2020
DOI: 10.1093/cid/ciaa1791
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AcanR3990 qPCR: A Novel, Highly Sensitive, Bioinformatically-Informed Assay to Detect Angiostrongylus cantonensis Infections

Abstract: Background Angiostrongylus cantonensis (Ac), or the rat lungworm, is a major cause of eosinophilic meningitis. Humans are infected by ingesting the 3 rd stage larvae from primary hosts, snails and slugs, or paratenic hosts. The currently used molecular test is a qPCR assay targeting the ITS1 rDNA region (ITS1) of Ac. Methods In silico design of a more sensitive qPCR assay was performed based on tandem repeats predicted to be … Show more

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Cited by 29 publications
(52 citation statements)
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“…Angiostrongylus cantonensis DNA was detected with replication in nearly every tissue tested using the AcanR3990 qPCR assay including heart septum, lung, all nine samples from brain, CSF, and blood tissues, while the AcanITS1 assay [2,11] detected DNA in ve of nine brain samples and CSF. Both PCR assays have been shown to amplify DNA from A. cantonensis as well as from a closely related species A. mackarrasae [15]. While there currently are no PCR-based tests available that distinguish between these two species, detection in this study is likely restricted to A. cantonensis, as A. mackarrasae has yet to be documented in Hawai`i.…”
Section: Discussionmentioning
confidence: 87%
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“…Angiostrongylus cantonensis DNA was detected with replication in nearly every tissue tested using the AcanR3990 qPCR assay including heart septum, lung, all nine samples from brain, CSF, and blood tissues, while the AcanITS1 assay [2,11] detected DNA in ve of nine brain samples and CSF. Both PCR assays have been shown to amplify DNA from A. cantonensis as well as from a closely related species A. mackarrasae [15]. While there currently are no PCR-based tests available that distinguish between these two species, detection in this study is likely restricted to A. cantonensis, as A. mackarrasae has yet to be documented in Hawai`i.…”
Section: Discussionmentioning
confidence: 87%
“…Using an AcanITS1 assay developed for qPCR [2], A. cantonensis DNA was detected in the peripheral blood of rats at various time points including very early PI [14]. Recent development of a novel qPCR assay (AcanR3990) based on tandem repeats in genomic DNA has been shown to be ~100-1,000 times more sensitive than the AcanITS1 assay [15]. In Sears et al [15], the AcanR3990 assay detected A. cantonensis DNA in CSF, blood, and brain tissues from a horse exhibiting clinical symptoms of infection, whereas the AcanITS1 assay detected A. cantonensis DNA only in the brain.…”
Section: Introduction Methods and Resultsmentioning
confidence: 99%
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