprae sources is the main point of the strategy for leprosy elimination, such as multibacillary patients and environmental sources. Recently, specific DNA probes have been developed which improve the leprosy diagnosis (2, 3, 5, 7, 9, 11-12). The strength of PCR (polymerase chain reaction) is its extreme sensitivity, and, with careful choice of primers, high specificity. Therefore, with PCR the investigative studies about the sources of the leprosy bacillus have become better understood than in the past. Santos, et al, were able to detect DNA from M. leprae. The DNA was detected by CPR from 21 out-of-water sources in the leprosy endemic region of Indonesia, and strongly suggested that leprosy was transmitted by contaminated water (4). Many other sources of M. leprae were investigated by PCR. We have been studying the armadillo as a possible source of leprosy bacilli since 1999. Our survey was conducted in the rural area of Espfrito Santo State, Brazil, where the blood of 14 ninebanded armadillos was collected. This region is hyperendemic for leprosy and the presence of nine-banded armadillos is frequent as well as the human's contact with the animal, direct and indirect (1). The captured armadillos were anesthetized with intramuscular Ketamine® and skin biopsies of the neck, ear, and traumatic foot lesions were performed and nasal mucus samples were collected. Blood was collected by intracardiac puncture and aliquoted with EDTA. In the event of an animal death, we performed a necropsy and collected liver, lung, brain, kidney, heart and lymph node fragments. All the samples were frozen at -20ºC. None of the animals studied had any lesions suggestive of leprosy. The PCR compled with hybridization analysis for detection of M. leprae-DNA were performed by amplification of an M.leprae-specific sequence, with the following set of primers ML-1 (GCACGTAAGCCTGTCGGTGG) and ML-2 (CGGCCGGATCCTCGATGCAC). PCR and hybridization conditions were as described earlier by Santos, et al. (9).
The blood from 5 of 14 animals was positive for M. leprae-DNA by PCR. All the other samples, biopsies and nasal secretion, had a negative PCR. To our knowledge, these are the first results in the medical literature and are in accordance with the findings by American researchers who also reported the presence of M. leprae in armadillos from the states of Texas and Louisiana, U.S.A. (10). Experiments are underway for increasing the number of tested samples. However, these preliminary results suggest that in the Espírito Santo State of Brazil nine-banded armadillos could be considered a natural reservoir of M. leprae. Further studies should be performed in order to investigate whether these animals would be considered as animal sources for human infection.
- Patricia D. Deps, M.D., M.Sc.
Department of Dermatology
São Paulo Federal University
São Paulo, Brazil
Department of Dermatology
Santa Casa de Misericórdia Medical School
Vitória, Brazil
- Adalberto R. Santos, Ph.D.
Leprosy Laboratory
Oswaldo Cruz Foundation
Rio de Janeiro, Brazil
- Jane Yamashita-Tomimori, M.D., Ph.D.
Department of Dermatology
São Paulo Federal University
São Paulo, Brazil
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Reprint requests to Dr. Patricia D. Deps, Rua Chopin 100/101, Vitória, ES, Brasil, CEP: 29055-530, e-mail address: patddeps@escelsa.com.br