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    Presented by

    PALLAVI NANDI

    R.D.V.V University Jabalpur

    STUDY ON MALARIA SPOROZOITEAND MOLECULAR IDENTIFICATION OF

    MALARIA VECTORS.

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    CONTENTS

    INTRODUCTION

    AIM AND OBJECTIVE

    METHODOLOGY

    RESULTS

    DISCUSSION

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    INTRODUCTIONMalaria , a disease that has caused untold misery

    throughout the world since antiquity.

    Caused byPlasmodium (vivax , falciparum , ovale,malariae )

    Transmitted exclusively by femaleAnophelesmosquitoes.

    Approximately 350 500 million malaria cases & onemillion deaths occur every year due to malaria.

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    Malaria is prevalent in 108 countries of the tropical &subtropical world.

    According to the WHO 2010 World Malaria Report ,2.23% of deaths occur worldwide.

    Southeast Asia contributes 2.5 million cases to theglobal burden of malaria. Of this, India alonecontributes 76% of the total cases.

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    Malaria in central India

    In MP, there are some districts where theproblem of malaria is worsening year by yearparticularly the hardcore tribal districts .

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    Life cycle of malaria

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    Sporozoites Derived from Greek word ( sporo = seed &

    zoon = animal)

    Shape : spindle-shaped, elongated.

    Size: 11 m in length and 1 m in diameter

    The infectious stage of the Plasmodium lifecycle, the form in which malaria is passed fromthe mosquito vector to the mammalian host .

    Circulate through the body and invade liver in

    a short time.

    Despite their short persistence in circulatingblood,induce a strong immune response

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    Where we can detect

    sporozoites ?Salivary glands of femaleAnopheles mosquitoes.

    The species ofAnopheles involved in thetransmission of human malaria world-wide areincredibly diverse .

    There are 58 species of Indian anophelines indifferent ecological settings in India

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    oA. culcifacies

    o A. fluviatiliso A. stephensi

    o A. dirus

    o

    A. minimuso A. sundaicus

    oA. annularis

    oA. varuna

    oA.jeyporiensis

    oA. philippinensis

    oA. Subpictus*

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    Malaria in central India are transmitted by two efficient

    vectors i.e.Anopheles culicifacies and A. fluviatilis .

    An. culicifacies is the vector of rural and peri-urban

    malaria in peninsular India.

    whileAn. fluviatilis is the vector of local importance in

    the forests and forest fringes

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    Why it is important to detect

    sporozoites? Detection of sporozoites in infectedAnopheles , an integral component of malariaepidemiology to find out the transmission route.

    Detection ofPlasmodium sporozoite of human origin in mosquito salivary glands is

    important to determine which species ofAnopheles is more prevalent in a particularregion.

    As the correct identification of any vector implicated in malaria transmission is key tosuccessful control.

    Failure to recognise sps ofAnopheles may result in failure to distinguish between avector & a non-vector.

    Hence the assessment of the impact of control measures may be seriously misleading.

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    How can we detect the infection in

    mosquito salivary gland ?

    Quick and accurate methods is thus required tocheck the transmission intensity in thatparticular area.

    Monitoring of the infective Anopheles species upto now required microscopic examination and

    dissection of individual mosquitoes for thedetection of sporozoites.

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    Thoughthey are accurate , but this procedure did

    not identifies specific Plasmodium species.

    Requires appropriate technical skills

    Fresh specimens at time of dissection

    Thus, time consuming & labour intensive.

    Alternative methods have used specific Mabs

    raised against CS proteins.

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    Circumsporozoite elisa

    As malaria sporozoites posses a major surface Ag , theCS protein which uniformly surrounds their externalcoat , that is infective to the vertebrate host.

    MAbs raised against this protein are used in the fieldto detect which species of Anopheles vectors areinvolved in malaria transmission.

    The most attractive alternative to microscopy is CSELISA sandwich assay.

    Considered to be the gold standard

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    Cs - protein

    CS protein is an important multifunctionalmolecule for the parasite, fulfilling different roles(depending on the developmental stage) that are

    vital for the parasite's development.

    Several functions of CSP :-

    (1)In the invasion of a mosquito's salivary glands .

    (2)a key role in gliding motility of sporozoite.(3) Region II of the CS protein serves as a ligand forbinding sporozoite to hepatocytes

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    WHY CS ELISA ?

    Specific for oneof the several

    species ofPlasmodia

    infecting man

    Requires easilytransportablereagents thatavoid disposalproblems associatedwith radioisotopes .

    Detectsporozoitesin pooledsamples

    Fast ,efficient,sensitive &stable

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    Do not differentiate between the actual surface of

    the sporozoite & CS protein that may be depositedon the mosquito tissue.

    Hence the CS Ag can be detected in thorax ofAnopheles without sporozoites in their salivaryglands.

    This technique is also time consuming , requireslaboratory facilities to be performed.

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    Aim and objective

    To identify infected Anopheles which are carriersof sporozoites which would determine thesporozoite infection rate.

    To identify whichAnopheles vector species areprevalent in this area & are responsible in

    malaria transmission .

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    Methodology

    To perform circumsporozoite(CS) protein ELISA

    To isolate DNA fromAnopheles mosquito

    To identify the species ofAnopheles by PCR

    Analysis of PCR products by agarose gel electrophoresis.

    Sequencing of PCR product

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    CS ELISA

    (1)

    Adsorption of captureMAb to the wells of a

    microtiter plate.

    (2)

    Incubated overnight

    (3)MAb solution wasaspirated from the

    well

    (4)Each well was then

    completely filled withblocking buffer

    (5)

    Blocking buffer wasaspirated from the

    well

    (6)

    Test samples are thenadded to the wells

    (7)

    Well contentsaspirated & washedtwice with PBST:20

    (8)Peroxidase conjugated

    MAb added &incubated for 1 hr at

    RT

    (9)Well contents were

    aspirated & washed 3-4 times with PBST -20

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    (10)

    Substrate TMB solution was added toeach well

    (11)

    Incubated for 15 min in dark, colour

    change observed

    (12)

    Stop solution 2M H2SO4 added

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    Individualmosquito placed in1.5 ml tube with 25l

    G.B

    Grinded withatleast 10 turns of

    pestle

    Pestle washed withadditional

    25l G.B

    Incubated at

    65 C for 30 mins

    7 l of 8M potassiumacetate & mix by

    tapping.

    Incubated on ice for30 min to

    precipitate SDS

    Centrifuged at12000 rpm for 15

    min at 30C

    Supernatant wastransferred to a

    fresh 1.5 ml tube.

    100 l of ethanoladded & incubated at

    - 20C

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    Centrifuged at

    12000 rpm for15 min at

    30 C

    Ethanol removedcarefully without

    disturbing theDNA pellet.

    100 l of 70 %ethanol added &incubated for

    1015 min at RT

    centrifuged at14000 rpm for 5

    min at 30C

    100 l of 100%ethanol added &

    incubated for

    10 -15 min at RT

    supernatantremoved

    Air dried

    Resuspended inatleast 150 l TEbuffer. (stored at -

    20C).

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    Amplification of D3 domain of 28S

    rDNAREAGENTS REQUIREDCONCENTRATION

    Taq buffer 1X

    Mgcl2 1mMDNTPs 160 M

    Forward

    Primer D3 A

    200 nM

    Reverse

    Primer D3 B

    200 nM

    Taq polymerase 1 U /reactionDNA Template

    50-200 ng

    A lifi i di i f

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    Amplification conditions for

    Primary PCRCONDITION TEMPERATURE

    (IN C)

    DURATION

    1)Initial denaturation 95 C 10 minutes

    2)Denaturation 95 C 30 seconds

    3)Annealing 55 C 30 seconds

    4)Extension 72 C 1 minutes

    5)Final extension 4 C infinity

    Number of cycles = 35 cycles1.Forward Primer D3A ( 5 GAC CCG TCT TGA AAC ACG GA 3 )2.Reverse Primer D3B (5 TCG GAA GGA ACC AGC TAC TA 3 )

    35 cycles

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    DNA bandtransferred ingel extraction

    unit

    Centrifugedat 5000g for10 minutes

    The slurrycollected in

    the extractioncolumn and

    eluted DNA incollection

    tube

    The elutedDNA

    transferred inmicro tube

    and stored at4C

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    Sequencing PCR

    Ingredients 1X 14X

    (required volume in l)

    1. Reaction reagent 0.5 72. Primer 2 283. Buffer 1.75 24.54. Water 5.75 192.55. DNA 10 2

    Total volume of the mixture =20l

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    Cycling Condition for Sequencing PCR

    Condition Temperature (in 0 C) Duration

    1. Initial Denaturation 96 2 secs

    2. Denaturation 96 10secs

    3. Annealing 50 5secs

    4. Extension60 4mins

    5. Final Extension 4 10 minutes

    Number of cycles =25

    25

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    product

    20l of sample was added

    Mix the 50l absolute ethanol +incubated at room temp.

    Centrifuge at 12000 rpm for 20min+decant supernatant carefully

    Hi-Di formide (12l)was added. Tubes were snapchilled & proceeded for

    sequencing

    125mM EDTA(2l.)was added to each tube +3M Sodium acetate(2l)added

    Washing was done with 70% ethanol and spin at 12000 rpm for 10 min.