Molecular detection and genotyping of Theileria equi infection within the equine population in Giza, Egypt, using real-time PCR as compared with conventional detection methods.
Abstract: Equine piroplasmosis represents one of the main and serious health problems affecting the equines industry globally, caused by a tick-borne protozoa called and . This study aimed to identify and genotype within the equine population from Giza Governorate, Egypt, by comparing the obtained results using the available diagnostic methods. Unassigned: We collected 116 apparently healthy horses from the study area during the first half of 2019 to identify using real-time PCR (qPCR), targeting the gene. The results were compared with those from microscopic examination of Giemsa-stained blood smears and conventional PCR. Genotyping of the obtained sequences was also conducted to explore the genetic diversity of the detected strains. Unassigned: Through sequencing and phylogenetic analysis, our samples were grouped into clusters corresponding to genotype A and genotype E. Our results demonstrated that the qPCR had the highest sensitivity (100%) followed by conventional PCR (68%) while microscopic examination had the lowest sensitivity (38%). Furthermore, the negative predictive value (NPV) of qPCR was the highest (100%) compared with conventional PCR and microscopical examination (80.49% and 68.04%, respectively) which revealed that negative cases detected by qPCR were certainly correct compared with the other two diagnostic assays. Unassigned: It is highly recommended to incorporate PCR diagnostic assays alongside microscopic examination to evaluate the epidemiological status of equine piroplasmosis. Also, our study demonstrated that genotype A and genotype E are circulating among Egyptian horses.
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Overview
This study evaluated the presence and genetic diversity of Theileria equi, a parasite causing equine piroplasmosis, in horses from Giza, Egypt.
The research compared the effectiveness of real-time PCR (qPCR), conventional PCR, and microscopic examination for detecting the infection and performed genotyping to understand parasite diversity.
Background
Equine piroplasmosis is a tick-borne disease affecting horses worldwide, primarily caused by the protozoa Theileria equi and Babesia caballi.
This disease poses significant health problems for equines and economic challenges to the equine industry.
Accurate detection and understanding of parasite genotypes are crucial for effective disease management and control.
Study Objectives
To detect Theileria equi infection among apparently healthy horses in Giza Governorate, Egypt.
To compare the diagnostic performance of three detection methods: qPCR, conventional PCR, and microscopic examination of blood smears.
To genotype the identified T. equi strains to investigate their genetic diversity and epidemiological distribution.
Methods
116 horses, apparently healthy, were sampled from Giza during the first half of 2019.
Real-time PCR (qPCR) targeting the ema-1 gene of T. equi was performed for sensitive detection of the parasite.
Microscopic examination involved analyzing Giemsa-stained blood smears for parasite visualization.
Conventional PCR assays were also conducted to compare results with qPCR and microscopy.
Positive samples underwent genetic sequencing and phylogenetic analysis to identify genotypes and assess their diversity.
Results
Theileria equi infection was detected in the horses with variable sensitivity depending on the method used:
qPCR detected 100% of cases, showing the highest sensitivity.
Conventional PCR detected 68% of cases.
Microscopic examination detected only 38% of cases, indicating lower sensitivity.
Negative predictive value (NPV) was highest for qPCR (100%), indicating that negative test results with qPCR were reliable.
Conventional PCR showed NPV of 80.49%, and microscopy had 68.04%, both less reliable in ruling out infection than qPCR.
Phylogenetic analysis grouped the detected T. equi sequences into genotype A and genotype E clusters, confirming genetic diversity within the Egyptian equine population.
Conclusions and Recommendations
Real-time PCR demonstrated superior sensitivity and accuracy for detecting T. equi infection compared to conventional PCR and microscopy.
Microscopic examination alone is insufficient due to low sensitivity and might miss many infected cases.
The study recommends integrating PCR-based diagnostic techniques with microscopic methods to effectively screen and monitor equine piroplasmosis epidemiology.
The discovery of genotype A and E circulating among Giza horses highlights the importance of genotype monitoring for understanding transmission dynamics and potentially guiding targeted control strategies.
Significance
This work provides valuable epidemiological data on the prevalence and genetic diversity of T. equi in Egypt.
It underscores the importance of molecular diagnostics in veterinary parasitology for improved disease control.
Supports the use of qPCR as the preferred diagnostic tool for future surveillance and research on equine piroplasmosis.
Cite This Article
APA
Soliman AM, Elhawary NM, Helmy NM, El-Seify MA, Amer MM, Mohamed S, Memon FU, Rashid MHO, Gadelhaq SM.
(2025).
Molecular detection and genotyping of Theileria equi infection within the equine population in Giza, Egypt, using real-time PCR as compared with conventional detection methods.
Iran J Vet Res, 26(2), 145-151.
https://doi.org/10.22099/ijvr.2025.51028.7553
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