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Zingales B, Macedo AM. Fifteen Years after the Definition of Trypanosoma cruzi DTUs: What Have We Learned? Life (Basel) 2023; 13:2339. [PMID: 38137940 PMCID: PMC10744745 DOI: 10.3390/life13122339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/04/2023] [Accepted: 12/06/2023] [Indexed: 12/24/2023] Open
Abstract
Trypanosoma cruzi, the protozoan causative of Chagas disease (ChD), exhibits striking genetic and phenotypic intraspecific diversity, along with ecoepidemiological complexity. Human-pathogen interactions lead to distinct clinical presentations of ChD. In 2009, an international consensus classified T. cruzi strains into six discrete typing units (DTUs), TcI to TcVI, later including TcBat, and proposed reproducible genotyping schemes for DTU identification. This article aims to review the impact of classifying T. cruzi strains into DTUs on our understanding of biological, ecoepidemiological, and pathogenic aspects of T. cruzi. We will explore the likely origin of DTUs and the intrinsic characteristics of each group of strains concerning genome organization, genomics, and susceptibility to drugs used in ChD treatment. We will also provide an overview of the association of DTUs with mammalian reservoirs, and summarize the geographic distribution, and the clinical implications, of prevalent specific DTUs in ChD patients. Throughout this review, we will emphasize the crucial roles of both parasite and human genetics in defining ChD pathogenesis and chemotherapy outcome.
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Affiliation(s)
- Bianca Zingales
- Departamento de Bioquímica, Instituto de Química, Universidade de São Paulo, São Paulo 05508-900, São Paulo, Brazil
| | - Andréa M. Macedo
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil;
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Rojas de Arias A, Messenger LA, Rolon M, Vega MC, Acosta N, Villalba C, Marcet PL. Dynamics of Triatoma infestans populations in the Paraguayan Chaco: Population genetic analysis of household reinfestation following vector control. PLoS One 2022; 17:e0263465. [PMID: 35143523 PMCID: PMC8830694 DOI: 10.1371/journal.pone.0263465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 01/19/2022] [Indexed: 11/28/2022] Open
Abstract
Background Although domestic infestations by Triatoma infestans have been successfully controlled across Latin America, in areas of the Gran Chaco region, recurrent post-spraying house colonization continues to be a significant challenge, jeopardizing Chagas disease vector control and maintaining active Trypanosoma cruzi transmission. Methodology/Principal findings To investigate the dynamics of triatomine reinfestation in a rural area of the Paraguayan Chaco, genetic characterization (based on 10 microsatellite loci and cytochrome B sequence polymorphisms) was performed on baseline and reinfestant T. infestans (n = 138) from four indigenous communities and adjacent sylvatic sites. House quality and basic economic activities were assessed across the four communities. Significant genetic differentiation was detected among all baseline triatomine populations. Faster reinfestation was observed in the communities with higher infestation rates pre-spraying. Baseline and reinfestant populations from the same communities were not genetically different, but two potentially distinct processes of reinfestation were evident. In Campo Largo, the reinfestant population was likely founded by domestic survivor foci, with reduced genetic diversity relative to the baseline population. However, in 12 de Junio, reinfestant bugs were likely derived from different sources, including survivors from the pre-spraying population and sympatric sylvatic bugs, indicative of gene-flow between these habitats, likely driven by high human mobility and economic activities in adjacent sylvatic areas. Conclusions/Significance Our results demonstrate that sylvatic T. infestans threatens vector control strategies, either as a reinfestation source or by providing a temporary refuge during insecticide spraying. Passive anthropogenic importation of T. infestans and active human interactions with neighboring forested areas also played a role in recolonization. Optimization of spraying, integrated community development and close monitoring of sylvatic areas should be considered when implementing vector control activities in the Gran Chaco.
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Affiliation(s)
- Antonieta Rojas de Arias
- Centro para el Desarrollo de la Investigación Científica (CEDIC/Díaz Gill Medicina Laboratorial /FMB), Asunción, Paraguay
- * E-mail:
| | - Louisa Alexandra Messenger
- Division of Parasitic Diseases and Malaria (DPDM), Centers for Diseases Control and Prevention (CDC), Entomology Branch, Atlanta, GA, United States of America
- American Society for Microbiology, NW Washington, DC, United States of America
- Department of Disease Control, Faculty of Infectious Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Miriam Rolon
- Centro para el Desarrollo de la Investigación Científica (CEDIC/Díaz Gill Medicina Laboratorial /FMB), Asunción, Paraguay
| | - María Celeste Vega
- Centro para el Desarrollo de la Investigación Científica (CEDIC/Díaz Gill Medicina Laboratorial /FMB), Asunción, Paraguay
| | - Nidia Acosta
- Departamento de Medicina Tropical, Instituto de Investigaciones en Ciencias de la Salud, UNA, Asuncion, Paraguay
| | - Cesia Villalba
- Programa Nacional de Control de la Enfermedad de Chagas (SENEPA), Asunción, Paraguay
| | - Paula L. Marcet
- Division of Parasitic Diseases and Malaria (DPDM), Centers for Diseases Control and Prevention (CDC), Entomology Branch, Atlanta, GA, United States of America
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Monje-Rumi MM, Floridia-Yapur N, Zago MP, Ragone PG, Pérez Brandán CM, Nuñez S, Barrientos N, Tomasini N, Diosque P. Potential association of Trypanosoma cruzi DTUs TcV and TcVI with the digestive form of Chagas disease. INFECTION GENETICS AND EVOLUTION 2020; 84:104329. [PMID: 32339759 DOI: 10.1016/j.meegid.2020.104329] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 04/20/2020] [Accepted: 04/22/2020] [Indexed: 11/28/2022]
Abstract
The relationship among genetic diversity of Trypanosoma cruzi and clinical forms of Chagas disease remain elusive. In order to assess the possible association between different T. cruzi Discrete Typing Units (DTUs) and the clinical pictures of the disease, 205 chronic patients from Salta province, Argentina, were analysed. One hundred and twenty-two of these patients were clinically categorized as: cardiac 38.5% (47/122), digestive 15% (18/122), cardio-digestive 16% (20/122) and asymptomatic 30% (37/122). From each patient, blood samples were taken for both, Polymerase Chain Reaction (PCR) targeting kDNA and blood culture analyses. The presence of T. cruzi kDNA was detected in 43% (88/205) of the patients. T. cruzi DTUs were identified in 74% (65/88) of the kDNA positive patients by PCR-hybridization using specific probes. We detected the presence of DTUs TcI, TcII, TcV and TcVI. Single infections (i.e. presence of only one DTU in the sample) were detected in 38.64% of the samples (34/88), while mixed infections were 35.23% (31/88). TcV was the most prevalent DTU (60.3%- 53/88). The association analyses showed, for the first time to the best of our knowledge, that TcV and TcVI were associated with the digestive form of Chagas Disease (Fisher p = .0001).
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Affiliation(s)
- M M Monje-Rumi
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - N Floridia-Yapur
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - M P Zago
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - P G Ragone
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - C M Pérez Brandán
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - S Nuñez
- Servicio de Cardiología, Hospital San Bernardo, Av. José Tobias 69, Salta, Argentina
| | - N Barrientos
- Servicio de Cardiología, Hospital San Bernardo, Av. José Tobias 69, Salta, Argentina
| | - N Tomasini
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina
| | - P Diosque
- Instituto de Patología Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Universidad Nacional de Salta, Argentina. Av. Bolivia, 5150 Salta, Argentina.
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ACOSTA NIDIA, LÓPEZ ELSA, LEWIS MICHAELD, LLEWELLYN MARTINS, GÓMEZ ANA, ROMÁN FABIOLA, MILES MICHAELA, YEO MATTHEW. Hosts and vectors of Trypanosoma cruzi discrete typing units in the Chagas disease endemic region of the Paraguayan Chaco. Parasitology 2017; 144:884-898. [PMID: 28179034 PMCID: PMC5471830 DOI: 10.1017/s0031182016002663] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2016] [Revised: 12/16/2016] [Accepted: 12/19/2016] [Indexed: 12/29/2022]
Abstract
Active Trypanosoma cruzi transmission persists in the Gran Chaco region, which is considered hyperendemic for Chagas disease. Understanding domestic and sylvatic transmission cycles and therefore the relationship between vectors and mammalian hosts is crucial to designing and implementing improved effective control strategies. Here we describe the species of triatomine vectors and the sylvatic mammal reservoirs of T. cruzi, in different localities of the Paraguayan and Bolivian Chaco. We identify the T. cruzi genotypes discrete typing units (DTUs) and provide a map of their geographical distribution. A total of 1044 triatomines and 138 sylvatic mammals were captured. Five per cent of the triatomines were microscopically positive for T. cruzi (55 Triatoma infestans from Paraguay and one sylvatic Triatoma guasayana from Bolivia) and 17 animals (12·3%) comprising eight of 28 (28·5%) Dasypus novemcinctus, four of 27 (14·8%) Euphractus sexcinctus, three of 64 (4·7%) Chaetophractus spp. and two of 14 (14·3%) Didelphis albiventris. The most common DTU infecting domestic triatomine bugs was TcV (64%), followed by TcVI (28%), TcII (6·5%) and TcIII (1·5%). TcIII was overwhelmingly associated with armadillo species. We confirm the primary role of T. infestans in domestic transmission, armadillo species as the principal sylvatic hosts of TcIII, and consider the potential risk of TcIII as an agent of Chagas disease in the Chaco.
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Affiliation(s)
- NIDIA ACOSTA
- Departamento de Medicina Tropical, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción – UNA, San Lorenzo CP 2160, Paraguay
| | - ELSA LÓPEZ
- Departamento de Medicina Tropical, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción – UNA, San Lorenzo CP 2160, Paraguay
| | - MICHAEL D. LEWIS
- Department of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - MARTIN S. LLEWELLYN
- Department of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - ANA GÓMEZ
- Centro para el Desarrollo de la Investigación Científica (CEDIC)/Díaz Gill Medicina Laboratorial/Fundación Moisés Bertoni, Asunción, Paraguay
| | - FABIOLA ROMÁN
- Centro para el Desarrollo de la Investigación Científica (CEDIC)/Díaz Gill Medicina Laboratorial/Fundación Moisés Bertoni, Asunción, Paraguay
| | - MICHAEL A. MILES
- Department of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - MATTHEW YEO
- Department of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
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Pereira MB, Batista AM, Aguiar C, Marcon GEB, Martins LC, Guariento ME, Costa SCB, de Almeida EA. The detection of Trypanosoma cruzi by nested-PCR in elderly patients: relationship to the clinical and epidemiological profile. Pathog Glob Health 2016; 110:228-232. [PMID: 27666187 DOI: 10.1080/20477724.2016.1232850] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
Chagas disease, which is caused by Trypanosoma cruzi, is transmitted primarily by triatomine bugs, although the incidence of new cases has decreased as a result of vector control. In Brazil, most of those affected have the chronic form of the disease and are generally elderly individuals who require appropriate clinical follow-up. In this work, we undertook a descriptive study in which 85 patients were interviewed and blood samples were collected for molecular analyses based on the amplification of parasite satellite DNA. The cardiac form of the disease was the most prevalent among the patients and hypertension was the most frequent comorbidity; polypharmacy was detected in 34% of the cases. Serological tests were positive in 95% of cases while 36% were positive in nested-polymerase chain reaction. These findings indicate an increased use of medications and a larger number of age-related diseases in elderly patients with Chagas disease, even in patients with low parasitemia. We conclude that elderly patients with Chagas disease require special attention and that further studies should be done with elderly individuals who carry this disease.
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Affiliation(s)
- Mariane Barroso Pereira
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
| | | | - Camila Aguiar
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
| | | | - Luiz Cláudio Martins
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
| | - Maria Elena Guariento
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
| | - Sandra Cecília Botelho Costa
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
| | - Eros Antonio de Almeida
- a Department of Internal Medicine, School of Medical Sciences , University of Campinas (UNICAMP) , Campinas , Brazil
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Vicco MH, Ferini F, Rodeles L, Baretta M, Marcipar I, Bottasso OA. Non-uremic calciphylaxis and Chagas disease. Rev Clin Esp 2014; 214:e55-7. [PMID: 24698001 DOI: 10.1016/j.rce.2014.02.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Accepted: 02/16/2014] [Indexed: 10/25/2022]
Affiliation(s)
- M H Vicco
- Laboratorio de Tecnología Inmunológica, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Ciudad Universitaria, Paraje "El Pozo", Santa Fe, CP: 3000, Argentina.
| | - F Ferini
- Servicio de Clínica Médica, Hospital J.B "Iturraspe", Bv. Pellegrini 3551, Santa Fe, CP: 3000, Argentina
| | - L Rodeles
- Servicio de Clínica Médica, Hospital J.B "Iturraspe", Bv. Pellegrini 3551, Santa Fe, CP: 3000, Argentina
| | - M Baretta
- Servicio de Clínica Médica, Hospital J.B "Iturraspe", Bv. Pellegrini 3551, Santa Fe, CP: 3000, Argentina
| | - I Marcipar
- Laboratorio de Tecnología Inmunológica, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Ciudad Universitaria, Paraje "El Pozo", Santa Fe, CP: 3000, Argentina
| | - O A Bottasso
- Instituto de Inmunología, Facultad de Medicina, Universidad Nacional de Rosario, Santa Fe 3102, Rosario, CP: 2002, Santa Fe, Argentina
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Decreased level of antibodies and cardiac involvement in patients with chronic Chagas heart disease vaccinated with BCG. Med Microbiol Immunol 2013; 203:133-9. [DOI: 10.1007/s00430-013-0326-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 12/20/2013] [Indexed: 01/19/2023]
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