Detection of Wuchereria bancrofti DNA in paired serum and urine samples using polymerase chain reaction-based systems

The Global Program for the Elimination of Lymphatic Filariasis (GPELF) aims toeliminate this disease by the year 2020. However, the development of more specificand sensitive tests is important for the success of the GPELF. The present studyaimed to standardise polymerase chain reaction (PCR)-based systems for the diagnosisof filariasis in serum and urine. Twenty paired biological urine and serum samplesfrom individuals already known to be positive for Wuchereria bancroftiwere collected during the day. Conventional PCR and semi-nested PCR assayswere optimised. The detection limit of the technique for purified W.bancrofti DNA extracted from adult worms was 10 fg for the internalsystems (WbF/Wb2) and 0.1 fg by using semi-nested PCR. The specificity of the primerswas confirmed experimentally by amplification of 1 ng of purified genomic DNA fromother species of parasites. Evaluation of the paired urine and serum samples by thesemi-nested PCR technique indicated only two of the 20 tested individuals werepositive, whereas the simple internal PCR system (WbF/Wb2), which has highlypromising performance, revealed that all the patients were positive using bothsamples. This study successfully demonstrated the possibility of using the PCRtechnique on urine for the diagnosis of W. bancrofti infection.