Laboratory evaluation of eleven rapid diagnostic tests for serological diagnosis of Chagas disease in Colombia.

BACKGROUND: Chagas disease is a public health challenge in Colombia, where only an estimated 1.2% of people at risk have accessed diagnosis, while less than 0.5% of affected people have obtained treatment. The development of simplified diagnostic algorithms would enable progress in access to diagnosis; however, the current diagnostic algorithm relies on at least two laboratory-based tests that require qualified personnel, processing equipment, and infrastructure, which are still generally lacking at the primary care level. Rapid diagnostic tests (RDTs) for Chagas disease could simplify diagnosis, but their performance in the epidemiological context of Colombia is not well known. METHODOLOGY: A retrospective analytical observational study of RDTs was performed to estimate the operational characteristics of 11 commercially available RDTs designed for in vitro detection of anti-T. cruzi IgG antibodies. The study was performed under controlled laboratory conditions using human serum samples. PRINCIPAL FINDINGS: Eleven RDTs were assessed, ten using 585 serum samples and one using 551 serum samples. Employing the current national diagnostic algorithm as a reference standard for serological diagnosis of chronic infection, the sensitivity of the assessed RDTs ranged from 75.5% to 99.0% (95% CI 70.5-100), while specificity ranged from 70.9% to 100% (95% CI 65.3-100). Most tests (7/11, 63.6%) had sensitivity above 90%, and almost all (10/11, 90.9%) had specificity above 90%. Five RDTs had both sensitivity and specificity above 90%. CONCLUSIONS/SIGNIFICANCE: The evaluation of these 11 commercially available RDTs under controlled laboratory conditions is a first step in the assessment of the diagnostic performance of RDTs in Colombia. As a next step, field studies will be conducted on available RDTs with sensitivity and specificity greater than 90% in this study, to evaluate performance in real world conditions, with the final goal to allow simplified diagnostic algorithms.

An overview of the trypanosomatid (Kinetoplastida: Trypanosomatidae) parasites infecting several mammal species in Colombia.

BACKGROUND: Trypanosomatids are among the most critical parasites for public health due to their impact on human, animal, and plant health. Diseases associated with these pathogens manifest mainly in poor and vulnerable populations, where social, environmental, and biological factors modulate the case incidence and geographical distribution. METHODS: We used Sanger and amplicon-based next-generation sequencing (NGS) in samples from different mammals to identify trypanosomatid infections in several departments in Colombia. A total of 174 DNA samples (18 humans, 83 dogs, and 73 wild mammals) were analyzed by conventional PCR using a fragment of the heat shock protein 70 (Hsp70) gene and Sanger sequenced the positive samples. Twenty-seven samples were sent for amplicon-based NGS using the same gene fragment. Data obtained were used to perform diversity analyses. RESULTS: One hundred and thirteen samples were positive for PCR by Hsp70 fragment; these corresponded to 22.1% Leishmania spp., 18.6% L. amazonensis, 9.7% L. braziliensis, 14.2% L. infantum, 8% L. panamensis, and 27.4% Trypanosoma cruzi. Comparison of the identified species by the two sequencing technologies used resulted in 97% concordance. Alpha and beta diversity indices were significant, mainly for dogs; there was an interesting index of coinfection events in the analyzed samples: different Leishmania species and the simultaneous presence of T. cruzi and even T. rangeli in one of the samples analyzed. Moreover, a low presence of L. braziliensis was observed in samples from wild mammals. Interestingly, to our knowledge, this is the first report of Leishmania detection in Hydrochaeris hydrochaeris (capybara) in Colombia. CONCLUSIONS: The Hsp70 fragment used in this study is an optimal molecular marker for trypanosomatid identification in many hosts and allows the identification of different species in the same sample when amplicon-based sequencing is used. However, the use of this fragment for molecular diagnosis through conventional PCR should be carefully interpreted because of this same capacity to identify several parasites. This point is of pivotal importance in highly endemic countries across South America because of the co-circulation of different genera from the Trypanosomatidae family. The findings show an interesting starting point for One Health approaches in which coevolution and vector-host interactions can be studied.

Amplicon-based next-generation sequencing reveals the co-existence of multiple Leishmania species in patients with visceral leishmaniasis.

Visceral leishmaniasis (VL) is a mammalian protozoal disease propagated in the Americas by female phlebotomine sandflies, mainly caused by Leishmania infantum. However, in recent years, cases of VL caused by different Leishmania species, such as L. amazonensis and L. colombiensis, have been reported in the continent. This study used an amplicon-based next-generation sequencing approach to identify VL aetiologic species using high-depth sequencing targeting a region on the Heat Shock Protein 70 gene. In this first approach, six samples from five patients diagnosed with VL were selected and analysed to identify DNA of Leishmania spp. All samples harboured DNA of L. infantum; five samples were found to be co-infected with other Leishmania spp. or with Trypanosoma cruzi, and just one sample was mono-infected with L. infantum. This study demonstrates the usefulness of this methodology to identify trypanosomatid co-infections in clinical samples, which presents an interesting study panorama considering their biological, clinical and epidemiological implications.

Phosphotellurite glass and glass-ceramics with high TeO2 contents: thermal, structural and optical properties.

Phosphotellurite based glasses have interesting features such as low characteristic temperatures, high glass forming ability, high thermal stability against crystallization and a broad transparency window from ultraviolet (UV) to near-infrared (NIR), which makes them promising materials for photonic applications. In this work, phosphotellurite binary glasses, having a composition (100 - x)TeO2 - xBa(PO3)2 with x varying from 1 to 20 mol%, were synthesized by the conventional melt-quenching method in covered gold crucibles under air. Optical, physical and structural properties of the new glass samples were investigated by differential scanning calorimetry, X-ray diffraction, Raman spectroscopy, transmission electron microscopy, linear optical absorption from UV to NIR, IR transmittance, and optical limiting experiments. Transparent glass-ceramics in the visible range were obtained for phosphotellurite samples containing 2, 4 and 6 mol% of Ba(PO3)2 and the phase crystallization was investigated through Rietveld analysis and transmission electron microscopy. The incorporation of Ba(PO3)2 into the TeO2 network drastically increases the thermal stability against devitrification and helps to shift the infrared multiphonon absorption edge to longer wavelengths. Nonlinear measurements performed with a picosecond laser at 532 nm indicate large effective nonlinear absorption coefficients for all samples. In summary, the dependence of the spectroscopic properties on the compositions of the samples revealed promising transparent glass and glass-ceramics for photonic applications.

Seed-born Burkholderia glumae Infects Rice Seedling and Maintains Bacterial Population during Vegetative and Reproductive Growth Stage.

Rice world production is affected due to the growing impact of diseases such as bacterial panicle blight, produced by Burkholderia glumae. The pathogen-induced symptoms include seedling rot, grain rot and leaf-sheath browning in rice plants. It is currently recognized the entrance of this pathogen to the plant, from infected seeds and from environmental sources of the microorganism. However, it is still not fully elucidated the dynamics and permanence of the pathogen in the plant, from its entry until the development of disease symptoms in seedlings or panicles. In this work it was evaluated the infection of B. glumae rice plants, starting from inoculated seeds and substrates, and its subsequent monitoring after infection. Various organs of the plant during the vegetative stage and until the beginning of the reproductive stage, were evaluated. In both inoculation models, the bacteria was maintained in the plant as an endophyte between 1 × 101 and 1 × 105 cfu of B. glumae.g-1 of plant throughout the vegetative stage. An increase of bacterial population towards initiation of the panicle was observed, and in the maturity of the grain, an endophyte population was identified in the flag leaf at 1 × 106 cfu of B. glumae.g-1 fresh weight of rice plant, conducting towards the symptoms of bacterial panicle blight. The results found, suggest that B. glumae in rice plants developed from infected seeds or from the substrate, can colonize seedlings, establishing and maintaining a bacterial population over time, using rice plants as habitat to survive endophyticly until formation of bacterial panicle blight symptoms.

Prototipo de formulación a base de Rhodotorula mucilaginosa para el control de Botrytis cinerea en Rosas / Formulation prototype based on Rhodotorula mucilaginosa for the control of Botrytis cinerea in Roses

Los sistemas productivos de Rosas de corte para exportación poseen retos importantes debido a la presencia de diversos agentes fitopatógenos, siendo Botrytis cinerea uno de los más relevantes debido a su persistencia y número de hospederos alternativos. Los mercados internacionales son muy exigentes en el manejo ambientalmente sostenible de los cultivos, por lo que se ha hecho presión para la implementación de estrategias de control biológico de enfermedades. La levadura filosferica Rhodotorula mucilaginosa (Lv20) con potencial biocontrolador contra B. cinérea, fue empleada en este estudio con el objeto de generar un prototipo de formulación en base sólida con el fin de lograr una estabilidad de la actividad y viabilidad celular a través del tiempo. El empleo de mezclas de polímeros sintéticos y de origen natural permitió mantener la viabilidad de esta cepa durante 90 días a unos niveles de 1,90x10(9) células.mL-1 a una temperatura de 25°C en una formulación líquida. Así mismo, el prototipo de formulación, empleando manitol como agente nucleador en una formulación sólida de tipo granulada, logró una viabilidad celular de 1.2x10(8) células.gr-1 a los 90 días de almacenamiento a 4°C, logrando mantener una actividad biocontroladora igual a la cepa fresca sin formular o recién formulada. Estos resultados obtenidos permiten sugerir que los prototipos de formulación empleando como principio activo la levadura R. mucilaginosa, son una alternativa promisoria para el control de B. cinerea en la post cosecha de rosas variedad véndela.

Productive systems of cut roses for exportation, have important challenges due to the presence of various plant pathogens in such crops. Botrytis cinerea is one of the most important pathogen microorganism because of its persistence and number of alternative hosts plants. International markets are very demanding in terms of environmentally sustainable crop management, which has forced for the implementation of strategies for biological control of diseases. The phyllosphere yeast Rhodotorula mucilaginous (Lv20) with biocontrol potential against B. cinerea, was employed in this study in order to generate a solid prototype formulation to achieve both, the stability of its activity and cell viability over time. The use of the mix of synthetic and naturally occurring polymers allowed to maintain the viability of this strain for 90 days at 1,90x10(9) células.mL-1 at a 25 ° C in a liquid formulation. Likewise, the prototype formulation using mannitol as a nucleating agent in a granular solid formulation, allowed obtaining a cell viability of 1.2x10(8) células.gr-1 after 90 days of storage at 4 °C, maintaining a biocontrol activity equal to the fresh strain with or without formulation. These results allow us to suggest that the formulation prototypes using R. mucilaginous yeast, is a promising alternative for the control of B. cinerea in post-harvest management of roses.

Screening effect on the exciton mediated nonlinear optical susceptibility of semiconductor quantum dots.

We study the exciton contribution to the third-order optical susceptibility of one-dimensional semiconductor quantum dots and show that the screening of the electron-hole interaction has a strong influence on the nonlinear optical properties in the weak confinement regime. Based on a density matrix formulation, we estimate the spectrum of the third-order optical susceptibility and its contribution to the refraction index and absorption coefficient. In particular, we show that the multipeaked spectrum of the nonlinear susceptibility, which results from the hydrogenoid character of the exciton eigenstates for a purely Coulombian electron-hole coupling, is reverted towards a single peaked structure as the interaction becomes strongly screened, thus leading to a substantial enhancement of the nonlinear optical properties of semiconductor quantum dots.

Validation and implementation of an algorithm for reporting the automated absolute neutrophil count from selected flagged specimens.

Samples that are flagged by automated cell counters and, therefore, require a time-consuming microscopic review cause unacceptable wait times for patients in hematology/oncology clinics. We used a set of 518 samples to validate that 5 flags on Sysmex XE/XT instruments (Sysmex, Kobe, Japan) could safely be ignored when the absolute neutrophil count (ANC) was the primary clinical question. The R(2) between automated and manual ANCs was 96.9% for samples triggering non-ANC flags, with 1 clinically significant discrepant sample out of 296 (0.3%). A new test code allowing clinicians to specify "ANC-only" was implemented, and these non-ANC specific flags were disregarded. The new order set was used in 16.3% of patients. Automated reporting of the ANC in selected flagged samples reduced the review rate by 60% and decreased the turnaround time by 100 minutes. This approach to automatically report the ANC in selected flagged specimens in which the ANC is the primary clinical interest safely decreases the turnaround time for many ANC samples.