INTRODUCTION:
In the Belém Metropolitan Region (BMR), Pará State, Brazil, American
cutaneous leishmaniasis (ACL) is endemic; however, very little is known
regarding its causative agents. Therefore, we used our standard diagnostic
approach combined with an RNA polymerase II largest subunit
(RNAPOIILS)-polymerase chain reaction (PCR) followed by analysis of
restriction fragment length polymorphism (PCR-RFLP) to identify
Leishmania
spp. ACL agents in this region.
METHODS:
Thirty-two
Leishmania
spp. isolates from patients with ACL
in the BMR during 1995-2018 were analyzed.
Leishmania
spp.
DNA samples were amplified using the primers RPOR2/RPOF2, and the 615-bp PCR
products were subjected to enzymatic digestion using
TspRI
and
HgaI
endonucleases.
RESULTS:
ACL etiological agents in the BMR comprised
Leishmania (Viannia)
lindenbergi
(43.7%) followed by
Leishmania (Viannia)
lainsoni
(34.4%),
Leishmania (Leishmania)
amazonensis
(12.5%), and
Leishmania (Viannia)
braziliensis
(9.4%).
CONCLUSIONS:
To our knowledge, the results of the study revealed for the first time that
L. (V.) lindenbergi
and
L. (V.)
lainsoni
are the main ACL agents in BMR.