Biomeme protocol for detection of Leishmania braziliensis, skin commensals and host pro-inflammatory gene expression from lesion swabs in human cases of cutaneous leishmaniasis
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Lesion swab

For each patient, two sterile swabs (provided by Biomeme) are held together and used to swab the inner border of lesion (encircled 20x). This will be used for DNA targets (bacteria). Repeat with two new swabs (20x), and use this second set of swabs for RNA targets (host genes).

  1. Immerse swabs intended for DNA in 1ml of a 1:1 mix of BLB from DNA kit (0.5ml) and water (BEB; 0.5ml), twirl in media for 1 min, discard swabs.
  2. Immerse swabs intended for RNA in 1ml of BLB from the RNA kit, twirl in media for 1min, discard swabs
  3. Attach standard lab 1cc syringe to Biomeme filter tip. Pump lysate up/down 10x, expel volume
  4. Immediately move to BPW wash (1ml), pump up/down 1x, expel volume
  5. Immediately move to BWB wash (1ml), pump up/down 1x, expel volume
  6. Immediately move to BDW wash (1ml), pump up/down 1x, expel volume
  7. Pump air up/down repeatedly 10x, discard syringe but keep filter tip
  8. attach 25cc or 50cc syringe to the same filter tip. Pump up and down with air vigorously to dry the column.
  9. remove and discard the syringe. Connect new Biomeme ‘slip-tip’ 1 cc syringe to the column and draw up 150 ul of Biomeme Elution Buffer (BEB). Pump up/down 3x with BEB.
  10. Expel the elution buffer into a final collection tube. Typical elution volume is ~120ul. We use 17ul of this DNA for any of the assays listed below, which means a single eluate is enough for at least 6 QPCR assays.

Skin-resident microbes

The primers and probes below are used for detection of Staphylococcus aureus (Saur), Streptococcus pyogenes (Spyo) and Leishmania braziliensis (Lbra)

  • Leishmania braziliensis primer/probes are from Weirather et al., 2011
  • Streptococcus pyogenes primer/probes were adapted from CDC here
  • Staphylococcus aureus primers and probes were provided by Biomeme Inc.
name Sequence (5’ -> 3’)
Saur fwd provided by Biomeme
Saur rev provided by Biomeme
Saur probe provided by Biomeme
Spyo fwd GCA CTC GCT ACT ATT TCT TAC CTC AA
Spyo rev ATT ACT GGT TTC CAA GAC ATT GTG AC
Spyo probe /56-FAM/CCG CAA CTC /ZEN/ ATC AAG GAT TTC TGT TAC CA/3IABkFQ/
Lbra fwd TGC TAT AAA ATC GTA CCA CCC GAC A
Lbra rev AAA TGG CAT ACA GAA ACC CCG TTC
Lbra probe /56-FAM/GCC TCT GGG /ZEN/ TAG GGG CGT TCT GCA A/3IABkFQ/

Human transcripts

The primers and probes below are for the detection of host transcripts present in cellular material on recovered from the swab

name Sequence (5’ -> 3’)
hIL1B fwd CAA AGG CGG CCA GGA TAT AA
hIL1B rev CTA GGG ATT GAG TCC ACA TTC AG
hIL1B probe /56-FAM/AGA GCT GTA /ZEN/ CCC AGA GAG TCC TGT/3IABkFQ/
hGZMB fwd GTA CCA TTG AGT TGT GCG TG
hGZMB rev CAT GCC ATT GTT TCG TCC ATA G
hGZMB probe /56-FAM/CCT CCA GAG /ZEN/ TCC CCC TTA AAG GAA GT/3IABkFQ/
h18S (+ control) fwd provided by Biomeme
h18S (+ control) rev provided by Biomeme
h18S (+ control) probe provided by Biomeme
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