1
|
Paiva BL, Sousa-Paula LCD, Sales KGDS, Costa KMV, Venuto AM, Oriente VND, Cavalcante FRA, Brito RLLD, Santos JMLD, Dantas-Torres F. Prevalence of Leishmania infection in 205 cats from a referral hospital population in Brazil (2021-2022). Vet Parasitol Reg Stud Reports 2024; 53:101068. [PMID: 39025541 PMCID: PMC11265201 DOI: 10.1016/j.vprsr.2024.101068] [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: 01/30/2024] [Revised: 04/14/2024] [Accepted: 06/17/2024] [Indexed: 07/20/2024]
Abstract
Leishmaniases are a group of neglected diseases of significant public health concern, with Brazil being the primary focus of this disease in the Americas. The municipality of Sobral, in the state of Ceará, is a historical focus of visceral leishmaniasis in both humans and dogs, but data on Leishmania spp. infections in cats are limited. Between April 2021 and February 2022, 205 cats from a referral hospital population were sampled and tested for Leishmania spp. by real-time PCR. Eight cats (3.9%; 95% CI: 1.7-7.5%) tested positive. Among these, three (37.5%) displayed clinical signs compatible with feline leishmaniosis. Non-domiciled cats showed significantly higher positivity compared to domiciled ones (Fisher's exact test, P = 0.0124). Considering their potential role as reservoirs of L. infantum, it is crucial to conduct further studies to understand the Leishmania spp. circulating among cats in Sobral and to implement measures for reducing their exposure to phlebotomine sand fly vectors in this important focus of leishmaniases.
Collapse
Affiliation(s)
| | - Lucas Christian de Sousa-Paula
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil; Tick-Pathogen Transmission Unit, Laboratory of Bacteriology, Division of Intramural Research (DIR), National Institutes of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Hamilton, MT, USA
| | - Kamila Gaudêncio da Silva Sales
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil; Department of Biochemistry, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | - Aline Martins Venuto
- Centro Universitário INTA (UNINTA), Sobral, CE, Brazil; Graduate Program in Veterinary Science, Laboratory of Experimental Morphology, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | | | | | | | - Filipe Dantas-Torres
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil
| |
Collapse
|
2
|
Nascimento LFDJ, Amado-Gomes AC, Dantas-Torres F, Santos FLN, Neres WDS, Filho PEDS, Santos MT, Silva JRS, Resende CF, Dos Reis JKP, Jain S, Cunha JLR, Fujiwara RT, Dolabella SS. Feline leishmaniasis in an animal shelter in northeastern Brazil: Clinical aspects, coinfections, molecular detection, and serological study of a new recombinant protein. Res Vet Sci 2024; 172:105256. [PMID: 38613921 DOI: 10.1016/j.rvsc.2024.105256] [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: 10/13/2023] [Revised: 03/19/2024] [Accepted: 04/07/2024] [Indexed: 04/15/2024]
Abstract
Infection and clinical cases of leishmaniasis caused by Leishmania infantum in cats have been increasingly reported in several countries, including Brazil. In this study, we used an enzyme-linked immunosorbent assay (ELISA) and an immunochromatographic test (ICT) based on a recombinant antigen (rKDDR-plus) to detect anti-Leishmania antibodies in cats from an animal shelter in northeastern Brazil. We compared the results with an ELISA using L. infantum crude antigen (ELISA-CA). We also investigated the presence of Leishmania DNA in blood or ocular conjunctival samples as well as the association between Leishmania PCR positivity and serological positivity to feline immunodeficiency virus (FIV), feline leukemia virus (FeLV) and Toxoplasma gondii. Concerning serological assays, a higher positivity was detected using the ICT-rKDDR-plus (7.5%; 7/93) as compared to ELISA-rKDDR-plus (5.4%; 5/93) and ELISA-CA (4.3%; 4/93). Upon PCR testing, 52.7% (49/93) of the ocular conjunctival swabs and 48.3% (44/91) of the blood samples were positive. Together, PCR and serological testing revealed overall positivities of 73.1% (68/93) and 12.9% (12/93), respectively. Among PCR-positive samples, 45.5% (31/68) showed co-infection with FIV, 17.6% (12/68) with FeLV, and 82.3% (56/68) with T. gondii. More than half of the PCR-positive cats showed at least one clinical sign suggestive of leishmaniasis (58.8%; 40/68) and dermatological signs were the most frequent ones (45.5%; 31/68). Both tests employing the recombinant antigen rKDDR-plus (i.e., ICT-rKDDR-plus and ELISA-rKDDR-plus) detected more positive cats than the ELISA-CA but presented low overall accuracy. PCR testing using either blood or ocular conjunctival samples detected much more positive cats than serological tests.
Collapse
MESH Headings
- Cats
- Animals
- Cat Diseases/diagnosis
- Cat Diseases/parasitology
- Cat Diseases/virology
- Cat Diseases/blood
- Cat Diseases/epidemiology
- Brazil/epidemiology
- Enzyme-Linked Immunosorbent Assay/veterinary
- Immunodeficiency Virus, Feline/isolation & purification
- Coinfection/veterinary
- Coinfection/parasitology
- Coinfection/epidemiology
- Coinfection/virology
- Leishmania infantum/isolation & purification
- Leukemia Virus, Feline/genetics
- Leukemia Virus, Feline/immunology
- Recombinant Proteins
- Male
- Female
- Toxoplasma
- Antibodies, Protozoan/blood
- Leishmaniasis, Visceral/veterinary
- Leishmaniasis, Visceral/diagnosis
- Leishmaniasis, Visceral/epidemiology
- Leishmaniasis, Visceral/blood
- Polymerase Chain Reaction/veterinary
- Toxoplasmosis, Animal/diagnosis
- Toxoplasmosis, Animal/epidemiology
- Toxoplasmosis, Animal/blood
Collapse
Affiliation(s)
| | | | | | - Fred Luciano Neves Santos
- Integrated Translational Program in Chagas Disease from Fiocruz (Fio-Chagas), Oswaldo Cruz Foundation (Fiocruz-RJ), Rio de Janeiro, Brazil; Advanced Public Health Laboratory, Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil
| | - Wemerson de Santana Neres
- Graduate Program in Physiological Sciences, Federal University of Sergipe, São Cristóvão, SE, Brazil
| | | | - Mariana Tibúrcio Santos
- Graduate Program in Parasite Biology, Federal University of Sergipe, São Cristóvão, SE, Brazil
| | | | - Cláudia Fideles Resende
- Department of Veterinary Preventive Medicine, Veterinary School, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | | | - Sona Jain
- Graduate Program in Parasite Biology, Federal University of Sergipe, São Cristóvão, SE, Brazil; Graduate Program in Industrial Biotechnology, Tiradentes University, SE, Brazil
| | - João Luís Reis Cunha
- York Biomedical Research Institute and Department of Biology, University of York, York, United Kingdom
| | - Ricardo Toshio Fujiwara
- Graduate Program in Parasite Biology, Federal University of Sergipe, São Cristóvão, SE, Brazil; Department of Parasitology, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
| | | |
Collapse
|
3
|
Vilas-Boas DF, Nakasone EKN, Gonçalves AAM, Lair DF, de Oliveira DS, Pereira DFS, Silva GG, Conrado IDSS, Resende LA, Zaldívar MF, Mariano RMDS, Dutra WO, Chávez-Fumagalli MA, Galdino AS, Silveira-Lemos D, Giunchetti RC. Global Distribution of Canine Visceral Leishmaniasis and the Role of the Dog in the Epidemiology of the Disease. Pathogens 2024; 13:455. [PMID: 38921753 PMCID: PMC11206782 DOI: 10.3390/pathogens13060455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Revised: 05/15/2024] [Accepted: 05/20/2024] [Indexed: 06/27/2024] Open
Abstract
Visceral leishmaniasis is a disease caused by protozoa of the species Leishmania (Leishmania) infantum (syn = Leishmania chagasi) and Leishmania (Leishmania) donovani, which are transmitted by hematophagous insects of the genera Lutzomyia and Phlebotomus. The domestic dog (Canis familiaris) is considered the main urban reservoir of the parasite due to the high parasite load on its skin, serving as a source of infection for sandfly vectors and, consequently, perpetuating the disease in the urban environment. Some factors are considered important in the perpetuation and spread of canine visceral leishmaniasis (CVL) in urban areas, such as stray dogs, with their errant behavior, and houses that have backyards with trees, shade, and organic materials, creating an attractive environment for sandfly vectors. CVL is found in approximately 50 countries, with the number of infected dogs reaching millions. However, due to the difficulty of controlling and diagnosing the disease, the number of infected animals could be even greater. In the four continents endemic for CVL, there are reports of disease expansion in endemic countries such as Brazil, Italy, Morocco, and Tunisia, as well as in areas where CVL is not endemic, for example, Uruguay. Socio-environmental factors, such as migration, drought, deforestation, and global warming, have been pointed out as reasons for the expansion into areas where it had been absent. Thus, the objective of this review is to address (i) the distribution of CVL in endemic areas, (ii) the role of the dog in the visceral leishmaniasis epidemiology and the factors that influence dog infection and the spread of the disease, and (iii) the challenges faced in the control of CVL.
Collapse
Affiliation(s)
- Diego Fernandes Vilas-Boas
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Eiji Kevin Nakasone Nakasone
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Ana Alice Maia Gonçalves
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Daniel Ferreira Lair
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Diana Souza de Oliveira
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Diogo Fonseca Soares Pereira
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Geralda Gabriele Silva
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Ingrid dos Santos Soares Conrado
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Lucilene Aparecida Resende
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Maykelin Fuentes Zaldívar
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Reysla Maria da Silveira Mariano
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Walderez Ornelas Dutra
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Miguel Angel Chávez-Fumagalli
- Computational Biology and Chemistry Research Group, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04000, Peru;
| | - Alexsandro Sobreira Galdino
- Microorganism Biotechnology Laboratory, Federal University of São João Del-Rei (UFSJ), Midwest Campus, Divinópolis 35501-296, MG, Brazil;
| | - Denise Silveira-Lemos
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| | - Rodolfo Cordeiro Giunchetti
- Laboratory of Biology of Cell Interactions, Institute of Biological Sciences, Department of Morphology, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (D.F.V.-B.); (E.K.N.N.); (A.A.M.G.); (D.F.L.); (D.S.d.O.); (D.F.S.P.); (G.G.S.); (I.d.S.S.C.); (L.A.R.); (M.F.Z.); (R.M.d.S.M.); (W.O.D.); (D.S.-L.)
| |
Collapse
|
4
|
Dantas-Torres F. Canine leishmaniasis in the Americas: etiology, distribution, and clinical and zoonotic importance. Parasit Vectors 2024; 17:198. [PMID: 38689318 PMCID: PMC11061994 DOI: 10.1186/s13071-024-06282-w] [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: 03/19/2024] [Accepted: 04/16/2024] [Indexed: 05/02/2024] Open
Abstract
Canine leishmaniasis is a widespread disease on the American continent, with cases reported from Uruguay to the USA and Canada. While numerous Leishmania spp. have been reported in dogs in this region, Leishmania infantum and Leishmania braziliensis are the most common etiological agents of canine leishmaniasis from a continental perspective. Nonetheless, other species may predominate locally in some countries. The participation of dogs in the transmission cycle of various Leishmania spp. has long been speculated, but evidence indicates that their role as reservoirs of species other than L. infantum is negligible. Various native wildlife (e.g., small rodents, marsupials, sloths, and monkeys) are, in fact, the primary hosts of Leishmania spp. in the Americas. In this review, an updated list of Leishmania spp. infecting dogs in the Americas is presented, along with their distribution and clinical and zoonotic importance.
Collapse
|
5
|
Marcolino Silva D, Passarella Teixeira AI, Sierra Romero GA. Socioeconomic Status of Guardians as a Risk Factor for Canine Visceral Leishmaniasis: A Cohort Study in an Endemic Area of the Federal District, Brazil. Am J Trop Med Hyg 2023; 108:328-334. [PMID: 36535251 PMCID: PMC9896338 DOI: 10.4269/ajtmh.21-1170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 07/17/2022] [Indexed: 12/23/2022] Open
Abstract
Current control measures of canine visceral leishmaniasis (CVL), a chronic and fatal zoonosis with potential transmission to humans, are not efficient enough to reduce its spread. The search for improved control measures should include studies of risk factors for infection and illness. This study aimed to identify the risk factors for CVL in an endemic locality of the Federal District, Brazil, from June 2016 to December 2018. Biologic samples and data on dog characteristics, owner household characteristics, and dog care were collected. A combination of serological and molecular tests was used to identify infected animals. The 248 dogs screened for inclusion were predominantly asymptomatic/oligosymptomatic. The baseline prevalence of infection was 27.5%. One hundred six of 162 susceptible dogs were monitored for an average period of 10.7 months. The estimated CVL incidence was 1.91 cases/100 dog-months. The multivariate analysis using a proportional Cox model included the potential risk factors, with P ≤ 0.25 in the univariate analyses. Greater purchasing power (hazard ratio [HR], 1.04; 95% CI, 1.01-1.06; P = 0.03) and paved yard (HR, 0.19; 95% CI, 0.13-1.01; P = 0.05) remained in the final model as risk and protection factors, respectively. The use of repellent collars in dogs was associated moderately (P = 0.08) with protection against CVL. Our findings reflect the challenge of identifying strong interventions for reducing CVL incidence. Increased owner wealth had a counterintuitive effect on CVL, making the intervention scenario more complex for a zoonosis traditionally associated with poverty.
Collapse
Affiliation(s)
- Debora Marcolino Silva
- Center for Tropical Medicine, University of Brasília, Brasília, Federal District, Brazil
| | | | | |
Collapse
|
6
|
Erber AC, Sandler PJ, de Avelar DM, Swoboda I, Cota G, Walochnik J. Diagnosis of visceral and cutaneous leishmaniasis using loop-mediated isothermal amplification (LAMP) protocols: a systematic review and meta-analysis. Parasit Vectors 2022; 15:34. [PMID: 35073980 PMCID: PMC8785018 DOI: 10.1186/s13071-021-05133-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 12/16/2021] [Indexed: 12/13/2022] Open
Abstract
Sensitive, reliable and fast diagnostic tools that are applicable in low-resource settings, at the point of care (PoC), are seen as crucial in the fight against visceral leishmaniasis (VL) and cutaneous leishmaniasis (CL). Addressing the need for a PoC test, several diagnostic tests, including serological and molecular methods, have been developed and evaluated in the past. One promising molecular method, already implemented for diagnosis of a range of diseases, is the loop-mediated isothermal amplification (LAMP) protocol. In this systematic review and meta-analysis, using a comprehensive search strategy, we focus on studies evaluating the performance of LAMP for the diagnosis of leishmaniasis in humans and other mammals such as dogs, compared with microscopy and/or any other molecular diagnostic method. A meta-analysis, pooling sensitivity and specificity rates and calculating areas under the curve (AUCs) in summary receiver operating characteristic (SROC) plots, was conducted on datasets extracted from studies, grouped by clinical condition and sample type. We found high sensitivity and specificity for LAMP when compared with microscopy and PCR using blood samples, with pooled estimate values of > 90% for all subgroups, corresponding to calculated AUC values > 0.96, except for LAMP compared to microscopy for diagnosis of CL. However, only a limited number of studies were truly comparable. Most of the observed heterogeneity is likely based on true differences between the studies rather than sampling error only. Due to simple readout methods and low laboratory equipment requirements for sample preparation compared to other molecular methods, LAMP is a promising candidate for a molecular (near-)PoC diagnostic method for VL and CL.
Collapse
Affiliation(s)
- Astrid Christine Erber
- Department of Epidemiology, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1st floor, 1090, Vienna, Austria. .,Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, New Richards Building, Old Road Campus, Roosevelt Drive, Oxford, OX3 7LG, UK.
| | - Peter Julian Sandler
- Department of Applied Life Sciences, FH Campus Wien University of Applied Sciences, Helmut-Qualtinger Gasse 2, 1030, Vienna, Austria
| | - Daniel Moreira de Avelar
- Pesquisa Clínica e Políticas Públicas em Doenças Infecciosas e Parasitárias, Instituto René Rachou-Fundação Oswaldo Cruz, Fiocruz, Belo Horizonte, Minas Gerais, Brazil
| | - Ines Swoboda
- Department of Applied Life Sciences, FH Campus Wien University of Applied Sciences, Helmut-Qualtinger Gasse 2, 1030, Vienna, Austria
| | - Gláucia Cota
- Pesquisa Clínica e Políticas Públicas em Doenças Infecciosas e Parasitárias, Instituto René Rachou-Fundação Oswaldo Cruz, Fiocruz, Belo Horizonte, Minas Gerais, Brazil
| | - Julia Walochnik
- Institute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria
| |
Collapse
|
7
|
Olías-Molero AI, de la Fuente C, Cuquerella M, Torrado JJ, Alunda JM. Antileishmanial Drug Discovery and Development: Time to Reset the Model? Microorganisms 2021; 9:2500. [PMID: 34946102 PMCID: PMC8703564 DOI: 10.3390/microorganisms9122500] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 11/26/2021] [Accepted: 12/01/2021] [Indexed: 01/27/2023] Open
Abstract
Leishmaniasis is a vector-borne parasitic disease caused by Leishmania species. The disease affects humans and animals, particularly dogs, provoking cutaneous, mucocutaneous, or visceral processes depending on the Leishmania sp. and the host immune response. No vaccine for humans is available, and the control relies mainly on chemotherapy. However, currently used drugs are old, some are toxic, and the safer presentations are largely unaffordable by the most severely affected human populations. Moreover, its efficacy has shortcomings, and it has been challenged by the growing reports of resistance and therapeutic failure. This manuscript presents an overview of the currently used drugs, the prevailing model to develop new antileishmanial drugs and its low efficiency, and the impact of deconstruction of the drug pipeline on the high failure rate of potential drugs. To improve the predictive value of preclinical research in the chemotherapy of leishmaniasis, several proposals are presented to circumvent critical hurdles-namely, lack of common goals of collaborative research, particularly in public-private partnership; fragmented efforts; use of inadequate surrogate models, especially for in vivo trials; shortcomings of target product profile (TPP) guides.
Collapse
Affiliation(s)
- Ana Isabel Olías-Molero
- Department of Animal Health, Faculty of Veterinary Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain; (A.I.O.-M.); (C.d.l.F.); (M.C.)
| | - Concepción de la Fuente
- Department of Animal Health, Faculty of Veterinary Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain; (A.I.O.-M.); (C.d.l.F.); (M.C.)
| | - Montserrat Cuquerella
- Department of Animal Health, Faculty of Veterinary Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain; (A.I.O.-M.); (C.d.l.F.); (M.C.)
| | - Juan J. Torrado
- Department of Pharmaceutics and Food Technology, Faculty of Pharmacy, Universidad Complutense de Madrid, 28040 Madrid, Spain;
| | - José M. Alunda
- Department of Animal Health, Faculty of Veterinary Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain; (A.I.O.-M.); (C.d.l.F.); (M.C.)
| |
Collapse
|
8
|
Sousa-Paula LCD, da Silva LG, da Silva Junior WJ, Figueirêdo Júnior CAS, Costa CHN, Pessoa FAC, Dantas-Torres F. Genetic structure of allopatric populations of Lutzomyia longipalpis sensu lato in Brazil. Acta Trop 2021; 222:106031. [PMID: 34224718 DOI: 10.1016/j.actatropica.2021.106031] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 06/04/2021] [Accepted: 06/26/2021] [Indexed: 11/29/2022]
Abstract
Lutzomyia longipalpis sensu lato is a complex of phlebotomine sand fly species, which are widespread in the Neotropics. They have a great medico-veterinary importance due their role as vectors of Leishmania infantum, the causative agent of visceral leishmaniasis. Morphological variations of Lu. longipalpis s.l. males were reported in the late 1960s in Brazil. Male populations can present either one pair of spots on third abdominal tergites or two pairs on third and fourth ones, namely 1S and 2S phenotypes, respectively. Since then, there has been much interest on the taxonomic status of Lu. longipalpis s.l. Thereafter, several lines of evidence have been congruent in suggesting the existence of an uncertain number of cryptic species within Lu. longipalpis s.l. in Brazil. Herein, a 525 bp-fragment of the period gene was used for assessing the genetic structure and phylogenetic relationship of Lu. longipalpis s.l. populations in Brazil. We performed two set of analyses, first we originally sequenced three populations (Passira, Santarém and Teresina) of Lu. longipalpis s.l. and compared them. Thereafter, we performed a global analysis including in our dataset other three pairs of sympatric populations of Lu. longipalpis s.l. from three Brazilian localities available in GenBank. Fixed single nucleotide polymorphisms (SNPs) sharing, maximum likelihood inference, genetic structure and haplotype analyses revealed the presence of two genetic groups, one composed of Teresina population, and the other encompassing Passira and Santarém populations. The global analysis reflected the first of its kind, and two prominent groups were observed: the clade I comprising Teresina 1S, Bodocó 1S, Caririaçu 1S and Sobral 1S; and the clade II encompassing Passira 2S, Santarém 1S, Bodocó 2S, Caririaçu 2S and Sobral 2S. Genetic differentiation data suggested a limited gene flow between populations of the clade I versus clade II. Our results disclosed the presence of two prominent genetic groups, which could reasonably represent populations of Lu. longipalpis s.l. whose males produce the same courtship song.
Collapse
Affiliation(s)
- Lucas Christian de Sousa-Paula
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (Fiocruz Pernambuco), Avenida Professor Moraes Rego, s/n, Recife, Pernambuco 50740465, Brazil
| | | | - Wilson José da Silva Junior
- Laboratory of Bioinformatics and Evolutionary Biology, Department of Genetics, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | | | | | - Felipe Arley Costa Pessoa
- Laboratório de Ecologia e Doenças Transmissíveis na Amazônia, Leônidas e Maria Deane Institute, Oswaldo Cruz Foundation (FIOCRUZ), Manaus, Amazonas, Brazil
| | - Filipe Dantas-Torres
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (Fiocruz Pernambuco), Avenida Professor Moraes Rego, s/n, Recife, Pernambuco 50740465, Brazil.
| |
Collapse
|
9
|
Volpedo G, Huston RH, Holcomb EA, Pacheco-Fernandez T, Gannavaram S, Bhattacharya P, Nakhasi HL, Satoskar AR. From infection to vaccination: reviewing the global burden, history of vaccine development, and recurring challenges in global leishmaniasis protection. Expert Rev Vaccines 2021; 20:1431-1446. [PMID: 34511000 DOI: 10.1080/14760584.2021.1969231] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Leishmaniasis is a major public health problem and the second most lethal parasitic disease in the world due to the lack of effective treatments and vaccines. Even when not lethal, leishmaniasis significantly affects individuals and communities through life-long disabilities, psycho-sociological trauma, poverty, and gender disparity in treatment. AREAS COVERED This review discusses the most relevant and recent research available on Pubmed and GoogleScholar highlighting leishmaniasis' global impact, pathogenesis, treatment options, and lack of effective control strategies. An effective vaccine is necessary to prevent morbidity and mortality, lower health care costs, and reduce the economic burden of leishmaniasis for endemic low- and middle-income countries. Since there are several forms of leishmaniasis, a pan-Leishmania vaccine without geographical restrictions is needed. This review also focuses on recent advances and common challenges in developing prophylactic strategies against leishmaniasis. EXPERT OPINION Despite advances in pre-clinical vaccine research, approval of a human leishmaniasis vaccine still faces major challenges - including manufacturing of candidate vaccines under Good Manufacturing Practices, developing well-designed clinical trials suitable in endemic countries, and defined correlates of protection. In addition, there is a need to explore Challenge Human Infection Model to avoid large trials because of fluctuating incidence and prevalence of leishmanasis.
Collapse
Affiliation(s)
- Greta Volpedo
- Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Ryan H Huston
- Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Erin A Holcomb
- Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Thalia Pacheco-Fernandez
- Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Sreenivas Gannavaram
- Division of Emerging and Transfusion Transmitted Diseases, Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA
| | - Parna Bhattacharya
- Division of Emerging and Transfusion Transmitted Diseases, Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA
| | - Hira L Nakhasi
- Division of Emerging and Transfusion Transmitted Diseases, Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA
| | - Abhay R Satoskar
- Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| |
Collapse
|
10
|
Sousa-Paula LCD, Pessoa FAC, Otranto D, Dantas-Torres F. Beyond taxonomy: species complexes in New World phlebotomine sand flies. MEDICAL AND VETERINARY ENTOMOLOGY 2021; 35:267-283. [PMID: 33480064 DOI: 10.1111/mve.12510] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 12/21/2020] [Accepted: 01/06/2021] [Indexed: 06/12/2023]
Abstract
A species complex (= species group, species series) is an assemblage of species, which are related morphologically and phylogenetically. Recent research has revealed several arthropod vector species that were believed to be a single nominal species actually representing a group of closely related species, which are sometimes morphologically indistinguishable at one or more developmental stages. In some instances, differences in terms of vector competence, capacity, or both have been recorded. It highlights the importance of detecting and studying species complexes to improve our understanding of pathogen transmission patterns, which may be vectored more or less efficiently by different species within the complex. Considering more than 540 species, about one-third of the phlebotomine sand flies in the New World present males and/or females morphologically indistinguishable to one or more species. Remarkably, several of these species may act in transmission of pathogenic agents. In this article, we review recent research on species complexes in phlebotomine sand flies from the Americas. Possible practical implications of recently acquired knowledge and future research needs are also discussed.
Collapse
Affiliation(s)
- L C de Sousa-Paula
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil
| | - F A C Pessoa
- Laboratório de Ecologia e Doenças Transmissíveis na Amazônia, Leônidas e Maria Deane Institute, Oswaldo Cruz Foundation (FIOCRUZ), Manaus, Amazonas, Brazil
| | - D Otranto
- Parasitology Unit, Department of Veterinary Medicine, University of Bari, Valenzano, Italy
| | - F Dantas-Torres
- Laboratory of Immunoparasitology, Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (FIOCRUZ), Recife, Pernambuco, Brazil
| |
Collapse
|
11
|
Pereira JC, Dos Santos Sousa P, De Souza LMB, Pasquali AKS, Bates M, Bates P, Thomaz Soccol V. The efficacy of recombinant protein lbk39 for the diagnosis of leishmaniosis in dogs. Parasitology 2021; 148:302-310. [PMID: 33070782 PMCID: PMC11010170 DOI: 10.1017/s0031182020001997] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 09/21/2020] [Accepted: 10/12/2020] [Indexed: 11/06/2022]
Abstract
Visceral leishmaniosis is one of the most important zoonotic diseases on the planet and dogs are the main reservoir of canine visceral leishmaniosis (CVL) in endemic areas. They play an important role in human infection because in dogs the disease appears long time after infection, and they can move uncontrollably, contributing to disperse the parasite. To take the decision to treat the animals or for euthanasia, in an elimination programme, in order to reduce the parasitic load, it is necessary to diagnose correctly, having more effective tools. Our group has developed a new recombinant antigen-based kinesin-related gene of Leishmania braziliensis (Lbk39), which shows 59% amino acid identity to the L. infantum homologue. The Lbk39 gene was synthesized, inserted into the pLEXSY-sat2 vector and transfected into L. tarentolae cells by electroporation. The recombinant protein was secreted in the culture with a C-terminal histidine marker, purified, generating a product at 337.68 μg mL-1. A total of 152 sera from dog's endemic and non-endemic areas were used, being 78 positives and 75 negatives. The antigen Lbk39 showed 100% sensitivity and 96.1% specificity. We compared this antigen with other antigens such as total extract of the parasite, TRDPP, and our data indicate that Lbk39 has potential application in the diagnosis of CVL through antibody detection.
Collapse
Affiliation(s)
- Joyce Carvalho Pereira
- Federal University of Paraná, Post-graduate Course in Bioprocess Engineering and Biotechnology, Polytechnic Centre, Jardim das Américas, CEP 81530-980, Curitiba, Paraná, Brazil
| | - Pedro Dos Santos Sousa
- Federal University of Paraná, Post-graduate Course in Bioprocess Engineering and Biotechnology, Polytechnic Centre, Jardim das Américas, CEP 81530-980, Curitiba, Paraná, Brazil
| | - Ligia Moraes Barizon De Souza
- Federal University of Paraná, Post-graduate Course in Bioprocess Engineering and Biotechnology, Polytechnic Centre, Jardim das Américas, CEP 81530-980, Curitiba, Paraná, Brazil
| | - Aline Kuhn Sbruzzi Pasquali
- Federal University of Paraná, Post-graduate Course in Bioprocess Engineering and Biotechnology, Polytechnic Centre, Jardim das Américas, CEP 81530-980, Curitiba, Paraná, Brazil
| | - Michelle Bates
- Division of Biomedical and Life Sciences, Faculty of Health and Medicine, Lancaster University, Lancaster, LA1 4YQ, UK
| | - Paul Bates
- Division of Biomedical and Life Sciences, Faculty of Health and Medicine, Lancaster University, Lancaster, LA1 4YQ, UK
| | - Vanete Thomaz Soccol
- Federal University of Paraná, Post-graduate Course in Bioprocess Engineering and Biotechnology, Polytechnic Centre, Jardim das Américas, CEP 81530-980, Curitiba, Paraná, Brazil
| |
Collapse
|
12
|
Montoya A, Gálvez R, Checa R, Sarquis J, Plaza A, Barrera JP, Marino V, Miró G. Latest trends in L. infantum infection in dogs in Spain, Part II: current clinical management and control according to a national survey of veterinary practitioners. Parasit Vectors 2020; 13:205. [PMID: 32317018 PMCID: PMC7175573 DOI: 10.1186/s13071-020-04080-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Accepted: 04/10/2020] [Indexed: 12/17/2022] Open
Abstract
Background Canine leishmaniosis (CanL) is a parasitic zoonotic disease, endemic in the Mediterranean basin including Spain. While knowledge about CanL, its management, treatment, prevention and control mounts, it remains unclear whether all clinical veterinarians follow the same international recommendations, such as those of the LeishVet group. This study was thus designed to assess recent trends in the clinical management of CanL in veterinary clinics across Spain through a questionnaire-based survey. Results were compared with those of a prior national multicenter questionnaire administered by our research team in 2005. Methods A questionnaire consisting of 28 questions about CanL was developed using Google Forms and distributed by email to 1428 veterinary clinics in Spain. Questions were designed to obtain data on common clinical signs, techniques and complementary exams used to diagnose the disease, and on its monitoring, treatment and control measures. Data were collected in a database for statistical analysis. Results Completed questionnaires were returned by 295 clinics. Compared to the situation in 2005, responses indicate that clinical signs of CanL have not changed significantly, cutaneous lesions being still the most prevalent sign observed by practitioners. Quantitative serological techniques are considered an adequate approach to diagnosis, provided their results are supported by the findings of a thorough physical exam, as well as complementary tests (complete blood count, biochemical profile, plasma protein electrophoretogram and complete urinalysis). Treatment protocols and check-ups follow international recommendations. Finally, a multimodal approach is being endorsed to adequately control CanL including preventive measures such as annual serological check-ups and the combination of repellents and vaccines. Additionally, owners are being better informed about CanL by veterinarians, which translates to the improved control of this zoonosis. Conclusions The clinical management of CanL has recently undergone significant changes owing to improvements in clinical knowledge of the disease, more unified international criteria, improved diagnostic techniques and their adequate interpretation, as well as a greater awareness of the disease transmitted to owners.![]()
Collapse
Affiliation(s)
- Ana Montoya
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Rosa Gálvez
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Rocío Checa
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Juliana Sarquis
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Alexandra Plaza
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Juan Pedro Barrera
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Valentina Marino
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain
| | - Guadalupe Miró
- Grupo de investigación Epicontrol-Carnívoros, Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, Spain.
| |
Collapse
|