CONGENITAL CHAGAS DISEASE IN BOLIVIA IS NOT ASSOCIATED WITH DNA POLYMORPHISM OF TRYPANOSOMA CRUZI

MYRNA VIRREIRA Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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CRISTINA ALONSO-VEGA Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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MARCO SOLANO Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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JUAN JIJENA Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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LAURENT BRUTUS Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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ZULEMA BUSTAMANTE Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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CARINE TRUYENS Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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DOMINIQUE SCHNEIDER Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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FAUSTINO TORRICO Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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YVES CARLIER Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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MICHAL SVOBODA Laboratoire de Chimie Biologique, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium; Facultad de Medecina, Universidad Mayor de San Simon (U.M.S.S.), Cochabamba, Bolivia; Unidad de Neonatologia, Hospital “San Juan de Dios”, Tarija, Bolivia; Institut de Recherche pour le Développement (IRD, France), Mother and Child Health Research Unit (UR10), La Paz, Bolivia; Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

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This study aims to typify the Trypanosoma cruzi (sub)lineage(s) in umbilical cord blood of congenitally infected Bolivian newborns, using PCR amplifications of “Region Markers”, mini-exon or kDNA fragments followed by hybridization or sequencing. New probes were also designed to distinguish three variants within the TcIId sublineage. The IIb, IId, or IIe T. cruzi sublineages, as well as different variants of the IId sublineage, were detected in infected neonates, whereas mixed infections were not found. The frequencies of the IId sublineage were similar in neonates (95.1%) and adults of the same area (94.1%). The IId-infected newborns displayed either asymptomatic, or severe and fatal clinical forms of congenital Chagas disease, as well as low or high parasitemia. Altogether these data show that T. cruzi DNA polymorphism, based on the presently available markers, is not associated with the occurrence of congenital infection or the development of severe clinical forms of congenital Chagas disease.

Author Notes

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