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Robleto-Quesada J, Umaña-Blanco F, Solano-Barquero A, Allen J, Levi T, Gori F, Schnyder M, Rojas A. Seek, and you will find: Cryptic diversity of the cardiopulmonary nematode Angiostrongylus vasorum in the Americas. Acta Trop 2024; 258:107337. [PMID: 39098751 DOI: 10.1016/j.actatropica.2024.107337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 07/17/2024] [Accepted: 07/25/2024] [Indexed: 08/06/2024]
Abstract
Angiostrongylus vasorum is a metastrongylid parasite infecting wild canids and domestic dogs. Its patchy distribution, high pathogenicity and taxonomical classification makes the evolutionary history of A. vasorum intriguing and important to study. First larval stages of A. vasorum were recovered from feces of two grey foxes, Urocyon cinereoargenteus, from Costa Rica. Sequencing and phylogenetic and haplotypic analyses of the ITS2, 18S and cytochrome oxidase subunit 1 (cox1) fragments were performed. Then p- and Nei´s genetic distance, nucleotide substitution rates and species delimitation analyses were conducted with cox1 data of the specimens collected herein and other Angiostrongylus spp. Cophylogenetic congruence and coevolutionary events of Angiostrongylus spp. and their hosts were evaluated using patristic and phenetic distances and maximum parsimony reconciliations. Specimens from Costa Rica clustered in a separate branch from European and Brazilian A. vasorum sequences in the phylogenetic and haplotype network analyses using the ITS2 and cox1 data. In addition, cox1 p-distance of the sequences derived from Costa Rica were up to 8.6 % different to the ones from Europe and Brazil, a finding mirrored in Nei´s genetic distance PCoA. Species delimitation analysis supported a separate group with the sequences from Costa Rica, suggesting that these worms may represent cryptic variants of A. vasorum, a new undescribed taxon or Angiocaulus raillieti, a synonym species of A. vasorum described in Brazil. Moreover, nucleotide substitution rates in A. vasorum were up to six times higher than in the congener Angiostrongylus cantonensis. This finding and the long time elapsed since the last common ancestor between both species may explain the larger diversity in A. vasorum. Finally, cophylogenetic congruence was observed between Angiostrongylus spp. and their hosts, with cospeciation events occurring at deeper taxonomic branching of host order. Altogether, our data suggest that the diversity of the genus Angiostrongylus is larger than expected, since additional species may be circulating in wild canids from the Americas.
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Affiliation(s)
- Joby Robleto-Quesada
- Centro de Investigación en Enfermedades Tropicales, University of Costa Rica, San José, Costa Rica 11501-2060
| | - Fabián Umaña-Blanco
- Laboratory of Helminthology, Faculty of Microbiology, University of Costa Rica, San José, Costa Rica 11501-2060
| | - Alberto Solano-Barquero
- Centro de Investigación en Enfermedades Tropicales, University of Costa Rica, San José, Costa Rica 11501-2060; Laboratory of Helminthology, Faculty of Microbiology, University of Costa Rica, San José, Costa Rica 11501-2060
| | - Jennifer Allen
- Department of Fisheries, Wildlife and Conservation Sciences Oregon State University, Oregon, United States of America
| | - Taal Levi
- Department of Fisheries, Wildlife and Conservation Sciences Oregon State University, Oregon, United States of America
| | - Francesca Gori
- Institute of Parasitology, University of Zurich, Winterthurerstrasse 266a, 8057 Zurich, Switzerland
| | - Manuela Schnyder
- Institute of Parasitology, University of Zurich, Winterthurerstrasse 266a, 8057 Zurich, Switzerland
| | - Alicia Rojas
- Centro de Investigación en Enfermedades Tropicales, University of Costa Rica, San José, Costa Rica 11501-2060; Laboratory of Helminthology, Faculty of Microbiology, University of Costa Rica, San José, Costa Rica 11501-2060.
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Rivory P, Bedoya-Pérez M, Ward MP, Šlapeta J. Older urban rats are infected with the zoonotic nematode Angiostrongylus cantonensis. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2024; 5:100179. [PMID: 38845789 PMCID: PMC11154120 DOI: 10.1016/j.crpvbd.2024.100179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 05/17/2024] [Accepted: 05/18/2024] [Indexed: 06/09/2024]
Abstract
Rats, being synanthropic, are hosts to agents of zoonotic diseases that pose a threat to human and domestic animal health. The nematode parasite Angiostrongylus cantonensis, commonly known as the rat lungworm, is no exception; it can cause potentially fatal neural disease in humans, dogs and other species. The distribution of A. cantonensis (haplotypes SYD.1 and Ac13) and its close relative, Angiostrongylus mackerrasae is not well understood in Australia. We investigated the prevalence of Angiostrongylus in rats in Sydney, Australia, primarily via faecal qPCR, and identified the species and haplotypes using partial cox1 sequencing. We found a moderate prevalence of infection (29%; 95% CI: 16.1-46.6%) in black (Rattus rattus) and brown (Rattus norvegicus) rats around public parks and residential areas. This study demonstrates that Sydney's urban rat population is a reservoir for A. cantonensis. Modelling infection status as a function of rat species, sex, tibia length (as a proxy for age), and health index (a measure of weight by size) revealed that older rats are statistically more likely to be infected (χ 2 1 = 5.331, P = 0.021). We observed a dominant presence of the A. cantonensis SYD.1 haplotype, for which the implications are not yet known. No A. mackerassae was detected, leading us to suspect it may have a more restricted host- and geographical range. Overall, this study illustrates the presence and potential risk of A. cantonensis infection in Sydney. Public education regarding transmission routes and preventative measures is crucial to safeguard human and animal health.
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Affiliation(s)
- Phoebe Rivory
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales, 2006, Australia
| | - Miguel Bedoya-Pérez
- The Lambert Initiative for Cannabinoid Therapeutics, The University of Sydney, Sydney, New South Wales, Australia
- School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia
| | - Michael P. Ward
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales, 2006, Australia
| | - Jan Šlapeta
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales, 2006, Australia
- Sydney Infectious Diseases Institute, The University of Sydney, Sydney, New South Wales, Australia
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Mirkov I, Tucovic D, Kulas J, Malesevic A, Kataranovski D, Kataranovski M, Popov Aleksandrov A. Physiological strategies in wild rodents: immune defenses of commensal rats. Integr Zool 2024; 19:350-370. [PMID: 37814602 DOI: 10.1111/1749-4877.12766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/11/2023]
Abstract
The importance of issues associated with urban/commensal rats and mice (property damage, management costs, and health risks) press upon research on these animals. While the demography of commensal rodents is mostly studied, the need for understanding factors influencing their natural morbidity/mortality is also stressed. In this respect, more attention is expected to be paid to immunity, the physiological mechanism of defense against host survival threats (pathogens, parasites, diseases). Commensal rats and mice carry numerous pathogens that evoke diverse immune responses. The state of immunity in commensal house mice is studied in great detail, owing to the use of laboratory strains in biomedical research. Because commensal rats are, compared to mice, carriers of more zoonotic agents, rats' immunity is studied mainly in that context. Some of these zoonotic agents cause chronic, asymptomatic infections, which justified studies of immunological mechanisms of pathogen tolerance versus clearance regulation in rats. Occurrence of some infections in specific tissues/organs pressed upon analysis of local/regional immune responses and/or immunopathology. A survey of immunological activity/responses in commensal rats is given in this review, with mention of existing data in commensal mice. It should throw some light on the factors relevant to their morbidity and lifespan, supplementing the knowledge of commensal rodent ecology.
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Affiliation(s)
- Ivana Mirkov
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Dina Tucovic
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Jelena Kulas
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Anastasija Malesevic
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Dragan Kataranovski
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Milena Kataranovski
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
| | - Aleksandra Popov Aleksandrov
- Immunotoxicology Group, Department of Ecology, Institute for Biological Research "Sinisa Stankovic"-National Institute of Republic of Serbia, University of Belgrade, Belgrade, Serbia
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Meister SL, Origgi FC, Wyss FS, Wenker C, Moré G, Basso W. Angiostrongylus dujardini infection in a coconut lorikeet (Trichoglossus haematodus) from a zoological garden in Switzerland. Parasitol Int 2024; 99:102829. [PMID: 38030119 DOI: 10.1016/j.parint.2023.102829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 12/01/2023]
Abstract
Angiostrongylus spp. (Metastrongyloidea) can cause severe disease in several animal species and humans. This report describes an infection with Angiostrongylus dujardini in a captive coconut lorikeet (Trichoglossus haematodus) from a zoo in Switzerland. The bird was reported being attacked by conspecifics, removed from the flock, and hospitalized. It showed lethargy, moderately reduced body condition, and lack of reaction to visual stimuli. Analgesic and antibiotic treatment were initiated but because of worsening of its general condition, the bird was euthanized the following day. Necropsy revealed multifocal, subcutaneous hemorrhages, diffusely reddened lungs and a moderately dilated right heart with several intraluminal nematodes embedded in a coagulum. Four worms were collected and microscopically examined. They were identified as adult females, measuring 19-21 mm long x 0.4-0.5 mm wide, with general morphological and morphometric characteristics consistent with angiostrongylid nematodes. In lung sections, multifocal collection of thin-walled embryonated eggs in variable stages of development was observed along with fully developed nematode larvae within the lumina of alveoli and lung vessels. Associated granulomatous infiltrates indicated a severe, multifocal, chronic, granulomatous pneumonia. The diagnosis of A. dujardini infection was formulated by morphological examination of adult and larval stages, supported by molecular analysis (PCR-amplification and sequencing of the ITS2, 5.8S and 28S rDNA flanking regions). This is the first report of A. dujardini infection in an avian species, providing evidence that birds can serve as accidental hosts of this parasite in addition to mammals, and that the parasite can reach maturity and multiply in the avian cardiorespiratory system.
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Affiliation(s)
- Seraina L Meister
- Institute of Animal Pathology, Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Länggassstrasse 122, CH-3012 Bern, Switzerland.
| | - Francesco C Origgi
- Institute of Animal Pathology, Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Länggassstrasse 122, CH-3012 Bern, Switzerland
| | - Fabia S Wyss
- Zoo Basel, Binningerstrasse 40, CH-4054, Basel, Switzerland
| | | | - Gastón Moré
- Institute of Parasitology, Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Länggassstrasse 122, CH-3012 Bern, Switzerland
| | - Walter Basso
- Institute of Parasitology, Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Länggassstrasse 122, CH-3012 Bern, Switzerland
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Solorzano-Scott T, Aguilar-Vargas F, Cordero-Salas M, Conejo A, Rojas A, Baldi M. Case report: First documented case of cerebral angiostrongyliasis caused by Angiostrongylus costaricensis in a free-ranging opossum. Front Vet Sci 2024; 11:1294484. [PMID: 38362296 PMCID: PMC10867154 DOI: 10.3389/fvets.2024.1294484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 01/15/2024] [Indexed: 02/17/2024] Open
Abstract
Angiostrongylus costaricensis is a metastrongyloid nematode that primarily infects the mesenteric arteries of wild rodents. This parasite is endemic in several regions of the American continent, and in humans, causes a disease known as abdominal angiostrongyliasis. Despite the important health implications of this nematode, there are limited studies investigating the involvement of wild animals in its life cycle. In this study, we present the clinical manifestations, pathologic findings, and molecular diagnosis, to the best of our current knowledge, of the first documented onset of cerebral angiostrongyliasis because of A. costaricensis infection in a juvenile free-ranging opossum (Didelphis marsupialis). Histopathological findings stress the presence of eosinophilic meningoencephalitis with nematodes present within the lesions, and PCR was positive for cox1 and ITS1 reactions. The obtained sequences for a 279 bp fragment of ITS1 were 100% identical to A. costaricensis from Costa Rica. This case highlights the substantial difficulties in diagnosing neuroangiostrongyliasis, yet underscores the importance of considering A. costaricensis as a potential culprit behind neurological conditions in wild marsupials. It acts as an urgent call to action to improve surveillance programs tracking infectious and parasitic diseases causing mortality in wildlife populations.
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Affiliation(s)
- Tamara Solorzano-Scott
- Tropical Diseases Research Program, School of Veterinary Medicine, Universidad Nacional, Heredia, Costa Rica
- Servicio de Patología Diagnóstica LAPAVET-ESFA, Escuela de Medicina y Cirugía Veterinaria San Francisco de Asís, Universidad Veritas, San José, Costa Rica
| | - Fernando Aguilar-Vargas
- Tropical Diseases Research Program, School of Veterinary Medicine, Universidad Nacional, Heredia, Costa Rica
- Servicio Nacional de Salud Animal, Ministerio de Agricultura y Ganadería, Heredia, Costa Rica
| | - Martha Cordero-Salas
- Widlife Veterinary Clinic, Santuario y Centro de Rescate Las Pumas, Cañas, Guanacaste, Costa Rica
| | - Amanda Conejo
- Laboratory of Helminthology, Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
| | - Alicia Rojas
- Laboratory of Helminthology, Faculty of Microbiology, University of Costa Rica, San José, Costa Rica
- Centro de Investigación en Enfermedades Tropicales, University of Costa Rica, San José, Costa Rica
| | - Mario Baldi
- Tropical Diseases Research Program, School of Veterinary Medicine, Universidad Nacional, Heredia, Costa Rica
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Rollins RL, Medeiros MC, Cowie RH. Stressed snails release Angiostrongylus cantonensis (rat lungworm) larvae in their slime. One Health 2023; 17:100658. [PMID: 38116454 PMCID: PMC10728333 DOI: 10.1016/j.onehlt.2023.100658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 11/25/2023] [Indexed: 12/21/2023] Open
Abstract
This study investigated the influence of stress on release of Angiostrongylus cantonensis larvae from a snail host, Parmarion martensi. We subjected 140 infected, wild-caught P. martensi to three stress-inducing treatments (heat, molluscicide, physical disturbance) and an unstressed control treatment for 24 h, after which larval presence and abundance in the slime were quantified by qPCR targeting the ITS1 region of the parasite's DNA, and compared among treatments. The significance of stress and host infection load on larval release was determined by generalized linear mixed models and permutation tests. The results indicated that stress significantly increased the probability of larval presence in slime and the number of larvae released, and highly infected snails were also more likely to release larvae. Among stressed snails, 13.3% released larvae into slime, the number of larvae present in the slime ranging from 45.5 to 4216. Unstressed controls released no larvae. This study offers a partial explanation for conflicting results from prior studies regarding A. cantonensis presence in snail slime and sheds light on the broader One Health implications. Stress-induced larval release highlights the potential role of slime as a medium for pathogen transmission to accidental, paratenic, definitive and other intermediate hosts. These findings emphasize the importance of considering stress-mediated interactions in host-parasite systems and their implications for zoonotic disease emergence. As stressors continue to escalate because of anthropogenic activities and climate change, understanding the role of stress in pathogen shedding and transmission becomes increasingly important for safeguarding human and wildlife health within the One Health framework.
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Affiliation(s)
- Randi L. Rollins
- Pacific Biosciences Research Center, University of Hawaiʻi at Mānoa, 3050 Maile Way, Gilmore 408, Honolulu, HI 96822, USA
- School of Life Sciences, University of Hawaiʻi at Mānoa, 3190 Maile Way, St. John 101, Honolulu, HI 96822, USA
| | - Matthew C.I. Medeiros
- Pacific Biosciences Research Center, University of Hawaiʻi at Mānoa, 1800 East West Road, LSB 316, Honolulu, HI 96822, USA
| | - Robert H. Cowie
- Pacific Biosciences Research Center, University of Hawaiʻi at Mānoa, 3050 Maile Way, Gilmore 408, Honolulu, HI 96822, USA
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Rivory P, Pillay K, Lee R, Taylor D, Ward MP, Šlapeta J. Fatal neural angiostrongyliasis in the Bolivian squirrel monkey ( Saimiri boliviensis boliviensis) leading to defining Angiostrongylus cantonensis risk map at a zoo in Australia. One Health 2023; 17:100628. [PMID: 38024275 PMCID: PMC10665155 DOI: 10.1016/j.onehlt.2023.100628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 09/11/2023] [Indexed: 12/01/2023] Open
Abstract
Neural angiostrongyliasis (NA) is a parasitic disease caused by Angiostrongylus cantonensis (rat lungworm). This study presents a case of NA in a captive Bolivian squirrel monkey from a zoo in western Sydney, Australia. The objective was to identify the A. cantonensis cox1 haplotype responsible for the infection and compare its mitochondrial DNA (mtDNA) to known Australian mtDNA. An epidemiological investigation was conducted to assess the risk of infection, focusing on the resident rat population in the zoo. Methods involved trapping rats and collecting rat faeces for Angiostrongylus detection, speciation, and cox1 haplotype confirmation. Various techniques were employed, including necropsy, morphological examination, and molecular methods such as ITS-2 qPCR, cox1 sequencing, and ITS-2 metabarcoding. Cluster analysis of rat faeces distribution and Angiostrongylus detection utilised an equal sampling effort (ESE) approach. Gastropods were collected throughout the study for Angiostrongylus surveillance using a hypersensitive qPCR assay. Results revealed significant clustering of rat faeces near exhibits with fresh food provision and absence of predators. Angiostrongylus-positive faeces were uniformly distributed across the zoo property. Mitochondrial DNA analysis confirmed the presence of the Ac13 haplotype of A. cantonensis in the monkey. Morphology, ITS-2 metabarcoding and partial cox1 sequencing detected only A. cantonensis, with the Ac13 cox1 haplotype predominating. A high prevalence of infection (64%, 9/14) was found in brown rats, with quantification of larvae indicating high shedding rates. Co-infections with both Ac13 and local SYD.1 A. cantonensis cox1 haplotypes were observed. Only three gastropods (all of which were Angiostrongylus-negative) were found in the survey. To minimise the risk of exposure for susceptible species, targeted rodent control was implemented in areas with higher exposure risk. A potential strategy (which requires further exploration) to consider for future zoo design was suggested. This study provides insights into the epidemiology and genetic diversity of A. cantonensis in Australia, emphasising the importance of control measures to prevent future outbreaks.
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Affiliation(s)
- Phoebe Rivory
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales 2006, Australia
| | - Kresen Pillay
- Sydney Zoo, Bungarribee, New South Wales 2767, Australia
| | - Rogan Lee
- NSW Health Pathology, Centre for Infectious Diseases and Microbiology Lab Services, Level 3 ICPMR, Westmead Hospital, Westmead, New South Wales 2145, Australia
| | - David Taylor
- Vetnostics, North Ryde, New South Wales 2113, Australia
| | - Michael P. Ward
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales 2006, Australia
| | - Jan Šlapeta
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, New South Wales 2006, Australia
- The University of Sydney Institute for Infectious Diseases, New South Wales 2006, Australia
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Low SY, Lau SF, Ahmad NI, Sharma RSK, Rosli MZ, Mohd-Taib FS, Ajat MMM, Kamaludeen J, Syed Hussain SS, Wan KL, Salleh A, Aziz NAA. A cross-sectional study of Angiostrongylus malaysiensis in rats and gastropod hosts from recreational parks in Kuala Lumpur, Malaysia: Detection, risk factors and pathology. Zoonoses Public Health 2023; 70:636-646. [PMID: 37403513 DOI: 10.1111/zph.13072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 06/15/2023] [Accepted: 06/25/2023] [Indexed: 07/06/2023]
Abstract
Angiostrongylus malaysiensis is a potential zoonotic parasite, which reported to co-occur with A. cantonensis in human cerebrospinal fluid. It is a heteroxenous nematode that primarily develops through the early larval stages in gastropods and attains sexual maturity within rats. This study was conducted to determine the host species responsible for the reservoir of A. malaysiensis and investigate the risk factor for transmission among the hosts in Kuala Lumpur, Malaysia. Sampling was conducted in six recreational parks. The rats were trapped alive using steel wire traps with bait, while the gastropods were collected by active searching. The rats were euthanized and dissected to collect any adult worms observed. The molecular detection of A. malaysiensis was performed by PCR on gastropod tissue samples. Biotic and landscape factors were recorded for risk factor analysis. In total, 82 rats and 330 gastropods were collected throughout the study. Overall, 3.64% of gastropods and 32.9% of rats were infected with A. malaysiensis. Rattus tiomanicus (Malayan wood rat) and Parmarion martensi (Yellow-shelled semi-slug) were found as important hosts for A. malaysiensis. Host species, sampling site and macrohabitat type are risk factors associated with the prevalence of A. malaysiensis infection in rats. For gastropods, host species and sampling site are risk factors that correlate with the parasite detection. In total, 128 adult A. malaysiensis were recovered from the infected rats. The mean intensity of infection with adult A. malaysiensis was 4.65 for Rattus rattus complex and 4.90 for R. tiomanicus. Adult worms were found in the pulmonary artery or right ventricle, while eggs and first-stage larvae were found in capillaries of the caudal lung lobe. Infected lungs showed extravasated red blood cells in the alveolar spaces. The pulmonary arteries in the infected lung lobe were thickened. Kepong Metropolitan Park is the hotspot area for A. malaysiensis in Kuala Lumpur. These results provide essential information for public health officials to develop targeted interventions to reduce the transmission of A. malaysiensis in urban areas, particularly in recreational parks.
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Affiliation(s)
- Suey Yee Low
- Department of Veterinary Pathology & Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Seng Fong Lau
- Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Nur Indah Ahmad
- Department of Veterinary Pathology & Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Reuben Sunil Kumar Sharma
- Department of Veterinary Laboratory Diagnosis, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Muhammad Zahin Rosli
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Farah Shafawati Mohd-Taib
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Mohd Mokrish Md Ajat
- Department of Veterinary Pre-clinical Science, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Juriah Kamaludeen
- Department of Animal Science and Fishery, Faculty of Agriculture Science and Forestry, Universiti Putra Malaysia, Bintulu, Malaysia
| | - Sharifah Salmah Syed Hussain
- Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Kiew-Lian Wan
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Annas Salleh
- Department of Veterinary Laboratory Diagnosis, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
| | - Nor Azlina Abdul Aziz
- Department of Veterinary Pathology & Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang, Malaysia
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Dumidae A, Luangsawang K, Thanwisai A, Vitta A. Identification and genetic characterization of Angiostrongylus cantonensis isolated from the human eye. Parasitol Res 2023; 122:2217-2225. [PMID: 37430031 DOI: 10.1007/s00436-023-07922-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 07/02/2023] [Indexed: 07/12/2023]
Abstract
Angiostrongylus cantonensis, or the rat lungworm, is the causative agent of human angiostrongyliasis associated with eosinophilic meningitis or meningoencephalitis. Additionally, this nematode can cause ocular angiostrongyliasis, though this is rare. The worm can cause permanent damage to the affected eye and sometimes even blindness. Genetic characterization of the worm from clinical samples is limited. In the present study, we investigated the genetics of A. cantonensis recovered from a patient's eye in Thailand. We sequenced two mitochondrial genes (cytochrome c oxidase subunit I, or COI, and cytochrome b, or cytb) and nuclear gene regions (66-kDa protein and internal transcribed spacer 2, or ITS2) from a fifth-stage larva of Angiostrongylus sample that was surgically removed from the human eye. All sequences of the selected nucleotide regions were highly similar (98-100%) to the sequences of A. cantonensis in the GenBank database. The maximum likelihood and neighbor-joining trees of the COI gene indicated that A. cantonensis was closely related to the AC4 haplotype, whereas the cytb and 66-kDa protein genes were closely clustered with the AC6 and Ac66-1 haplotypes, respectively. In addition, the phylogeny of the concatenated nucleotide datasets of the COI and cytb revealed that the worm was closely related to the Thai strain and strains from other countries. This study confirms the identification and genetic variation of the fifth-stage larvae of A. cantonensis recovered from a patient's eye in Thailand. Our findings are important for future research on the genetic variation of A. cantonensis that causes human angiostrongyliasis.
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Affiliation(s)
- Abdulhakam Dumidae
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand
| | - Kanin Luangsawang
- Department of Ophthalmology, Faculty of Medicine, Naresuan University, Phitsanulok, 65000, Thailand
| | - Aunchalee Thanwisai
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand
- Centre of Excellence in Medical Biotechnology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand
- Center of Excellence for Biodiversity, Faculty of Sciences, Naresuan University, Phitsanulok, 65000, Thailand
| | - Apichat Vitta
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand.
- Centre of Excellence in Medical Biotechnology, Faculty of Medical Science, Naresuan University, Phitsanulok, 65000, Thailand.
- Center of Excellence for Biodiversity, Faculty of Sciences, Naresuan University, Phitsanulok, 65000, Thailand.
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Baláž V, Rivory P, Hayward D, Jaensch S, Malik R, Lee R, Modrý D, Šlapeta J. Angie-LAMP for diagnosis of human eosinophilic meningitis using dog as proxy: A LAMP assay for Angiostrongylus cantonensis DNA in cerebrospinal fluid. PLoS Negl Trop Dis 2023; 17:e0011038. [PMID: 37126515 PMCID: PMC10174499 DOI: 10.1371/journal.pntd.0011038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 05/11/2023] [Accepted: 04/18/2023] [Indexed: 05/02/2023] Open
Abstract
BACKGROUND Angiostrongylus cantonensis (rat lungworm) is recognised as the leading cause of human eosinophilic meningitis, a serious condition observed when nematode larvae migrate through the CNS. Canine Neural Angiostrongyliasis (CNA) is the analogous disease in dogs. Both humans and dogs are accidental hosts, and a rapid diagnosis is warranted. A highly sensitive PCR based assay is available but often not readily accessible in many jurisdictions. An alternative DNA amplification assay that would further improve accessibility is needed. This study aimed to assess the diagnostic utility of a newly designed LAMP assay to detect DNA of globally distributed and invasive A. cantonensis and Angiostrongylus mackerrasae, the other neurotropic Angiostrongylus species, which is native to Australia. METHODOLOGY/PRINCIPAL FINDINGS Cerebrospinal fluid (CSF) from dogs with a presumptive diagnosis of A. cantonensis infection (2020-2022) were received for confirmatory laboratory testing and processed for DNA isolation and ultrasensitive Angiostrongylus qPCR targeting AcanR3390. A newly designed LAMP assay targeting the same gene target was directly compared to the reference ultrasensitive qPCR in a diagnostic laboratory setting to determine the presence of A. cantonensis DNA to diagnose CNA. The LAMP assay (Angie-LAMP) allowed the sensitive detection of A. cantonensis DNA from archived DNA specimens (Kappa = 0.81, 95%CI 0.69-0.92; n = 93) and rapid single-step lysis of archived CSF samples (Kappa = 0.77, 95%CI 0.59-0.94; n = 52). Only A. cantonensis DNA was detected in canine CSF samples, and co-infection with A. mackerrasae using amplicon deep sequencing (ITS-2 rDNA) was not demonstrated. Both SYD.1 and AC13 haplotypes were detected using sequencing of partial cox1. CONCLUSIONS/SIGNIFICANCE The Angie-LAMP assay is a useful molecular tool for detecting Angiostrongylus DNA in canine CSF and performs comparably to a laboratory Angiostrongylus qPCR. Adaptation of single-step sample lysis improved potential applicability for diagnosis of angiostrongyliasis in a clinical setting for dogs and by extension, to humans.
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Affiliation(s)
- Vojtech Baláž
- Institute of Parasitology, Biology Center of Czech Academy of Sciences, České Budějovice, Czech Republic
- Department of Ecology and Diseases of Zoo Animals, Game, Fish and Bees, Faculty of Veterinary Hygiene and Ecology, University of Veterinary Sciences Brno, Brno, Czech Republic
| | - Phoebe Rivory
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia
| | - Douglas Hayward
- Vetnostics, Laverty Pathology - North Ryde Laboratory, Macquarie Park, New South Wales, Australia
| | - Susan Jaensch
- Vetnostics, Laverty Pathology - North Ryde Laboratory, Macquarie Park, New South Wales, Australia
| | - Richard Malik
- Centre for Veterinary Education, Sydney School of Veterinary Science, The University of Sydney, Sydney, New South Wales, Australia
| | - Rogan Lee
- Parasitology Laboratory, Centre for Infectious Diseases and Microbiology Lab Services, Level 3 ICPMR, Westmead Hospital, Westmead, New South Wales, Australia
- Westmead Clinical School, Faculty of Medicine and Health Sciences, The University of Sydney, Westmead Hospital, Westmead, New South Wales, Australia
| | - David Modrý
- Institute of Parasitology, Biology Center of Czech Academy of Sciences, České Budějovice, Czech Republic
- Department of Botany and Zoology, Faculty of Science, Masaryk University, Brno, Czech Republic
- Department of Veterinary Sciences and CINeZ, FAPPZ, Czech University of Life Sciences Prague, Prague, Czech Republic
| | - Jan Šlapeta
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia
- The University of Sydney Institute for Infectious Diseases, Sydney, New South Wales, Australia
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11
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Galán-Puchades MT, Gómez-Samblás M, Osuna A, Sáez-Durán S, Bueno-Marí R, Fuentes MV. Update on the First Finding of the Rat Lungworm, Angiostrongylus cantonensis, in Rattus spp. in Continental Europe, Valencia, Spain, 2022. Pathogens 2023; 12:pathogens12040567. [PMID: 37111453 PMCID: PMC10143490 DOI: 10.3390/pathogens12040567] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/31/2023] [Accepted: 04/02/2023] [Indexed: 04/09/2023] Open
Abstract
The rat lungworm, Angiostrongylus cantonensis, is an emerging parasite that can cause eosinophilic meningitis in humans. Over the past 60 years, the worm has greatly expanded its original Asian distribution to most tropical and subtropical areas of the world, mostly by traveling on ships with its definitive hosts, rats. Angiostrongylus cantonensis was recently found for the first time in Continental Europe, specifically in 3 (2 Rattus norvegicus and 1 Rattus rattus) out of 27 rats trapped in the sewer system of the city of Valencia, Spain. Updating the investigation, the parasite has subsequently been found in 8 (5 R. norvegicus and 3 R. rattus) out of 94 rats analyzed. The highest prevalence of infection (20%) was obtained in rats trapped in the orchards that surround the city, where both snails and slugs (intermediate hosts) abound, and where vegetables consumed in Valencia, other parts of Spain, and abroad, are produced. The presence of the parasite in rats does not necessarily mean that the disease it causes becomes a relevant public health concern since it strongly depends on the food habits of the population at risk. If proper precautions are taken, the risk of acquiring neuroangiostrongylosis should be minimal.
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Affiliation(s)
- María Teresa Galán-Puchades
- Parasites & Health Research Group, Department of Pharmacy, Pharmaceutical Technology and Parasitology, Faculty of Pharmacy, University of Valencia, 46100 Valencia, Spain
| | - Mercedes Gómez-Samblás
- Laboratory of Biochemistry and Molecular Parasitology, Institute of Biotechnology, University of Granada, 18071 Granada, Spain
| | - Antonio Osuna
- Laboratory of Biochemistry and Molecular Parasitology, Institute of Biotechnology, University of Granada, 18071 Granada, Spain
| | - Sandra Sáez-Durán
- Parasites & Health Research Group, Department of Pharmacy, Pharmaceutical Technology and Parasitology, Faculty of Pharmacy, University of Valencia, 46100 Valencia, Spain
| | - Rubén Bueno-Marí
- Parasites & Health Research Group, Department of Pharmacy, Pharmaceutical Technology and Parasitology, Faculty of Pharmacy, University of Valencia, 46100 Valencia, Spain
- Laboratorios Lokímica, Departamento de Investigación y Desarrollo (I+D), Ronda Auguste y Louis Lumière 23, Nave 10, Parque Tecnológico, Paterna, 46980 Valencia, Spain
| | - Màrius V. Fuentes
- Parasites & Health Research Group, Department of Pharmacy, Pharmaceutical Technology and Parasitology, Faculty of Pharmacy, University of Valencia, 46100 Valencia, Spain
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12
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Oliveira KLDE, Rodrigues PS, Decanine D, Gomes SR. Diversity and abundance of terrestrial molluscs and their associated nematode fauna in urban kitchen gardens in the city of Rio de Janeiro, Brazil. AN ACAD BRAS CIENC 2023; 95:e20220249. [PMID: 37075354 DOI: 10.1590/0001-3765202320220249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 08/05/2022] [Indexed: 04/21/2023] Open
Abstract
Terrestrial molluscs can become agricultural pests and transmit parasites, playing an important role in different biological communities. In the present study, we evaluated the diversity and abundance of this group in two horticultural areas in Rio de Janeiro (Manguinhos and Jacarepaguá neighborhoods), as well the presence of parasitic nematodes associated with these molluscs. We collected specimens in the austral spring and summer, with four sites being sampled within each study area, including malabar spinach, sweet potato, chicory greens, and cassava plantations, and one site in an adjacent, non-cultivated area. We collected a total of 522 live mollusc specimens and identified 16 species from 10 different families. The greatest abundance of molluscs was recorded in summer (363) and at Jacarepaguá (309). Overall, 174 (57%) of the 303 specimens analyzed parasitologically were positive for nematodes. Larvae of superfamily Metastrongyloidea, which includes nematodes that are a concern for public health and veterinary medicine, were found parasitizing the slug Sarasinula linguaeformis, in Manguinhos. Our results contribute to understanding of the diversity of terrestrial molluscs occurring in kitchen gardens in the city of Rio de Janeiro, and provide important insights for generating subsidies for health education actions and control of parasitic diseases transmitted by them.
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Affiliation(s)
- Karina L DE Oliveira
- Universidade Federal de Mato Grosso do Sul/ UFMS, Laboratório de Parasitologia Animal, Cidade Universitária, Av. Costa e Silva, Pioneiros, 79070-900 Campo Grande, MS, Brazil
- Fundação Oswaldo Cruz - FIOCRUZ, Laboratório de Malacologia, Av. Brasil, 4365, Manguinhos, 21040-360 Rio de Janeiro, RJ, Brazil
| | - Paulo Sérgio Rodrigues
- Universidade Federal de Mato Grosso do Sul/ UFMS, Laboratório de Parasitologia Animal, Cidade Universitária, Av. Costa e Silva, Pioneiros, 79070-900 Campo Grande, MS, Brazil
| | - Daniele Decanine
- Universidade Católica Dom Bosco/UCDB, Departamento Biossaúde, Av. Tamandaré, 6000, Jardim Seminário, 79117-900 Campo Grande, MS, Brazil
| | - Suzete R Gomes
- Universidade Federal de Mato Grosso do Sul/ UFMS, Laboratório de Parasitologia Animal, Cidade Universitária, Av. Costa e Silva, Pioneiros, 79070-900 Campo Grande, MS, Brazil
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13
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Thiengo SC, Ramos-de-Souza J, Silva GM, Fernandez MA, Silva EF, Sousa AKP, Rodrigues PS, Mattos AC, Costa RAF, Gomes SR. Parasitism of terrestrial gastropods by medically-important nematodes in Brazil. Front Vet Sci 2022; 9:1023426. [PMID: 36467665 PMCID: PMC9715018 DOI: 10.3389/fvets.2022.1023426] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 10/24/2022] [Indexed: 12/23/2023] Open
Abstract
An ample variety of parasitic associations are found between mollusks and nematodes, in which the mollusks may act as intermediate, paratenic or definitive hosts. Some free-living nematodes, in particular those of the order Rhabditida, are also found frequently in terrestrial mollusks. The present study reviews the results of the parasitological testing on samples of terrestrial mollusks conducted at the Brazilian National Reference Laboratory for Schistosomiasis and Malacology between 2008 and 2021. The samples were supplied primarily by the public health authorities from the different regions of Brazil, but also by research institutions and general population. The mollusks were processed individually and the obtained larvae were identified from their morphology and, whenever necessary, by molecular analysis. A total of 1,919 service orders were registered during the period, including 19,758 mollusk specimens collected from 23 of the 26 Brazilian states, as well as the Federal District, totalizing 145 municipalities. There was a marked predominance of the synanthropic species that are widely distributed in Brazil-Achatina fulica (87.08%), Bulimulus tenuissimus (4.18%), Bradybaena similaris (2.06%), and Sarasinula linguaeformis (1.50%). Of the 16,750 terrestrial mollusks examined, nematodes were recorded in 1,308 service orders, with the predominance of the superfamily Metastrongyloidea, in 616 service orders. They included Angiostrongylus cantonensis, rat lungworm, which was found in 252 samples, and Aelurostrongylus abstrusus in 145 samples. Free-living nematodes were found in 952 samples, Ancylostoma caninum and Cruzia tentaculata (previously identified as Strongyluris sp.) in one and 275 samples, respectively, and other parasites in 210 samples (not identified). The results highlight the diversity of the associations between nematodes and terrestrial mollusks in Brazil, in particular invasive and synanthropic species, with emphasis on the giant African land snail, Achatina fulica. They demonstrate the prominent role of this species of mollusk in the transmission of medically-important nematodes, which affect the health of both humans and animals, in particular eosinophilic meningitis, which is caused by Angiostrongylus cantonensis. This reinforces the need for more studies, and justify the growing demand for information as well as parasitological diagnosis of this mollusk, given its wide distribution in Brazil and its impact as an urban pest.
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Affiliation(s)
- Silvana C. Thiengo
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Jucicleide Ramos-de-Souza
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Biologia Parasitária, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Guilherme M. Silva
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Departamento de Metodologia da Enfermagem, Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro - UFRJ, Rio de Janeiro, Brazil
| | - Monica A. Fernandez
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Elizangela F. Silva
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Saúde-Pública e Meio Ambiente, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Arielly K. P. Sousa
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Paulo S. Rodrigues
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Biologia Parasitária, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Aline C. Mattos
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Ruam A. F. Costa
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Suzete R. Gomes
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
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Nationwide Seroprevalence Survey of Angiostrongylus vasorum-Derived Antigens and Specific Antibodies in Dogs from Colombia. Microorganisms 2022; 10:microorganisms10081565. [PMID: 36013983 PMCID: PMC9415501 DOI: 10.3390/microorganisms10081565] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 07/30/2022] [Accepted: 07/31/2022] [Indexed: 02/05/2023] Open
Abstract
Angiostrongylus vasorum is a cardiopulmonary nematode, causing several clinical manifestations in dogs, e.g., severe respiratory signs, coagulopathy, and gastrointestinal or neurological signs. In the last decades, this parasite has been described to spread and emerge in Europe and North America. Scant studies on A. vasorum occurrence in South America exist. Recently, A. vasorum was detected in gastropod intermediate hosts in Colombia, where data on definitive host prevalence, e.g., dogs and wild canids, are still limited. Therefore, the sera of 955 dogs, varying in age and breed from seven different departments all over Colombia, were collected and analysed for A. vasorum antigens and parasite-specific antibodies by ELISA. In total, 1.05 % (n = 10; 95 % CI 0.40–1.69) of the samples were antigen-positive and 2.62 % (n = 25; 95 % CI 1.61–3.63) were antibody-positive. These results confirm the presence of A. vasorum in Colombia, although positive results in antigen and antibody reactions in the same dog were not detected. This study is the first large-scale survey on A. vasorum seroprevalences in dogs from Colombia.
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15
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Turck HC, Fox MT, Cowie RH. Paratenic hosts of Angiostrongylus cantonensis and their relation to human neuroangiostrongyliasis globally. One Health 2022; 15:100426. [PMID: 36277113 PMCID: PMC9582568 DOI: 10.1016/j.onehlt.2022.100426] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 08/02/2022] [Accepted: 08/02/2022] [Indexed: 11/26/2022] Open
Abstract
The nematode parasite Angiostrongylus cantonensis (rat lungworm) has a complex life cycle involving rats (definitive hosts) and gastropods (intermediate hosts), as well as various paratenic hosts. Humans become infected and develop rat lungworm disease (neuroangiostrongyliasis) when they consume intermediate or paratenic hosts containing the infective parasite larvae. This study synthesizes knowledge of paratenic hosts of A. cantonensis and investigates their role in causing human neuroangiostrongyliasis worldwide. A literature review was conducted by searching PubMed, JSTOR and Scopus, pooling additional information from sources accumulated over many years by RHC, and snowball searching. The review identified 138 relevant articles published between 1962 and 2022. Freshwater prawns/shrimp, crayfish, crabs, flatworms, fish, sea snakes, frogs, toads, newts, lizards, centipedes, cattle, pigs and snails were reported to act as paratenic hosts in various regions including South and Southeast Asia, Pacific islands, the USA and the Caribbean, as well as experimentally. Human cases of neuroangiostrongyliasis have been reported from the 1960s onwards, linked, sometimes speculatively, to consumption of freshwater prawns/shrimp, crabs, flatworms, fish, frogs, toads, lizards and centipedes. The potential of paratenic hosts to cause neuroangiostrongyliasis depends on whether they are eaten, how frequently they are consumed, the preparation method, including whether eaten raw or undercooked, and whether they are consumed intentionally or accidentally. It also depends on infection prevalence in the host populations and probably on how high the parasite load is in the consumed hosts. To prevent human infections, it is crucial to interrupt the transmission of rat lungworm to humans, from both intermediate hosts and frequently consumed paratenic hosts, by adhering to safe food preparation protocols. Educating the general public and the medical community about this largely neglected tropical/subtropical disease is key. Neuroangiostrongyliasis, an emerging parasitic disease of humans and wildlife. Caused by the nematode Angiostrongylus cantonensis (rat lungworm). Infection primarily via ingestion of stage 3 larvae of the parasite. People eat raw intermediate or paratenic hosts infected with stage 3 larvae. Comprehensive review of paratenic hosts’ role in neuroangiostrongyliasis globally.
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16
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HODDA M. Phylum Nematoda: feeding habits for all valid genera using a new, universal scheme encompassing the entire phylum, with descriptions of morphological characteristics of the stoma, a key, and discussion of the evidence for trophic relationships. Zootaxa 2022; 5114:318-451. [DOI: 10.11646/zootaxa.5114.1.3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Indexed: 11/04/2022]
Abstract
This paper details a system for classifying the trophic relationships of the entire Phylum Nematoda, together with a table specifying the categories of every valid genus. This system encompasses both the diets of nematodes and how the food is obtained. The types of evidence used to evaluate trophic relationships and the inferences that can be drawn from each are evaluated. The general morphological and ecological characteristics of each trophic type are detailed, and a morphological key is presented. This information will enable the trophic relationships of any valid genus of nematodes to be assessed, along with currently undescribed genera, provided their affinities to existing genera can be ascertained. The system and list can add value to ecological, environmental and biodiversity studies where there is no morphological information, for example in environmental sequencing or metabarcoding studies.
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Vielmo A, Schwertz CI, Piva MM, Echenique JVZ, De Lorenzo C, Surita LE, de Andrade CP, Sonne L. Eosinophilic meningoencephalitis caused by rat lungworm (Angiostrongylus cantonensis) migration in a white-eared opossum (Didelphis albiventris) with concurrent distemper virus in southern Brazil. Parasitol Res 2022; 121:1545-1549. [PMID: 35192069 DOI: 10.1007/s00436-022-07471-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 02/14/2022] [Indexed: 11/26/2022]
Abstract
Angiostrongylus cantonensis is a worldwide zoonotic parasite that causes eosinophilic meningoencephalitis in many species of animals including humans. This report describes neuro-angiostrongylosis in a white-eared opossum that showed nervous clinical signs such as circling and depression. At necropsy, no relevant macroscopic lesions were observed. Histologically, eosinophilic meningoencephalitis was associated with multiple sections of nematodes and many intracytoplasmic eosinophilic inclusion bodies within gastric parietal cells. Immunohistochemistry was strongly positive for canine distemper virus in the stomach but there was no immunolabeling in the brain. This study describes a fatal case of eosinophilic meningoencephalitis by A. cantonensis with canine distemper virus concurrent infection in a white-eared opossum in southern Brazil, with histological characterization and molecular confirmation of the parasitism.
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Affiliation(s)
- Andréia Vielmo
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil.
| | - Claiton Ismael Schwertz
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
| | - Manoela Marchezan Piva
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
| | - Joanna Vargas Zillig Echenique
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
| | - Cíntia De Lorenzo
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
| | - Lívia Eichenberg Surita
- PRESERVAS-Núcleo de Conservação e Reabilitação de Animais Silvestres, Hospital de Clínicas Veterinárias, Universidade Federal Do Rio Grande Do Sul (UFRGS), Avenida Bento Gonçalves 9090, Agronomia, Porto Alegre, RS, 91540-000, Brazil
| | - Caroline Pinto de Andrade
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
| | - Luciana Sonne
- Departamento de Patologia Clínica Veterinária, Setor de Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Do Rio Grande Do Sul (UFRGS), Av. Bento Gonçalves 9090, Prédio 42505, Porto Alegre, RS, 91540-000, Brazil
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Morelli S, Diakou A, Di Cesare A, Colombo M, Traversa D. Canine and Feline Parasitology: Analogies, Differences, and Relevance for Human Health. Clin Microbiol Rev 2021; 34:e0026620. [PMID: 34378954 PMCID: PMC8404700 DOI: 10.1128/cmr.00266-20] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Cats and dogs are treated as family members by most pet owners. Therefore, a high quality of veterinary care and preventive medicine is imperative for animal health and welfare and for the protection of humans from zoonotic pathogens. There is a general perception of cats being treated as "small dogs," especially in the field of clinical parasitology. As a result, several important differences between the two animal species are not taken into proper consideration and are often overlooked. Dogs and cats are profoundly different under evolutionary, biological, ethological, behavioral, and immunological standpoints. These differences impact clinical features, diagnosis, and control of canine and feline parasites and transmission risk for humans. This review outlines the most common parasitoses and vector-borne diseases of dogs and cats, with a focus on major convergences and divergences, and discusses parasites that have (i) evolved based on different preys for dogs and cats, (ii) adapted due to different immunological or behavioral animal profiles, and (iii) developed more similarities than differences in canine and feline infections and associated diseases. Differences, similarities, and peculiarities of canine and feline parasitology are herein reviewed in three macrosections: (i) carnivorism, vegetarianism, anatomy, genetics, and parasites, (ii) evolutionary adaptation of nematodes, including veterinary reconsideration and zoonotic importance, and (iii) behavior and immune system driving ectoparasites and transmitted diseases. Emphasis is given to provide further steps toward a more accurate evaluation of canine and feline parasitology in a changing world in terms of public health relevance and One Health approach.
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Affiliation(s)
- Simone Morelli
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | - Anastasia Diakou
- Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Angela Di Cesare
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
| | | | - Donato Traversa
- Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
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Abstract
The present report describes two cases of infection by Molossinema wimsatti in the brain of Pallas's mastiff bats (Molossus molossus). The first bat was captured and killed by a domestic cat in a suburban area of the municipality of Patos, Paraiba, northeastern Brazil. The second bat was found crawling on the ground in the same area before dying. No gross lesions were found at necropsy. Histology of the central nervous system revealed filarioid nematodes in the brain ventricles and cerebellum. There were adults, subadults and eggs, the latter sometimes containing microfilariae. No inflammatory response was observed in bat 1, while bat 2 presented a mild lymphoplasmacytic meningoencephalitis. Three nematodes were recovered and submitted for parasitological examination. The diagnosis of M. wimsatti infection was based on the histomorphological and parasitological characteristics of the agent and its location in the brain ventricular system of insectivorous bats. The infection likely occurs in other insectivorous bats from South American and Caribbean countries but may be overlooked.
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Morgan ER, Modry D, Paredes-Esquivel C, Foronda P, Traversa D. Angiostrongylosis in Animals and Humans in Europe. Pathogens 2021; 10:1236. [PMID: 34684185 PMCID: PMC8538298 DOI: 10.3390/pathogens10101236] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 09/16/2021] [Accepted: 09/17/2021] [Indexed: 01/13/2023] Open
Abstract
Lungworms in the genus Angiostrongylus cause disease in animals and humans. The spread of Angiostrongylus vasorum within Europe and the recent establishment of Angiostrongylus cantonensis increase the relevance of these species to veterinary and medical practitioners, and to researchers in parasitology, epidemiology, veterinary science and ecology. This review introduces the key members of the genus present in Europe and their impacts on health, and updates the current epidemiological situation. Expansion of A. vasorum from localized pockets to wide distribution across the continent has been confirmed by a rising prevalence in foxes and increasing reports of infection and disease in dogs, while the list of carnivore and mustelid definitive hosts continues to grow. The tropically distributed rat lungworm A. cantonensis, meanwhile, has been recorded on islands south of Europe, previously the Canary Islands, and now also the Balearic Islands, although so far with limited evidence of zoonotic disease. Other members of the genus, namely, A. chabaudi, A. daskalovi and A. dujardini, are native to Europe and mainly infect wildlife, with unknown consequences for populations, although spill-over can occur into domestic animals and those in zoological collections. The epidemiology of angiostrongylosis is complex, and further research is needed on parasite maintenance in sylvatic hosts, and on the roles of ecology, behaviour and genetics in disease emergence. Improved surveillance in animals and humans is also required to support risk assessments and management.
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Affiliation(s)
- Eric R. Morgan
- School of Biological Sciences, Queen’s University Belfast, Belfast BT9 5DL, UK
| | - David Modry
- Biology Center, Institute of Parasitology, Czech Academy of Sciences, 37005 Ceske Budejovice, Czech Republic;
- Department of Veterinary Sciences, Faculty of Agrobiology, Food and Natural Resources/CINeZ, Czech University of Life Sciences Prague, 16500 Praha-Suchdol, Czech Republic
- Department of Botany and Zoology, Faculty of Science, Masaryk University, 61137 Brno, Czech Republic
| | - Claudia Paredes-Esquivel
- Applied Zoology and Animal Conservation Group, University of the Balearic Islands, 07122 Palma de Mallorca, Spain;
| | - Pilar Foronda
- University Institute of Tropical Diseases and Public Health, University La Laguna, Tenerife, Canary Islands, 38200 San Cristóbal de La Laguna, Spain;
| | - Donato Traversa
- Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy;
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21
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Watthanakulpanich D, Jakkul W, Chanapromma C, Ketboonlue T, Dekumyoy P, Lv Z, Chan AHE, Thaenkham U, Chaisiri K. Co-occurrence of Angiostrongylus malaysiensis and Angiostrongylus cantonensis DNA in cerebrospinal fluid: Evidence from human eosinophilic meningitis after ingestion of raw snail dish in Thailand. Food Waterborne Parasitol 2021; 24:e00128. [PMID: 34458598 PMCID: PMC8379478 DOI: 10.1016/j.fawpar.2021.e00128] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 07/23/2021] [Accepted: 07/27/2021] [Indexed: 11/24/2022] Open
Abstract
Angiostrongylus cantonensis, the main causative agent of human neuroangiostrongyliasis, is a food-borne parasitic zoonosis, particularly in Southeast Asia and Mainland China. Angiostrongylus malaysiensis, a cryptic species, has not been unequivocally identified as a causative agent for human angiostrongyliasis. Here, we investigated a local incidence of human angiostrongyliasis in Kalasin Province, northeastern part of Thailand. Field and laboratory investigations, clinical symptoms, and treatment of the disease are also discussed. Five sera and three cerebrospinal fluid samples were taken from each patient who displayed clinical symptoms of mild or severe headache without neck stiffness after ingesting a local dish containing Pila virescens. With molecular evidence using PCR and DNA sequencing approaches, we confirmed the presence of A. malaysiensis and A. cantonensis DNA in the patient samples. In addition, P. virescens and Pomacea canaliculata collected in the vicinity were also examined for the existence of angistrongylid larvae. The rate of infection in the snail population was 33.3% (18 infection out of 54 examined), with A. cantonensis as the predominant species. Notably, two snails were found to be co-infected with both A. malaysiensis and A. cantonensis. This discovery comes after several years of suspicion that it could be a zoonotic pathogen. Therefore, our findings are important for public health and clinical diagnosis since clinicians are not aware of the zoonotic potential of A. malaysiensis in humans. A. malaysiensis as a potential zoonotic pathogen of human angiostrongyliasis. A. cantonensis and A. malaysiensis coexist in snails where human cases detected. Discussions on related clinical manifestations and patient profiles of Angiostrongylus spp. co-infection.
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Affiliation(s)
- Dorn Watthanakulpanich
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Wallop Jakkul
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Chaichana Chanapromma
- Crown Prince Kuchinarai Hospital, Kuchinarai District, Kalasin Province 46110, Thailand
| | - Thawatchai Ketboonlue
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Paron Dekumyoy
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Zhiyue Lv
- Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong 510080, PR China
| | - Abigail Hui En Chan
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Urusa Thaenkham
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Kittipong Chaisiri
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
- Corresponding author at: Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchavithi Rd., Ratchathewi, Bangkok 10400, Thailand.
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22
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Patial S, Delcambre BA, DiGeronimo PM, Conboy G, Vatta AF, Bauer R. Verminous meningoencephalomyelitis in a red kangaroo associated with Angiostrongylus cantonensis infection. J Vet Diagn Invest 2021; 34:107-111. [PMID: 34382472 DOI: 10.1177/10406387211037664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Angiostrongylus cantonensis is a zoonotic parasitic helminth that normally resides in the pulmonary arteries and the right ventricle of rats (Rattus sp.), the definitive host, where it causes little disease. Humans, dogs, opossums, and various zoo animals are "accidental" hosts. Here we report verminous meningoencephalomyelitis caused by A. cantonensis in a 9-mo-old male red kangaroo (Macropus rufus). The kangaroo was first presented lethargic, recumbent, and hypothermic, with severe muscle wasting. Within 3 wk, he progressed to non-ambulatory paraparesis and died. Gross examination revealed multifocal areas of dark-brown discoloration, malacia, and cavitation in the brain and the spinal cord. Histologically, there were several sections of nematodes surrounded by extensive areas of rarefaction, hemorrhage, spongiosis, neuronal necrosis, and gliosis. Based on size, morphology, and organ location, the nematodes were identified as subadult males and females. Interestingly, an eosinophilic response was largely absent, and the inflammatory response was minimal. A. cantonensis infection had not been reported previously in a red kangaroo in Louisiana or Mississippi, to our knowledge. Our case reaffirms the widespread presence of the helminth in the southeastern United States and indicates that A. cantonensis should be considered as a differential in macropods with neurologic clinical signs in regions where A. cantonensis is now endemic.
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Affiliation(s)
- Sonika Patial
- Departments of Comparative Biomedical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA
| | - Brooke A Delcambre
- Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA
| | - Peter M DiGeronimo
- Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.,Current address: Adventure Aquarium, Camden, NJ, USA
| | - Gary Conboy
- Department of Pathology and Microbiology, Atlantic Veterinary College, Charlottetown, Prince Edward Island, Canada
| | - Adriano F Vatta
- Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA
| | - Rudy Bauer
- Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA
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23
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Leukogram and cortisol parameters in Swiss mice experimentally infected with Angiostrongylus costaricensis. J Helminthol 2021; 95:e40. [PMID: 34353407 DOI: 10.1017/s0022149x21000341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This study describes changes in haematological parameters, cytokine profile, histopathology and cortisol levels in Swiss mice experimentally infected with Angiostrongylus costaricensis. Twenty-eight Swiss mice were divided into two groups (G1 and G2) of 14 animals each. In each group, eight animals were infected orally with ten third-stage larvae of A. costaricensis and six were used as a control group. The mice of groups G1 and G2 were sacrificed 14 and 24 days after infection, respectively. Samples were collected for histopathological and haematological analyses and determination of the cytokine profile and cortisol levels. Granulomatous reaction, eosinophilic infiltrate and vasculitis in the intestinal tract, pancreas, liver and spleen were observed with varying intensity in infected animals. Our results showed that the mice developed normocytic and hypochromic anaemia, and that the histopathological lesions caused by the experimental infection influenced increases in cortisol, neutrophil and monocyte levels. In addition to this, we detected increased interleukin-6 and tumour necrosis factor alpha levels in the infected animals.
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24
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Díaz-Delgado J, Cruz D, Sobotyk C, Hensley T, Anguiano M, Verocai GG, Gomez G. Pathologic features and molecular identification of parelaphostrongylosis in a sitatunga (Tragelaphus spekii). J Vet Med Sci 2021; 83:1476-1480. [PMID: 34334513 PMCID: PMC8498824 DOI: 10.1292/jvms.21-0282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We report the pathologic features, local inflammatory response immunophenotype, and molecular identification results of cerebral nematodiasis in a young sitatunga (Tragelaphus spekii) from Texas. To the authors' knowledge, this is the first report of cerebral nematodiasis by Parelaphostrongylus tenuis in a sitatunga, a bovid species introduced into the USA, and the first characterization of the local inflammatory response immunoprofile in this condition. A molecular identification method based on formalin-fixed and paraffin-embedded-polymerase chain reaction was described. These results contribute to knowledge on geographical distribution and host spectrum of P. tenuis, and highlight the relevance of this nematodiasis in naïve translocated or introduced bovid species into endemic areas.
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Affiliation(s)
| | - David Cruz
- Texas A&M Veterinary Medical Diagnostic Laboratory (TVMDL)
| | - Caroline Sobotyk
- Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University
| | - Terry Hensley
- Texas A&M Veterinary Medical Diagnostic Laboratory (TVMDL)
| | | | - Guilherme G Verocai
- Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University
| | - Gabriel Gomez
- Texas A&M Veterinary Medical Diagnostic Laboratory (TVMDL)
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25
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Benatti D, Andrietti LF, Cândido Júnior JF, Vogliotti A, Moraes MFD, Tebaldi JH, Hoppe EGL. Rodent helminths in fragmented Atlantic Forest areas in the western region of the state of Paraná. REVISTA BRASILEIRA DE PARASITOLOGIA VETERINARIA = BRAZILIAN JOURNAL OF VETERINARY PARASITOLOGY : ORGAO OFICIAL DO COLEGIO BRASILEIRO DE PARASITOLOGIA VETERINARIA 2021; 30:e009521. [PMID: 34259744 DOI: 10.1590/s1984-29612021058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 06/01/2021] [Indexed: 11/21/2022]
Abstract
Rodents are small mammals that can be parasitized by various helminths. This study aimed to identify and describe the ecological indicators of infection in rodents captured in fragments of the Atlantic Forest in the western region of Paraná State, Brazil. Sixty-eight specimens of five rodent species were collected, necropsied, and inspected in search of helminths. The parasites were stored in 70% ethanol, morphologically identified, and counted for calculation of infection indicators. Fourteen species of helminths and one species of Crustacea were recorded: ten in Akodon montensis, four in Mus musculus, two in Thaptomys nigrita, two in Oligoryzomys nigripes, and one in Euryoryzomys russatus. The registered species of parasites were: Rodentolepis akodontis, Angiostrongylus sp., Protospirura numidica criceticola, Trichuris navonae, Syphacia alata, Syphacia criceti, Syphacia evaginata, Trichofreitasia lenti, Stilestrongylus aculeata, Stilestrongylus eta, Stilestrongylus gracielae, Stilestrongylus franciscanus, Stilestrongylus moreli, Stilestrongylus sp., and Pentastomida gen. sp. A positive correlation between the intensity of infection of T. navonae and T. lenti was observed with the body condition index of the host A. montensis. For all species, this study represents a new register of locality, and for eight of them a new host.
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Affiliation(s)
- Danise Benatti
- Laboratório de Enfermidades Parasitárias dos Animais Domésticos - LabEPar, Departamento de Patologia, Reprodução e Saúde Única, Faculdade de Ciências Agrárias e Veterinárias - FCAV, Universidade Estadual Paulista - UNESP, Jaboticabal, SP, Brasil
| | | | | | - Alexandre Vogliotti
- Universidade Federal da Integração Latino-Americana - UNILA, Foz do Iguaçu, PR, Brasil
| | - Marcela Figueirêdo Duarte Moraes
- Laboratório de Enfermidades Parasitárias dos Animais Domésticos - LabEPar, Departamento de Patologia, Reprodução e Saúde Única, Faculdade de Ciências Agrárias e Veterinárias - FCAV, Universidade Estadual Paulista - UNESP, Jaboticabal, SP, Brasil
| | - José Hairton Tebaldi
- Laboratório de Enfermidades Parasitárias dos Animais Domésticos - LabEPar, Departamento de Patologia, Reprodução e Saúde Única, Faculdade de Ciências Agrárias e Veterinárias - FCAV, Universidade Estadual Paulista - UNESP, Jaboticabal, SP, Brasil
| | - Estevam Guilherme Lux Hoppe
- Laboratório de Enfermidades Parasitárias dos Animais Domésticos - LabEPar, Departamento de Patologia, Reprodução e Saúde Única, Faculdade de Ciências Agrárias e Veterinárias - FCAV, Universidade Estadual Paulista - UNESP, Jaboticabal, SP, Brasil
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26
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Chen M, Huang D, Chen J, Huang Y, Zheng H, Tang Y, Zhang Q, Chen S, Ai L, Zhou X, Zhang R. Genetic Characterization and Detection of Angiostrongylus cantonensis by Molecular Approaches. Vector Borne Zoonotic Dis 2021; 21:643-652. [PMID: 34242520 DOI: 10.1089/vbz.2020.2734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Angiostrongylus cantonensis constitutes a major etiologic agent of eosinophilic meningoencephalitis. The detection methods for angiostrongyliasis mainly depend on morphology or immunology. A firmer diagnosis could be reached by directly detecting the parasite in the cerebrospinal fluid or through laboratory assays that are specific for Angiostrongylus-induced antibodies or the parasite's DNA. A. cantonensis detection could be carried out by larva release from the tissue upon pepsin digestion. However, the procedure requires live mollusks, which might complicate the analysis of large amounts of samples. Since morphological assays are limited, multiple molecular techniques have been put forward for detecting A. cantonensis, including PCR amplification of targets followed by fragment length or DNA sequence analysis. This allows rapid and accurate identification of A. cantonensis for efficient infection management and epidemiological purposes. In this study, we reviewed the current methods, concepts, and applications of molecular approaches to better understand the genetic characterization, molecular detection methods, and practical application of molecular detection in A. cantonensis.
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Affiliation(s)
- Muxin Chen
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China.,Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.,Health Education and Detection Center, NHC Key Laboratory for Parasitology and Vector Biology, Shanghai, China.,Health Education and Detection Center, WHO Collaborating Center for Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Center for International Research on Tropical Diseases, Shanghai, China
| | - Dana Huang
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Jiaxu Chen
- Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.,Health Education and Detection Center, NHC Key Laboratory for Parasitology and Vector Biology, Shanghai, China.,Health Education and Detection Center, WHO Collaborating Center for Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Center for International Research on Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shenzhen Center for Disease Control and Prevention, Joint Laboratory for Imported Tropical Disease Control, Shanghai, China
| | - Yalan Huang
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Huiwen Zheng
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Yijun Tang
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Qian Zhang
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Shaohong Chen
- Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.,Health Education and Detection Center, NHC Key Laboratory for Parasitology and Vector Biology, Shanghai, China.,Health Education and Detection Center, WHO Collaborating Center for Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Center for International Research on Tropical Diseases, Shanghai, China
| | - Lin Ai
- Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.,Health Education and Detection Center, NHC Key Laboratory for Parasitology and Vector Biology, Shanghai, China.,Health Education and Detection Center, WHO Collaborating Center for Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Center for International Research on Tropical Diseases, Shanghai, China.,Department of One Health, School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaonong Zhou
- Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), Shanghai, China.,Health Education and Detection Center, NHC Key Laboratory for Parasitology and Vector Biology, Shanghai, China.,Health Education and Detection Center, WHO Collaborating Center for Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Center for International Research on Tropical Diseases, Shanghai, China.,Health Education and Detection Center, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shenzhen Center for Disease Control and Prevention, Joint Laboratory for Imported Tropical Disease Control, Shanghai, China.,Department of One Health, School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Renli Zhang
- Institute of Pathogenic Biology, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
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27
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Nagy E, Benedek I, Zsolnai A, Halász T, Csivincsik Á, Ács V, Nagy G, Tari T. Habitat Characteristics as Potential Drivers of the Angiostrongylus daskalovi Infection in European Badger ( Meles meles) Populations. Pathogens 2021; 10:pathogens10060715. [PMID: 34200340 PMCID: PMC8228055 DOI: 10.3390/pathogens10060715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 06/02/2021] [Accepted: 06/03/2021] [Indexed: 11/23/2022] Open
Abstract
From 2016 to 2020, an investigation was carried out to identify the rate of Angiostrongylus spp. infections in European badgers in Hungary. During the study, the hearts and lungs of 50 animals were dissected in order to collect adult worms, the morphometrical characteristics of which were used for species identification. PCR amplification and an 18S rDNA-sequencing analysis were also carried out. Global and local spatial autocorrelation methods were used to detect high-rated and low-rated infected animal clusters. We conducted a binary logistic regression analysis along with hierarchical agglomerative clustering to determine the relation between selected biotic and abiotic variables, and the prevalence of an A. daskalovi infection. We found a high prevalence (72%) and moderate mean intensity (14.1) of Angiostrongylus sp. infection. Morphology and sequencing revealed that all animals were infected by A. daskalovi. The results of both spatial autocorrelations suggested that the spatial distribution of infected badgers was more spatially clustered than random. The results of an analysis of the correlation between habitat characteristics and infection showed that the infected animals could be associated with dry and open landscape habitats without extended and connected canopy. It is suggested that the territorial behaviour of badgers and the landscape-directed aggregation of potential intermediate hosts might be the drivers of an A. daskalovi infection.
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Affiliation(s)
- Eszter Nagy
- Institute of Wildlife Management and Wildlife Biology, Faculty of Forestry, University of Sopron, H-9400 Sopron, Hungary; (E.N.); (T.T.)
| | - Ildikó Benedek
- Institute of Animal Breeding, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (I.B.); (A.Z.)
| | - Attila Zsolnai
- Institute of Animal Breeding, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (I.B.); (A.Z.)
| | - Tibor Halász
- Institute of Physiology and Animal Nutrition, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (T.H.); (Á.C.); (V.Á.)
- Somogy County Forest Management and Wood Industry Share Co., H-7400 Kaposvár, Hungary
| | - Ágnes Csivincsik
- Institute of Physiology and Animal Nutrition, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (T.H.); (Á.C.); (V.Á.)
- One Health Working Group, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary
| | - Virág Ács
- Institute of Physiology and Animal Nutrition, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (T.H.); (Á.C.); (V.Á.)
| | - Gábor Nagy
- Institute of Physiology and Animal Nutrition, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary; (T.H.); (Á.C.); (V.Á.)
- One Health Working Group, Kaposvár Campus, Hungarian University of Agriculture and Life Sciences, H-7400 Kaposvár, Hungary
- Correspondence:
| | - Tamás Tari
- Institute of Wildlife Management and Wildlife Biology, Faculty of Forestry, University of Sopron, H-9400 Sopron, Hungary; (E.N.); (T.T.)
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28
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Tieri EE, Saletti MA, D'Angelo AR, Parisciani G, Pelini S, Cocco A, Di Teodoro G, Di Censo E, D'Alterio N, Latrofa MS, Otranto D, Pascucci I. Angiostrongylus vasorum in foxes ( Vulpes vulpes) and wolves ( Canis lupus italicus) from Abruzzo region, Italy. INTERNATIONAL JOURNAL FOR PARASITOLOGY-PARASITES AND WILDLIFE 2021; 15:184-194. [PMID: 34136344 PMCID: PMC8182381 DOI: 10.1016/j.ijppaw.2021.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 05/11/2021] [Accepted: 05/11/2021] [Indexed: 11/20/2022]
Abstract
In Europe wildlife animals such as the red fox (Vulpes vulpes) are considered the main reservoir for Angiostrongylus vasorum as well as a potential threat for domestic dog infection. Though this parasite is endemic in fox populations, data on A. vasorum infection in wolves (Canis lupus italicus) are still scant, having only recently been described in Northwestern Spain, in Italy, in Croatia and in Slovakia. Based on the rising number of cases of canine lungworm infection in Central Italy (Abruzzo region), the aim of the present study was to investigate the infection by A. vasorum in fox and wolf populations sharing the same geographical area of dogs. From October 2008 to November 2019, A. vasorum specimens were collected, through routine post-mortem examination, from 56 carcasses (44 foxes and 12 wolves). Adult parasites were searched for in the right side of the heart and in pulmonary artery of all carcasses. First stage of larvae (L1) was searched in faeces using the Baermann technique and in lungs by tissue impressions. Overall, 230 adult specimens were collected and identified on a morphological basis. To confirm the morphological identification, 4 adult specimens (n = 3 from fox, n = 1 from wolf) were molecularly identified as A. vasorum by amplification of partial fragment of nuclear 18S rRNA (~1700 bp) genes. The anatomo-pathological and parasitological examinations indicated the presence of A. vasorum in 33 foxes (75%) and in 8 wolves (66.7%). The level of prevalence of infested wolves was higher than the previous one reported in other European countries. Interestingly, the prevalence of infection in foxes herein recorded was higher than that described in dogs (8.9%) living in the same geographical area. This result may confirm the hypothesis that the spread of canine angiostrongylosis is linked to fox populations infection.
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Affiliation(s)
- Elga Ersilia Tieri
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
- Corresponding author.
| | - Maria Antonietta Saletti
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Anna Rita D'Angelo
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Gabriella Parisciani
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Sandro Pelini
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Antonio Cocco
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Giovanni Di Teodoro
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Erica Di Censo
- Azienda Sanitaria Locale di Pescara, via Renato Paolini 47, 65124, Pescara, Italy
| | - Nicola D'Alterio
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
| | - Maria Stefania Latrofa
- Department of Veterinary Medicine, University of Bari “Aldo Moro”, Strada Provinciale per Casamassina Km 3, 70010, Valenzano, BA), Italy
| | - Domenico Otranto
- Department of Veterinary Medicine, University of Bari “Aldo Moro”, Strada Provinciale per Casamassina Km 3, 70010, Valenzano, BA), Italy
- Faculty of Veterinary Sciences, Bu-Ali Sina University, District 2, Hamedan, Iran
| | - Ilaria Pascucci
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (IZSAM), Campo Boario, 64100, Teramo, Italy
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Newly developed SYBR Green-based quantitative real-time PCRs revealed coinfection evidence of Angiostrongylus cantonensis and A. malaysiensis in Achatina fulica existing in Bangkok Metropolitan, Thailand. Food Waterborne Parasitol 2021; 23:e00119. [PMID: 33817357 PMCID: PMC8005753 DOI: 10.1016/j.fawpar.2021.e00119] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 03/01/2021] [Accepted: 03/04/2021] [Indexed: 11/22/2022] Open
Abstract
Angiostrongylus cantonensis is a well-known pathogen causing eosinophilic meningitis associated with angiostrongyliasis. Humans, as accidental hosts, are infected by consuming undercooked snails containing third-stage larvae. A. malaysiensis is closely related to A. cantonensis and has been described as a potential human pathogen. The two species distribution was recently reported to overlap in the same endemic area, particularly in the Indochina Peninsula. Similar morphological characteristics of the third-stage larva in the snail-intermediate host often lead to misidentification of the two species. Thus, we aimed to develop a sensitive and specific method to detect and discriminate Angiostrongylus third-stage larva by designing species-specific primers based on the mitochondrial cytochrome b gene. We developed the SYBR Green quantitative real-time PCR (qPCR) method for two species-specific detection assays, which could be conducted simultaneously. The method was subsequently employed to detect and identify third-stage larvae of Angiostrongylus isolated from infected Achatina fulica collected from six public parks in Bangkok Metropolitan, Thailand. The method was also a preliminary applied to detect parasite tissue debris in the patients' cerebrospinal fluid (CSF). SYBR Green qPCRs quantitatively detected approximately 10−4 ng of genomic DNA from one larva, facilitating species-specific detection. Based on the pools of third-stage larvae isolated individually from the tissue of each infected A. fulica collected from the public parks, the qPCR results revealed that A. malaysiensis was the predominant species infecting 5.26% of the collected snails. In comparison, coinfection between A. malaysiensis and A. cantonensis was 5.97%, and no single infection of A. cantonensis was detected in A. fulica. Our SYBR Green qPCR method is a useful and inexpensive technique for A. cantonensis and A. malaysiensis discrimination, and the method has sufficient sensitivity to detect isolated larvae from a snail-intermediate host. The ratio of A. cantonensis and A. malaysiensis larvae infecting the snails can also be estimated simultaneously. Our qPCRs can be employed in a molecular survey of A. cantonensis and A. malaysiensis within intermediate hosts and for clinical diagnosis of angiostrongyliasis with CSF specimens in future studies. The SYBR Green qPCRs were developed to detect and discriminate Angiostrongylus third-stage larvae by designing species-specific primers based on the mitochondrial cytochrome b gene. A. malaysiensis is the predominant species in Bangkok Metropolitan, Thailand. Coinfection between A. cantonensis and A. malaysiensis has occurred in the Achatina fulica population in Bangkok
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Mallaiyaraj Mahalingam JT, Calvani NED, Lee R, Malik R, Šlapeta J. Using cerebrospinal fluid to confirm Angiostrongylus cantonensis as the cause of canine neuroangiostrongyliasis in Australia where A. cantonensis and Angiostrongylus mackerrasae co-exist. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2021; 1:100033. [PMID: 35284889 PMCID: PMC8906064 DOI: 10.1016/j.crpvbd.2021.100033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 05/26/2021] [Indexed: 05/17/2023]
Abstract
Both Angiostrongylus cantonensis and Angiostrongylus mackerrasae have been identified along the east coast of Australia. A lack of A. mackerrasae genomic data until 2019, however, has precluded the unequivocal identification of the Angiostrongylus species responsible for neuroangiostrongyliasis in accidental hosts such as dog and man. The availability of a whole-genome data for A. mackerrasae, including mtDNA and ITS2 rDNA, enables discrimination of A. cantonensis from A. mackerrasae. The aim of this study was to develop diagnostic PCR assays to determine the species of Angiostrongylus based on the detection of Angiostrongylus DNA sequences in the cerebrospinal fluid (CSF) of canine patients with eosinophilic meningitis. An in silico workflow utilising available cytochrome c oxidase 1 (cox1) primers streamlined the laboratory work into empirical steps, allowing optimisation and selection of a PCR assay that met the required criteria for discrimination of A. cantonensis and A. mackerrasae DNA in low-template CSF samples. The adopted cox1 qPCR assay specifically amplified and enabled the differentiation of A. cantonensis from A. mackerrasae DNA and confirmed the presence of A. cantonensis DNA in 11/50 archived CSF samples. The DNA sequences demonstrated the presence of two distinct A. cantonensis cox1 haplotypes in dogs from eastern Australia. Species identification was further confirmed via the adoption of an ITS2 rDNA assay, providing confirmation of only A. cantonensis ITS2 rDNA in the CSF samples. To our knowledge, this is the first study to unequivocally demonstrate the antemortem presence of A. cantonensis DNA in CSF from clinically affected dogs. The study confirmed the long-held assumption that A. cantonensis is the causal agent of neuroangiostrongyliasis but refutes the dogma that there was a single introduction of A. cantonensis into Australia by the demonstration of two distinct A. cantonensis cox1 haplotypes.
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Affiliation(s)
| | - Nichola Eliza Davies Calvani
- Sydney School of Veterinary Science, Faculty of Science, University of Sydney, 2006, New South Wales, Australia
- Molecular Parasitology Laboratory, Centre for One Health Ryan Institute, National University of Ireland, Galway, H91 DK59, Galway, Ireland
| | - Rogan Lee
- Parasitology Laboratory, Centre for Infectious Diseases and Microbiology Lab Services, NSW Health Pathology, Level 3 ICPMR, Westmead Hospital, 2145, New South Wales, Australia
| | - Richard Malik
- Centre for Veterinary Education, University of Sydney, 2006, New South Wales, Australia
| | - Jan Šlapeta
- Sydney School of Veterinary Science, Faculty of Science, University of Sydney, 2006, New South Wales, Australia
- Corresponding author.
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Valente R, Robles MDR, Diaz JI. Gastropods as intermediate hosts of Angiostrongylus spp. in the Americas: bioecological characteristics and geographical distribution. Mem Inst Oswaldo Cruz 2020; 115:e200236. [PMID: 33263610 PMCID: PMC7693416 DOI: 10.1590/0074-02760200236] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 11/12/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Intermediate hosts are key organisms in maintaining parasite life cycles, because they can act as amplifiers in the transmission from natural reservoirs to humans. One of the most important groups of intermediate hosts for zoonotic nematode infections are gastropods,slugs and snails. These are essential organisms in the larval development of Angiostrongylus species. OBJECTIVES The objective of this paper is to review reports of Angiostrongylus spp. in naturally infected gastropods from the Americas, taking into account the diagnostic methods used in their identification, to be able to provide more accurate list of their intermediate hosts. We also discuss the factors that aid the dispersion of Angiostrongylus spp. in the Americas. METHODS This study reviews scientific publications and book sections on Angiostrongylus spp. in the Americas, including original works assessing larvae of Angiostrongylus in intermediate hosts. The eligible reports were classified accordingly to their geographical location, year of first record, and the larvae identification methodologies used. Digital repositories were used for the search. The bioecological characteristics of the main intermediate hosts are summarised. FINDINGS A total of 29 gastropod species that are naturally infected with Angiostrongylus spp. have been reported as intermediate hosts, 16 of which are land snails, two are freshwater snails, and 11 land slugs. MAIN CONCLUSIONS This study highlights the importance of integrative studies, analysing both the etiological agent and its transmission dynamic in the environment, the biological and ecological characteristics of the hosts, and the impact on host populations. It is necessary to increase interdisciplinary studies to determine the potential epidemiological health risk of angiostrongyliasis in the Americas, and thus be able to establish prevention, monitoring and contingency strategies in the region.
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Affiliation(s)
- Romina Valente
- Centro de Estudios Parasitológicos y de Vectores, Buenos Aires Province, Argentina
| | | | - Julia Inés Diaz
- Centro de Estudios Parasitológicos y de Vectores, Buenos Aires Province, Argentina
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Angiostrongylus spp. (Nematoda; Metastrongyloidea) of global public health importance. Res Vet Sci 2020; 135:397-403. [PMID: 33160683 DOI: 10.1016/j.rvsc.2020.10.023] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 10/20/2020] [Accepted: 10/27/2020] [Indexed: 11/21/2022]
Abstract
Human angiostrongyliasis is an important foodborne zoonosis, caused by the infection with Angiostrongylus costaricensis and Angiostrongylus cantonensis. These two species have a significant public health impact in different areas of the world. Angiostrongyliasis is re-emerging and expanding to urban settings rising significant concerns regarding the control of these infections. This review focuses on aspects such as life cycle, epidemiology, clinical manifestations, diagnostics, food safety and control of illness caused especially by A. cantonensis.
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Paredes-Esquivel C, Sola J, Delgado-Serra S, Puig Riera M, Negre N, Miranda MÁ, Jurado-Rivera JA. Angiostrongylus cantonensis in North African hedgehogs as vertebrate hosts, Mallorca, Spain, October 2018. ACTA ACUST UNITED AC 2020; 24. [PMID: 31431209 PMCID: PMC6702795 DOI: 10.2807/1560-7917.es.2019.24.33.1900489] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
In October 2018, two Atelerix algirus hedgehogs were admitted to the Wildlife Rehabilitation Hospital in Mallorca (Balearic Islands, Spain) with signs of acute neurological disease. Necropsy detected immature, fully developed nematodes in the subarachnoid space of both hedgehogs, including a gravid female worm. DNA-based molecular tools confirmed the nematode as Angiostrongylus cantonensis, an important aetiological agent of eosinophilic meningitis in humans. So far this zoonotic parasite in has not been reported in western European wildlife.
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Affiliation(s)
- Claudia Paredes-Esquivel
- Applied Zoology and Animal Conservation Group, University of the Balearic Islands, Palma de Mallorca, Spain
| | - Jessica Sola
- Centre de Recuperació de Fauna Silvestre de les Illes Balears (COFIB), Mallorca, Spain
| | - Sofía Delgado-Serra
- Applied Zoology and Animal Conservation Group, University of the Balearic Islands, Palma de Mallorca, Spain
| | - Miguel Puig Riera
- Centre de Recuperació de Fauna Silvestre de les Illes Balears (COFIB), Mallorca, Spain
| | - Nieves Negre
- Centre de Recuperació de Fauna Silvestre de les Illes Balears (COFIB), Mallorca, Spain
| | - Miguel Ángel Miranda
- Applied Zoology and Animal Conservation Group, University of the Balearic Islands, Palma de Mallorca, Spain
| | - José A Jurado-Rivera
- Laboratory of Genetics, University of the Balearic Islands, Palma de Mallorca, Spain
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Lima MG, Augusto RDC, Pinheiro J, Thiengo SC. Physiology and immunity of the invasive giant African snail, Achatina (Lissachatina) fulica, intermediate host of Angiostrongylus cantonensis. DEVELOPMENTAL AND COMPARATIVE IMMUNOLOGY 2020; 105:103579. [PMID: 31877327 DOI: 10.1016/j.dci.2019.103579] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Revised: 12/14/2019] [Accepted: 12/16/2019] [Indexed: 06/10/2023]
Abstract
As one of the most successful invasive land snail species, Achatina (Lissachatina) fulica Bowdich, 1822 has achieved wide global distribution, particularly in (sub)tropical regions, with further dispersal likely due to climate change. This species of giant African snails (up to 17 cm shell length) is a pest that has extensive negative impact on agriculture and can serve as vector for several parasites, including Angiostrongylus cantonensis, a nematode parasite that causes (human) eosinophilic meningitis, an emergent disease. Investigation showed that A. cantonensis infection negatively impacts the metabolism of A. fulica by depleting polysaccharide stores of the intermediate host, compromising the energy balance of the snail. A review of the literature indicates that A. fulica possesses potent innate type immune defenses to counter infection, including phagocytic hemocytes capable of deploying reactive oxygen species and lectins for non-self recognition, a serine protease-dependent coagulation response (not observed in other taxa of gastropods), as well as antimicrobial proteins including achacin, an antimicrobial protein. A recent chromosome level genome assembly will facilitate progressively detailed characterization of these immune features of A. fulica. We strongly encourage further immunological studies of A. fulica, ranging from organismal level to molecular biology to gain better understanding of the A. fulica internal defense response to nematode pathogens like A. cantonensis and the contribution of immune function to the invasiveness of (snail) species. Characterization of immunity of A. fulica, representing the understudied Stylommatophora (panpulmonate landsnails) will also broaden the comparative immunology of Gastropoda.
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Affiliation(s)
- Mariana G Lima
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil; Área de Biofísica, Departamento de Ciências Fisiológicas, Instituto de Biologia, Universidade Federal, Rural do Rio de Janeiro, Seropédica, RJ, Brazil.
| | - Ronaldo de C Augusto
- UMR 5244 Univ Perpignan via Domitia-CNRS-IFREMER-Univ Montpellier, Interactions Hôtes-Pathògenes-Environnements (IHPE), Université de Perpignan via Domitia, France.
| | - Jairo Pinheiro
- Área de Biofísica, Departamento de Ciências Fisiológicas, Instituto de Biologia, Universidade Federal, Rural do Rio de Janeiro, Seropédica, RJ, Brazil.
| | - Silvana C Thiengo
- Laboratório de Referência Nacional para Esquistossomose - Malacologia, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil.
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Almeida LRD, Souza JGRD, Santos HA, Torres EJL, Vilela RDV, Cruz OMS, Rodrigues L, Pereira CADJ, Maldonado Junior A, Lima WDS. Angiostrongylus minasensis n. sp.: new species found parasitizing coatis (Nasua nasua) in an urban protected area in Brazil. ACTA ACUST UNITED AC 2020; 29:e018119. [PMID: 32049148 DOI: 10.1590/s1984-29612019103] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Accepted: 11/19/2019] [Indexed: 11/22/2022]
Abstract
Currently, there are 21 species of Angiostrongylus that parasitize the pulmonary or mesenteric arteries of wild and domestic rodents, felids, canids and human. Species of Angiostrongylus have cosmopolitan distribution covering tropical, subtropical and temperate regions. The procyonid Nasua nasua (coati) is a reservoir host for a wide variety of parasites that may be harmful to its populations or may contain etiological agents with zoonotic potential. In urban areas, coatis are usually found in close association with humans and domestic animals. We morphologically and molecularly characterized a new species of Angiostrongylus found in N. nasua in a protected area within Belo Horizonte, Brazil. The new species of Angiostrongylus differs from other species of the same genus in terms of the length and bifurcation level of the lateral and ventral rays, the length of spicules and female tail morphology. Molecular phylogenetic results based on the mitochondrial cytochrome c oxidase subunit 1 gene suggest that the newly identified species belongs to a genetic lineage that is separate from other species of Angiostrongylus. This new species was collected from the mesenteric arteries of N. nasua. It was named Angiostrongylus minasensis n. sp..
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Affiliation(s)
- Lara Ribeiro de Almeida
- Laboratório de Helmintologia Veterinária, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil
| | - Joyce Gonçalves Rosário de Souza
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, RJ, Brasil
| | - Hudson Andrade Santos
- Laboratório de Helmintologia Veterinária, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil
| | - Eduardo José Lopes Torres
- Laboratório de Helmintologia Romero Lascasas Porto, Departamento de Microbiologia, Imunologia e Parasitologia, Faculdade de Ciências Médicas, Centro Biomédico, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brasil
| | - Roberto do Val Vilela
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, RJ, Brasil
| | - Olívia Monique Soares Cruz
- Laboratório de Helmintologia Veterinária, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil
| | - Leonardo Rodrigues
- Escola Estadual de Ensino Fundamental e Médio Graça Aranha, Secretaria da Educação - SEDU, Santa Maria de Jetibá, ES, Brasil
| | - Cíntia Aparecida de Jesus Pereira
- Laboratório de Helmintologia Veterinária, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil
| | - Arnaldo Maldonado Junior
- Laboratório de Biologia e Parasitologia de Mamíferos Silvestres Reservatórios, Fundação Oswaldo Cruz - FIOCRUZ, Rio de Janeiro, RJ, Brasil
| | - Walter Dos Santos Lima
- Laboratório de Helmintologia Veterinária, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil
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Tokiwa T, Yoshimura H, Ito K, Chou S, Yamamoto M. Alien parasitic infections in the endangered Ryukyu long-furred rat (Diplothrix legata) on Amami-Oshima Island, Japan. Parasitol Int 2020; 76:102058. [PMID: 31958570 DOI: 10.1016/j.parint.2020.102058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 01/10/2020] [Accepted: 01/15/2020] [Indexed: 11/24/2022]
Abstract
There is limited knowledge about parasites of the endangered Ryukyu long-furred rat, Diplothrix legata (Murinae, Rodentia) endemic to Okinawa, Tokunoshima, and Amami-Oshima Islands in Japan. In the present study, postmortem histopathological examination of an individual found on Amami-Oshima Island revealed a mixed helminth infection of Calodium hepaticum, Hydatigera taeniaeformis, and Angiostrongylus cantonensis. These helminths are considered non-native to Amami-Oshima Island and are maintained by invasive mammals, such as non-native rats and outdoor cats. This observation presents a new host record for C. hepaticum and H. taeniaeformis and the first record of A. cantonensis in Ryukyu long-furred rat on Amami-Oshima Island.
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Affiliation(s)
- Toshihiro Tokiwa
- Laboratory of Veterinary Parasitology, School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-0023, Japan.
| | - Hisashi Yoshimura
- Division of Physiological Pathology, Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
| | - Keiko Ito
- Amami Dog & Cat Animal Hospital, Nakagachi, Tatsugocho, Oshima-gun, Kagoshima 894-0106, Japan
| | - Shyun Chou
- Laboratory of Veterinary Parasitology, School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-0023, Japan
| | - Masami Yamamoto
- Division of Physiological Pathology, Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan
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Occurrence of Rat Lungworm (Angiostrongylus cantonensis) in Invasive Coqui Frogs (Eleutherodactylus coqui) and Other Hosts in Hawaii, USA. J Wildl Dis 2020. [DOI: 10.7589/2018-12-294] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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The genetic basis of adaptive evolution in parasitic environment from the Angiostrongylus cantonensis genome. PLoS Negl Trop Dis 2019; 13:e0007846. [PMID: 31751335 PMCID: PMC6871775 DOI: 10.1371/journal.pntd.0007846] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 10/14/2019] [Indexed: 01/08/2023] Open
Abstract
Angiostrongylus cantonensis (rat lungworm) is the etiological agent of angiostrongyliasis, mainly causing eosinophilic meningitis or meningoencephalitis in human. Although the biology of A. cantonensis is relatively well known, little is understood about the mechanisms of the parasite’s development and survival in definitive hosts, or its adaptation to a broad range of snail intermediate hosts. Here, we generate a high-quality assembly of a well-defined laboratory strain of A. cantonensis from Guangzhou, China, by using Illumina and PacBio sequencing technologies. We undertake comparative analyses with representative helminth genomes and explore transcriptomic data throughout key developmental life-cycles of the parasite. We find that part of retrotransposons and gene families undergo multiple waves of expansions. These include extracellular superoxide dismutase (EC-SOD) and astacin-like proteases which are considered to be associated with invasion and survival of the parasite. Furthermore, these paralogs from different sub-clades based on phylogeny, have different expression patterns in the molluscan and rodent stages, suggesting divergent functions under the different parasitic environment. We also find five candidate convergent signatures in the EC-SOD proteins from flukes and one sub-clade of A. cantonensis. Additionally, genes encoding proteolytic enzymes, involved in host hemoglobin digestion, exhibit expansion in A. cantonensis as well as two other blood-feeding nematodes. Overall, we find several potential adaptive evolutionary signatures in A. cantonensis, and also in some other helminths with similar traits. The genome and transcriptomes provide a useful resource for detailed studies of A. cantonensis-host adaptation and an in-depth understanding of the global-spread of angiostrongyliasis. Angiostrongylus cantonensis, rat lungworm, is a common pathogen that causes human eosinophilic meningitis via eating contaminated food. Human angiostrongyliasis has been reported globally. This worm has a complex life-cycle, which includes an especially wide range of snails as intermediate hosts, making it more difficult to eradicate. In this study, we sequenced the genome and transcriptome, and performed comparative analyses to study the potential genetics of its biology using short-read and long-read sequencing technologies. We revealed some potential adaptive evolution in the genome, such as the expansion of retrotransposons and gene families encoding antioxidant enzymes, invasion, migration and digestion related proteases. Specifically, we found a potential clue suggesting convergent evolution of EC-SODs in Angiostrongylus and flukes, all of which require snails as intermediate hosts. These results provide an abundant data resource to study the biology and evolution of A. cantonensis and showed some potential targets against A. cantonensis and helminths with similar traits.
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Co-infection with Angiostrongylus chabaudi and Dirofilaria immitis in a wildcat, Felis silvestris from Romania – a case report. ACTA VET BRNO 2019. [DOI: 10.2754/avb201988030303] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Dirofilaria immitis is a worldwide spread nematode affecting the pulmonary artery and the heart of dogs (rarely reported in cats), especially in areas where the dogs show a high prevalence of infection. Angiostrongylus chabaudi is, in turn, a cardiopulmonary nematode of felids identified in several southern European countries and Germany. Co-infections of Dirofilaria immitis and Angiostrongylus spp. are known only in canids. We report a case of D. immitis and A. chabaudi co-infection in a road-killed wildcat originating from Southeastern Romania. Overall, 17 nematodes were collected from the pulmonary arteries of the wildcat and were morphologically identified as A. chabaudi (2 males and 15 females). Another nematode was collected from the right ventricle and identified as adult male D. immitis. Genomic DNA was extracted from one nematode of each of the two species and a fragment of the cox1 gene was amplified and sequenced. The sequences obtained from the nematodes showed 100% similarity to a sequence of A. chabaudi isolated from Romania (Accession number KU521521) and to various D. immitis sequences from Europe, Asia and Australia (e.g. KT716014, EU159111, AJ537512). This is the first report of A. chabaudi and D. immitis co-infection in a felid, revealing the possibility of similar situations in domestic cats. This requires a more in-depth clinical and laboratory examination of animals with respiratory and cardiac symptoms.
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Thompson AT, Cleveland CA, Koser TM, Wyckoff ST, Yabsley MJ. The Occurrence of Physaloptera hispida and a Mastophorus Sp. in Pulmonary Vessels of Hispid Cotton Rats ( Sigmodon hispidus) from Georgia, U.S.A. J Parasitol 2019. [PMID: 31580784 DOI: 10.1645/18-176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
During 2017-2018, a survey for the rat lungworm, Angiostrongylus cantonensis (Nematoda: Metastrongyloidea), in rodents from Piedmont and Lower Coastal Plains physiographic regions of Georgia was conducted. On 4 occasions, a single worm was recovered from the pulmonary vessels of a single cotton rat (Sigmodon hispidis). One of these worms was identified as a Physaloptera sp. and the remaining 3 as a Mastophorus sp. by morphology. No A. cantonensis were found. Physaloptera (Nematoda: Physalopteroidea) and Mastophorus species (Nematoda: Spiruroidea) are stomach parasites of many wild and domestic animals. This is the first report of these species in the pulmonary vessels of a definitive host. To better characterize these parasites, representative specimens were collected from cotton rat stomachs and identified morphologically and molecularly. Based on partial cytochrome c oxidase subunit 1 (COI) gene sequences, Physaloptera hispida from stomachs were identical to the Physaloptera sp. from the pulmonary vessels. The COI sequences from the Mastophorus sp. from the stomach exhibited a higher degree of variability but confirmed that the pulmonary worms were the same Mastophorus species. Furthermore, sequences of Mastophorus from a coastal site clustered separately from a clade of Mastophorus sequences from cotton rats from a Piedmont site. Our data show that adult worms recovered from pulmonary vessels of cotton rats could be either Physaloptera or Mastophorus sp., indicating that these parasitic worms are not always restricted to the stomach and that worms from pulmonary vessels must be carefully examined to obtain a definitive diagnosis of A. cantonensis infection.
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Affiliation(s)
- Alec T Thompson
- Southeastern Cooperative Wildlife Disease Study, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602
| | - Christopher A Cleveland
- Southeastern Cooperative Wildlife Disease Study, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602.,Warnell School of Forestry and Natural Resources, University of Georgia, Athens, Georgia 30602
| | - Troy M Koser
- Southeastern Cooperative Wildlife Disease Study, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602.,Warnell School of Forestry and Natural Resources, University of Georgia, Athens, Georgia 30602
| | - Seth T Wyckoff
- Southeastern Cooperative Wildlife Disease Study, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602
| | - Michael J Yabsley
- Southeastern Cooperative Wildlife Disease Study, Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602.,Warnell School of Forestry and Natural Resources, University of Georgia, Athens, Georgia 30602
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Dumidae A, Janthu P, Subkrasae C, Dekumyoy P, Thanwisai A, Vitta A. Genetic characterization of Angiostrongylus larvae and their intermediate host, Achatina fulica, in Thailand. PLoS One 2019; 14:e0223257. [PMID: 31560712 PMCID: PMC6764694 DOI: 10.1371/journal.pone.0223257] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Accepted: 09/17/2019] [Indexed: 11/19/2022] Open
Abstract
Angiostrongyliasis is a parasitic disease caused by nematodes of the genus Angiostrongylus. Distribution of this worm corresponds to the dispersal of its main intermediate host, the giant African land snail Achatina fulica. Genetic characterization can help identify parasitic pathogens and control the spreading of disease. The present study describes infection of A. fulica by Angiostrongylus, and provides a genetic outlook based on sequencing of specific regions. We collected 343 land snails from 22 provinces across six regions of Thailand between May 2017 and July 2018. Artificial digestion and Baermann’s technique were employed to isolate Angiostrongylus larvae. The worm and its intermediate host were identified by sequencing with specific nucleotide regions. Phylogenetic tree was constructed to evaluate the relationship with other isolates. A. fulica from Chaiyaphum province was infected with A. cantonensis, whereas snails collected from Phrae and Chiang Rai provinces were infected with A. malaysiensis. The maximum likelihood tree based on 74 A. fulica COI sequences revealed monophyletic groups and identified two haplotypes: AF1 and AF2. Only AF1, which is distributed in all regions of Thailand, harbored the larvae of A. cantonensis and A. malaysiensis. Two mitochondrial genes (COI and cytb) and two nuclear regions (ITS2 and SSU rRNA) were sequenced in 41 Angiostrongylus specimens. The COI gene indicated that A. cantonensis was closely related to the AC10 haplotype; whereas the cytb gene revealed two new haplotypes: AC19 and AC20. SSU rRNA was useful for the identification of A. cantonensis; whereas ITS2 was a good genetic marker for differentiating between A. cantonensis and A. malaysiensis. This study provides genetic information about the parasite Angiostrongylus and its snail intermediate host. The data in this work may be useful for further study on the identification of Angiostrongylus spp., the genetic relationship between intermediate host and parasite, and control of parasites.
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Affiliation(s)
- Abdulhakam Dumidae
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
| | - Pichamon Janthu
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
| | - Chanakan Subkrasae
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
| | - Paron Dekumyoy
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Ratchavithi Rd, Ratchathewi, Bangkok, Thailand
| | - Aunchalee Thanwisai
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
- Centre of Excellence in Medical Biotechnology (CEMB), Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
| | - Apichat Vitta
- Department of Microbiology and Parasitology, Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
- Centre of Excellence in Medical Biotechnology (CEMB), Faculty of Medical Science, Naresuan University, Phitsanulok, Thailand
- * E-mail:
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Martínez-Rondán FJ, Ruiz de Ybáñez MR, López-Beceiro AM, Fidalgo LE, Berriatua E, Lahat L, Sacristán I, Oleaga Á, Martínez-Carrasco C. Cardiopulmonary nematode infections in wild canids: Does the key lie on host-prey-parasite evolution? Res Vet Sci 2019; 126:51-58. [PMID: 31437776 DOI: 10.1016/j.rvsc.2019.08.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Revised: 08/02/2019] [Accepted: 08/04/2019] [Indexed: 11/18/2022]
Abstract
Cardiopulmonary nematodes are among the most pathogenic parasites of domestic and wild canids. The aim of this study was to describe the species diversity, prevalence and infection intensity of these parasites in the Iberian wolf (Canis lupus signatus) and the red fox (Vulpes vulpes) in the northwest of the Iberian Peninsula. 257 foxes and 74 wolves were necropsied between 2008 and 2014. Four nematode species were identified: Angiostrongylus vasorum, Eucoleus aerophilus, Crenosoma vulpis and Filaroides hirthi. This last species was only found in wolves, being the first time that is cited worldwide in this wild canid. The overall parasite prevalence was significantly higher in foxes (70%) than in wolves (28%). Specifically, prevalences in foxes and wolves were, respectively, 43% and 22% for A. vasorum, 33% and 5% for E. aerophilus, and 30% and 9% for C. vulpis. The prevalence of F. hirthi was 16%. The A. vasorum intensity was significantly higher in foxes than in wolves. Differences between host species in the risk of infection would be associated to diverging feeding behavior, and possibly reflects a parasite-host adaptation related to host's hunting strategies and cardiorespiratory requirements. This study revealed an association between infection and environmental factors, and highlighted a wide variation in the spatial distribution of A. vasorum. Our results indicate that cardiopulmonary parasites are widespread in wild canids in northwest Spain, and further agrees with other studies indicating the expansion of A. vasorum in Europe and, therefore, the urgent need to investigate infection in dogs in sympatric areas.
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Affiliation(s)
- Francisco José Martínez-Rondán
- Department of Animal Health, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain
| | - María Rocío Ruiz de Ybáñez
- Department of Animal Health, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain.
| | - Ana María López-Beceiro
- Department of Anatomy, Animal Production and Clinical Veterinary Sciences, University of Santiago de Compostela, Lugo, Spain.
| | - Luis Eusebio Fidalgo
- Department of Anatomy, Animal Production and Clinical Veterinary Sciences, University of Santiago de Compostela, Lugo, Spain.
| | - Eduardo Berriatua
- Department of Animal Health, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain.
| | - Liron Lahat
- Department of Animal Health, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain
| | - Irene Sacristán
- PhD Program in Conservation Medicine, Facultad de Ciencias de la Vida, Universidad Andres Bello, República 252, Santiago, Chile
| | - Álvaro Oleaga
- SERPA, Sociedad de Servicios del Principado de Asturias S.A., 33203 Gijón, Asturias, Spain
| | - Carlos Martínez-Carrasco
- Department of Animal Health, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain.
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Otranto D, Deplazes P. Zoonotic nematodes of wild carnivores. Int J Parasitol Parasites Wildl 2019; 9:370-383. [PMID: 31338295 PMCID: PMC6626844 DOI: 10.1016/j.ijppaw.2018.12.011] [Citation(s) in RCA: 74] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 12/29/2018] [Accepted: 12/31/2018] [Indexed: 12/15/2022]
Abstract
For a long time, wildlife carnivores have been disregarded for their potential in transmitting zoonotic nematodes. However, human activities and politics (e.g., fragmentation of the environment, land use, recycling in urban settings) have consistently favoured the encroachment of urban areas upon wild environments, ultimately causing alteration of many ecosystems with changes in the composition of the wild fauna and destruction of boundaries between domestic and wild environments. Therefore, the exchange of parasites from wild to domestic carnivores and vice versa have enhanced the public health relevance of wild carnivores and their potential impact in the epidemiology of many zoonotic parasitic diseases. The risk of transmission of zoonotic nematodes from wild carnivores to humans via food, water and soil (e.g., genera Ancylostoma, Baylisascaris, Capillaria, Uncinaria, Strongyloides, Toxocara, Trichinella) or arthropod vectors (e.g., genera Dirofilaria spp., Onchocerca spp., Thelazia spp.) and the emergence, re-emergence or the decreasing trend of selected infections is herein discussed. In addition, the reasons for limited scientific information about some parasites of zoonotic concern have been examined. A correct compromise between conservation of wild carnivores and risk of introduction and spreading of parasites of public health concern is discussed in order to adequately manage the risk of zoonotic nematodes of wild carnivores in line with the 'One Health' approach.
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Affiliation(s)
- Domenico Otranto
- Dipartimento di Medicina Veterinaria, Universita’ degli Studi di Bari, 70010, Valenzano, Italy
| | - Peter Deplazes
- Institute of Parasitology, University of Zürich, 8057, Zürich, Switzerland
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Angiostrongylus (Parastrongylus) cantonensis on intermediate and definitive hosts in Ecuador, 2014-2017. ACTA ACUST UNITED AC 2019; 39:370-384. [PMID: 31529823 DOI: 10.7705/biomedica.v39i3.4387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Indexed: 11/21/2022]
Abstract
Introduction: Angiostrongylus cantonensis is a serious public health problem and is widely distributed in the country. When the parasite infects the snails, it becomes deeply embedded in their interior and accidentally, it can infect people and other mammals.
Objective: To establish the geographical distribution of A. cantonensis intermediate hosts (Achatina fulica) and definitive hosts (Rattus spp.) in Ecuador from 2014 to 2017.
Materials and methods: We collected 2,908 A. fulica specimens in 16 provinces using the capture method per unit of effort for 30 minutes. We captured 211 hosts of which 20 were Rattus rattus and 191 R. norvegicus. The specimens were transported to the Instituto Nacional de Salud Pública e Investigación in Guayaquil where the larvae L3 were identified and counted in the tissues of the snail, which were then inoculated in laboratory rats to reproduce the life cycle. In the rodents, the brains, hearts, lung arteries and lungs were dissected, and the parasites were identified by taxonomic morphology.
Results: Of the snails harvested, 441 were positive for A. cantonensis (15.2%) and a total of 6,166 L3 larvae were found; 77 (36.5%) specimens of Rattus spp., were infected with A. cantonensis and a total of 220 parasites (L4-L5 larvae and adult worms) were collected.
Conclusions: We confirmed the presence of A. cantonensis in several provinces, which ratifies the endemic nature of this zoonosis in the national territory. Rattus spp. specimens constitute the definitive hosts of the parasite, which together with the presence of intermediate hosts, indicates the zoonotic potential of this parasitic infection.
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Rael RC, Peterson AC, Ghersi-Chavez B, Riegel C, Lesen AE, Blum MJ. Rat Lungworm Infection in Rodents across Post-Katrina New Orleans, Louisiana, USA. Emerg Infect Dis 2019; 24:2176-2183. [PMID: 30457534 PMCID: PMC6256379 DOI: 10.3201/eid2412.180056] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Rat lungworm (Angiostrongylus cantonensis), a parasitic nematode that can cause eosinophilic meningitis in humans, was first detected in New Orleans, Louisiana, USA, in the mid-1980s and now appears to be widespread in the southeastern United States. We assessed the distribution, prevalence, and intensity of A. cantonensis infection in New Orleans by examining lung biopsy samples of rodents trapped at 96 sites in 9 areas in Orleans Parish and 1 area in neighboring St. Bernard Parish during May 2015 through February 2017. These areas were selected to capture contrasting levels of income, flooding, and pos-disaster landscape management after Hurricane Katrina in 2005. We detected A. cantonensis in all areas and in 3 of the 4 rat species trapped. Overall prevalence was ≈38% but varied by area, host species, and host species co-occurrence. Infection intensity also varied by host species. These findings suggest that socioecological analysis of heterogeneity in definitive and intermediate host infection could improve understanding of health risks across the city.
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Severe Verminous Pneumonia Caused by Natural Mixed Infection with Aelurostrongylus abstrusus and Angiostrongylus chabaudi in a European Wildcat from Western Balkan Area. Acta Parasitol 2019; 64:411-417. [PMID: 30756237 DOI: 10.2478/s11686-019-00029-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 01/30/2019] [Indexed: 11/20/2022]
Abstract
AIMS Aelurostrongylus abstrusus (Railliet, 1898) and Angiostrongylus chabaudi (Biocca, 1957) are important cardiopulmonary metastrongyloids in felids. This case report describes, for the first time, a natural and patent mixed infection caused by A. abstrusus and A. chabaudi in a European wildcat (Felis silvestris silvestris) from Bosnia and Herzegovina. Most important, this is a rare report of fatal parasitism in wildlife, involving a severe verminous bronchopneumonia and gastrointestinal nematode and cestode infection with Toxocara cati, Taenia taeniaeformis, Aonchotheca putorii, and Ancylostoma spp. RESULTS Emphasis is set to detailed description of granulomatous, interstitial verminous bronchopneumonia, morphological description of A. abstrusus and A. chabaudi, and molecular confirmation of diagnosis by triplex PCR. CONCLUSION The data provided in this study contribute to the knowledge on the epizootiology and pathological effect of these neglected metastrongyloids in European wildcat.
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Tiwari US, Aishwarya A, Gandhi S, Sisodia P. Angiostrongylus cantonensis in anterior chamber. Indian J Ophthalmol 2019; 67:158-160. [PMID: 30574932 PMCID: PMC6324150 DOI: 10.4103/ijo.ijo_843_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Live worm in anterior chamber is a rare finding. We hereby report a case of ocular Angiostrongylus cantonensis, which, to the best of our knowledge, is the third case report from India. A 70-year-old female presented with the complaints of watering and foreign body sensations in right eye since 2 months. On examination, a translucent worm of approximately 15 mm length was found freely moving in anterior chamber. Patient underwent surgical removal of live worm, which was identified as A. cantonensis. Educating people regarding importance of hygiene is important for prevention of worm infestation.
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Affiliation(s)
- Uma Sharan Tiwari
- Department of Ophthalmology, Gajara Raja Mdical College, Gwalior, Madhya Pradesh, India
| | - Ankita Aishwarya
- Department of Ophthalmology, Gajara Raja Mdical College, Gwalior, Madhya Pradesh, India
| | - Shashi Gandhi
- Department of Ophthalmology, Gajara Raja Mdical College, Gwalior, Madhya Pradesh, India
| | - Priya Sisodia
- Department of Ophthalmology, Gajara Raja Mdical College, Gwalior, Madhya Pradesh, India
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Penagos-Tabares F, Lange MK, Vélez J, Hirzmann J, Gutiérrez-Arboleda J, Taubert A, Hermosilla C, Chaparro Gutiérrez JJ. The invasive giant African snail Lissachatina fulica as natural intermediate host of Aelurostrongylus abstrusus, Angiostrongylus vasorum, Troglostrongylus brevior, and Crenosoma vulpis in Colombia. PLoS Negl Trop Dis 2019; 13:e0007277. [PMID: 31002674 PMCID: PMC6493767 DOI: 10.1371/journal.pntd.0007277] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Revised: 05/01/2019] [Accepted: 03/04/2019] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Several metastrongyloid lungworms are unreported pathogens in Colombia. Angiostrongylus vasorum and Crenosoma vulpis target the cardiopulmonary system of domestic and wild canids. Aelurostrongylus abstrusus and Troglostrongylus brevior infect felids and considering that six wild felid species exist in Colombia, knowledge of feline lungworm infections is important for their conservation. The zoonotic metastrongyloids Angiostrongylus costaricensis and Angiostrongylus cantonensis can cause severe gastrointestinal and neurological diseases. Angiostrongylus costaricensis has been reported in Colombia, while Ang. cantonensis is present in neighbouring countries. Research on the epidemiology of metastrongyloids in Colombia and South America more broadly requires evaluating the role that gastropods play as intermediate hosts in their life cycles. This study assessed the prevalence of metastrongyloid larvae in populations of the invasive giant African snail, Lissachatina fulica, in Colombia. METHODOLOGY/PRINCIPAL FINDINGS A total of 609 Lissachantina fulica were collected from 6 Colombian municipalities. The snails were then cryo-euthanized, artificially digested and the sediments examined microscopically for the presence of metastrongyloid larvae. Based on morphological characteristics 53.3% (56/107) of the snails from Puerto Leguízamo (Department of Putumayo) were infected with Ael. abstrusus larvae, 8.4% (9/107) with Ang. vasorum larvae, 6.5% (7/107) with T. brevior larvae and 5.6% (6/107) with C. vulpis larvae, being the region with highest prevalences of the four species. Snails from Andes (Department of Antioquia) and Tulúa (Department of Valle del Cauca) were positive for Ang. vasorum larvae with a prevalence of 4.6 (11/238) and 6.3% (4/64), respectively. Species identifications were confirmed by PCR and sequencing. CONCLUSIONS/SIGNIFICANCE This epidemiological survey reports for first time the presence of Ael. abstrusus, T. brevior, C. vulpis and Ang. vasorum in L. fulica in a number of regions of Colombia.
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Affiliation(s)
- Felipe Penagos-Tabares
- CIBAV Research Group, Veterinary Medicine School, Faculty of Agrarian Sciences, University of Antioquia, Medellín, Antioquia, Colombia
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Malin K. Lange
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Juan Vélez
- CIBAV Research Group, Veterinary Medicine School, Faculty of Agrarian Sciences, University of Antioquia, Medellín, Antioquia, Colombia
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Jörg Hirzmann
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Jesed Gutiérrez-Arboleda
- CIBAV Research Group, Veterinary Medicine School, Faculty of Agrarian Sciences, University of Antioquia, Medellín, Antioquia, Colombia
| | - Anja Taubert
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Carlos Hermosilla
- Institute of Parasitology, Justus Liebig University Giessen, Giessen, Hessen, Germany
| | - Jenny J. Chaparro Gutiérrez
- CIBAV Research Group, Veterinary Medicine School, Faculty of Agrarian Sciences, University of Antioquia, Medellín, Antioquia, Colombia
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Colella V, Knaus M, Lai O, Cantile C, Abramo F, Rehbein S, Otranto D. Mice as paratenic hosts of Aelurostrongylus abstrusus. Parasit Vectors 2019; 12:49. [PMID: 30670072 PMCID: PMC6343334 DOI: 10.1186/s13071-019-3293-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 01/07/2019] [Indexed: 11/20/2022] Open
Abstract
Background Several species of nematodes included in the superfamily Metastrongyloidea are recognized agents of parasitic infections in felines. Aelurostrongylus abstrusus is the most prevalent species affecting the respiratory system of domestic cats. The route of infection in cats is supposed to be through ingestion of gastropod intermediate or paratenic hosts. However, because gastropods are not the preferred preys of cats, rodents were suggested to play an important role as paratenic hosts in the biological cycle of A. abstrusus and in the epidemiology of aelurostrongylosis. Results Two studies were conducted to document histopathological tissue lesions in mice experimentally infected with A. abstrusus third-stage larvae (L3) (Study 1), and to determine larval counts in their organs (Study 2). Additionally, cats were fed with experimentally infected mice to assess their infectivity. Aelurostrongylus abstrusus L3 were recovered from the liver, spleen, brain, skeletal muscle and gastrointestinal tract tissues by artificial digestion, and heart, spleen and brain tested positive for A. abstrusus at molecular diagnosis. Multifocal encephalitis and meningitis and glial nodules were the most common histopathological lesions found in mice inoculated with A. abstrusus. All cats shed first-stage larvae of A. abstrusus after ingestion of mice inoculated with this nematode. Conclusions In this study, we provide information on the anatomical localization, histopathological alterations and rate of recovery of A. abstrusus L3 in mice, and confirm their infectivity to cats (definitive hosts) after feeding on infected mice (paratenic hosts). Data presented here add knowledge to further understand the biology of A. abstrusus in mice and underline the importance of mice as paratenic hosts of this nematode for the infection of cats.
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Affiliation(s)
- Vito Colella
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Str. prov. per Casamassima km 3, 70010, Valenzano (Bari), Italy
| | - Martin Knaus
- Boehringer Ingelheim Vetmedica GmbH, Kathrinenhof Research Center, Walchenseestr. 8-12, 83101, Rohrdorf, Germany
| | - Olimpia Lai
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Str. prov. per Casamassima km 3, 70010, Valenzano (Bari), Italy
| | - Carlo Cantile
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56124, Pisa, Italy
| | - Francesca Abramo
- Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56124, Pisa, Italy
| | - Steffen Rehbein
- Boehringer Ingelheim Vetmedica GmbH, Kathrinenhof Research Center, Walchenseestr. 8-12, 83101, Rohrdorf, Germany
| | - Domenico Otranto
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Str. prov. per Casamassima km 3, 70010, Valenzano (Bari), Italy.
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Rebello KM, McKerrow JH, Mota EM, O´Donoghue AJ, Neves-Ferreira AGC. Activity profiling of peptidases in Angiostrongylus costaricensis first-stage larvae and adult worms. PLoS Negl Trop Dis 2018; 12:e0006923. [PMID: 30379807 PMCID: PMC6231675 DOI: 10.1371/journal.pntd.0006923] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 11/12/2018] [Accepted: 10/15/2018] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Angiostrongylus costaricensis is a relatively uncharacterized nematode that causes abdominal angiostrongyliasis in Latin America, a human parasitic disease. Currently, no effective pharmacological treatment for angiostrongyliasis exists. Peptidases are known to be druggable targets for a variety of diseases and are essential for several biological processes in parasites. Therefore, this study aimed to systematically characterize the peptidase activity of A. costaricensis in different developmental stages of this parasitic nematode. METHODOLOGY/PRINCIPAL FINDINGS A library of diverse tetradecapeptides was incubated with cellular lysates from adult worms and from first-stage larvae (L1) and cleaved peptide products were identified by mass spectrometry. Lysates were also treated with class specific peptidase inhibitors to determine which enzyme class was responsible for the proteolytic activity. Peptidase activity from the four major mechanistic classes (aspartic, metallo, serine and cysteine) were detected in adult worm lysate, whereas aspartic, metallo and serine-peptidases were found in the larval lysates. In addition, the substrate specificity profile was found to vary at different pH values. CONCLUSIONS/SIGNIFICANCE The proteolytic activities in adult worm and L1 lysates were characterized using a highly diversified library of peptide substrates and the activity was validated using a selection of fluorescent substrates. Taken together, peptidase signatures for different developmental stages of this parasite has improved our understanding of the disease pathogenesis and may be useful as potential drug targets or vaccine candidates.
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Affiliation(s)
- Karina M. Rebello
- Laboratory of Toxinology, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil
| | - James H. McKerrow
- Center for Discovery and Innovation in Parasitic Diseases, University of California, San Diego, La Jolla, CA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California, United States of America
| | - Ester M. Mota
- Laboratory of Pathology, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil
| | - Anthony J. O´Donoghue
- Center for Discovery and Innovation in Parasitic Diseases, University of California, San Diego, La Jolla, CA
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California, United States of America
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