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Rufino-Moya PJ, Zafra Leva R, Martínez-Moreno Á, Buffoni L, Valderas García E, Pérez Arévalo J, Molina-Hernández V, Ruiz-Campillo MT, Herrera-Torres G, Martínez-Moreno FJ. Advancement in Diagnosis, Treatment, and Vaccines against Fasciola hepatica: A Comprehensive Review. Pathogens 2024; 13:669. [PMID: 39204269 PMCID: PMC11357060 DOI: 10.3390/pathogens13080669] [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: 06/28/2024] [Revised: 07/30/2024] [Accepted: 08/06/2024] [Indexed: 09/03/2024] Open
Abstract
In this review article, we aim to provide an overview of fasciolosis in ruminants. Diagnosis through new coprological methods (such as Flukefinder®, FLOTAC®, and Mini-FLOTAC®) remains the most suitable approach for farms. Regarding treatment, there is a scarcity of available drugs, and resistance to them has prompted new approaches (including drug combinations, enhanced metabolism, or the use of natural compounds) to address this issue. Additionally, several researchers have developed vaccines to control the disease, but their efficacy varies, and none are currently sufficient for commercial use. Further studies are needed to better understand all aspects discussed in this manuscript, with the goal of improving diagnosis, treatment, and disease control. It is important to note that this manuscript does not delve into in-depth knowledge of the discussed aspects; rather, it provides an overview of the different methodologies related to these three aspects of parasitic disease.
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Affiliation(s)
- Pablo José Rufino-Moya
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
| | - Rafael Zafra Leva
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
| | - Álvaro Martínez-Moreno
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
| | - Leandro Buffoni
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
| | - Elora Valderas García
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad de León, 24004 León, Spain
| | - José Pérez Arévalo
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
- Department of Anatomy, Comparative Pathology and Toxicology, Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain
| | - Verónica Molina-Hernández
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
- Department of Anatomy, Comparative Pathology and Toxicology, Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain
| | - María T. Ruiz-Campillo
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
- Department of Anatomy, Comparative Pathology and Toxicology, Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain
| | - Guillem Herrera-Torres
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
- Department of Anatomy, Comparative Pathology and Toxicology, Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain
| | - Francisco J. Martínez-Moreno
- Animal Health Department (Parasitology and Parasitic Diseases), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (P.J.R.-M.); (Á.M.-M.); (L.B.P.); (E.V.G.); (F.J.M.-M.)
- UIC Zoonosis y Enfermedades Emergentes (ENZOEM), Faculty of Veterinary Medicine, University of Córdoba, Sanidad Animal Building, Rabanales Campus, 14014 Córdoba, Spain; (J.P.A.); (V.M.-H.); (M.T.R.-C.); (G.H.-T.)
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Kahl A, von Samson-Himmelstjerna G, Helm C, Hodgkinson J, Williams D, Weiher W, Terhalle W, Steuber S, Ganter M, Krücken J. Efficacy of flukicides against Fasciola hepatica and first report of triclabendazole resistance on German sheep farms. Int J Parasitol Drugs Drug Resist 2023; 23:94-105. [PMID: 38006779 PMCID: PMC10757264 DOI: 10.1016/j.ijpddr.2023.11.001] [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: 09/13/2023] [Revised: 11/01/2023] [Accepted: 11/05/2023] [Indexed: 11/27/2023]
Abstract
Fasciola hepatica infections lead to severe health problems and production losses in sheep farming, if not treated effectively. Triclabendazole has been used extensively over decades due to its unique efficacy range against all definitive hostfluke stages but published data about the susceptibility of F. hepatica to anthelmintics in Germany are lacking. This study aimed to identify current F. hepatica infections in German sheep flocks by coproscopic examinations and to evaluate the efficacy of anthelmintics with a focus on triclabendazole in a field study conducted from 2020 to 2022. Initial screening included 71 sheep farms, many of them with known history of fasciolosis. In this highly biased sample set, the frequency of F. hepatica infection at individual sheep and farm level were 12.8% and 35.2%, respectively. Additionally, eggs of Paramphistominae were found at frequencies of 4.8% and 15.5% at individual sheep and farm level, respectively. Due to low egg shedding intensity, faecal egg count reduction (FECR) tests could only be conducted on a few farms. The efficacy of triclabendazole was tested on 11 farms and albendazole on one farm, including 3-53 sheep/farm. Individual faecal samples were collected before and two weeks after treatment to evaluate the FECR using the sedimentation or FLUKEFINDER® or a modified FLUKEFINDER® method. On all farms a coproantigen reduction test was conducted in parallel. Lacking efficacy of triclabendazole even at double dosage was shown on one farm associated with a high number of animal losses due to acute fasciolosis. On this farm, the Fasciola miracidium development test was additionally performed, revealing a high in vitro ovicidal activity of albendazole while closantel was effective in vivo. On all other farms, sufficient efficacy of triclabendazole was observed. In conclusion, triclabendazole resistance appears not to be widespread on German sheep farms but, when present, can have serious effects on animal health.
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Affiliation(s)
- Alexandra Kahl
- Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Robert-von-Ostertag-Str. 7, 14163, Berlin, Germany
| | - Georg von Samson-Himmelstjerna
- Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Robert-von-Ostertag-Str. 7, 14163, Berlin, Germany
| | - Christina Helm
- Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Robert-von-Ostertag-Str. 7, 14163, Berlin, Germany
| | - Jane Hodgkinson
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, L3 5RF, Liverpool, UK
| | - Diana Williams
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, L3 5RF, Liverpool, UK
| | - Wiebke Weiher
- Federal Office of Consumer Protection and Food Safety (BVL), Gerichtstraße 49, 13347, Berlin, Germany
| | - Werner Terhalle
- Federal Office of Consumer Protection and Food Safety (BVL), Gerichtstraße 49, 13347, Berlin, Germany
| | - Stephan Steuber
- Federal Office of Consumer Protection and Food Safety (BVL), Gerichtstraße 49, 13347, Berlin, Germany
| | - Martin Ganter
- Clinic for Swine and Small Ruminants, Forensic Medicine and Ambulatory Service, University of Veterinary Medicine Hannover, Foundation, Bischofsholer Damm 15, 30173, Hannover, Germany
| | - Jürgen Krücken
- Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Robert-von-Ostertag-Str. 7, 14163, Berlin, Germany.
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Castro-Hermida JA, González-Warleta M, Martínez-Sernández V, Ubeira FM, Mezo M. Current Challenges for Fasciolicide Treatment in Ruminant Livestock. Trends Parasitol 2021; 37:430-444. [PMID: 33461901 DOI: 10.1016/j.pt.2020.12.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 12/10/2020] [Accepted: 12/11/2020] [Indexed: 11/26/2022]
Abstract
Pharmacological treatment remains essential to control fasciolosis in areas where infection is endemic. However, there are major constraints to treating food-producing animals. Of particular concern is the lack of flukicides for treating early Fasciola infections in ruminant livestock in some countries. In addition, the information provided in package leaflets, particularly regarding withdrawal periods, is often incomplete, confusing, and/or contradictory. International regulatory bodies should harmonize the use of flukicides in livestock in favor of fairer, safer international trade. In addition, monitoring the efficacy of fasciolicides on farms is also essential to minimize the spread of drug-resistant populations of Fasciola. The current situation regarding flukicide formulations in the European Union and other, non-European countries is analyzed in this review paper.
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Affiliation(s)
- José Antonio Castro-Hermida
- Laboratory of Parasitology, Centro de Investigaciones Agrarias de Mabegondo, AGACAL, Abegondo, A Coruña, Spain
| | - Marta González-Warleta
- Laboratory of Parasitology, Centro de Investigaciones Agrarias de Mabegondo, AGACAL, Abegondo, A Coruña, Spain
| | - Victoria Martínez-Sernández
- Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain; Institute of Research on Chemical and Biological Analysis (IAQBUS), University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Florencio M Ubeira
- Department of Microbiology and Parasitology, Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain; Institute of Research on Chemical and Biological Analysis (IAQBUS), University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Mercedes Mezo
- Laboratory of Parasitology, Centro de Investigaciones Agrarias de Mabegondo, AGACAL, Abegondo, A Coruña, Spain.
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Hodgkinson JE, Cwiklinski K, Beesley N, Hartley C, Allen K, Williams DJL. Clonal amplification of Fasciola hepatica in Galba truncatula: within and between isolate variation of triclabendazole-susceptible and -resistant clones. Parasit Vectors 2018; 11:363. [PMID: 29941045 PMCID: PMC6020221 DOI: 10.1186/s13071-018-2952-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Accepted: 06/13/2018] [Indexed: 11/10/2022] Open
Abstract
Background Fasciola hepatica is of worldwide significance, impacting on the health, welfare and productivity of livestock and regarded by WHO as a re-emerging zoonosis. Triclabendazole (TCBZ), the drug of choice for controlling acute fasciolosis in livestock, is also the drug used to treat human infections. However TCBZ-resistance is now considered a major threat to the effective control of F. hepatica. It has yet to be demonstrated whether F. hepatica undergoes a genetic clonal expansion in the snail intermediate host, Galba truncatula, and to what extent amplification of genotypes within the snail facilitates accumulation of drug resistant parasites. Little is known about genotypic and phenotypic variation within and between F. hepatica isolates. Results Six clonal isolates of F. hepatica (3× triclabendazole-resistant, TCBZ-R and 3× triclabendazole-susceptible, TCBZ-S) were generated. Snails infected with one miracidium started to shed cercariae 42–56 days post-infection and shed repeatedly up to a maximum of 11 times. A maximum of 884 cercariae were shed by one clonally-infected snail (FhLivS1) at a single time point, with > 3000 clonal metacercariae shed over its lifetime. Following experimental infection all 12 sheep were FEC positive at the time of TCBZ treatment. Sheep infected with one of three putative TCBZ-S clones and treated with TCBZ had no parasites in the liver at post-mortem, whilst sheep each infected with putative TCBZ-R isolates had 35–165 adult fluke at post-mortem, despite TCBZ treatment. All six untreated control animals had between 15–127 parasites. A single multi-locus genotype was reported for every fluke from each of the six clonal isolates. Adult F. hepatica showed considerable variation in weight, ranging from 20–280 mg, with variation in weight evident within and amongst clonal isolates. Conclusions A genetic clonal expansion occurs within G. truncatula, highlighting the potential for amplification of drug resistant genotypes of F. hepatica. Variation in the weight of parasites within and between clonal isolates and when comparing isolates that are either susceptible or resistant to TCBZ represent inherent variation in liver fluke and cannot be attributed to their resistance or susceptibility traits.
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Affiliation(s)
- Jane E Hodgkinson
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK.
| | - Krystyna Cwiklinski
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK.,School of Biological Sciences, Medical Biology Centre, Queen's University Belfast, Belfast, BT9 7BL, UK
| | - Nicola Beesley
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK
| | - Catherine Hartley
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK
| | - Katherine Allen
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK
| | - Diana J L Williams
- Veterinary Parasitology, Dept Infection Biology, Institute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK
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