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Mancusi A, Proroga YTR, Giordano A, Girardi S, D’Orilia F, Pinto R, Sarnelli P, Rinaldi L, Capuano F, Maurelli MP. First application of a droplet digital PCR to detect Toxoplasma gondii in mussels. Front Microbiol 2023; 14:1238689. [PMID: 37744920 PMCID: PMC10514481 DOI: 10.3389/fmicb.2023.1238689] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 08/29/2023] [Indexed: 09/26/2023] Open
Abstract
Toxoplasmosis, caused by the protozoan Toxoplasma gondii, is one of the main food-, water- and soil-borne zoonotic disease worldwide. Over the past 20 years many papers were published on the transmission of T. gondii by marine animals, including mollusks, which can concentrate the oocysts and release them. Sporulated oocysts may remain viable and infective for 18 months in seawater. Therefore, raw or undercooked bivalve mollusks pose a risk to humans. This study aimed to apply and validate for the first time a very sensitive digital droplet polymerase chain reaction (ddPCR) protocol to detect and quantify T. gondii DNA in mussels. Four concentration levels: 8000 genomic copies (gc)/μL, 800 gc/μL, 80 gc/μL, 8 gc/μL of a T. gondii reference DNA were tested. DNA was extracted from 80 pools of mussels (Mytilus galloprovincialis). Forty pools were contaminated with T. gondii reference DNA and used as positive controls, while 40 pools were used as negative controls. DdPCR reaction was prepared using a protocol, previously developed by the authors, for detection of T. gondii in meat. Amplification was obtained up 8 gc/μL. All infected replicates resulted positive, as well as no droplets were detected in negative controls. The droplets produced in the reaction ranged from 8,828 to 14,075 (average 12,627 droplets). The sensitivity and specificity of ddPCR were 100% (95%CI = 94.3-99.9). In addition, 100 pools of mussels collected in the Gulf of Naples were used to validate the protocol. Of these 16% were positive (95% CI = 9.7-25.0) for T. gondii. Samples were also tested by real-time PCR and no positive samples were found. Data obtained from ddPCR showed good identification of negative and positive samples with higher specificity and efficiency than real-time PCR. This tool could be very useful for a rapid sensitive detection of low DNA concentrations of T. gondii in mussels, reducing the risk of toxoplasmosis in humans.
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Affiliation(s)
- Andrea Mancusi
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, Italy
| | | | - Angela Giordano
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, Italy
| | - Santa Girardi
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, Italy
| | | | - Renato Pinto
- UOD Prevenzione e Sanità Pubblica Veterinaria Regione Campania, Naples, Italy
| | - Paolo Sarnelli
- UOD Prevenzione e Sanità Pubblica Veterinaria Regione Campania, Naples, Italy
| | - Laura Rinaldi
- Centro di Riferimento Regionale Sanità Animale (CReSan), Salerno, Italy
- Unit of Parasitology and Parasitic Diseases, Department of Veterinary Medicine and Animal Production, CREMOPAR, University of Naples Federico II, Naples, Italy
| | - Federico Capuano
- Istituto Zooprofilattico Sperimentale del Mezzogiorno, Portici, Italy
| | - Maria Paola Maurelli
- Unit of Parasitology and Parasitic Diseases, Department of Veterinary Medicine and Animal Production, CREMOPAR, University of Naples Federico II, Naples, Italy
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López Ureña NM, Chaudhry U, Calero Bernal R, Cano Alsua S, Messina D, Evangelista F, Betson M, Lalle M, Jokelainen P, Ortega Mora LM, Álvarez García G. Contamination of Soil, Water, Fresh Produce, and Bivalve Mollusks with Toxoplasma gondii Oocysts: A Systematic Review. Microorganisms 2022; 10:517. [PMID: 35336093 PMCID: PMC8954419 DOI: 10.3390/microorganisms10030517] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 02/13/2022] [Accepted: 02/25/2022] [Indexed: 02/06/2023] Open
Abstract
Toxoplasma gondii is a major foodborne pathogen capable of infecting all warm-blooded animals, including humans. Although oocyst-associated toxoplasmosis outbreaks have been documented, the relevance of the environmental transmission route remains poorly investigated. Thus, we carried out an extensive systematic review on T. gondii oocyst contamination of soil, water, fresh produce, and mollusk bivalves, following the PRISMA guidelines. Studies published up to the end of 2020 were searched for in public databases and screened. The reference sections of the selected articles were examined to identify additional studies. A total of 102 out of 3201 articles were selected: 34 articles focused on soil, 40 focused on water, 23 focused on fresh produce (vegetables/fruits), and 21 focused on bivalve mollusks. Toxoplasma gondii oocysts were found in all matrices worldwide, with detection rates ranging from 0.09% (1/1109) to 100% (8/8) using bioassay or PCR-based detection methods. There was a high heterogeneity (I2 = 98.9%), which was influenced by both the sampling strategy (e.g., sampling site and sample type, sample composition, sample origin, season, number of samples, cat presence) and methodology (recovery and detection methods). Harmonized approaches are needed for the detection of T. gondii in different environmental matrices in order to obtain robust and comparable results.
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Affiliation(s)
- Nadia María López Ureña
- SALUVET Research Group, Animal Health Department, Veterinary Faculty, Complutense University of Madrid, 28040 Madrid, Spain; (N.M.L.U.); (R.C.B.); (L.M.O.M.)
| | - Umer Chaudhry
- Veterinary Epidemiology and Public Health Department, School of Veterinary Medicine, University of Surrey, Guildford GU2 7XH, UK; (U.C.); or (D.M.); (F.E.); (M.B.)
| | - Rafael Calero Bernal
- SALUVET Research Group, Animal Health Department, Veterinary Faculty, Complutense University of Madrid, 28040 Madrid, Spain; (N.M.L.U.); (R.C.B.); (L.M.O.M.)
| | - Santiago Cano Alsua
- Computing Services, Research Support Center, Complutense University of Madrid, 28040 Madrid, Spain;
| | - Davide Messina
- Veterinary Epidemiology and Public Health Department, School of Veterinary Medicine, University of Surrey, Guildford GU2 7XH, UK; (U.C.); or (D.M.); (F.E.); (M.B.)
- Division of Veterinary Clinical Science, School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Loughborough LE12 5RD, UK
| | - Francisco Evangelista
- Veterinary Epidemiology and Public Health Department, School of Veterinary Medicine, University of Surrey, Guildford GU2 7XH, UK; (U.C.); or (D.M.); (F.E.); (M.B.)
| | - Martha Betson
- Veterinary Epidemiology and Public Health Department, School of Veterinary Medicine, University of Surrey, Guildford GU2 7XH, UK; (U.C.); or (D.M.); (F.E.); (M.B.)
| | - Marco Lalle
- Unit of Foodborne and Neglected Parasitic Diseases, Department of Infectious Diseases, Istituto Superiore di Sanità, 00161 Roma, Italy;
| | - Pikka Jokelainen
- Department of Bacteria, Parasites and Fungi, Infectious Disease Preparedness, Statens Serum Institute, University of Copenhagen, 2300 Copenhagen, Denmark;
| | - Luis Miguel Ortega Mora
- SALUVET Research Group, Animal Health Department, Veterinary Faculty, Complutense University of Madrid, 28040 Madrid, Spain; (N.M.L.U.); (R.C.B.); (L.M.O.M.)
| | - Gema Álvarez García
- SALUVET Research Group, Animal Health Department, Veterinary Faculty, Complutense University of Madrid, 28040 Madrid, Spain; (N.M.L.U.); (R.C.B.); (L.M.O.M.)
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Nayeri T, Sarvi S, Daryani A. Toxoplasma gondii in mollusks and cold-blooded animals: a systematic review. Parasitology 2021; 148:895-903. [PMID: 33691818 PMCID: PMC11010209 DOI: 10.1017/s0031182021000433] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 01/31/2021] [Accepted: 02/09/2021] [Indexed: 12/22/2022]
Abstract
Toxoplasma gondii (T. gondii) is known for its ability to infect warm-blooded vertebrates. Although T. gondii does not appear to parasitize cold-blooded animals, the occurrence of T. gondii infection in marine mammals raises concerns that cold-blooded animals (frogs, toad, turtles, crocodiles, snakes, and fish) and shellfish are potential sources of T. gondii. Therefore, this systematic review aimed to determine the prevalence of T. gondii in mollusks and cold-blooded animals worldwide. We searched PubMed, ScienceDirect, ProQuest, Scopus, and Web of Science from inception to 1 August 2020 for eligible papers in the English language and identified 26 articles that reported the prevalence of T. gondii in mollusks and cold-blooded animals. These articles were subsequently reviewed and data extracted using a standard form. In total, 26 studies [involving 9 cross-sectional studies including 2988 samples of cold-blooded animals (129 positive cases for T. gondii) and 18 cross-sectional studies entailing 13 447 samples of shellfish (692 positive cases for T. gondii)] were included in this study. Although this study showed that shellfish and cold-blooded animals could be potential sources of T. gondii for humans and other hosts that feed on them, further investigations are recommended to determine the prevalence of T. gondii in shellfish and cold-blooded animals.
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Affiliation(s)
- Tooran Nayeri
- Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
| | - Shahabeddin Sarvi
- Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ahmad Daryani
- Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
- Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
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Moratal S, Dea-Ayuela MA, Cardells J, Marco-Hirs NM, Puigcercós S, Lizana V, López-Ramon J. Potential Risk of Three Zoonotic Protozoa ( Cryptosporidium spp., Giardia duodenalis, and Toxoplasma gondii) Transmission from Fish Consumption. Foods 2020; 9:E1913. [PMID: 33371396 PMCID: PMC7767443 DOI: 10.3390/foods9121913] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/15/2020] [Accepted: 12/18/2020] [Indexed: 12/15/2022] Open
Abstract
In recent decades, worldwide fish consumption has increased notably worldwide. Despite the health benefits of fish consumption, it also can suppose a risk because of fishborne diseases, including parasitic infections. Global changes are leading to the emergence of parasites in new locations and to the appearance of new sources of transmission. That is the case of the zoonotic protozoa Cryptosporidium spp., Giardia duodenalis, and Toxoplasma gondii; all of them reach aquatic environments and have been found in shellfish. Similarly, these protozoa can be present in other aquatic animals, such as fish. The present review gives an overview on these three zoonotic protozoa in order to understand their potential presence in fish and to comprehensively revise all the evidences of fish as a new potential source of Cryptosporidium spp., Giardia duodenalis, and Toxoplasma gondii transmission. All of them have been found in both marine and freshwater fishes. Until now, it has not been possible to demonstrate that fish are natural hosts for these protozoa; otherwise, they would merely act as mechanical transporters. Nevertheless, even if fish only accumulate and transport these protozoa, they could be a "new" source of infection for people.
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Affiliation(s)
- Samantha Moratal
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
| | - M. Auxiliadora Dea-Ayuela
- Farmacy Department, Universidad CEU-Cardenal Herrera, Santiago Ramón y Cajal St, 46115 Alfara del Patriarca, Valencia, Spain
| | - Jesús Cardells
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
- Wildlife Ecology & Health Group (WE&H), Veterinary Faculty, Universitat Autònoma de Barcelona (UAB), Travessera dels Turons, 08193 Bellaterra, Barcelona, Spain
| | - Naima M. Marco-Hirs
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
| | - Silvia Puigcercós
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
| | - Víctor Lizana
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
- Wildlife Ecology & Health Group (WE&H), Veterinary Faculty, Universitat Autònoma de Barcelona (UAB), Travessera dels Turons, 08193 Bellaterra, Barcelona, Spain
| | - Jordi López-Ramon
- Servicio de Análisis, Investigación y Gestión de Animales Silvestres (SAIGAS), Veterinary Faculty, Universidad CEU-Cardenal Herrera, Tirant lo Blanc St 7, 46115 Alfara del Patriarca, Valencia, Spain; (S.M.); (J.C.); (N.M.M.-H.); (S.P.); (V.L.); (J.L.-R.)
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Dubey JP, Murata FHA, Cerqueira-Cézar CK, Kwok OCH, Grigg ME. Recent epidemiologic and clinical importance of Toxoplasma gondii infections in marine mammals: 2009-2020. Vet Parasitol 2020; 288:109296. [PMID: 33271425 DOI: 10.1016/j.vetpar.2020.109296] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 10/23/2020] [Accepted: 10/24/2020] [Indexed: 12/14/2022]
Abstract
Toxoplasma gondii infections are common in humans and animals worldwide. T. gondii causes mortality in several species of marine mammals, including threatened Southern sea otters (Enhydra lutris) and endangered Hawaiian monk seals (Monachus schauinslandi). Marine mammals are now considered sentinels for environmental exposure to protozoan agents contaminating marine waters, including T. gondii oocysts. Marine mammals also serve as food for humans and can result in foodborne T. gondii infections in humans. The present review summarizes worldwide information on the prevalence of clinical and subclinical infections, epidemiology, and genetic diversity of T. gondii infecting marine mammals in the past decade. The role of genetic types of T. gondii and clinical disease is discussed.
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Affiliation(s)
- Jitender P Dubey
- United States Department of Agriculture, Agricultural Research Service, Beltsville Agricultural Research Center, Animal Parasitic Diseases Laboratory, Beltsville, MD 20705-2350, USA.
| | - Fernando H A Murata
- United States Department of Agriculture, Agricultural Research Service, Beltsville Agricultural Research Center, Animal Parasitic Diseases Laboratory, Beltsville, MD 20705-2350, USA
| | - Camila K Cerqueira-Cézar
- United States Department of Agriculture, Agricultural Research Service, Beltsville Agricultural Research Center, Animal Parasitic Diseases Laboratory, Beltsville, MD 20705-2350, USA
| | - Oliver C H Kwok
- United States Department of Agriculture, Agricultural Research Service, Beltsville Agricultural Research Center, Animal Parasitic Diseases Laboratory, Beltsville, MD 20705-2350, USA
| | - Michael E Grigg
- Molecular Parasitology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20895, USA
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