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Doboși AA, Paștiu AI, Bel LV, Pusta DL. The Prevalence of Encephalitozoon cuniculi in Domestic Rabbits ( Oryctolagus cuniculus) in the North-Western Region of Romania Using Serological Diagnosis: A Preliminary Study. Microorganisms 2024; 12:1440. [PMID: 39065208 PMCID: PMC11279170 DOI: 10.3390/microorganisms12071440] [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: 06/04/2024] [Revised: 07/08/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024] Open
Abstract
Encephalitozoon cuniculi is a microsporidian, domestic rabbits being the main host. The disease can be acute or subclinical, but treatment options are limited and usually with unrewarding results; therefore, diagnosis and prevention of encephalitozoonosis in rabbits are of the utmost importance. This study aims to obtain the first preliminary information of the prevalence of E. cuniculi in the north-western region of Romania. A total of 176 rabbits were clinically examined and 2 mL of blood was sampled from each. An enzyme-linked immunosorbent assay (ELISA) kit by Medicago (Medicago, Uppsala, Sweden) on the resulted blood serum was utilized. Statistical analysis of the results was conducted using the EpiInfo 2000 software (CDC, Atlanta, GA, USA). A total prevalence of 39.2% (69/176) was identified, with statistically significant differences in relation to the rabbits' clinical status, age, season of sampling, breeding system, body condition score and county of origin; the different family farms tested also had a statistically significant difference. This study gives the first preliminary information on this pathogen distribution on Romania's territory, but further studies need to be performed on larger regions to declare the prevalence in the country.
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Affiliation(s)
- Anca-Alexandra Doboși
- Department of Genetics and Hereditary Diseases, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania; (A.-A.D.); (D.L.P.)
| | - Anamaria Ioana Paștiu
- Department of Genetics and Hereditary Diseases, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania; (A.-A.D.); (D.L.P.)
| | - Lucia-Victoria Bel
- New Companion Animals Veterinary Clinic, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania;
| | - Dana Liana Pusta
- Department of Genetics and Hereditary Diseases, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania; (A.-A.D.); (D.L.P.)
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Rezaeian S, Taghipour A, Bahadory S, Mogharab V, Abdoli A. Global prevalence and genotype distribution of Microsporidia spp. in various consumables: a systematic review and meta-analysis. JOURNAL OF WATER AND HEALTH 2023; 21:895-914. [PMID: 37515561 PMCID: wh_2023_042 DOI: 10.2166/wh.2023.042] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/31/2023]
Abstract
Water and food sources play a major role in the distribution and transfer of microsporidia infection to animals and humans. So, this systematic review and meta-analysis aimed to assess the status and genetic diversity of microsporidia infection in water, vegetables, fruits, milk, cheese, and meat. The standard protocol of Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was followed. Scopus, PubMed, Web of Science, and Google Scholar were searched from 1 January 2000 and 1 February 2023. The point estimates and 95% confidence intervals (CIs) were calculated using a random-effects model. Of the 1,308 retrieved studies, 35 articles were included in the final meta-analysis. The pooled prevalence of microsporidia infection in mixed water, mixed fruits, mixed vegetables, and milk was 43.3% (95% CI, 33-54.2%; I2, 94.86%), 35.8% (95% CI, 5.3-84.8%; I2, 0), 12% (95% CI, 4.9-26.6%; I2, 96.43%), and 5.8% (95% CI, 2.7-12%; I2, 83.72%), respectively. Considering the genotypes, microsporidia with genotype D in water sources and genotype CD6 in vegetables/fruits were the highest reported genotypes. Given the relatively high prevalence of microsporidiosis (especially in water sources), designing strategies for control, and prevention of microsporidia infection in these sources should be recommended.
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Affiliation(s)
- Sanaz Rezaeian
- Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran; Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran; These authors contributed equally to this work. E-mail:
| | - Ali Taghipour
- Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Saeed Bahadory
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Vahid Mogharab
- Department of Pediatrics, Jahrom University of Medical Sciences, Jahrom, Iran; These authors contributed equally to this work
| | - Amir Abdoli
- Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran; Department of Medical Parasitology and Mycology, School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran
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Magalhães TR, Pinto FF, Queiroga FL. A multidisciplinary review about Encephalitozoon cuniculi in a One Health perspective. Parasitol Res 2022; 121:2463-2479. [PMID: 35840730 PMCID: PMC9286959 DOI: 10.1007/s00436-022-07562-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 05/26/2022] [Indexed: 11/26/2022]
Abstract
Encephalitozoon cuniculi is a microsporidian parasite mostly associated with its natural host, the rabbit (Oryctolagus cuniculus). However, other animals can be infected, like other mammals, birds, and even humans. Although it usually causes subclinical infection, it can also lead to encephalitozoonosis, a clinical disease characterized by neurological, ocular, and/or renal signs that can be even fatal, especially in immunocompromised individuals. Therefore, this multidisciplinary review contributes with updated information about the E. cuniculi, deepening in its molecular and genetic characterization, its mechanisms of infection and transmission, and its prevalence among different species and geographic locations, in a One Health perspective. Recent information about the diagnostic and therapeutic approach in the main host species and the prophylaxis and infection control measures currently suggested are also discussed.
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Affiliation(s)
- Tomás Rodrigues Magalhães
- Department of Veterinary Sciences, University of Trás-Os-Montes and Alto Douro, Quinta dos Prados, 5000-801 Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV), University of Trás-Os-Montes and Alto Douro, Vila Real, Portugal
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences (CITAB), University of Trás-Os-Montes and Alto Douro, Vila Real, Portugal
| | - Filipe Fontes Pinto
- HIPRA, Malveira, Portugal
- Cytology Diagnostic Services, Laboratory of Histology and Embryology, School of Medicine and Biomedical Sciences (ICBAS), University of Porto, Porto, Portugal
| | - Felisbina Luisa Queiroga
- Department of Veterinary Sciences, University of Trás-Os-Montes and Alto Douro, Quinta dos Prados, 5000-801 Vila Real, Portugal
- Animal and Veterinary Research Centre (CECAV), University of Trás-Os-Montes and Alto Douro, Vila Real, Portugal
- Center for the Study of Animal Sciences, CECA-ICETA, University of Porto, Porto, Portugal
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Abstract
Microsporidia are pathogenic organism related to fungi. They cause infections in a wide variety of mammals as well as in avian, amphibian, and reptilian hosts. Many microsporidia species play an important role in the development of serious diseases that have significant implications in human and veterinary medicine. While microsporidia were originally considered to be opportunistic pathogens in humans, it is now understood that infections also occur in immune competent humans. Encephalitozoon cuniculi, Encephalitozoon intestinalis, and Enterocytozoon bieneusi are primarily mammalian pathogens. However, many other species of microsporidia that have some other primary host that is not a mammal have been reported to cause sporadic mammalian infections. Experimental models and observations in natural infections have demonstrated that microsporidia can cause a latent infection in mammalian hosts. This chapter reviews the published studies on mammalian microsporidiosis and the data on chronic infections due to these enigmatic pathogens.
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Affiliation(s)
- Bohumil Sak
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic.
| | - Martin Kváč
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic
- Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
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Abstract
Microsporidia are obligate intracellular pathogens identified ∼150 years ago as the cause of pébrine, an economically important infection in silkworms. There are about 220 genera and 1,700 species of microsporidia, which are classified based on their ultrastructural features, developmental cycle, host-parasite relationship, and molecular analysis. Phylogenetic analysis suggests that microsporidia are related to the fungi, being grouped with the Cryptomycota as a basal branch or sister group to the fungi. Microsporidia can be transmitted by food and water and are likely zoonotic, as they parasitize a wide range of invertebrate and vertebrate hosts. Infection in humans occurs in both immunocompetent and immunodeficient hosts, e.g., in patients with organ transplantation, patients with advanced human immunodeficiency virus (HIV) infection, and patients receiving immune modulatory therapy such as anti-tumor necrosis factor alpha antibody. Clusters of infections due to latent infection in transplanted organs have also been demonstrated. Gastrointestinal infection is the most common manifestation; however, microsporidia can infect virtually any organ system, and infection has resulted in keratitis, myositis, cholecystitis, sinusitis, and encephalitis. Both albendazole and fumagillin have efficacy for the treatment of various species of microsporidia; however, albendazole has limited efficacy for the treatment of Enterocytozoon bieneusi. In addition, immune restoration can lead to resolution of infection. While the prevalence rate of microsporidiosis in patients with AIDS has fallen in the United States, due to the widespread use of combination antiretroviral therapy (cART), infection continues to occur throughout the world and is still seen in the United States in the setting of cART if a low CD4 count persists.
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Vecková T, Sak B, Samková E, Holubová N, Kicia M, Zajączkowska Ż, Hlásková L, Květoňová D, Kváč M. Raw Goat's Milk, Fresh and Soft Cheeses as a Potential Source of Encephalitozoon cuniculi. Foodborne Pathog Dis 2021; 18:661-667. [PMID: 33978456 DOI: 10.1089/fpd.2021.0017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
The aim of this work was to evaluate the effect of pasteurization and coagulation during goat cheese production on the infectivity of Encephalitozoon cuniculi spores for immunodeficient (SCID, CD4-/-, and CD8-/-) and immunocompetent (BALB/c and C57BL/6) mice. Goat milk and fecal samples were screened for the presence and quantity of microsporidial DNA using molecular methods. Experimentally produced cheese from E. cuniculi-enriched goat milk or goat cheese purchased from retail producers was fed with experimental mice susceptible to E. cuniculi infection. The mice were sacrificed in the presumed acute phase of infection and samples of their tissues were subject to molecular detection of specific E. cuniculi DNA. Specific DNA of E. cuniculi genotype II was detected in feces and milk of three out of 99 goats kept on 6 farms in the Czech Republic. Under experimental conditions, spores of E. cuniculi genotype II remained viable in artificially enriched fresh cheese and were able to cause infection in laboratory mice. E. cuniculi genotype I and II DNA were detected in eight of the nine goat cheeses purchased from various producers/breeders in the Czech Republic and these cheeses were able to develop infection in both immunodeficient and immunocompetent mice. The results of these experiments showed that spores of E. cuniculi genotype I and II are able to remain viable after cheese processing and thus fresh and soft cheeses should be considered a potential source of microsporidia.
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Affiliation(s)
- Tereza Vecková
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic.,Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Bohumil Sak
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic
| | - Eva Samková
- Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Nikola Holubová
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic.,Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Marta Kicia
- Department of Biology and Medical Parasitology, Wrocław Medical University, Wrocław, Poland
| | - Żaneta Zajączkowska
- Department of Biology and Medical Parasitology, Wrocław Medical University, Wrocław, Poland
| | - Lenka Hlásková
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic
| | - Dana Květoňová
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic
| | - Martin Kváč
- Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, České Budějovice, Czech Republic.,Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
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Addie DD, Tasker S, Boucraut-Baralon C, Belák S, Egberink H, Frymus T, Hartmann K, Hofmann-Lehmann R, Marsilio F, Lloret A, Pennisi MG, Thiry E, Truyen U, Hosie MJ, Möstl K. Encephalitozoon cuniculi infection in cats: European guidelines from the ABCD on prevention and management. J Feline Med Surg 2020; 22:1084-1088. [PMID: 33100172 PMCID: PMC10814217 DOI: 10.1177/1098612x20941787] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OVERVIEW Encephalitozoon cuniculi is a common obligate intracellular microsporidian parasite of rabbits that is increasingly recognised as a pathogen of cats and other mammalian species. These guidelines aim to review the literature on feline E cuniculi infection and provide recommendations on prevention and management. INFECTION IN CATS E cuniculi infection should be considered as a differential diagnosis in cases of feline uveitis and cataract formation. It is not significantly associated with either chronic kidney disease or meningoencephalitis. E cuniculi infection is more common in stray or feral cats than in pet cats. DIAGNOSIS AND TREATMENT Serological tests for antibody detection in the blood are easy to perform and can be useful for diagnosis, but their specificity is low as antibodies have been found in apparently healthy cats. PCR appears to be more sensitive than histopathology for diagnosis, and is more sensitive when performed on cataractous lenses compared with aqueous humour, although ease of sampling is an obvious limitation. Treatment is with fenbendazole for 3 weeks and phacoemulsification to remove microsporidia from cataractous lenses. ZOONOTIC RISK E cuniculi is a potential zoonotic agent, and there is a particular risk to immunocompromised humans posed by infected rabbits. Albeit infrequent, spore shedding has been identified in cats, so care should be taken around infected cats.
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Affiliation(s)
- Diane D Addie
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Séverine Tasker
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | | | - Sandor Belák
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Herman Egberink
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Tadeusz Frymus
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Katrin Hartmann
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | | | - Fulvio Marsilio
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Albert Lloret
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | | | - Etienne Thiry
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | - Uwe Truyen
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
| | | | - Karin Möstl
- European Advisory Board on Cat Diseases www.abcdcatsvets.org
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Brdíčková K, Sak B, Holubová N, Květoňová D, Hlásková L, Kicia M, Kopacz Ż, Kváč M. Encephalitozoon cuniculi Genotype II Concentrates in Inflammation Foci. J Inflamm Res 2020; 13:583-593. [PMID: 33061524 PMCID: PMC7524191 DOI: 10.2147/jir.s271628] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 08/24/2020] [Indexed: 11/30/2022] Open
Abstract
Background Microsporidia of the genus Encephalitozoon are generally connected with severe infections with lethal outcome in immunodeficient hosts. In immunocompetent hosts, microsporidiosis typically establishes a balanced host–parasite relationship that produces minimal clinically overt disease. Although the alimentary tract represents one of the main primary target tissues, the mechanisms of reaching other tissues during systemic microsporidian infections remain unclear. Methods In the present study, we tested the relation between inflammation induction in immunocompetent and immunodeficient mice and the presence of spores of E. cuniculi genotype II in selected organs and in fecal specimens by using molecular and histology methods. Results We reported the positive connection between inflammation induction and the significant increase of E. cuniculi genotype II occurrence in inflammation foci in both immunocompetent BALB/c and immunodeficient severe combined immunodeficient (SCID) mice in the acute phase of infection and the re-activation of latent microsporidial infection following inflammation induction in immunocompetent mice. Conclusion The results imply possible involvement of immune cells serving as vehicles transporting E. cuniculi genotype II purposefully across the whole host body towards inflammation. With increasing number of records of infections, it is necessary to reconsider microsporidia as agents responsible for various pathologies. The elucidation of possible connection with pro-inflammatory immune responses represents an important challenge with consequences for human health and development of therapeutic strategies.
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Affiliation(s)
- Klára Brdíčková
- Department of Clinical Microbiology, Bulovka Hospital, Prague, Czech Republic.,Faculty of Science, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Bohumil Sak
- Institute of Parasitology, Biology Centre, Czech Academy of Science, České Budějovice, Czech Republic
| | - Nikola Holubová
- Institute of Parasitology, Biology Centre, Czech Academy of Science, České Budějovice, Czech Republic.,Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
| | - Dana Květoňová
- Institute of Parasitology, Biology Centre, Czech Academy of Science, České Budějovice, Czech Republic
| | - Lenka Hlásková
- Institute of Parasitology, Biology Centre, Czech Academy of Science, České Budějovice, Czech Republic
| | - Marta Kicia
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Żaneta Kopacz
- Department of Biology and Medical Parasitology, Wroclaw Medical University, Wroclaw, Poland
| | - Martin Kváč
- Institute of Parasitology, Biology Centre, Czech Academy of Science, České Budějovice, Czech Republic.,Faculty of Agriculture, University of South Bohemia in České Budějovice, České Budějovice, Czech Republic
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