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Tam WYJ, Nekouei O, Rizzo F, Cheng LST, Choi YR, Staples M, Hobi S, Gray J, Woodhouse F, Shuen PYM, Chai YF, Beatty JA, Barrs VR. Seroreactivity against Leptospira spp. differs between community cats and privately-owned cats in Hong Kong. One Health 2024; 19:100851. [PMID: 39099887 PMCID: PMC11296049 DOI: 10.1016/j.onehlt.2024.100851] [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] [Received: 03/05/2024] [Accepted: 07/02/2024] [Indexed: 08/06/2024] Open
Abstract
Leptospirosis is a bacterial zoonotic disease of major One Health significance and public health impact globally, with a wide host range including mammals, cetaceans and herpetofauna. This study aimed to determine Leptospira seroprevalence, risk factors for seroreactivity and prevalence of urinary Leptospira shedding among domestic cats in Hong Kong. Microagglutination testing of 22 Leptospira serovars from 20 serogroups was performed on 738 sera from outdoor free-roaming "community" cats (n = 391) and privately-owned (n = 347) cats. Urine from 268 community cats was tested for pathogenic Leptospira DNA by qPCR targeting lipL32. Potential risk factors associated with exposure were assessed using logistic regression. Overall Leptospira seroprevalence was 9.35%. Of 14 serogroups detected, Javanica (4.3%), Djasiman (2.3%) and Australis (1.5%) were most common. Seroreactivity was significantly higher among community (13.3%) than privately-owned cats (4.9%; OR 2.98 [95% CI 1.68-5.25], P < 0.001), especially to Javanica (7.65% of community cats versus 0.58% of privately-owned cats (P < 0.001). Antibody titres to all serogroups ranged from 1:100 to 1:6400 (median 1:200) and were highest for Javanica (median 1:800). Leptospira DNA was detected in urine from 12/268 community cats (4.48%; median load 6.42 × 102 copies/mL urine; range 1.40 × 101-9.63 × 104). One in three seroreactive community cats with paired urine and blood samples had leptospiruria. After adjusting for source, none of breed, sex, neuter status, age, district rodent infestation rate, serum alanine transaminase or creatinine values were associated with seroreactivity. Cats in Hong Kong are exposed to a diversity of Leptospira serogroups and can shed Leptospira silently in urine. The higher seroprevalence among outdoor free-roaming community cats highlights the importance of environmental drivers in leptospirosis transmission and risks of exposure for sympatric human populations. Gloves should be worn when handling feline urine to minimise the risk of zoonotic transmission from subclinically infected cats.
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Affiliation(s)
- Wing Yan Jacqueline Tam
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Omid Nekouei
- Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Francesca Rizzo
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Lok See Tiffany Cheng
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Yan Ru Choi
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
- Centre for Animal Health and Welfare, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Megan Staples
- World Health Organisation Collaborating Centre for Reference and Research on Leptospirosis, at Queensland Health Forensic and Scientific Services, Brisbane, Australia
| | - Stefan Hobi
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Jane Gray
- Society for the Prevention of Cruelty to Animals (Hong Kong), Wan Chai, Hong Kong, China
| | - Fiona Woodhouse
- Society for the Prevention of Cruelty to Animals (Hong Kong), Wan Chai, Hong Kong, China
| | - Patricia Yi Man Shuen
- Society for the Prevention of Cruelty to Animals (Hong Kong), Wan Chai, Hong Kong, China
| | - Ying Fei Chai
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Julia A. Beatty
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
- Centre for Animal Health and Welfare, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
| | - Vanessa R. Barrs
- Department of Veterinary Clinical Sciences, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
- Centre for Animal Health and Welfare, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong, China
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Cataldo C, Bellenghi M, Masella R, Busani L. One Health and sex and gender-related perspective in the ecosystem: Interactions among drivers involved in the risk of leptospirosis in Europe. A scoping review. One Health 2024; 19:100841. [PMID: 39026545 PMCID: PMC11255102 DOI: 10.1016/j.onehlt.2024.100841] [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] [Received: 02/02/2024] [Accepted: 06/19/2024] [Indexed: 07/20/2024] Open
Abstract
Leptospirosis has a complex transmission, involving rodents and many species of domestic and wild animals. Carrier animals spread leptospires, contaminating soil and water, the main sources of human infection. The risk of infection is modulated by socio-economic factors, environment and host animals and has changed, historically linked to agriculture but now prevalent in recreational environments. Leptospirosis also reveal gender-specific exposure patterns that determine infection risks. Emphasizing the interconnectedness of humans, animals, and the environment, the One Health approach highlights the ecosystem dynamics through which leptospires interact with hosts and abiotic factors, ensuring their survival and transmission. We advocate for integrating gender considerations into the ecosystem dynamics of complex zoonoses, such as leptospirosis, through a One Health perspective. This approach, yet to be fully explored, may enhance our understanding of the infection and its modulating factors. A scoping review of the literature was conducted across Embase and Pubmed databases to collect information on sex and gender-specific drivers, sources of infections, environmental drivers, and related risks of leptospirosis. Quantitative data were extracted from the articles selected according to a list of criteria, and analyzed to discern sex and gender disparities and identify primary drivers of leptospirosis. We confirmed that the excess of male leptospirosis cases described in many parts of the world is also present in Europe. Furthermore, we identified environmental and sociocultural drivers and hypothesized their interactions between and within human, animal, and environmental sectors. These interactions modulate direct and indirect exposure to Leptospira, heightening infection risks across the ecosystem. Based on our findings, utilizing leptospirosis as a model, we advocate for integrating One Health and gender approaches in public health practices to better plan and implement more effective and timely intervention measures.
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Affiliation(s)
| | - Maria Bellenghi
- Center for Gender-specific medicine, Gender Prevention and Health Section, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy
| | - Roberta Masella
- Center for Gender-specific medicine, Gender Prevention and Health Section, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy
| | - Luca Busani
- Center for Gender-specific medicine, Gender Prevention and Health Section, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy
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Bettin EB, Grassmann AA, Dellagostin OA, Gogarten JP, Caimano MJ. Leptospira interrogans encodes a canonical BamA and three novel noNterm Omp85 outer membrane protein paralogs. Sci Rep 2024; 14:19958. [PMID: 39198480 PMCID: PMC11358297 DOI: 10.1038/s41598-024-67772-6] [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] [Received: 04/14/2024] [Accepted: 07/15/2024] [Indexed: 09/01/2024] Open
Abstract
The Omp85 family of outer membrane proteins are ubiquitously distributed among diderm bacteria and play essential roles in outer membrane (OM) biogenesis. The majority of Omp85 orthologs are bipartite and consist of a conserved OM-embedded 16-stranded beta-barrel and variable periplasmic functional domains. Here, we demonstrate that Leptospira interrogans encodes four distinct Omp85 proteins. The presumptive leptospiral BamA, LIC11623, contains a noncanonical POTRA4 periplasmic domain that is conserved across Leptospiraceae. The remaining three leptospiral Omp85 proteins, LIC12252, LIC12254 and LIC12258, contain conserved beta-barrels but lack periplasmic domains. Two of the three 'noNterm' Omp85-like proteins were upregulated by leptospires in urine from infected mice compared to in vitro and/or following cultivation within rat peritoneal cavities. Mice infected with a L. interrogans lic11254 transposon mutant shed tenfold fewer leptospires in their urine compared to mice infected with the wild-type parent. Analyses of pathogenic and saprophytic Leptospira spp. identified five groups of noNterm Omp85 paralogs, including one pathogen- and two saprophyte-specific groups. Expanding our analysis beyond Leptospira spp., we identified additional noNterm Omp85 orthologs in bacteria isolated from diverse environments, suggesting a potential role for these previously unrecognized noNterm Omp85 proteins in physiological adaptation to harsh conditions.
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Affiliation(s)
- Everton B Bettin
- Department of Medicine, University of Connecticut Health, 263 Farmington Avenue, Farmington, CT, 06030-3715, USA
| | - André A Grassmann
- Department of Medicine, University of Connecticut Health, 263 Farmington Avenue, Farmington, CT, 06030-3715, USA
| | - Odir A Dellagostin
- Biotechnology Unit, Technological Development Center, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Johann Peter Gogarten
- Department of Molecular and Cell Biology, University of Connecticut, Storrs, CT, USA
- Institute for Systems Genomics, University of Connecticut, Storrs, CT, USA
| | - Melissa J Caimano
- Department of Medicine, University of Connecticut Health, 263 Farmington Avenue, Farmington, CT, 06030-3715, USA.
- Department of Pediatrics, University of Connecticut Health, Farmington, CT, USA.
- Department of Molecular Biology and Biophysics, University of Connecticut Health, Farmington, CT, USA.
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Manyenya S, Nthiwa D, Lutta HO, Muturi M, Nyamota R, Mwatondo A, Watene G, Akoko J, Bett B. Multiple pathogens co-exposure and associated risk factors among cattle reared in a wildlife-livestock interface area in Kenya. Front Vet Sci 2024; 11:1415423. [PMID: 39119353 PMCID: PMC11306132 DOI: 10.3389/fvets.2024.1415423] [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: 04/10/2024] [Accepted: 07/10/2024] [Indexed: 08/10/2024] Open
Abstract
Introduction Understanding multi-pathogen infections/exposures in livestock is critical to inform prevention and control measures against infectious diseases. We investigated the co-exposure of foot-and-mouth disease virus (FMDV), Brucella spp., Leptospira spp., and Coxiella burnetii in cattle in three zones stratified by land use change and with different wildlife-livestock interactions in Narok county, Kenya. We also assessed potential risk factors associated with the transmission of these pathogens in cattle. Methods We identified five villages purposively, two each for areas with intensive (zone 1) and moderate wildlife-livestock interactions (zone 2) and one for locations with low wildlife-livestock interactions (zone 3). We sampled 1,170 cattle from 390 herds through a cross-sectional study and tested the serum samples for antibodies against the focal pathogens using enzyme-linked immunosorbent assay (ELISA) kits. A questionnaire was administered to gather epidemiological data on the putative risk factors associated with cattle's exposure to the investigated pathogens. Data were analyzed using the Bayesian hierarchical models with herd number as a random effect to adjust for the within-herd clustering of the various co-exposures among cattle. Results Overall, 88.0% (95% CI: 85.0-90.5) of the cattle tested positive for at least one of the targeted pathogens, while 41.7% (95% CI: 37.7-45.8) were seropositive to at least two pathogens. FMDV and Brucella spp. had the highest co-exposure at 33.7% (95% CI: 30.9-36.5), followed by FMDV and Leptospira spp. (21.8%, 95% CI: 19.5-24.4), Leptospira spp. and Brucella spp. (8.8%, 95% CI: 7.2-10.6), FMDV and C. burnetii (1.5%, 95% CI: 0.7-2.8), Brucella spp. and C. burnetii (1.0%, 95% CI: 0.3-2.2), and lowest for Leptospira spp. and C. burnetii (0.3%, 95% CI: 0.0-1.2). Cattle with FMDV and Brucella spp., and Brucella spp. and Leptospira spp. co-exposures and those simultaneously exposed to FMDV, Brucella spp. and Leptospira spp. were significantly higher in zone 1 than in zones 2 and 3. However, FMDV and Leptospira spp. co-exposure was higher in zones 1 and 2 than zone 3. Discussion/conclusion We recommend the establishment of a One Health surveillance system in the study area to reduce the morbidity of the targeted zoonotic pathogens in cattle and the risks of transmission to humans.
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Affiliation(s)
- Sophina Manyenya
- Department of Biological Sciences, University of Embu, Embu, Kenya
| | - Daniel Nthiwa
- Department of Biological Sciences, University of Embu, Embu, Kenya
- International Livestock Research Institute, Nairobi, Kenya
| | - Harrison Osundwa Lutta
- Biotechnology Research Institute, Kabete Centre, Kenya Agricultural and Livestock Research Organization, Nairobi, Kenya
| | - Mathew Muturi
- Kenya Zoonotic Disease Unit, Ministry of Health and Ministry of Agriculture, Livestock, and Fisheries, Nairobi, Kenya
| | | | - Athman Mwatondo
- Kenya Zoonotic Disease Unit, Ministry of Health and Ministry of Agriculture, Livestock, and Fisheries, Nairobi, Kenya
| | - Grace Watene
- International Livestock Research Institute, Nairobi, Kenya
| | - James Akoko
- International Livestock Research Institute, Nairobi, Kenya
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
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Krishnan BK, Balasubramanian G, Kumar PP. Leptospirosis in India: insights on circulating serovars, research lacunae and proposed strategies to control through one health approach. ONE HEALTH OUTLOOK 2024; 6:11. [PMID: 38849946 PMCID: PMC11161969 DOI: 10.1186/s42522-024-00098-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 02/23/2024] [Indexed: 06/09/2024]
Abstract
Leptospirosis is one of the most neglected zoonotic infections of public health concern worldwide and a remerging infection in tropical countries such as India. The infection least explored disease and the epidemiological and other critical data are scarce for the disease rate reported and to control the infection. Leptospirosis as sapronosis is as underrated as the infection itself, and this article aims to explore the significance of this aspect of the disease. The research review aimed at the epidemiological understanding of the infection to control the negative impact of the disease. A mixed review and analysis were carried out to understand the knowledge published on the critical and understudied areas like epidemiology, transmission, diagnosis, treatment, and control of infection. A systematic analysis was carried out to extract information about the reported circulating strains, and research lacunae in India with the published data available in PubMed. The article elaborately discusses crucial inference areas of infection transmission and addresses lacunae in critically unacclaimed areas of infection to control the spread of infection using one health approach (OHA), and strategies to control leptospiral infection are proposed. The article also reviewed how and why Leptospirosis can be best studied and controlled by "One health approach" in India.
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Affiliation(s)
- Baby Karpagam Krishnan
- Department of Health Research (D.H.R.), ICMR-National Institute of Epidemiology (ICMR-NIE), Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India, R-127, 2Nd Main Road, T.N.H.B. Layout, Ayapakkam, Chennai, Tamil Nadu, 600 077, India.
| | - Ganesh Balasubramanian
- Department of Health Research (D.H.R.), ICMR-National Institute of Epidemiology (ICMR-NIE), Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India, R-127, 2Nd Main Road, T.N.H.B. Layout, Ayapakkam, Chennai, Tamil Nadu, 600 077, India
| | - Pesingi Pavan Kumar
- Department of Veterinary Public Health and Epidemiology, Faculty of Veterinary and Animal Sciences, Rajiv Gandhi South Campus, Banaras Hindu University, Mirzapur, UP, 231001, India
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Bridgemohan R, Deitch MJ, Harmon E, Whiles MR, Wilson PC, Bean E, Bridgemohan P, Bisesi JH, Nicholas J, Redhead A, Bachoon DS. Spatiotemporal assessment of pathogenic Leptospira in subtropical coastal watersheds. JOURNAL OF WATER AND HEALTH 2024; 22:923-938. [PMID: 38822470 DOI: 10.2166/wh.2024.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 03/20/2024] [Indexed: 06/03/2024]
Abstract
The World Health Organization classifies leptospirosis as a significant public health concern, predominantly affecting impoverished and unsanitary regions. By using the Pensacola Bay System as a case study, this study examines the underappreciated susceptibility of developed subtropical coastal ecosystems such as the Pensacola Bay System to neglected zoonotic pathogens such as Leptospira. We analyzed 132 water samples collected over 12 months from 44 distinct locations with high levels of Escherichia coli (>410 most probable number/100 mL). Fecal indicator bacteria (FIB) concentrations were assessed using IDEXX Colilert-18 and Enterolert-18, and an analysis of water physiochemical characteristics and rainfall intensity was conducted. The LipL32 gene was used as a quantitative polymerase chain reaction (qPCR) indicator to identify the distribution of Leptospira interrogans. The results revealed 12 instances of the presence of L. interrogans at sites with high FIB over various land cover and aquatic ecosystem types. Independent of specific rainfall events, a seasonal relationship between precipitation and elevated rates of fecal bacteria and leptospirosis was found. These findings highlight qPCR's utility in identifying pathogens in aquatic environments and the widespread conditions where it can be found in natural and developed areas.
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Affiliation(s)
- Ronell Bridgemohan
- Soil, Water, and Ecosystem Sciences Department, University of Florida IFAS West Florida Research and Education Center, Milton, FL, USA E-mail:
| | - Matthew J Deitch
- Soil, Water, and Ecosystem Sciences Department, University of Florida IFAS West Florida Research and Education Center, Milton, FL, USA
| | - Emily Harmon
- Soil, Water, and Ecosystem Sciences Department, University of Florida IFAS West Florida Research and Education Center, Milton, FL, USA
| | - Matt R Whiles
- Soil, Water, and Ecosystem Sciences Department 2181 McCarty Hall, University of Florida, P.O. Box 110290, Gainesville, FL 32611, USA
| | - P Christopher Wilson
- Soil, Water, and Ecosystem Sciences Department 2181 McCarty Hall, University of Florida, P.O. Box 110290, Gainesville, FL 32611, USA
| | - Eban Bean
- Department of Agricultural and Biological Engineering, University of Florida Main Office, Room 120 Frazier Rogers Hall1741 Museum Road, Building. 474, Gainesville, FL 32611, USA
| | - Puran Bridgemohan
- Tropical Research and Education Center, IFAS Research, University of Florida, Homestead, FL 33031, USA
| | - Joseph H Bisesi
- Department of Environmental and Global Health and Center for Environmental and Human Toxicology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA
| | - Jodel Nicholas
- Department of Biological and Environmental Sciences, Georgia College and State University, Campus Box 81, Milledgeville, GA 31061, USA
| | - Aaden Redhead
- Department of Biological and Environmental Sciences, Georgia College and State University, Campus Box 81, Milledgeville, GA 31061, USA
| | - Dave S Bachoon
- Department of Biological and Environmental Sciences, Georgia College and State University, Campus Box 81, Milledgeville, GA 31061, USA
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Sayanthi Y, Susanna D. Pathogenic Leptospira contamination in the environment: a systematic review. Infect Ecol Epidemiol 2024; 14:2324820. [PMID: 38511199 PMCID: PMC10953783 DOI: 10.1080/20008686.2024.2324820] [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: 09/21/2021] [Accepted: 02/26/2024] [Indexed: 03/22/2024] Open
Abstract
Background The pathogenic Leptospira is maintained in renal tubules of certain animals, mostly rodents, and excreted in the urine which can contaminate the environment. It is necessary to detect pathogenic Leptospira in environmental samples. Knowing the survival of Leptospira in the environment (water and soil) can provide an overview of where and how they can be transmitted to humans. Objective Therefore, this study aimed to provide a systematic overview of pathogenic Leptospira presence in water and soil environment, the various species of pathogenic Leptospira that are harmful for human, and the ability to survive using a systematic review method. Methods The search process used four databases: PubMed, Science Direct, Scopus, and ProQuest. Furthermore, the articles sought were published from 2000 to July 2021, and 38 were analysed. Results The pathogenic Leptospira contamination in water was higher in urban areas, while soil samples were higher in rural areas. Various pathogenic Leptospira detected in the environment were L. alstonii, L. kmetyi, L. noguchii, and L. interrogans. Those pathogenic Leptospira can survive in water at 4-30°C and at pH < 7; in soil, it can survive at a humidity of < 20% and a pH < 6. Conclusion Urban and rural areas have the same risk for leptospirosis disease because pathogenic Leptospira (P1).
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Affiliation(s)
- Yulia Sayanthi
- Postgraduate Program in Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
- Department of Training-Services, PT. Immarez Solusi Utama Consultant - Training – Services, Serang, Banten, Indonesia
| | - Dewi Susanna
- Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
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Baharom M, Ahmad N, Hod R, Ja’afar MH, Arsad FS, Tangang F, Ismail R, Mohamed N, Mohd Radi MF, Osman Y. Environmental and Occupational Factors Associated with Leptospirosis: A Systematic Review. Heliyon 2024; 10:e23473. [PMID: 38173528 PMCID: PMC10761560 DOI: 10.1016/j.heliyon.2023.e23473] [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] [Received: 05/25/2023] [Revised: 12/01/2023] [Accepted: 12/05/2023] [Indexed: 01/05/2024] Open
Abstract
Background Leptospirosis is a neglected emerging zoonotic disease with a profound public health impact worldwide with higher burden of disease in resource-poor countries. The environmental and occupational exposures contribute to human and animal transmission, but the interaction was less explored. A deeper understanding of the critical environmental and occupational drivers in different contexts will provide useful information for disease control and prevention measures. Objective This review aimed to summarize the potential environmental and occupational risk factors associated with leptospirosis infection. Methods Four databases (Scopus, Web of Science, Ovid MEDLINE, EBSCOhost) were searched for articles published from 2012 to 2021. Eligible articles were assessed using a checklist for assessing the quality of the studies. The quality of the articles was assessed based on the laboratory diagnosis approach and statistical analysis method. Results A total of 32 studies were included in this systematic review. Water-related risk factors such as natural water as the primary water source (AOR 1.8-18.28), water-related recreational activities (AOR 2.36-10.45), flood exposure (AOR 1.54-6.04), contact with mud (AOR 1.57-4.58) and stagnant water (AOR 2.79-6.42) were associated with increased risk of leptospirosis. Infrastructural deficiencies such as un-plastered house walls and thatched houses presented a higher risk (AOR 2.71-5.17). Living in low-lying areas (AOR 1.58-3.74), on clay loam soil (OR 2.72), agricultural land (OR 2.09), and near rubber tree plantations (AOR 11.65) is associated with higher risk of leptospirosis. Contact with rats (AOR 1.4-3.5), livestock (AOR 1.3-10.4), and pigs (AOR 1.54-7.9) is associated with an increased risk of leptospirosis. Outdoor workers (AOR 1.95-3.95) and slaughterhouse workers (AOR 5.1-7.5) have higher risk of leptospirosis. Conclusion The environmental and occupational components related to water, infrastructure, landscape, agriculture, and exposed animals play an essential role in leptospirosis transmission. The magnitude of those risk factors differs with geographical region, climate factor, urbanization and population growth, and the country's socioeconomic status.
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Affiliation(s)
- Mazni Baharom
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia
| | - Norfazilah Ahmad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia
| | - Rozita Hod
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia
| | - Mohd Hasni Ja’afar
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia
| | - Fadly Syah Arsad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia
| | - Fredolin Tangang
- Department of Earth Sciences and Environment, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, 43600, Selangor, Malaysia
| | - Rohaida Ismail
- Environmental Health Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Malaysia
| | - Norlen Mohamed
- Environmental Health Unit, Disease Control Division, Ministry of Health Malaysia, Malaysia
| | | | - Yelmizaitun Osman
- Kelantan State Health Department, Ministry of Health Malaysia, Malaysia
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Senvanpan N, Phimolsarnnousith V, Rattanavong S, Mayxay M, Reinharz D, Fine AE, Horwood PF, Dussart P, Blacksell SD, Pruvot M, Newton PN, Robinson MT. Longitudinal comparison of bacterial pathogen seropositivity among wet market vendors in the Lao People's Democratic Republic. One Health 2023; 17:100618. [PMID: 37811399 PMCID: PMC7615163 DOI: 10.1016/j.onehlt.2023.100618] [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: 05/14/2023] [Revised: 08/18/2023] [Accepted: 08/21/2023] [Indexed: 10/10/2023] Open
Abstract
Wild animal trade for human consumption is a global issue, involving complex interactions between economics, culture, food security and conservation. Whilst being a biodiversity issue, it is also a major public health concern, with recent epidemics and pandemics of zoonotic pathogens linked to interactions with wildlife. At three time points, between March 2017 and June 2018, a longitudinal sero-survey of 150 market vendors from three wet markets in Laos (selling vegetables, domestic animal meat and/or wildlife meat) was conducted to determine if vendors had been differentially exposed to three endemic bacterial pathogens - Orientia tsutsugamushi, Rickettsia typhi, and Leptospira spp. A total of 367 serum samples were tested by IgG enzyme-linked immunosorbent assay (ELISA) and immunofluorescence assay (IFA, for scrub typhus group (STG) and typhus group (TG) only). Among vendors, 32.7% were IgG-positive for at least one pathogen, 13.3% sero-converted during the study. Multi-season occupancy modelling for STG indicated a significantly higher prevalence of STG IgG in vegetable vendors (27.3%) and wildlife vendors (28.4%) than in domestic animal meat vendors (6.9 %, p=0.05), and higher in Phonsavanh market (OR=9.6, p=0.03) compared to Lak Sao and Salavan markets. Estimated mean incidence was 57 cases per 10,000 per 7.5-month period. For TG, vendor age had a significant effect on prevalence (OR=1.04, p=0.006), estimated mean incidence was 64 cases per 10,000 per season (7.5-month period). Despite individuals selling domestic meat having a higher prevalence of Leptospira infections than those that did not (11.6% versus 4.5%), the difference was not significant. Whilst this study has a number of limitations, including vendors changing what food types they sold and no investigation of exposure outside of markets, the finding that the risk of exposure of vendors to zoonotic pathogens may be associated with types of food sold for human consumption warrants further investigation.
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Affiliation(s)
- Nilandone Senvanpan
- Institute de la Francophonie pour la Médecine Tropicale (IFMT)/Lao Tropical & Public Health Institute, Vientiane, Laos
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
| | - Vilayouth Phimolsarnnousith
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
| | - Sayaphet Rattanavong
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
| | - Mayfong Mayxay
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Institute of Research and Education Development (IRED), University of Health Sciences, Ministry of Health, Vientiane, Laos
| | - Daniel Reinharz
- Institute de la Francophonie pour la Médecine Tropicale (IFMT)/Lao Tropical & Public Health Institute, Vientiane, Laos
- Département de Médecine Sociale et Préventive, Université Laval, Québec, Canada
| | - Amanda E. Fine
- Wildlife Conservation Society, Health Program, 2300 Southern Blvd, Bronx, NY 10460, USA
| | - Paul F. Horwood
- Virology Unit, Institut Pasteur du Cambodge, Pasteur Network, Phnom Penh, Cambodia
| | - Philippe Dussart
- Virology Unit, Institut Pasteur du Cambodge, Pasteur Network, Phnom Penh, Cambodia
| | - Stuart D. Blacksell
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Mathieu Pruvot
- Wildlife Conservation Society, Health Program, 2300 Southern Blvd, Bronx, NY 10460, USA
- University of Calgary, Faculty of Veterinary Medicine, Calgary, AB, Canada
| | - Paul N. Newton
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
- Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Matthew T. Robinson
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
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10
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Bradley EA, Lockaby G. Leptospirosis and the Environment: A Review and Future Directions. Pathogens 2023; 12:1167. [PMID: 37764975 PMCID: PMC10538202 DOI: 10.3390/pathogens12091167] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 08/31/2023] [Accepted: 09/13/2023] [Indexed: 09/29/2023] Open
Abstract
Leptospirosis is a zoonotic disease of global importance with significant morbidity and mortality. However, the disease is frequently overlooked and underdiagnosed, leading to uncertainty of the true scale and severity of the disease. A neglected tropical disease, leptospirosis disproportionately impacts disadvantaged socioeconomic communities most vulnerable to outbreaks of zoonotic disease, due to contact with infectious animals and contaminated soils and waters. With growing evidence that Leptospira survives, persists, and reproduces in the environment, this paper reviews the current understanding of the pathogen in the environment and highlights the unknowns that are most important for future study. Through a systematic Boolean review of the literature, our study finds that detailed field-based study of Leptospira prevalence, survival, and transmission in natural waters and soils is lacking from the current literature. This review identified a strong need for assessment of physical characteristics and biogeochemical processes that support long-term viability of Leptospira in the environment followed by epidemiological assessment of the transmission and movement of the same strains of Leptospira in the present wildlife and livestock as the first steps in improving our understanding of the environmental stage of the leptospirosis transmission cycle.
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Affiliation(s)
- Elizabeth A. Bradley
- College of Forestry, Wildlife, and Environment, Auburn University, Auburn, AL 36849, USA
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11
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Helman SK, Tokuyama AFN, Mummah RO, Stone NE, Gamble MW, Snedden CE, Borremans B, Gomez ACR, Cox C, Nussbaum J, Tweedt I, Haake DA, Galloway RL, Monzón J, Riley SPD, Sikich JA, Brown J, Friscia A, Sahl JW, Wagner DM, Lynch JW, Prager KC, Lloyd-Smith JO. Pathogenic Leptospira are widespread in the urban wildlife of southern California. Sci Rep 2023; 13:14368. [PMID: 37658075 PMCID: PMC10474285 DOI: 10.1038/s41598-023-40322-2] [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: 03/29/2023] [Accepted: 08/08/2023] [Indexed: 09/03/2023] Open
Abstract
Leptospirosis, the most widespread zoonotic disease in the world, is broadly understudied in multi-host wildlife systems. Knowledge gaps regarding Leptospira circulation in wildlife, particularly in densely populated areas, contribute to frequent misdiagnoses in humans and domestic animals. We assessed Leptospira prevalence levels and risk factors in five target wildlife species across the greater Los Angeles region: striped skunks (Mephitis mephitis), raccoons (Procyon lotor), coyotes (Canis latrans), Virginia opossums (Didelphis virginiana), and fox squirrels (Sciurus niger). We sampled more than 960 individual animals, including over 700 from target species in the greater Los Angeles region, and an additional 266 sampled opportunistically from other California regions and species. In the five target species seroprevalences ranged from 5 to 60%, and infection prevalences ranged from 0.8 to 15.2% in all except fox squirrels (0%). Leptospira phylogenomics and patterns of serologic reactivity suggest that mainland terrestrial wildlife, particularly mesocarnivores, could be the source of repeated observed introductions of Leptospira into local marine and island ecosystems. Overall, we found evidence of widespread Leptospira exposure in wildlife across Los Angeles and surrounding regions. This indicates exposure risk for humans and domestic animals and highlights that this pathogen can circulate endemically in many wildlife species even in densely populated urban areas.
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Affiliation(s)
- Sarah K Helman
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA.
- Institute of the Environment and Sustainability, University of California, Los Angeles, CA, USA.
| | - Amanda F N Tokuyama
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Riley O Mummah
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Nathan E Stone
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA
| | - Mason W Gamble
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
- Institute of the Environment and Sustainability, University of California, Los Angeles, CA, USA
| | - Celine E Snedden
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Benny Borremans
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
- Evolutionary Ecology Group, Department of Biology, University of Antwerp, Antwerp, Belgium
- Wildlife Health Ecology Research Organization, San Diego, CA, USA
| | - Ana C R Gomez
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Caitlin Cox
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Julianne Nussbaum
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - Isobel Tweedt
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - David A Haake
- Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA
- The David Geffen School of Medicine, University of California, Los Angeles, CA, USA
| | | | - Javier Monzón
- Natural Science Division, Pepperdine University, Malibu, CA, USA
| | - Seth P D Riley
- Santa Monica Mountains National Recreation Area, National Park Service, Thousand Oaks, CA, USA
| | - Jeff A Sikich
- Santa Monica Mountains National Recreation Area, National Park Service, Thousand Oaks, CA, USA
| | - Justin Brown
- Santa Monica Mountains National Recreation Area, National Park Service, Thousand Oaks, CA, USA
| | - Anthony Friscia
- Department of Integrative Biology and Physiology, University of California, Los Angeles, CA, USA
| | - Jason W Sahl
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA
| | - David M Wagner
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA
| | - Jessica W Lynch
- Institute for Society and Genetics, University of California, Los Angeles, CA, USA
| | - Katherine C Prager
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA
| | - James O Lloyd-Smith
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA, USA.
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12
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Barandongo ZR, Dolfi AC, Bruce SA, Rysava K, Huang YH, Joel H, Hassim A, Kamath PL, van Heerden H, Turner WC. The persistence of time: the lifespan of Bacillus anthracis spores in environmental reservoirs. Res Microbiol 2023; 174:104029. [PMID: 36720294 DOI: 10.1016/j.resmic.2023.104029] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 01/30/2023]
Abstract
Anthrax is a lethal bacterial zoonosis primarily affecting herbivorous wildlife and livestock. Upon host death Bacillus anthracis vegetative cells form spores capable of surviving for years in soil. Anthrax transmission requires host exposure to large spore doses. Thus, conditions that facilitate higher spore concentrations or promote spore survival will increase the probability that a pathogen reservoir infects future hosts. We investigated abiotic and pathogen genomic variation in relation to spore concentrations in surface soils (0-1 cm depth) at 40 plains zebra (Equus quagga) anthrax carcass sites in Namibia. Specifically, how initial spore concentrations and spore survival were affected by seasonality associated with the timing of host mortality, local soil characteristics, and pathogen genomic variation. Zebras dying of anthrax in wet seasons-the peak season for anthrax in Etosha National Park-had soil spore concentrations 1.36 orders of magnitude higher than those that died in dry seasons. No other variables considered affected spore concentrations, and spore survival rates did not differ among sites. Surface soils at these pathogen reservoirs remained culture positive for a range of 3.8-10.4 years after host death. Future research could evaluate if seasonal patterns in spore concentrations are driven by differences in sporulation success or levels of terminal bacteremia.
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Affiliation(s)
- Zoë R Barandongo
- Wisconsin Cooperative Wildlife Research Unit, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, Madison, WI 53706, USA.
| | - Amélie C Dolfi
- Wisconsin Cooperative Wildlife Research Unit, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, Madison, WI 53706, USA.
| | - Spencer A Bruce
- Department of Biological Sciences, State University of New York, Albany, NY 12222, USA.
| | - Kristyna Rysava
- Wisconsin Cooperative Wildlife Research Unit, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, Madison, WI 53706, USA.
| | - Yen-Hua Huang
- Wisconsin Cooperative Wildlife Research Unit, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, Madison, WI 53706, USA.
| | - Hendrina Joel
- Department of Environmental Science, Faculty of Science, University of Namibia, Private Bag 13301, Windhoek, Namibia.
| | - Ayesha Hassim
- Department of Veterinary Tropical Diseases, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa.
| | - Pauline L Kamath
- School of Food and Agriculture, University of Maine, Orono, ME, USA.
| | - Henriette van Heerden
- Department of Veterinary Tropical Diseases, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa.
| | - Wendy C Turner
- U.S. Geological Survey, Wisconsin Cooperative Wildlife Research Unit, Department of Forest and Wildlife Ecology, University of Wisconsin-Madison, Madison, WI 53706, USA.
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13
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Cremonese C, Souza FN, Palma FAG, Sodré JFA, Brito RL, Ribeiro PDS, Santana JO, Coelho RH, Ticona JPA, Nazaré RJ, de Oliveira D, Silva CQ, Eyre MT, Mendes VDA, Knee J, Ristow P, Stauber CE, López YAA, Giorgi E, Diggle PJ, Reis MGG, Cumming O, Ko A, Costa F. Simplified sewerage to prevent urban leptospirosis transmission: a cluster non-randomised controlled trial protocol in disadvantaged urban communities of Salvador, Brazil. BMJ Open 2023; 13:e065009. [PMID: 37355266 PMCID: PMC10314607 DOI: 10.1136/bmjopen-2022-065009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 05/31/2023] [Indexed: 06/26/2023] Open
Abstract
INTRODUCTION Leptospirosis is a globally distributed zoonotic and environmentally mediated disease that has emerged as a major health problem in urban slums in developing countries. Its aetiological agent is bacteria of the genus Leptospira, which are mainly spread in the urine of infected rodents, especially in an environment where adequate sanitation facilities are lacking, and it is known that open sewers are key transmission sources of the disease. Therefore, we aim to evaluate the effectiveness of a simplified sewerage intervention in reducing the risk of exposure to contaminated environments and Leptospira infection and to characterise the transmission mechanisms involved. METHODS AND ANALYSIS This matched quasi-experimental study design using non-randomised intervention and control clusters was designed to assess the effectiveness of an urban simplified sewerage intervention in the low-income communities of Salvador, Brazil. The intervention consists of household-level piped sewerage connections and community engagement and public involvement activities. A cohort of 1400 adult participants will be recruited and grouped into eight clusters consisting of four matched intervention-control pairs with approximately 175 individuals in each cluster in baseline. The primary outcome is the seroincidence of Leptospira infection assessed through five serological measurements: one preintervention (baseline) and four postintervention. As a secondary outcome, we will assess Leptospira load in soil, before and after the intervention. We will also assess Leptospira exposures before and after the intervention, through transmission modelling, accounting for residents' movement, contact with flooding, contaminated soil and water, and rat infestation, to examine whether and how routes of exposure for Leptospira change following the introduction of sanitation. ETHICS AND DISSEMINATION This study protocol has been reviewed and approved by the ethics boards at the Federal University of Bahia and the Brazilian National Research Ethics Committee. Results will be disseminated through peer-reviewed publications and presentations to implementers, researchers and participating communities. TRIAL REGISTRATION NUMBER Brazilian Clinical Trials Registry (RBR-8cjjpgm).
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Affiliation(s)
- Cleber Cremonese
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Fabio Neves Souza
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Institute of Biology, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Fabiana Almerinda Gonçalves Palma
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
| | | | - Ricardo Lustosa Brito
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Priscyla Dos Santos Ribeiro
- Institute of Biology, Federal University of Bahia, Salvador, Bahia, Brazil
- Institute of Biological Science, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- National Institute of Science and Technology in Interdisciplinary and Transdisciplinary Studies in Ecology and Evolution (INCT IN-TREE), Institute of Biology, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Juliet Oliveira Santana
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Institute of Geosciences, Federal University of Bahia, Salvador, Bahia, Brazil
| | | | - Juan P Aguilar Ticona
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
| | - Romero J Nazaré
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
| | - Daiana de Oliveira
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
| | - Cainã Queiroz Silva
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Max T Eyre
- London School of Hygiene & Tropical Medicine, Faculty of Infectious Tropical Diseases, Disease Control Department, London, UK
| | | | - Jackie Knee
- London School of Hygiene & Tropical Medicine, Faculty of Infectious Tropical Diseases, Disease Control Department, London, UK
| | - Paula Ristow
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Institute of Biology, Federal University of Bahia, Salvador, Bahia, Brazil
- National Institute of Science and Technology in Interdisciplinary and Transdisciplinary Studies in Ecology and Evolution (INCT IN-TREE), Institute of Biology, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Christine E Stauber
- Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, Georgia, USA
| | | | - Emanuele Giorgi
- Lancaster University Lancaster Medical School, Lancaster, UK
| | - Peter J Diggle
- Lancaster University Lancaster Medical School, Lancaster, UK
| | - Mitermayer Galvão G Reis
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Faculty of Medicine, Federal University of Bahia, Salvador, Bahia, Brazil
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Oliver Cumming
- London School of Hygiene & Tropical Medicine, Faculty of Infectious Tropical Diseases, Disease Control Department, London, UK
| | - Albert Ko
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Federico Costa
- Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brasil
- Lancaster University Lancaster Medical School, Lancaster, UK
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut, USA
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14
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Huete SG, Benaroudj N. The Arsenal of Leptospira Species against Oxidants. Antioxidants (Basel) 2023; 12:1273. [PMID: 37372003 DOI: 10.3390/antiox12061273] [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: 05/14/2023] [Revised: 06/01/2023] [Accepted: 06/08/2023] [Indexed: 06/29/2023] Open
Abstract
Reactive oxygen species (ROS) are byproducts of oxygen metabolism produced by virtually all organisms living in an oxic environment. ROS are also produced by phagocytic cells in response to microorganism invasion. These highly reactive molecules can damage cellular constituents (proteins, DNA, and lipids) and exhibit antimicrobial activities when present in sufficient amount. Consequently, microorganisms have evolved defense mechanisms to counteract ROS-induced oxidative damage. Leptospira are diderm bacteria form the Spirochaetes phylum. This genus is diverse, encompassing both free-living non-pathogenic bacteria as well as pathogenic species responsible for leptospirosis, a widespread zoonotic disease. All leptospires are exposed to ROS in the environment, but only pathogenic species are well-equipped to sustain the oxidative stress encountered inside their hosts during infection. Importantly, this ability plays a pivotal role in Leptospira virulence. In this review, we describe the ROS encountered by Leptospira in their different ecological niches and outline the repertoire of defense mechanisms identified so far in these bacteria to scavenge deadly ROS. We also review the mechanisms controlling the expression of these antioxidants systems and recent advances in understanding the contribution of Peroxide Stress Regulators in Leptospira adaptation to oxidative stress.
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Affiliation(s)
- Samuel G Huete
- Institut Pasteur, Université Paris Cité, Biologie des Spirochètes, CNRS UMR 6047, F-75015 Paris, France
| | - Nadia Benaroudj
- Institut Pasteur, Université Paris Cité, Biologie des Spirochètes, CNRS UMR 6047, F-75015 Paris, France
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15
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Zeng Z, Chen H, Xu J, Zhang H, Xu C, Fan L, Chen S, Chen K, Yang Z, Wei Y. Characteristics of leptospirosis cases, prevention and control managements 1955-2020, Guangzhou, China. One Health 2023; 16:100541. [PMID: 37363250 PMCID: PMC10288099 DOI: 10.1016/j.onehlt.2023.100541] [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] [Received: 05/06/2022] [Revised: 03/25/2023] [Accepted: 04/11/2023] [Indexed: 06/28/2023] Open
Abstract
Background Leptospirosis, which is an easily overlooked zoonotic disease, was once widespread in Guangzhou, China. However, due to the implementation of control measures, the number of cases is decreasing. Based on the characteristics of leptospirosis cases in Guangzhou, China, between 1955 and 2020, we describe the changes and achievements in prevention and control management strategies over that period. Methods The development of the leptospirosis control system in Guangzhou occurred over three periods: Period I: 1955-1978; Period II: 1979-2000; and Period III: 2001-2020. Data about leptospirosis cases were obtained from the Guangzhou Center for Disease Control and Prevention (CDC) and national health departments. The demographic characteristics of leptospirosis patients were analyzed using descriptive statistics. Results During Period I, only the Guangzhou CDC and medical institutions at every level participated in the leptospirosis control system. During Period II, additional types of organizations, including local CDCs, countryside committees, community committees, and the Patriotic Health Movement Commission, were involved in the control system. Additionally, strong links were established between different organizations. After entering Period III, an increasing number of departments joined the cooperation, and the management of human patients was expanded to include the management of host animals, and thus, the prevalence of leptospirosis was monitored and controlled in various ways. The leptospirosis control system in Guangzhou has been further improved. From 1955 to 2020, a total of 2501 leptospirosis cases were recorded in Guangzhou, and the number of cases decreased significantly over time, from 1608 (Period I) to 744 (Period II) and then to 149 (Period III). Conclusion The improvements of the leptospirosis control system in Guangzhou that occurred over decades were associated with a marked decrease in the number of leptospirosis cases. Guangzhou's experience can provide guidance for other countries or cities around the world facing similar challenges.
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Affiliation(s)
- Ziyi Zeng
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China
| | - Haiyan Chen
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Jianmin Xu
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Hao Zhang
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Conghui Xu
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Lirui Fan
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Shouyi Chen
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Kuncai Chen
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Zhicong Yang
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
| | - Yuehong Wei
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
- Institute of Public Health, Guangzhou Medical University, Guangzhou, China
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16
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Udayar SE, Chengalarayappa NB, Madeshan A, Shivanna M, Marella K. Clinico Epidemiological Study of Human Leptospirosis in Hilly Area of South India-A Population Based Case Control Study. Indian J Community Med 2023; 48:316-320. [PMID: 37323738 PMCID: PMC10263044 DOI: 10.4103/ijcm.ijcm_316_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 12/23/2022] [Indexed: 06/17/2023] Open
Abstract
Background Leptospirosis is the most common zoonotic disease in the world affecting both animals and humans. Environmental, occupational, and sociocultural practices which vary from region to region favors the disease transmission in addition to lacunas in prompt diagnosis and treatment of cases. There are limited data on the seroprevalence of this neglected tropical disease in India. To assess the risk factors associated with Lepospirosis disease. Materials and Methods A population-based case control study was conducted in Kodagu district of southern India from January 2022 to March 2022. Of the 74 confirmed cases during the year 2021, 70 cases and 140 age group and gender-matched controls participated in the study. Data were collected by using semi-structured questionnaire containing details of sociodemographic, occupational, and environmental factors. The collected data were coded and exported to STATA (16.1) and analyzed by univariate and multivaiariate logistic regression to identify significant risk factors. Results Environmental factors such as flooding or collection of water near the house (adjusted Odds Ratio [aOR] = 4.9, confidence interval [CI]: 1.4-17.0), proximity to an open sewer (aOR = 4.9, CI: 1.2-19.1) and occupational factors such as presence of skin cuts or abrasion during work (aOR = 4, CI: 1.4-11.6), direct contact with mud or water during work (aOR = 9.7, CI: 3.3-27.7), animal farming (aOR = 3.4, CI: 1.0-11.6), presence of rodents in the house (aOR = 4, CI: 1.2-12.6), and presence of rodent habitats like grain storage area (aOR = 3.5, CI: 1.1-11.0) were significantly associated with leptospirosis. Conclusion Leptospirosis poses a potential public health problem in the district. Interventions like prompt diagnosis and treatment, sensitization programs, and rodent control measures will significantly control this neglected tropical disease.
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Affiliation(s)
- Sharvanan E. Udayar
- Department of Community Medicine, Kogagu Institute of Medical Sciences Government of Karnataka, Karnataka, India
| | - Narasimha B. Chengalarayappa
- Department of Community Medicine, Kogagu Institute of Medical Sciences Government of Karnataka, Karnataka, India
| | - Ashwini Madeshan
- Department of Community Medicine, Kogagu Institute of Medical Sciences Government of Karnataka, Karnataka, India
| | - Manjunatha Shivanna
- Department of Obstestrics and Gynaecology, Kogagu Institute of Medical Sciences Government of Karnataka, Karnataka, India
| | - Krishnaveni Marella
- Department of Consevrative and Endodontics, KVG Dental College and Hospital Sullia, Karnataka, India
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17
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Rezende Mires de Carvalho R, Silva Dias C, Nogueira Paz L, Melo de Lima Fires T, Pereira Figueira C, Araújo Damasceno K, Hanzen Pinna M. Biofilm formation in vitro by Leptospira interrogans strains isolated from naturally infected dogs and their role in antimicrobial resistance. Heliyon 2023; 9:e13802. [PMID: 36873470 PMCID: PMC9976318 DOI: 10.1016/j.heliyon.2023.e13802] [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] [Received: 09/22/2022] [Revised: 02/08/2023] [Accepted: 02/13/2023] [Indexed: 02/18/2023] Open
Abstract
Leptospira interrogans is a biofilm-forming pathogen, however, there are few data involving Brazilian strains isolated from dogs and their antimicrobial sensitivity in planktonic and biofilm forms. The potential for biofilm formation and antimicrobial resistance in naturally infected dogs is a fundamental approach towards disease epidemiology and the establishment of consistent prophylaxis and control measures. The objective of this study was to evaluate in vitro biofilm formation of a reference strain (L. interrogans, sv. Copenhageni L1 130 - L20) and of L. interrogans isolated from dogs (C20, C29, C51, C82), with subsequent evaluation of antimicrobial susceptibility in planktonic and biofilm forms. The semi quantification of biofilm production revealed a dynamic process of development over time, with mature biofilm formation early on the seventh day of incubation. All strains were efficient for in vitro biofilm formation and, in this form, they were considerably more resistant compared to their planktonic form, with MIC90 of 1600 μg/mL for amoxicillin, 800 μg/mL for ampicillin, and >1600 μg/mL for doxycycline and ciprofloxacin. The strains studies were isolated on naturally infected dogs that might act as reservoirs and sentinels for human infections. The potential to antimicrobial resistance together with the close relation between dogs and humans indicates the need for greater actions on disease control and surveillance. Moreover, biofilm formation may contribute to the persistence of Leptospira interrogans in the host and these animals can act as chronic carriers, disseminating the agent in the environment.
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Affiliation(s)
- Rodrigo Rezende Mires de Carvalho
- Bacterial Disease Laboratory, Postgraduate Program in Animal Science in Tropics - Federal University of Bahia, Salvador, Bahia, Brazil
| | - Carla Silva Dias
- Bacterial Disease Laboratory, Postgraduate Program in Animal Science in Tropics - Federal University of Bahia, Salvador, Bahia, Brazil
| | - Lucas Nogueira Paz
- Bacterial Disease Laboratory, Postgraduate Program in Animal Science in Tropics - Federal University of Bahia, Salvador, Bahia, Brazil
| | - Thainá Melo de Lima Fires
- Postgraduate Program in Clinic and Surgery of Domestic Carnivores - Federal University of Bahia, Salvador, Bahia, Brazil
| | | | - Karine Araújo Damasceno
- Laboratory of Experimental Pathology, Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil
| | - Melissa Hanzen Pinna
- Bacterial Disease Laboratory, Postgraduate Program in Animal Science in Tropics - Federal University of Bahia, Salvador, Bahia, Brazil
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Disease Occurrence in- and the Transferal of Zoonotic Agents by North American Feedlot Cattle. Foods 2023; 12:foods12040904. [PMID: 36832978 PMCID: PMC9956193 DOI: 10.3390/foods12040904] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 02/13/2023] [Accepted: 02/15/2023] [Indexed: 02/22/2023] Open
Abstract
North America is a large producer of beef and contains approximately 12% of the world's cattle inventory. Feedlots are an integral part of modern cattle production in North America, producing a high-quality, wholesome protein food for humans. Cattle, during their final stage, are fed readily digestible high-energy density rations in feedlots. Cattle in feedlots are susceptible to certain zoonotic diseases that impact cattle health, growth performance, and carcass characteristics, as well as human health. Diseases are often transferred amongst pen-mates, but they can also originate from the environment and be spread by vectors or fomites. Pathogen carriage in the gastrointestinal tract of cattle often leads to direct or indirect contamination of foods and the feedlot environment. This leads to the recirculation of these pathogens that have fecal-oral transmission within a feedlot cattle population for an extended time. Salmonella, Shiga toxin-producing Escherichia coli, and Campylobacter are commonly associated with animal-derived foods and can be transferred to humans through several routes such as contact with infected cattle and the consumption of contaminated meat. Brucellosis, anthrax, and leptospirosis, significant but neglected zoonotic diseases with debilitating impacts on human and animal health, are also discussed.
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Ramin A, Abdollahpour G, Hosseinzadeh A, Azizzadeh F, Ramin P, klalili Y, Sanajo D, Iran Nezhad S. Comparison of anti-Leptospira antibodies by microscopic agglutination test in ruminants and equines of Urmia, Iran. VETERINARY RESEARCH FORUM : AN INTERNATIONAL QUARTERLY JOURNAL 2023; 14:229-235. [PMID: 37181853 PMCID: PMC10170465 DOI: 10.30466/vrf.2022.546475.3345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 05/18/2022] [Indexed: 05/16/2023]
Abstract
Leptospirosis, a zoonotic disease, is characterized by fever, jaundice, abortion and hemo-globinuria. It is widespread and the determination of the dominant serotype in the animal species of each region accelerates the control and prevention program. 862 blood samples were prepared from ruminants and equines. Serum antibody of leptospira serovars were determined based on gender and age parameters. Sera were examined by microscopic agglutination test (MAT) with six live serotypes. The overall prevalence was 22.30%, with the highest (37.00%) and the lowest (6.60%) in Holsteins and mules, respectively. The overall male and female incidence were 12.20% and 9.86%, respectively, which was not different. The highest gender infection was in male Holsteins (19.20%) and the lowest were in male Simmentals and mules (1.72%). The highest dilution was 1:100 for pomona and the lowest was for canicola. All animals responded positively to grippotyphosa. The highest infection to one serovar was in Holsteins and the lowest for four serovars were in goats and Simmentals. Males less than 1.5 years old showed the highest infection. Age differences in leptospira infection except for sheep was significant. In conclusion, leptospira infection in ruminants was high compared to equines. Gender differences were not significant. The highest dilution was 1:100, with pomona in ruminants and grippotyphosa in all species. Leptospiral infection was increased with age and the differences among animals except for sheep were significant. Finally, regarding 22.30% infection rate, vaccination is necessary to Holsteins, and preventive measures for others. Health advices would be necessary for human safety.
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Affiliation(s)
- Aligholi Ramin
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
- Correspondence Aligholi Ramin. DVM, PGDVS, PhD Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran E-mail:
| | - Gholamreza Abdollahpour
- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran;
| | - Azadeh Hosseinzadeh
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Farid Azizzadeh
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Pouya Ramin
- Student of Dentistry, Faculty of Dentistry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| | - Yousef klalili
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Davood Sanajo
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Sasan Iran Nezhad
- Department of Internal Medicine and Clinical Pathology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
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Tokarevich NK, Blinova OV. Leptospirosis in Vietnam. RUSSIAN JOURNAL OF INFECTION AND IMMUNITY 2022. [DOI: 10.15789/2220-7619-liv-1988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Leptospirosis poses a serious public health problem in many countries because about 1 million people suffer annually from this severe, often fatal, infection. At present, its importance has been increasing due to development of integration processes, globalization and intensification of economic activities, inevitable anthropogenic transformation of landscapes as well as rise in number of people with occupational risk of pathogen exposure. The burden of human leptospirosis is expected to rise with demographic shifts and climate change that result in heavy rainfall and flooding. Regarding leptospirosis, Southeast Asia, including Vietnam, is among the most vulnerable global regions. The objective of the review was to analyze available published data on the spread of leptospirosis in Vietnam. More than 100 research articles were analyzed allowing to state that in Vietnam synanthropic rodents (rats), agricultural (buffaloes, cattle, pigs) and domestic animals (cats, dogs) are the main sources of leptospirosis infection in humans. It is essential that rats (cats and dogs also) in Vietnam are used for food. Among all farm animals, pigs are of maximal importance as a source of infection in humans. In Vietnam, Leptospira prevalence in pigs varies widely, up to 73%. It depends significantly on the location, farm size, age and gender of animals, etc. A large variety of Leptospira serovars have been identified in pigs in Vietnam: Tarassovi, Bratislava, Australis, Javanica, Autumnalis, Grippotyphosa, and some others. Official Vietnam reporting of leptospirosis cases based on clinical data does not reflect the real-life incidence rate in humans. However, the available seroprevalence studies reveal that, on average, about 10% of the Vietnamese population are infected with Leptospira. Work in agriculture is the dominant risk factor for acquiring this infection. The highest Leptospira seroprevalence rates were detected in farmers, 63.2%. Serovar diversity is typical for pathogenic Leptospira circulating in Vietnam. In humans, the most frequent are antibodies to Hebdomadis, Wolffi and Icterohaemorrhagiae, but the frequency varied markedly across the country depending on the site, possibly with relation to the environment, as well as with economic activity of the local population. In Vietnam, geographic, climatic and social differences between northern, central and southern regions contribute to the specificity of local leptospirosis epidemiology. This emphasizes the advisability of developing special measures for leptospirosis prevention taking into account regional peculiarities.
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21
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Zhao X, Guo J, Jia X, Yang Y, Liu L, Nie W, Fang Z. Internalization of Leptospira interrogans via diverse endocytosis mechanisms in human macrophages and vascular endothelial cells. PLoS Negl Trop Dis 2022; 16:e0010778. [PMID: 36137081 PMCID: PMC9531806 DOI: 10.1371/journal.pntd.0010778] [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: 01/07/2022] [Revised: 10/04/2022] [Accepted: 08/31/2022] [Indexed: 11/18/2022] Open
Abstract
Leptospirosis, one of the leading global causes of morbidity and mortality, is an emerging public health problem, particularly in large urban centers of developing countries. Leptospirosis results from infection with an organism belonging to the Leptospira genus L. interrogans. The extensive invasive ability has previously been documented, however a mechanism that describes how the organism is internalized by human macrophages and transmigrates through human blood vessel remains poorly understood. In the present study, we utilized a human macrophage and vascular endothelial cell line to study the diverse invasive mechanisms by which L. interrogans infections occur. We found that THP-1 and HUVEC had a diverse expression of cell receptors and L. interrogans entered THP-1 and HUVEC by different pathways. In the macrophage model cell line, ITGB1/FAK-signaling mediated microfilament dependent endocytosis with lysosome fusion, whereas ITGB1/CAV-1/PI3K-signaling mediated microfilament dependent endocytosis and transcytosis without lysosome fusion in the endothelial cell model. Shedding of pathogenic leptospires from HUVEC displayed higher viability than those from THP-1. The monolayer of HUVEC maintained integrity during the infection, while 3D imaging showed that leptospires were transmigrated both intra- and intercellularly. These results indicate that endocytosis of leptospires in human macrophages and human vascular endothelial cells are quite different, macrophages are responsible for eliminating leptospires in the human body during the infection while vascular endothelial cells facilitate dissemination of leptospires from blood vessels into target organs where they cause injury. Leptospirosis is a zoonotic bacterial disease which causes 1.03 million cases and 58,900 deaths each year. Human infections occur when the primary reservoir hosts, such as rodents, contaminate food and water with leptospires. Unlike other bacterial pathogens, leptospires invade the human body through mucosal barriers and enter the bloodstream, which can result in septicemia. Left untreated, leptospirosis can spread into multiple organs and tissues such as lungs, liver and kidneys. Pathological features of this disease include high fever, myalgia, lymphadenectasis, hemorrhaging and jaundice. Human macrophages and vascular endothelial cells play important roles in eliminating and preventing the transmission of this pathogen. We speculated that leptospires could be neutralized in macrophages and subsequently transported by vascular endothelial cells throughout the human body. In this research, the diverse mechanisms of human macrophages and vascular endothelial cells infected by leptospires were explored. Our findings can be used to improve the treatment, prevention, and supervision regarding leptospire transmission and infection.
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Affiliation(s)
- Xin Zhao
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
- * E-mail: (XZ); (ZF)
| | - Jun Guo
- State Key Laboratory of Food Nutrition and Safety, Key Laboratory of Food Quality and Health of Tianjin, Tianjin University of Science & Technology, Tianjin, China
| | - Xiaoyuan Jia
- College of Life Sciences and Medicine, Zhejiang Sci-Tech University, Hangzhou, China
| | - Yaling Yang
- State Key Laboratory of Food Nutrition and Safety, Key Laboratory of Food Quality and Health of Tianjin, Tianjin University of Science & Technology, Tianjin, China
| | - Lijuan Liu
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
| | - Weizhong Nie
- Department of health quarantine, Qinhuangdao Customs District, Qinhuangdao, China
| | - Zhiqiang Fang
- Institute of Health Quarantine, Chinese Academy of Inspection and Quarantine, Beijing, China
- * E-mail: (XZ); (ZF)
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22
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Cristaldi MA, Catry T, Pottier A, Herbreteau V, Roux E, Jacob P, Previtali MA. Determining the spatial distribution of environmental and socio-economic suitability for human leptospirosis in the face of limited epidemiological data. Infect Dis Poverty 2022; 11:86. [PMID: 35927739 PMCID: PMC9351081 DOI: 10.1186/s40249-022-01010-x] [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] [Received: 03/24/2022] [Accepted: 07/19/2022] [Indexed: 12/03/2022] Open
Abstract
Background Leptospirosis is among the leading zoonotic causes of morbidity and mortality worldwide. Knowledge about spatial patterns of diseases and their underlying processes have the potential to guide intervention efforts. However, leptospirosis is often an underreported and misdiagnosed disease and consequently, spatial patterns of the disease remain unclear. In the absence of accurate epidemiological data in the urban agglomeration of Santa Fe, we used a knowledge-based index and cluster analysis to identify spatial patterns of environmental and socioeconomic suitability for the disease and potential underlying processes that shape them. Methods We geocoded human leptospirosis cases derived from the Argentinian surveillance system during the period 2010 to 2019. Environmental and socioeconomic databases were obtained from satellite images and publicly available platforms on the web. Two sets of human leptospirosis determinants were considered according to the level of their support by the literature and expert knowledge. We used the Zonation algorithm to build a knowledge-based index and a clustering approach to identify distinct potential sets of determinants. Spatial similarity and correlations between index, clusters, and incidence rates were evaluated. Results We were able to geocode 56.36% of the human leptospirosis cases reported in the national epidemiological database. The knowledge-based index showed the suitability for human leptospirosis in the UA Santa Fe increased from downtown areas of the largest cities towards peri-urban and suburban areas. Cluster analysis revealed downtown areas were characterized by higher levels of socioeconomic conditions. Peri-urban and suburban areas encompassed two clusters which differed in terms of environmental determinants. The highest incidence rates overlapped areas with the highest suitability scores, the strength of association was low though (CSc r = 0.21, P < 0.001 and ESc r = 0.19, P < 0.001). Conclusions We present a method to analyze the environmental and socioeconomic suitability for human leptospirosis based on literature and expert knowledge. The methodology can be thought as an evolutive and perfectible scheme as more studies are performed in the area and novel information regarding determinants of the disease become available. Our approach can be a valuable tool for decision-makers since it can serve as a baseline to plan intervention measures. Supplementary Information The online version contains supplementary material available at 10.1186/s40249-022-01010-x.
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Affiliation(s)
- Maximiliano A Cristaldi
- Department of Natural Sciences, College of Humanities and Sciences, National University of Litoral, Santa Fe, Argentina.
| | - Thibault Catry
- ESPACE-DEV, French National Research Institute for Sustainable Development (IRD), University of Montpellier, University of French West Indies, University of French Guiana, University of La Reunion, Montpellier, France
| | - Auréa Pottier
- ESPACE-DEV, French National Research Institute for Sustainable Development (IRD), University of Montpellier, University of French West Indies, University of French Guiana, University of La Reunion, Montpellier, France
| | - Vincent Herbreteau
- ESPACE-DEV, French National Research Institute for Sustainable Development (IRD), University of Montpellier, University of French West Indies, University of French Guiana, University of La Reunion, Montpellier, France
| | - Emmanuel Roux
- ESPACE-DEV, French National Research Institute for Sustainable Development (IRD), University of Montpellier, University of French West Indies, University of French Guiana, University of La Reunion, Montpellier, France.,Sentinela International Joint Laboratory, French National Research Institute for Sustainable Development (IRD), University of Brasilia (UnB), Oswaldo Cruz Foundation (Fiocruz), Brasília, Brazil.,Sentinela International Joint Laboratory, French National Research Institute for Sustainable Development (IRD), University of Brasilia (UnB), Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, Brazil
| | - Paulina Jacob
- National Institute of Respiratory Diseases (INER) "Dr. E. Coni"/National Administration of Health Institutes (ANLIS "Dr. C.G. Malbrán"), Santa Fe, Argentina.,Leptospirosis Laboratory, College of Biochemistry and Biological Sciences, National University of Litoral, Santa Fe, Argentina
| | - M Andrea Previtali
- Department of Natural Sciences, College of Humanities and Sciences, National University of Litoral, Santa Fe, Argentina. .,National Scientific and Technical Research Council (CONICET), Santa Fe, Argentina.
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23
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Douine M, Bonifay T, Lambert Y, Mutricy L, Galindo MS, Godin A, Bourhy P, Picardeau M, Saout M, Demar M, Sanna A, Mosnier E, Blaizot R, Couppié P, Nacher M, Adenis A, Suarez-Mutis M, Vreden S, Epelboin L, Schaub R. Zoonoses and gold mining: A cross-sectional study to assess yellow fever immunization, Q fever, leptospirosis and leishmaniasis among the population working on illegal mining camps in French Guiana. PLoS Negl Trop Dis 2022; 16:e0010326. [PMID: 35969647 PMCID: PMC9410546 DOI: 10.1371/journal.pntd.0010326] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 08/25/2022] [Accepted: 06/12/2022] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Most emerging pathogens are zoonoses and have a wildlife origin. Anthropization and disruption of ecosystems favor the crossing of inter-species barriers. We hypothesize that the marginalized population of undocumented goldminers in the Amazon is at risk of acquiring zoonoses. METHOD A multicentric cross-sectional study included consenting gold-mining adult workers in 2019. A clinical examination recorded dermatological signs of leishmaniosis and past history of yellow fever vaccination. Biological tests were performed for yellow fever, Q fever and leptospirosis serologies. Additional blood samples from a previous study in 2015 were also tested for leptospirosis. RESULTS In 2019, 380 individuals were included in the study, along with 407 samples from the 2015 biological collection. The seroprevalence of leptospirosis was 31.0% [95%CI = 26.4-35.5] in 2015 and 28.1% [23.5-32.7] in 2019. The seroprevalence of Q fever was 2.9% [1.2-4.6]. The majority of participants reported being vaccinated against yellow fever (93.6%) and 97.9% had seroneutralizing antibodies. The prevalence of suspected active mucocutaneous leishmaniasis was 2.4% [0.8-3.9]. DISCUSSION These unique data shed new light on the transmission cycles of zoonoses still poorly understood in the region. They support the existence of a wild cycle of leptospirosis but not of Q fever. Leishmaniasis prevalence was high because of life conditions and tree felling. High yellow fever vaccine coverage was reassuring in this endemic area. In the era of global health, special attention must be paid to these vulnerable populations in direct contact with the tropical ecosystem and away from the health care system.
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Affiliation(s)
- Maylis Douine
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Centre de Ressources Biologiques Amazonie, Cayenne, French Guiana
| | - Timothée Bonifay
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Yann Lambert
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Louise Mutricy
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Muriel Suzanne Galindo
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Audrey Godin
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Pascale Bourhy
- National Reference Center for Leptospirosis, Biology of Spirochetes unit, Institut Pasteur, Paris, France
| | - Mathieu Picardeau
- National Reference Center for Leptospirosis, Biology of Spirochetes unit, Institut Pasteur, Paris, France
| | - Mona Saout
- TBIP, Université de la Guyane, Cayenne, French Guiana
| | - Magalie Demar
- TBIP, Université de la Guyane, Cayenne, French Guiana
- University Laboratory of Mycology-Parasitology, Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Alice Sanna
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Emilie Mosnier
- Delocalized Health Centers, Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Romain Blaizot
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Department of Dermatology, Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Pierre Couppié
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Department of Dermatology, Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Mathieu Nacher
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Centre de Ressources Biologiques Amazonie, Cayenne, French Guiana
| | - Antoine Adenis
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Centre de Ressources Biologiques Amazonie, Cayenne, French Guiana
| | - Martha Suarez-Mutis
- Laboratory of Parasitic Diseases, Institute Oswaldo Cruz/Fiocruz, Rio de Janeiro, Brazil
| | - Stephen Vreden
- Foundation for Scientific Research Suriname, Paramaribo, Suriname
| | - Loïc Epelboin
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
- TBIP, Université de la Guyane, Cayenne, French Guiana
- Infectious and Tropical Diseases Unit, Centre Hospitalier de Cayenne, Cayenne, French Guiana
| | - Roxane Schaub
- Centre d’Investigation Clinique Antilles-Guyane (Inserm 1424), Centre Hospitalier de Cayenne, Cayenne, French Guiana
- TBIP, Université de la Guyane, Cayenne, French Guiana
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Diverse lineages of pathogenic Leptospira species are widespread in the environment in Puerto Rico, USA. PLoS Negl Trop Dis 2022; 16:e0009959. [PMID: 35584143 PMCID: PMC9154103 DOI: 10.1371/journal.pntd.0009959] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 05/31/2022] [Accepted: 04/04/2022] [Indexed: 01/04/2023] Open
Abstract
Background
Leptospirosis, caused by Leptospira bacteria, is a common zoonosis worldwide, especially in the tropics. Reservoir species and risk factors have been identified but surveys for environmental sources are rare. Furthermore, understanding of environmental Leptospira containing virulence associated genes and possibly capable of causing disease is incomplete, which may convolute leptospirosis diagnosis, prevention, and epidemiology.
Methodology/Principal findings
We collected environmental samples from 22 sites in Puerto Rico during three sampling periods over 14-months (Dec 2018-Feb 2020); 10 water and 10 soil samples were collected at each site. Samples were screened for DNA from potentially pathogenic Leptospira using the lipL32 PCR assay and positive samples were sequenced to assess genetic diversity. One urban site in San Juan was sampled three times over 14 months to assess persistence in soil; live leptospires were obtained during the last sampling period. Isolates were whole genome sequenced and LipL32 expression was assessed in vitro.
We detected pathogenic Leptospira DNA at 15/22 sites; both soil and water were positive at 5/15 sites. We recovered lipL32 sequences from 83/86 positive samples (15/15 positive sites) and secY sequences from 32/86 (10/15 sites); multiple genotypes were identified at 12 sites. These sequences revealed significant diversity across samples, including four novel lipL32 phylogenetic clades within the pathogenic P1 group. Most samples from the serially sampled site were lipL32 positive at each time point. We sequenced the genomes of six saprophytic and two pathogenic Leptospira isolates; the latter represent a novel pathogenic Leptospira species likely belonging to a new serogroup.
Conclusions/Significance
Diverse and novel pathogenic Leptospira are widespread in the environment in Puerto Rico. The disease potential of these lineages is unknown but several were consistently detected for >1 year in soil, which could contaminate water. This work increases understanding of environmental Leptospira diversity and should improve leptospirosis surveillance and diagnostics.
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Bai Y, Rizzo MR, Parise C, Maes S, Eisen RJ. A Novel Loop-Mediated Isothermal Amplification Assay for Rapid Detection of Yersinia pestis. Front Microbiol 2022; 13:863142. [PMID: 35464914 PMCID: PMC9022072 DOI: 10.3389/fmicb.2022.863142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 02/23/2022] [Indexed: 11/21/2022] Open
Abstract
Rapid detection of Yersinia pestis, the causative agent of plague, is essential during field investigations to enable prompt control measures for prevention of the spread of the disease. Affordable, efficient, reliable, and simple detection assays are extremely useful, particularly in plague-endemic regions with limited resources. We developed a loop-mediated isothermal amplification (LAMP) assay that detects Y. pestis within 30 min by simply incubating at 65°C on a dry bath heater. The assay targeted the caf1A gene that is situated on the pMT1 plasmid using six specific primers. Y. pestis presence is visually detected based on the color change in the reactions. For comparison of the assay performance, a real-time LAMP with fluorescent dye detection was conducted on a real-time PCR instrument using the same six primers. Sensitivity assessment showed that the limit of detection (LOD) was 0.2 and 0.03 pg when performed on the dry bath heater and on the real-time PCR instrument, respectively. The assay was 100% specific, having no cross-reactivity with closely related Yersinia spp. and other bacterial species. We tested the LAMP assay on field-collected fleas and showed that it successfully detected Y. pestis with identical results to that of a previously published pentaplex real-time PCR assay. These findings suggest that the relatively inexpensive and simpler LAMP assay could be used to support field investigations, yielding comparable results to more expensive and complex PCR assays.
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Affiliation(s)
- Ying Bai
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States
| | - Maria Rosales Rizzo
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States
| | - Christina Parise
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States
| | - Sarah Maes
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States
| | - Rebecca J Eisen
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States
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Cunha M, Costa F, Ribeiro GS, Carvalho MS, Reis RB, Nery Jr N, Pischel L, Gouveia EL, Santos AC, Queiroz A, Wunder Jr. EA, Reis MG, Diggle PJ, Ko AI. Rainfall and other meteorological factors as drivers of urban transmission of leptospirosis. PLoS Negl Trop Dis 2022; 16:e0007507. [PMID: 35404948 PMCID: PMC9022820 DOI: 10.1371/journal.pntd.0007507] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 04/21/2022] [Accepted: 03/17/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Leptospirosis is an important public health problem affecting vulnerable urban slum populations in developing country settings. However, the complex interaction of meteorological factors driving the temporal trends of leptospirosis remain incompletely understood. METHODS AND FINDINGS From March 1996-March 2010, we investigated the association between the weekly incidence of leptospirosis and meteorological anomalies in the city of Salvador, Brazil by using a dynamic generalized linear model that accounted for time lags, overall trend, and seasonal variation. Our model showed an increase of leptospirosis cases associated with higher than expected rainfall, lower than expected temperature and higher than expected humidity. There was a lag of one-to-two weeks between weekly values for significant meteorological variables and leptospirosis incidence. Independent of the season, a weekly cumulative rainfall anomaly of 20 mm increased the risk of leptospirosis by 12% compared to a week following the expected seasonal pattern. Finally, over the 14-year study period, the annual incidence of leptospirosis decreased significantly by a factor of 2.7 (8.3 versus 3.0 per 100,000 people), independently of variations in climate. CONCLUSIONS Strategies to control leptospirosis should focus on avoiding contact with contaminated sources of Leptospira as well as on increasing awareness in the population and health professionals within the short time window after low-level or extreme high-level rainfall events. Increased leptospirosis incidence was restricted to one-to-two weeks after those events suggesting that infectious Leptospira survival may be limited to short time intervals.
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Affiliation(s)
- Marcelo Cunha
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Ministério da Saúde, Rio de Janeiro, Brazil
| | - Federico Costa
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil
- Faculty of Health and Medicine, University of Lancaster, Lancaster, United Kingdom
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
| | - Guilherme S. Ribeiro
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil
| | - Marilia S. Carvalho
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Ministério da Saúde, Rio de Janeiro, Brazil
| | - Renato B. Reis
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
| | - Nivison Nery Jr
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil
| | - Lauren Pischel
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
| | - Edilane L. Gouveia
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
| | - Andreia C. Santos
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
| | - Adriano Queiroz
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
| | - Elsio A. Wunder Jr.
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
| | - Mitermayer G. Reis
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
- Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil
| | - Peter J Diggle
- Faculty of Health and Medicine, University of Lancaster, Lancaster, United Kingdom
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
| | - Albert I. Ko
- Instituto de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Heaven, Connecticut, United States of America
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27
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Spatial-temporal patterns and risk factors for human leptospirosis in Thailand, 2012-2018. Sci Rep 2022; 12:5066. [PMID: 35332199 PMCID: PMC8948194 DOI: 10.1038/s41598-022-09079-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 03/16/2022] [Indexed: 01/04/2023] Open
Abstract
Leptospirosis is a globally important zoonotic disease. The disease is particularly important in tropical and subtropical countries. Infections in humans can be caused by exposure to infected animals or contaminated soil or water, which are suitable for Leptospira. To explore the cluster area, the Global Moran's I index was calculated for incidences per 100,000 population at the province level during 2012-2018, using the monthly and annual data. The high-risk and low-risk provinces were identified using the local indicators of spatial association (LISA). The risk factors for leptospirosis were evaluated using a generalized linear mixed model (GLMM) with zero-inflation. We also added spatial and temporal correlation terms to take into account the spatial and temporal structures. The Global Moran's I index showed significant positive values. It did not demonstrate a random distribution throughout the period of study. The high-risk provinces were almost all in the lower north-east and south parts of Thailand. For yearly reported cases, the significant risk factors from the final best-fitted model were population density, elevation, and primary rice crop arable areas. Interestingly, our study showed that leptospirosis cases were associated with large areas of rice production but were less prevalent in areas of high rice productivity. For monthly reported cases, the model using temperature range was found to be a better fit than using percentage of flooded area. The significant risk factors from the model using temperature range were temporal correlation, average soil moisture, normalized difference vegetation index, and temperature range. Temperature range, which has strongly negative correlation to percentage of flooded area was a significant risk factor for monthly data. Flood exposure controls should be used to reduce the risk of leptospirosis infection. These results could be used to develop a leptospirosis warning system to support public health organizations in Thailand.
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Abstract
Leptospirosis is a zoonotic disease caused by infection with pathogenic leptospires. Consistent with recent studies by other groups, leptospires were isolated from 89 out of 110 (80.9%) soil or water samples from varied locations in the Philippines in our surveillance study, indicating that leptospires might have a life cycle that does not involve animal hosts. However, despite previous work, it has not been confirmed whether leptospires multiply in the soil environment under various experimental conditions. Given the fact that the case number of leptospirosis is increased after flood, we hypothesized that waterlogged soil, which mimics the postflooding environment, could be a suitable condition for growing leptospires. To verify this hypothesis, pathogenic and saprophytic leptospires were seeded in the bottles containing 2.5 times as much water as soil, and bacterial counts in the bottles were measured over time. Pathogenic and saprophytic leptospires were found to increase their number in waterlogged soil but not in water or soil alone. In addition, leptospires were reisolated from soil in closed tubes for as long as 379 days. These results indicate that leptospires are in a resting state in the soil and are able to proliferate with increased water content in the environment. This notion is strongly supported by observations that the case number of leptospirosis is significantly higher in rainy seasons and increased after flood. Therefore, we reached the following conclusion: environmental soil is a potential reservoir of leptospires. IMPORTANCE Since research on Leptospira has focused on pathogenic leptospires, which are supposed to multiply only in animal hosts, the life cycle of saprophytic leptospires has long been a mystery. This study demonstrates that both pathogenic and saprophytic leptospires multiply in the waterlogged soil, which mimics the postflooding environment. The present results potentially explain why leptospirosis frequently occurs after floods. Therefore, environmental soil is a potential reservoir of leptospires and leptospirosis is considered an environment-borne as well as a zoonotic disease. This is a significant report to reveal that leptospires multiply under environmental conditions, and this finding leads us to reconsider the ecology of leptospires.
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Setyaningsih Y, Bahtiar N, Kartini A, Pradigdo SF, Saraswati LD. Presence of <em>Leptospira</em> sp. and leptospirosis risk factor analysis in Boyolali district, Indonesia. J Public Health Res 2022; 11:2144. [PMID: 35130689 PMCID: PMC8859725 DOI: 10.4081/jphr.2021.2144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 08/13/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Leptospirosis is a health problem that causes death in Indonesia. In 2017, Boyolali District was reported that the number of leptospirosis cases reached 40.62 per 100,000 population with a CFR of 23.52%. The determination of risk factors and Leptospira bacteria's presence in the body of water plays an essential role in the transmission of leptospirosis. DESIGN AND METHODS This study aims to determine the risk factors and Leptospira bacteria's presence in water bodies in Boyolali District. This research is descriptive research with a survey method using a cross-sectional design and an analytical study using an observational method with a case-control approach. The sample was 100 water samples from wells, rivers, and paddy fields in endemic and non-endemic areas of leptospirosis. This study's population was 34 people with leptospirosis in Boyolali Regency in January 2017 - August 2018. RESULTS There was a significant relationship between leptospirosis incidence in the Boyolali Regency with garbage, the pet presence, a history of injuries, and field activity. Leptospira bacteria are found in rivers (18.18%) and rice fields (6.67%), while in sub-districts with cases occur almost every year. Leptospira are found in wells (18.18%) and rice fields (6.67%). CONCLUSIONS People should pay more attention to home sanitation and the surrounding environment to avoid leptospirosis.
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Affiliation(s)
| | | | | | | | - Lintang Dian Saraswati
- Department of Epidemiology and Tropical Disease, Faculty of Public Health, Diponegoro University, Semaran,g Indonesia. Tel. +62.812.2916641.
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30
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Setyaningsih Y, Kartini A, Bahtiar N, Kartini A, Pradigdo SF, Saraswati L. Presence of <em>Leptospira</em> sp. and leptospirosis risk factor analysis in Boyolali district, Indonesia. J Public Health Res 2022. [PMID: 35130689 DOI: 10.4081/jphr.2022.2144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Leptospirosis is a health problem that causes death in Indonesia. In 2017, Boyolali District was reported that the number of leptospirosis cases reached 40.62 per 100,000 population with a CFR of 23.52%. The determination of risk factors and Leptospira bacteria's presence in the body of water plays an essential role in the transmission of leptospirosis. DESIGN AND METHODS This study aims to determine the risk factors and Leptospira bacteria's presence in water bodies in Boyolali District. This research is descriptive research with a survey method using a cross-sectional design and an analytical study using an observational method with a case-control approach. The sample was 100 water samples from wells, rivers, and paddy fields in endemic and non-endemic areas of leptospirosis. This study's population was 34 people with leptospirosis in Boyolali Regency in January 2017 - August 2018. RESULTS There was a significant relationship between leptospirosis incidence in the Boyolali Regency with garbage, the pet presence, a history of injuries, and field activity. Leptospira bacteria are found in rivers (18.18%) and rice fields (6.67%), while in sub-districts with cases occur almost every year. Leptospira are found in wells (18.18%) and rice fields (6.67%). CONCLUSIONS People should pay more attention to home sanitation and the surrounding environment to avoid leptospirosis.
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Affiliation(s)
| | - Apoina Kartini
- Faculty of Public Health, Diponegoro University, Semarang.
| | - Nurdin Bahtiar
- Faculty of Public Health, Diponegoro University, Semarang.
| | - Apoina Kartini
- Faculty of Public Health, Diponegoro University, Semarang.
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31
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Deenin W, Yakoh A, Kreangkaiwal C, Chailapakul O, Patarakul K, Chaiyo S. Integrated Lateral Flow Electrochemical Strip for Leptospirosis Diagnosis. Anal Chem 2022; 94:2554-2560. [PMID: 35089007 DOI: 10.1021/acs.analchem.1c04440] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
LipL32 is an outer membrane protein present only on pathogenic Leptospira species, which is the causative agent of leptospirosis. Leptospirosis symptoms are often misdiagnosed with other febrile illnesses as the clinical manifestations are non-specific. Therefore, an accurate diagnostic tool for leptospirosis is indeed critical for proper and prompt treatment. Typical diagnosis via serological assays is generally performed to assess the antibodies produced against Leptospira. However, their delayed antibody response and complicated procedure undoubtedly limit the practical utilization especially in a primary care setting. Here, we demonstrate for the first time an early-stage detection of LipL32 by an integrated lateral-flow immunoassay with an electrochemical readout (eLFIA). A ferrocene trace tag was monitored via differential pulse voltammetry operated on a smartphone-based device, thus allowing for on-field testing. A superior performance in terms of the lowest detectable limit of detection of 8.53 pg/mL and broad linear dynamic range (5 orders of magnitude) among other sensors available thus far was established. Additionally, the developed test strip provided a straightforward yet sensitive approach for diagnosis of leptospirosis using the collected human sera from patients, in which the results were comparable to the real-time polymerase chain reaction technique.
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Affiliation(s)
- Wanwisa Deenin
- Program in Biotechnology, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand.,Institute of Biotechnology and Genetic Engineering, Chulalongkorn University, Bangkok 10330, Thailand
| | - Abdulhadee Yakoh
- Institute of Biotechnology and Genetic Engineering, Chulalongkorn University, Bangkok 10330, Thailand.,Electrochemistry and Optical Spectroscopy Center of Excellence (EOSCE), Department of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand
| | - Chahya Kreangkaiwal
- Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand
| | - Orawon Chailapakul
- Electrochemistry and Optical Spectroscopy Center of Excellence (EOSCE), Department of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand
| | - Kanitha Patarakul
- Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand
| | - Sudkate Chaiyo
- Institute of Biotechnology and Genetic Engineering, Chulalongkorn University, Bangkok 10330, Thailand.,Electrochemistry and Optical Spectroscopy Center of Excellence (EOSCE), Department of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand.,Food Risk Hub, Research Unit of Chulalongkorn University, Bangkok 10330, Thailand
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32
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Hamond C, Browne AS, de Wilde LH, Hornsby RL, LeCount K, Anderson T, Stuber T, Cranford HM, Browne SK, Blanchard G, Horner D, Taylor ML, Evans M, Angeli NF, Roth J, Bisgard KM, Salzer JS, Schafer IJ, Ellis BR, Alt DP, Schlater L, Nally JE, Ellis EM. Assessing rodents as carriers of pathogenic Leptospira species in the U.S. Virgin Islands and their risk to animal and public health. Sci Rep 2022; 12:1132. [PMID: 35064157 PMCID: PMC8782869 DOI: 10.1038/s41598-022-04846-3] [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: 09/01/2021] [Accepted: 12/30/2021] [Indexed: 11/09/2022] Open
Abstract
Leptospirosis is a global zoonotic disease caused by pathogenic bacteria of the genus Leptospira. We sought to determine if rodents in U.S. Virgin Islands (USVI) are carriers of Leptospira. In total, 140 rodents were sampled, including 112 Mus musculus and 28 Rattus rattus. A positive carrier status was identified for 64/140 (45.7%); 49 (35.0%) were positive by dark-field microscopy, 60 (42.9%) by culture, 63 (45.0%) by fluorescent antibody testing, and 61 (43.6%) by real-time polymerase chain reaction (rtPCR). Molecular typing indicated that 48 isolates were L. borgpetersenii and 3 were L. kirschneri; the remaining nine comprised mixed species. In the single culture-negative sample that was rtPCR positive, genotyping directly from the kidney identified L. interrogans. Serotyping of L. borgpetersenii isolates identified serogroup Ballum and L. kirschneri isolates as serogroup Icterohaemorrhagiae. These results demonstrate that rodents are significant Leptospira carriers and adds to understanding the ecoepidemiology of leptospirosis in USVI.
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Affiliation(s)
- Camila Hamond
- APHIS, U.S. Department of Agriculture, National Veterinary Services Laboratories, Ames, IA, USA
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
| | - A Springer Browne
- Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
- Domestic Animal Health Analytics Team, Center for Epidemiology and Animal Health, United States Department of Agriculture, Fort Collins, CO, USA
| | - Leah H de Wilde
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
| | - Richard L Hornsby
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center-USDA-ARS, 1920 Dayton Avenue, Ames, IA, 50010, USA
| | - Karen LeCount
- APHIS, U.S. Department of Agriculture, National Veterinary Services Laboratories, Ames, IA, USA
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
| | - Tammy Anderson
- APHIS, U.S. Department of Agriculture, National Veterinary Services Laboratories, Ames, IA, USA
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
| | - Tod Stuber
- APHIS, U.S. Department of Agriculture, National Veterinary Services Laboratories, Ames, IA, USA
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
| | | | - Stephanie K Browne
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
- Council for State and Territorial Epidemiologists, Atlanta, GA, USA
| | - Gerard Blanchard
- U.S. Department of Agriculture, Wildlife Services, Charlotte Amalie, VI, USA
| | | | - Marissa L Taylor
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
| | - Michael Evans
- U.S. Fish and Wildlife Service, Fredericksted, VI, USA
| | - Nicole F Angeli
- U.S. Virgin Islands Department of Planning and Natural Resources, Fredericksted, VI, USA
| | - Joseph Roth
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
| | - Kristine M Bisgard
- Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Johanna S Salzer
- Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Ilana J Schafer
- Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Brett R Ellis
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
| | - David P Alt
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center-USDA-ARS, 1920 Dayton Avenue, Ames, IA, 50010, USA
| | - Linda Schlater
- APHIS, U.S. Department of Agriculture, National Veterinary Services Laboratories, Ames, IA, USA
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA
| | - Jarlath E Nally
- U.S. Department of Agriculture, NCAH Leptospira Working Group, Ames, IA, USA.
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center-USDA-ARS, 1920 Dayton Avenue, Ames, IA, 50010, USA.
| | - Esther M Ellis
- U.S. Virgin Islands Department of Health, Christiansted, VI, USA
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Phoka T, Fule L, Da Fonseca JP, Cokelaer T, Picardeau M, Patarakul K. Investigating the role of the carbon storage regulator A (CsrA) in Leptospira spp. PLoS One 2021; 16:e0260981. [PMID: 34898610 PMCID: PMC8668096 DOI: 10.1371/journal.pone.0260981] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 11/20/2021] [Indexed: 01/08/2023] Open
Abstract
Carbon Storage Regulator A (CsrA) is a well-characterized post-transcriptional global regulator that plays a critical role in response to environmental changes in many bacteria. CsrA has been reported to regulate several metabolic pathways, motility, biofilm formation, and virulence-associated genes. The role of csrA in Leptospira spp., which are able to survive in different environmental niches and infect a wide variety of reservoir hosts, has not been characterized. To investigate the role of csrA as a gene regulator in Leptospira, we generated a L. biflexa csrA deletion mutant (ΔcsrA) and csrA overexpressing Leptospira strains. The ΔcsrA L. biflexa displayed poor growth under starvation conditions. RNA sequencing revealed that in rich medium only a few genes, including the gene encoding the flagellar filament protein FlaB3, were differentially expressed in the ΔcsrA mutant. In contrast, 575 transcripts were differentially expressed when csrA was overexpressed in L. biflexa. Electrophoretic mobility shift assay (EMSA) confirmed the RNA-seq data in the ΔcsrA mutant, showing direct binding of recombinant CsrA to flaB3 mRNA. In the pathogen L. interrogans, we were not able to generate a csrA mutant. We therefore decided to overexpress csrA in L. interrogans. In contrast to the overexpressing strain of L. biflexa, the overexpressing L. interrogans strain had poor motility on soft agar. The overexpressing strain of L. interrogans also showed significant upregulation of the flagellin flaB1, flaB2, and flaB4. The interaction of L. interrogans rCsrA and flaB4 was confirmed by EMSA. Our results demonstrated that CsrA may function as a global regulator in Leptospira spp. under certain conditions that cause csrA overexpression. Interestingly, the mechanisms of action and gene targets of CsrA may be different between non-pathogenic and pathogenic Leptospira strains.
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Affiliation(s)
- Theerapat Phoka
- Medical Microbiology, Interdisciplinary and International Program, Graduate School, Chulalongkorn University, Bangkok, Thailand
| | - Lenka Fule
- Institut Pasteur, Biology of Spirochetes Unit, French National Reference Centre for Leptospirosis, Paris, France
| | - Juliana Pipoli Da Fonseca
- Plate-forme Technologique Biomics, Centre de Ressources et Recherches Technologiques (C2RT), Institut Pasteur, Paris, France
| | - Thomas Cokelaer
- Plate-forme Technologique Biomics, Centre de Ressources et Recherches Technologiques (C2RT), Institut Pasteur, Paris, France
- Hub de Bioinformatique et Biostatistique – Département Biologie Computationnelle, Institut Pasteur, Paris, France
| | - Mathieu Picardeau
- Institut Pasteur, Biology of Spirochetes Unit, French National Reference Centre for Leptospirosis, Paris, France
| | - Kanitha Patarakul
- Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, Thailand
- Chula Vaccine Research Center (Chula VRC), Center of Excellence in Vaccine Research and Development, Chulalongkorn University, Bangkok, Thailand
- * E-mail: ,
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34
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Casanovas-Massana A, Souza FN, Curry M, de Oliveira D, de Oliveira AS, Eyre MT, Santiago D, Santos MA, Serra RMR, Lopes E, Xavier BIA, Diggle PJ, Wunder EA, Reis MG, Ko AI, Costa F. Effect of Sewerage on the Contamination of Soil with Pathogenic Leptospira in Urban Slums. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2021; 55:15882-15890. [PMID: 34767339 PMCID: PMC9302045 DOI: 10.1021/acs.est.1c04916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Leptospirosis is an environmentally transmitted zoonotic disease caused by pathogenic Leptospira spp. that affects poor communities worldwide. In urban slums, leptospirosis is associated with deficient sanitary infrastructure. Yet, the role of sewerage in the reduction of the environmental contamination with pathogenic Leptospira has not been explored. Here, we conducted a survey of the pathogen in soils surrounding open and closed sewer sections in six urban slums in Brazil. We found that soils surrounding conventionally closed sewers (governmental interventions) were 3 times less likely to contain pathogenic Leptospira (inverse OR 3.44, 95% CI = 1.66-8.33; p < 0.001) and contained a 6 times lower load of the pathogen (0.82 log10 units difference, p < 0.01) when compared to their open counterparts. However, no differences were observed in community-closed sewers (poor-quality closings performed by the slum dwellers). Human fecal markers (BacHum) were positively associated with pathogenic Leptospira even in closed sewers, and rat presence was not predictive of the presence of the pathogen in soils, suggesting that site-specific rodent control may not be sufficient to reduce the environmental contamination with Leptospira. Overall, our results indicate that sewerage expansion to urban slums may help reduce the environmental contamination with the pathogen and therefore reduce the risk of human leptospirosis.
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Affiliation(s)
- Arnau Casanovas-Massana
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States
| | - Fabio Neves Souza
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Melanie Curry
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States
| | - Daiana de Oliveira
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Anderson S. de Oliveira
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Max T. Eyre
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil; Centre for Health Informatics, Computing, and Statistics, Lancaster University Medical School, Lancaster LA1 4YW, United Kingdom
| | - Diogo Santiago
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil
| | - Maísa Aguiar Santos
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Rafael M. R. Serra
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Evelyn Lopes
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil
| | - Barbara IA Xavier
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil
| | - Peter J. Diggle
- Centre for Health Informatics, Computing, and Statistics, Lancaster University Medical School, Lancaster LA1 4YW, United Kingdom
| | - Elsio A. Wunder
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Mitermayer G. Reis
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil; Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, Bahia 40026-010, Brazil
| | - Albert I. Ko
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
| | - Federico Costa
- Department of Epidemiology of Microbial Diseases, School of Public Health, Yale University, New Haven, Connecticut 06511, United States; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia 40110-040, Brazil; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia 40296-710, Brazil
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Obaidat MM, Malania L, Bani Salman AE, Dreyfus A, Arner RJ, Roess AA. Seroprevalence and risk factors of Leptospira sp. among different groups in the Jordanian population: first study. Trans R Soc Trop Med Hyg 2021; 115:1260-1264. [PMID: 34555845 DOI: 10.1093/trstmh/trab147] [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] [Received: 04/29/2021] [Revised: 06/22/2021] [Accepted: 09/06/2021] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Leptospirosis is re-emerging as a major public health problem worldwide. However, there are limited data on the disease from the Middle East, including from Jordan, despite recent outbreaks occurring in Jordan's neighbouring countries. METHODS Sera samples from 809 participants in 11 governorates were tested for Leptospira sp. seropositivity to determine the seroprevalence and risk factors of Leptospira sp. in Jordan. RESULTS Overall, 3.3% (95% confidence interval [CI] 2.2 to 4.8) of individuals tested were seropositive for Leptospira antibodies. Individuals who drink surface water (spring or rain water) had 5.69 (95% CI 2.57 to 12.60) higher odds of seropositivity compared with individuals who used municipal or filtered water, after controlling for age and practicing horticulture. CONCLUSIONS This is the first seroprevalence study of Leptospira sp. in Jordan and included important data on environmental and animal exposures.
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Affiliation(s)
- M M Obaidat
- Department of Veterinary Pathology and Public Health, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Ar-Ramtha, Irbid, Jordan
| | - L Malania
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - A E Bani Salman
- Department of Veterinary Pathology and Public Health, Faculty of Veterinary Medicine, Jordan University of Science and Technology, Ar-Ramtha, Irbid, Jordan
| | - A Dreyfus
- Swiss Tropical and Public Health Institute Socinstrasse 57, 4051 Basel, Switzerland.,Institute Pasteur de Madagascar, B.P. 1274, 101 Antananarivo, Madagascar
| | - R J Arner
- Ryan Arner Science Consulting, Freeport, PA, USA
| | - A A Roess
- Department of Global Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA.,Department of Global and Community Health, College of Health and Human Services, George Mason University, 4400 University Blvd., Fairfax, VA, USA
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Md-Lasim A, Mohd-Taib FS, Abdul-Halim M, Mohd-Ngesom AM, Nathan S, Md-Nor S. Leptospirosis and Coinfection: Should We Be Concerned? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179411. [PMID: 34502012 PMCID: PMC8431591 DOI: 10.3390/ijerph18179411] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 08/05/2021] [Accepted: 08/23/2021] [Indexed: 11/16/2022]
Abstract
Pathogenic Leptospira is the causative agent of leptospirosis, an emerging zoonotic disease affecting animals and humans worldwide. The risk of host infection following interaction with environmental sources depends on the ability of Leptospira to persist, survive, and infect the new host to continue the transmission chain. Leptospira may coexist with other pathogens, thus providing a suitable condition for the development of other pathogens, resulting in multi-pathogen infection in humans. Therefore, it is important to better understand the dynamics of transmission by these pathogens. We conducted Boolean searches of several databases, including Google Scholar, PubMed, SciELO, and ScienceDirect, to identify relevant published data on Leptospira and coinfection with other pathogenic bacteria. We review the role of the host-microbiota in determining the synanthropic interaction of Leptospira sp. with other bacteria, thus creating a suitable condition for the leptospira to survive and persist successfully. We also discuss the biotic and abiotic factors that amplify the viability of Leptospira in the environment. The coinfection of leptospira with pathogenic bacteria has rarely been reported, potentially contributing to a lack of awareness. Therefore, the occurrence of leptospirosis coinfection may complicate diagnosis, long-lasting examination, and mistreatment that could lead to mortality. Identifying the presence of leptospirosis with other bacteria through metagenomic analysis could reveal possible coinfection. In conclusion, the occurrence of leptospirosis with other diseases should be of concern and may depend on the success of the transmission and severity of individual infections. Medical practitioners may misdiagnose the presence of multiple infections and should be made aware of and receive adequate training on appropriate treatment for leptospirosis patients. Physicians could undertake a more targeted approach for leptospirosis diagnosis by considering other symptoms caused by the coinfected bacteria; thus, more specific treatment could be given.
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Affiliation(s)
- Asmalia Md-Lasim
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, UKM, Bangi 43600, Selangor, Malaysia; (A.M.-L.); (S.N.); (S.M.-N.)
- Herbal Medicine Research Centre (HMRC), Institute for Medical Research (IMR), National Institue of Health (NIH), Ministry of Health, Shah Alam 40170, Selangor, Malaysia
| | - Farah Shafawati Mohd-Taib
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, UKM, Bangi 43600, Selangor, Malaysia; (A.M.-L.); (S.N.); (S.M.-N.)
- Correspondence: ; Tel.: +60-12-3807701
| | - Mardani Abdul-Halim
- Biotechnology Research Institute, Universiti Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Sabah, Malaysia;
| | - Ahmad Mohiddin Mohd-Ngesom
- Center for Toxicology and Health Risk, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Federal Territory of Kuala Lumpur, Malaysia;
| | - Sheila Nathan
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, UKM, Bangi 43600, Selangor, Malaysia; (A.M.-L.); (S.N.); (S.M.-N.)
| | - Shukor Md-Nor
- Department of Biological Sciences and Biotechnology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, UKM, Bangi 43600, Selangor, Malaysia; (A.M.-L.); (S.N.); (S.M.-N.)
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Richard E, Bourhy P, Picardeau M, Moulin L, Wurtzer S. Effect of disinfection agents and quantification of potentially viable Leptospira in fresh water samples using a highly sensitive integrity-qPCR assay. PLoS One 2021; 16:e0251901. [PMID: 34038443 PMCID: PMC8153454 DOI: 10.1371/journal.pone.0251901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 05/05/2021] [Indexed: 12/13/2022] Open
Abstract
Leptospirosis is an emerging worldwide zoonotic disease, but the general biology of the causative agents is still poorly understood. Humans are an occasional host. The main risk factors are water-associated exposure during professional or recreational activities or during outbreaks in endemic areas. Detecting the presence of pathogenic bacteria in aquatic environments and their capacity to resist various inactivation processes are research fields that need to be further developed. In addition, the methods used for detecting and enumerating Leptospira still need to be improved. We aimed to describe a new quantitative polymerase chain reaction coupled to propidium monoazide treatment (PMAqPCR) that targets not only total Leptospira but also discriminates pathogenic from non-pathogenic Leptospira while also addressing PCR inhibitors, a frequently encountered problem when studying environmental water. In a second step, the killing efficiency of Leptospira to different treatments was tested and PMAqPCR compared to culture-based enumeration. This provided information about the effects of temperature, as well as ultraviolet and chlorine disinfection, that are both related to water treatment processes, in particular for the production of drinking water, on the persistence of both saprophytic and pathogenic Leptospira. Finally, PMAqPCR was used for the detection of Leptospira in freshwater samples for a proof-of-concept. In conclusion, our method could be used for routine freshwater monitoring and allows better evaluation of the presence of Leptospira, allowing evaluation of the bacterial dynamics in a designated area or assessment of the efficacy of water disinfection processes.
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Affiliation(s)
- Elise Richard
- Eau de Paris, DRDQE, Ivry-Sur-Seine, France
- Institut Pasteur, Unité Biologie des Spirochètes, Paris, France
| | - Pascale Bourhy
- Institut Pasteur, Unité Biologie des Spirochètes, Paris, France
| | - Mathieu Picardeau
- Institut Pasteur, Unité Biologie des Spirochètes, Paris, France
- * E-mail: (MP); (LM)
| | - Laurent Moulin
- Eau de Paris, DRDQE, Ivry-Sur-Seine, France
- * E-mail: (MP); (LM)
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Eisfeld C, van der Wolf JM, van Breukelen BM, Medema G, Velstra J, Schijven JF. Die-off of plant pathogenic bacteria in tile drainage and anoxic water from a managed aquifer recharge site. PLoS One 2021; 16:e0250338. [PMID: 33951075 PMCID: PMC8099070 DOI: 10.1371/journal.pone.0250338] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 04/05/2021] [Indexed: 11/19/2022] Open
Abstract
Managed aquifer recharge (MAR) can provide irrigation water and overcome water scarcity in agriculture. Removal of potentially present plant pathogens during MAR is essential to prevent crop diseases. We studied the die-off of three plant pathogenic bacteria in water microcosms with natural or filtered tile drainage water (TDW) at 10 and 25°C and with natural anoxic aquifer water (AW) at 10°C from a MAR site. These bacteria were: Ralstonia solanacearum (bacterial wilt), and the soft rot Pectobacteriaceae (SRP) Dickeya solani and Pectobacterium carotovorum sp. carotovorum (soft rot, blackleg). They are present in surface waters and cause destructive crop diseases worldwide which have been linked to contaminated irrigation water. Nevertheless, little is known about the survival of the SRP in aqueous environments and no study has investigated the persistence of R. solanacearum under natural anoxic conditions. We found that all bacteria were undetectable in 0.1 mL samples within 19 days under oxic conditions in natural TDW at 10°C, using viable cell counting, corresponding to 3-log10 reduction by die-off. The SRP were no longer detected within 6 days at 25°C, whereas R. solanacearum was detectable for 25 days. Whereas in anoxic natural aquifer water at 10°C, the bacterial concentrations declined slower and the detection limit was reached within 56 days. Finally, we modelled the inactivation curves with a modified Weibull model that can simulate different curve shapes such as shoulder phenomena in the beginning and long tails reflecting persistent bacterial populations. The non-linear model was shown to be a reliable tool to predict the die-off of the analysed plant pathogenic bacteria, suggesting its further application to other pathogenic microorganisms in the context of microbial risk assessment.
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Affiliation(s)
- Carina Eisfeld
- Faculty of Civil Engineering and Geosciences, Department of Water Management, Delft University of Technology, Delft, The Netherlands
| | | | - Boris M. van Breukelen
- Faculty of Civil Engineering and Geosciences, Department of Water Management, Delft University of Technology, Delft, The Netherlands
| | - Gertjan Medema
- Faculty of Civil Engineering and Geosciences, Department of Water Management, Delft University of Technology, Delft, The Netherlands
- KWR Watercycle Research Institute, Nieuwegein, The Netherlands
| | | | - Jack F. Schijven
- Department of Earth Sciences, Environmental Hydrogeology Group, Utrecht University, Utrecht, The Netherlands
- Department of Statistics, Informatics and Modelling, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
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Lambert A. Leptospira spp. Toolbox for Chemotaxis Assay. Methods Mol Biol 2021; 2134:123-130. [PMID: 32632864 DOI: 10.1007/978-1-0716-0459-5_11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A toolbox for chemotaxis assay adapted to Leptospira spp. has emerged in the recent years: soft agar assay, capillary assay, and videomicroscopy tracking. Those methods allow to demonstrate chemotaxis defect, identify diverse chemoattractants, or decipher motile behavior quantitatively. These experiments have demonstrated a role of motility and potentially chemotaxis in leptospirosis pathogenesis. We describe extensively the methods and provide the key steps to use this toolbox.
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Affiliation(s)
- Ambroise Lambert
- ERRMECe, Equipe de Recherche sur les Relations Matrice Extracellulaire-Cellules, Institut des matériaux I-MAT, Université de Cergy-Pontoise, Maison Internationale de la Recherche, Neuville sur Oise, France.
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Abstract
European orthohantaviruses (Puumala orthohantavirus (PUUV); Dobrava-Belgrade orthohantavirus (DOBV), genotype Kurkino; Tula orthohantavirus (TULV)), and Leptospira spp. are small mammal-associated zoonotic pathogens that cause diseases with potentially similar symptoms in humans. We investigated the frequency of Leptospira spp. and hantavirus single and double infections in small mammals from 22 sites in Thuringia, central Germany, during 2017. TULV infections were detected at 18 of 22 sites (mean prevalence 13.8%, 93/674). PUUV infections were detected at four of 22 sites (mean prevalence 1.5%, 7/471), and respective PUUV sequences formed a novel phylogenetic clade, but DOBV infections were not detected at all. Leptospira infections were detected at 21 of 22 sites with the highest overall prevalence in field voles (Microtus agrestis) with 54.5% (6/11) and common voles (Microtus arvalis) with 30.3% (205/676). Leptospira–hantavirus coinfections were found in 6.6% (44/671) of common voles but only in two of 395 bank voles. TULV and Leptospira coinfection probability in common voles was driven by individual (age) and population-level factors. Coinfections seemed to be particularly associated with sites where Leptospira spp. prevalence exceeded 35%. Future investigations should evaluate public health consequences of this strong spatial clustering of coinfections.
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Galarde-López M, Bobadilla-Del Valle M, Sánchez-Zamorano LM, Ordaz-Vázquez A, Velazquez-Meza ME, Soberanis-Ramos O. High exposure to pathogenic leptospires by the population residing in dairy farms in Hidalgo, Mexico. Braz J Microbiol 2021; 52:1013-1019. [PMID: 33580866 DOI: 10.1007/s42770-021-00453-y] [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] [Received: 09/02/2020] [Accepted: 02/06/2021] [Indexed: 11/28/2022] Open
Abstract
Leptospirosis is a neglected zoonotic disease of unknown magnitude that has been overlooked and underreported, influenced by complex interactions established among humans, animals, and the environment; certain occupations, such as working with livestock, have an increased risk of exposure. We conducted a cross trans-sectional study in 374 serum samples obtained from workers and residents of dairy farms in the Tizayuca Basin, Hidalgo, Mexico, to determine the prevalence of anti-Leptospira antibody and the risk factors associated to this type of environment. The determination of anti-Leptospira antibodies was obtained by microscopic agglutination test. Seropositivity was defined from titles > 1:100. Seropositivity of anti-Leptospira antibodies among the population was 46.8% (176/374) (95% Cl 41.9-52.1). Thirty-nine percent (146/74) of the analyzed serum reacted to the Hardjo serovar (Sejröe serogroup). Eighty-eight percent (8/9) slaughterhouse workers tested were seropositive. Those who belonged to an ethnic group had OR 1.78 (IC 1.02-3.11, P = 0.041). Seropositivity was associated with having a secondary school level or lower, with OR 1.79 (IC 0.97-3.29, P = 0.058). Exposure to Leptospira in a dairy production farm is a risk factor for humans. Our findings can contribute to strengthening the intervention of the Public Health System to prevent this zoonosis that prevails in dairy farm environments.
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Affiliation(s)
- Miguel Galarde-López
- Centro de Investigación Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, 62100, Cuernavaca, Morelos, Mexico
| | - Miriam Bobadilla-Del Valle
- Laboratorio Nacional de Máxima Seguridad para el Estudio de Tuberculosis y Enfermedades Emergentes, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Tlalpan, 14080, Mexico City, Mexico
| | - Luisa María Sánchez-Zamorano
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, 62100, Cuernavaca, Morelos, Mexico
| | - Anabel Ordaz-Vázquez
- Laboratorio Nacional de Máxima Seguridad para el Estudio de Tuberculosis y Enfermedades Emergentes, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Tlalpan, 14080, Mexico City, Mexico
| | - Maria Elena Velazquez-Meza
- Centro de Investigación Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, 62100, Cuernavaca, Morelos, Mexico
| | - Orbelín Soberanis-Ramos
- Departamento de Salud Pública y Medicina Preventiva, Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional Autónoma de México, Coyoacan, 04510, Mexico City, Mexico.
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Human, animal, water source interactions and leptospirosis in Thailand. Sci Rep 2021; 11:3215. [PMID: 33547388 PMCID: PMC7864926 DOI: 10.1038/s41598-021-82290-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 01/18/2021] [Indexed: 12/03/2022] Open
Abstract
In Thailand, leptospirosis is primarily associated with those who work in agricultural occupations. Leptospirosis control is hampered by a poor understanding of the complex interactions between humans, animal reservoirs, Leptospira, and the variable spatial environment in which these factors coexist. We aimed to address key knowledge gaps concerning leptospirosis disease dynamics and the human–animal–water-source interface in two high-risk areas in Thailand. We conducted a cross-sectional survey among 746 study participants in two high-risk areas for leptospirosis in Thailand: Sisaket (SSK) and Nakhon Si Thammarat (NST). Interactions among humans, animals and water sources were quantified and analyzed. The presence of different animal species and thus contact patterns were different in NST and SSK. The consumption of water from the shared sources between the two areas was different. Those whose occupations were related to animals or environmental water and those who consumed water from more than two sources were more likely to have been infected with leptospirosis, with adjusted odds ratios 4.31 (95% CI 1.17–15.83) and 10.74 (95% CI 2.28–50.53), respectively. Understanding specific water-source sharing networks and human–animal contact patterns is useful when designing national and area-specific control programmes to prevent and control leptospirosis outbreaks.
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Wunder EA, Adhikarla H, Hamond C, Owers Bonner KA, Liang L, Rodrigues CB, Bisht V, Nally JE, Alt DP, Reis MG, Diggle PJ, Felgner PL, Ko A. A live attenuated-vaccine model confers cross-protective immunity against different species of the Leptospira genus. eLife 2021; 10:e64166. [PMID: 33496263 PMCID: PMC7837694 DOI: 10.7554/elife.64166] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 12/23/2020] [Indexed: 12/24/2022] Open
Abstract
Leptospirosis is the leading zoonotic disease in terms of morbidity and mortality worldwide. Effective prevention is urgently needed as the drivers of disease transmission continue to intensify. The key challenge has been developing a widely applicable vaccine that protects against the >300 serovars that can cause leptospirosis. Live attenuated mutants are enticing vaccine candidates and poorly explored in the field. We evaluated a recently characterized motility-deficient mutant lacking the expression of a flagellar protein, FcpA. Although the fcpA- mutant has lost its ability to cause disease, transient bacteremia was observed. In two animal models, immunization with a single dose of the fcpA- mutant was sufficient to induce a robust anti-protein antibodies response that promoted protection against infection with different pathogenic Leptospira species. Furthermore, characterization of the immune response identified a small repertoire of biologically relevant proteins that are highly conserved among pathogenic Leptospira species and potential correlates of cross-protective immunity.
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Affiliation(s)
- Elsio A Wunder
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
- Gonçalo Moniz Institute, Oswaldo Cruz Foundation; Brazilian Ministry of HealthSalvadorBrazil
| | - Haritha Adhikarla
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
| | - Camila Hamond
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
| | - Katharine A Owers Bonner
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
| | - Li Liang
- Department of Medicine, Division of Infectious Disease; University of California IrvineIrvineUnited States
| | - Camila B Rodrigues
- Department of Medicine, Division of Infectious Disease; University of California IrvineIrvineUnited States
- Institute of Technology in Immunobiology, Oswaldo Cruz Foundation; Brazilian Ministry of HealthRio de JaneiroBrazil
| | - Vimla Bisht
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
| | - Jarlath E Nally
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service; United States Department of AgricultureAmesUnited States
| | - David P Alt
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service; United States Department of AgricultureAmesUnited States
| | - Mitermayer G Reis
- Gonçalo Moniz Institute, Oswaldo Cruz Foundation; Brazilian Ministry of HealthSalvadorBrazil
| | - Peter J Diggle
- CHICAS, Lancaster Medical School; Lancaster UniversityLancasterUnited Kingdom
| | - Philip L Felgner
- Department of Medicine, Division of Infectious Disease; University of California IrvineIrvineUnited States
| | - Albert Ko
- Department of Epidemiology of Microbial Diseases; Yale School of Public HealthNew HavenUnited States
- Gonçalo Moniz Institute, Oswaldo Cruz Foundation; Brazilian Ministry of HealthSalvadorBrazil
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Ehelepola NDB, Ariyaratne K, Dissanayake DS. The interrelationship between meteorological parameters and leptospirosis incidence in Hambantota district, Sri Lanka 2008-2017 and practical implications. PLoS One 2021; 16:e0245366. [PMID: 33481868 PMCID: PMC7822256 DOI: 10.1371/journal.pone.0245366] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 12/28/2020] [Indexed: 12/27/2022] Open
Abstract
Background Leptospirosis is a bacterial zoonosis. Leptospirosis incidence (LI) in Sri Lanka is high. Infected animals pass leptospires to the environment with their urine. Leprospires' survival in the environment to infect a new host depends on meteorological factors. El Nino Southern Oscillation (ENSO) and Indian Ocean Dipole (IOD) modulate the weather in Sri Lanka. Objectives The determination of interrelationship between the LI in the Hambantota District, and local meteorological parameters, ENSO and IOD. Methods We acquired notified leptospirosis cases in the Hambantota District and population data. We calculated weekly leptospirosis incidences for 2008 to 2017.Weather data from two weather stations was obtained, averaged and converted into weekly data. We plotted time series graphs and observed the correlation between seven aggregated weather parameters and LI. We estimated cross-correlations between those weather parameters and LI. As our principal analysis we determined correlation between LI and seven local weather parameters, Nino 3.4, Nino4 and Dipole Mode Index (DMI) indices using wavelet analysis. Results Our wavelet analysis results showed troughs of minimum, maximum, mean temperatures, soil temperature, the evaporation rate, the duration of sunshine were followed by peaks in LI and peaks of rainfall followed by peaks of LI, all after lag periods. Our time series graphs and cross-correlation determination results are generally in agreement with these results. However there was no significant correlation between rainfall and LI in the cross-correlation analysis. There were peaks of LI following both peaks and troughs of DMI. There was no clear correlation between both Nino indices and LI. Discussion This may be the first long-term study demonstrating soil temperature, evaporation rate and IOD are correlating with LI. The correlation pattern of LI with temperature parameters differs from similar past studies and we explain the reasons. We propose ways to control high LI we observed after periods of weather favorable for transmission of leptospirosis.
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Affiliation(s)
- N. D. B. Ehelepola
- The Teaching (General) Hospital–Peradeniya, Peradeniya, Sri Lanka
- * E-mail:
| | | | - D. S. Dissanayake
- Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
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Shafie NJ, Abdul Halim NS, Nor Zalipah M, Mohd Amin NAZ, Syed Esa SM, Md-Nor S, Casanovas-Massana A, Ko AI, Palma F, Neves Souza F, Costa F. Knowledge, Attitude, and Practices regarding Leptospirosis among Visitors to a Recreational Forest in Malaysia. Am J Trop Med Hyg 2021; 104:1290-1296. [PMID: 33534768 PMCID: PMC8045624 DOI: 10.4269/ajtmh.20-0306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 12/06/2020] [Indexed: 11/21/2022] Open
Abstract
Leptospirosis is a zoonotic disease and a worldwide public health problem that affects mainly high-risk groups. Characterizing knowledge, attitude, and practice (KAP) among high-risk groups is important to develop appropriate prevention programs. Here, we performed a cross-sectional study among 300 visitors of a recreational forest in Malaysia to examine leptospirosis KAP and demographics. These variables were integrated to create knowledge and practice scores for each respondent. All respondents had heard about leptospirosis, and 87% of them correctly identified it as a disease. The majority of respondents had high knowledge (63%), positive attitude, and good practice (68%) toward prevention of the disease. However, there were gaps in knowledge, with 78% of the respondents indicating eating without washing hands as the major cause of leptospirosis transmission. Our final model identified that higher knowledge score was associated with higher practice score. Our results indicate that it is important to increase knowledge, especially on transmission routes of leptospirosis, among visitors in recreational areas. Moreover, more attention needs to be paid to promote good practice habits among visitors, targeting those at higher risk of being infected by leptospirosis to prevent potential outbreaks in the recreational areas.
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Affiliation(s)
- Nur Juliani Shafie
- Faculty of Science and Marine Environment, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | | | - Mohamed Nor Zalipah
- Faculty of Science and Marine Environment, Universiti Malaysia Terengganu, Terengganu, Malaysia
| | | | | | - Shukor Md-Nor
- School of Environmental and Natural Resource Sciences, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Arnau Casanovas-Massana
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut
| | - Albert I. Ko
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut
- Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador, Bahia, Brazil
| | - Fabiana Palma
- Institute of Collective Health, Federal University of Bahia, UFBA, Salvador, Brazil
| | - Fabio Neves Souza
- Institute of Collective Health, Federal University of Bahia, UFBA, Salvador, Brazil
| | - Federico Costa
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut
- Institute of Collective Health, Federal University of Bahia, UFBA, Salvador, Brazil
- Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador, Bahia, Brazil
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46
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Miller E, Barragan V, Chiriboga J, Weddell C, Luna L, Jiménez DJ, Aleman J, Mihaljevic JR, Olivas S, Marks J, Izurieta R, Nieto N, Keim P, Trueba G, Caporaso JG, Pearson T. Leptospira in river and soil in a highly endemic area of Ecuador. BMC Microbiol 2021; 21:17. [PMID: 33413126 PMCID: PMC7792295 DOI: 10.1186/s12866-020-02069-y] [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: 10/13/2020] [Accepted: 12/10/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Leptospira are shed into the environment via urine of infected animals. Rivers are thought to be an important risk factor for transmission to humans, though much is unknown about the types of environment or characteristics that favor survival. To address this, we screened for Leptospira DNA in two rivers in rural Ecuador where Leptospirosis is endemic. RESULTS We collected 112 longitudinal samples and recorded pH, temperature, river depth, precipitation, and dissolved oxygen. We also performed a series of three experiments designed to provide insight into Leptospira presence in the soil. In the first soil experiment, we characterized prevalence and co-occurrence of Leptospira with other bacterial taxa in the soil at dispersed sites along the rivers (n = 64). In the second soil experiment, we collected 24 river samples and 48 soil samples at three points along eight transects to compare the likelihood of finding Leptospira in the river and on the shore at different distances from the river. In a third experiment, we tested whether Leptospira presence is associated with soil moisture by collecting 25 soil samples from two different sites. In our river experiment, we found pathogenic Leptospira in only 4 (3.7%) of samples. In contrast, pathogenic Leptospira species were found in 22% of shore soil at dispersed sites, 16.7% of soil samples (compared to 4.2% of river samples) in the transects, and 40% of soil samples to test for associations with soil moisture. CONCLUSIONS Our data are limited to two sites in a highly endemic area, but the scarcity of Leptospira DNA in the river is not consistent with the widespread contention of the importance of river water for leptospirosis transmission. While Leptospira may be shed directly into the river, onto the shores, or washed into the river from more remote sites, massive dilution and limited persistence in rivers may reduce the environmental load and therefore, the epidemiological significance of such sources. It is also possible that transmission may occur more frequently on shores where people are liable to be barefoot. Molecular studies that further explore the role of rivers and water bodies in the epidemiology of leptospirosis are needed.
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Affiliation(s)
- Erin Miller
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA.,Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - Veronica Barragan
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA. .,Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA. .,Universidad San Francisco de Quito, Colegio de Ciencias Biologicas y Ambientales, Instituto de Microbiologia, Quito, Ecuador.
| | - Jorge Chiriboga
- Universidad San Francisco de Quito, Colegio de Ciencias Biologicas y Ambientales, Instituto de Microbiologia, Quito, Ecuador
| | - Chad Weddell
- College of Public Health, University of South Florida, Tampa, FL, USA
| | - Ligia Luna
- Universidad San Francisco de Quito, Colegio de Ciencias Biologicas y Ambientales, Instituto de Microbiologia, Quito, Ecuador
| | - Dulce J Jiménez
- Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - John Aleman
- Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - Joseph R Mihaljevic
- School of Informatics, Computing and Cyber Systems, Northern Arizona University, Flagstaff, AZ, USA
| | - Sonora Olivas
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA
| | - Jane Marks
- Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.,The Center for Ecosystem Science and Society, Northern Arizona University, Flagstaff, AZ, USA
| | - Ricardo Izurieta
- College of Public Health, University of South Florida, Tampa, FL, USA
| | - Nathan Nieto
- Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - Paul Keim
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA.,Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - Gabriel Trueba
- Universidad San Francisco de Quito, Colegio de Ciencias Biologicas y Ambientales, Instituto de Microbiologia, Quito, Ecuador
| | - J Gregory Caporaso
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA.,Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA
| | - Talima Pearson
- The Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, USA. .,Department of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
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47
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Chaiwattanarungruengpaisan S, Thepapichaikul W, Paungpin W, Ketchim K, Suwanpakdee S, Thongdee M. Potentially Pathogenic Leptospira in the Environment of an Elephant Camp in Thailand. Trop Med Infect Dis 2020; 5:tropicalmed5040183. [PMID: 33291225 PMCID: PMC7768412 DOI: 10.3390/tropicalmed5040183] [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] [Received: 08/31/2020] [Revised: 12/01/2020] [Accepted: 12/02/2020] [Indexed: 11/16/2022] Open
Abstract
Leptospira is the causative agent of leptospirosis, a globally emerging zoonotic disease. The infection is commonly acquired through contact with the contaminated environment. To extend the knowledge on environmental source of leptospirosis, we investigated the presence of Leptospira in an elephant camp setting where the interaction between humans, animals, and the shared environment occur particularly when engaging in recreational activities. In this study, a total of 24 environmental samples were collected from an elephant camp area in western Thailand. All samples were processed for Leptospira isolation using the EMJH medium. The identification of Leptospira species was carried out by partial 16S rRNA and secY gene sequencing. Of those 24 samples, 18 samples (75%) were culture-positive for Leptospira. The recovered leptospires were mostly derived from water and soil sampled from a river and a mud pond, the main areas for recreational activities. The majority of the isolates were classified into “Pathogens” clade (89%, 16/18) and more than half of the isolates (61%, 11/18) contained species of the “Saprophytes” clade. Notably, two soil isolates from the river beach sampling area were found to contain leptospiral DNA with high similarity to the pathogenic L. interrogans and L. santarosai. The evidence of diverse Leptospira species, particularly those belonging to the “Pathogens” clade, suggest that the shared environments of an elephant camp can serve as potential infection source and may pose a risk to the elephant camp tourists and workers.
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Affiliation(s)
- Somjit Chaiwattanarungruengpaisan
- The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand; (S.C.); (W.P.); (K.K.); (S.S.)
| | - Wasinee Thepapichaikul
- Livestock and Wildlife Hospital, Faculty of Veterinary Science, Mahidol University, Sai Yok, Kanchanaburi 71150, Thailand;
| | - Weena Paungpin
- The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand; (S.C.); (W.P.); (K.K.); (S.S.)
| | - Kanokwan Ketchim
- The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand; (S.C.); (W.P.); (K.K.); (S.S.)
| | - Sarin Suwanpakdee
- The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand; (S.C.); (W.P.); (K.K.); (S.S.)
- Department of Clinical Sciences and Public Health, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand
| | - Metawee Thongdee
- The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand; (S.C.); (W.P.); (K.K.); (S.S.)
- Correspondence: ; Tel.: +66-2441-5236
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48
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Nair N, Gomes-Solecki M. A Mouse Model of Sublethal Leptospirosis: Protocols for Infection with Leptospira Through Natural Transmission Routes, for Monitoring Clinical and Molecular Scores of Disease, and for Evaluation of the Host Immune Response. CURRENT PROTOCOLS IN MICROBIOLOGY 2020; 59:e127. [PMID: 33141517 PMCID: PMC7643393 DOI: 10.1002/cpmc.127] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Leptospirosis is a zoonotic disease caused by pathogenic Leptospira species that are maintained in sylvatic and domestic environments by transmission among rodents and other carriers. Humans become infected after contact of breached skin or mucosa with contaminated water or soil. Understanding persistent or sublethal infection in a host is critical for controlling human risk of exposure to pathogenic Leptospira. Animal models that recapitulate disease progression after infection via natural transmission routes are more appropriate for validation of vaccines and therapeutics. Furthermore, the ability to measure shedding of live Leptospira in urine of reservoir and carrier hosts can be used to develop new diagnostic assays and sensors to evaluate human risk of exposure. We developed inbred mouse models of Leptospirosis, that bypass survival as a criterion, in which we can analyze both pathogen and host factors affecting sublethal infection (<1 month), including shedding of Leptospira in urine. Mice are infected with pathogenic Leptospira using a physiologic route, and the clinical, histological, and molecular scores of disease are measured. Furthermore, the host immune response to Leptospira is evaluated. This mouse model also provides a tool in which to test fundamental hypotheses related to host-pathogen interactions and the immune mechanisms engaged in protective and pathogenic immune responses. © 2020 Wiley Periodicals LLC Basic Protocol 1: Culture and maintenance of virulent Leptospira Basic Protocol 2: Infection of mice through a physiologic route and collection of clinical scores and biological samples Basic Protocol 3: Analysis of pathogenesis after Leptospira infection.
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Affiliation(s)
- Nisha Nair
- Department of Microbiology, Immunology and Biochemistry, The University of Tennessee Health Science Center, Memphis, TN, USA
| | - Maria Gomes-Solecki
- Department of Microbiology, Immunology and Biochemistry, The University of Tennessee Health Science Center, Memphis, TN, USA
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49
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Peterson AC, Ghersi BM, Riegel C, Wunder EA, Childs JE, Blum MJ. Amplification of pathogenic Leptospira infection with greater abundance and co-occurrence of rodent hosts across a counter-urbanizing landscape. Mol Ecol 2020; 30:2145-2161. [PMID: 33107122 DOI: 10.1111/mec.15710] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2019] [Revised: 10/12/2020] [Accepted: 10/15/2020] [Indexed: 01/20/2023]
Abstract
Land use change can elevate disease risk by creating conditions beneficial to species that carry zoonotic pathogens. Observations of concordant global trends in increased pathogen prevalence or disease incidence and landscape change have generated concerns that urbanization could increase transmission risk of some pathogens. Yet host-pathogen relationships underlying transmission risk have not been well characterized within cities, even where contact between humans and species capable of transmitting pathogens of concern occurs. We addressed this deficit by testing the hypothesis that areas in cities experiencing greater population loss and infrastructure decline (i.e., counter-urbanization) can support a greater diversity of host species and a larger and more diverse pool of pathogens. We did so by characterizing pathogenic Leptospira infection relative to rodent host richness and abundance across a mosaic of abandonment in post-Katrina New Orleans (Louisiana, USA). We found that Leptospira infection loads were highest in areas that harboured increased rodent species richness (which ranged from one to four rodent species detected). Areas with greater host co-occurrence also harboured a greater abundance of hosts, including the host species most likely to carry high infection loads, indicating that Leptospira infection can be amplified by increases in overall and relative host abundance. Evidence of shared infection among rodent host species indicates that cross-species transmission of Leptospira probably increases infection at sites with greater host richness. Additionally, evidence that rodent co-occurrence and abundance and Leptospira infection load parallel abandonment suggests that counter-urbanization can elevate zoonotic disease risk within cities, particularly in underserved communities that are burdened with disproportionate concentrations of derelict properties.
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Affiliation(s)
- Anna C Peterson
- Department of Ecology and Evolutionary Biology, University of Tennessee, Knoxville, TN, USA
| | - Bruno M Ghersi
- Department of Ecology and Evolutionary Biology, University of Tennessee, Knoxville, TN, USA
| | - Claudia Riegel
- City of New Orleans Mosquito, Termite, Rodent Control Board, New Orleans, LA, USA
| | - Elsio A Wunder
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.,Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador, Brazil
| | - James E Childs
- Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA
| | - Michael J Blum
- Department of Ecology and Evolutionary Biology, University of Tennessee, Knoxville, TN, USA
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50
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Mérou N, Lecadet C, Pouvreau S, Arzul I. An eDNA/eRNA-based approach to investigate the life cycle of non-cultivable shellfish micro-parasites: the case of Bonamia ostreae, a parasite of the European flat oyster Ostrea edulis. Microb Biotechnol 2020; 13:1807-1818. [PMID: 32608578 PMCID: PMC7533330 DOI: 10.1111/1751-7915.13617] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 05/25/2020] [Accepted: 06/02/2020] [Indexed: 12/31/2022] Open
Abstract
Environmental DNA approaches are increasingly used to detect microorganisms in environmental compartments, including water. They show considerable advantages to study non-cultivable microorganisms like Bonamia ostreae, a protozoan parasite inducing significant mortality in populations of flat oyster Ostrea edulis. Although B. ostreae development within the host has been well described, questions remain about its behaviour in the environment. As B. ostreae transmission is direct, seawater appears as an interesting target to develop early detection tools and improve our understanding of disease transmission mechanisms. In this context, we have developed an eDNA/eRNA approach allowing detecting and quantifying B. ostreae 18S rDNA/rRNA as well as monitoring its presence in seawater by real-time PCR. B. ostreae DNA could be detected up to 4 days while RNA could be detected up to 30 days, suggesting a higher sensitivity of the eRNA-based tool. Additionally, more than 90% of shed parasites were no longer detected after 2 days outside the oysters. By allowing B. ostreae detection in seawater, this approach would not only be useful to monitor the presence of the parasite in oyster production areas but also to evaluate the effect of changing environmental factors on parasite survival and transmission.
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Affiliation(s)
- Nicolas Mérou
- Laboratoire de Génétique et Pathologie des Mollusques MarinsIfremerSG2M‐LGPMMAvenue de Mus de Loup17390La TrembladeFrance
| | - Cyrielle Lecadet
- Laboratoire de Génétique et Pathologie des Mollusques MarinsIfremerSG2M‐LGPMMAvenue de Mus de Loup17390La TrembladeFrance
| | - Stéphane Pouvreau
- Laboratoire des Sciences de l'Environnement MarinUMR 6539, Ifremer/UBO/IRD/CNRSIfremer11 Presqu'île du Vivier29840Argenton‐en‐LandunvezFrance
| | - Isabelle Arzul
- Laboratoire de Génétique et Pathologie des Mollusques MarinsIfremerSG2M‐LGPMMAvenue de Mus de Loup17390La TrembladeFrance
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