Matthias Michael A, Díaz M Mónica, Campos Kalina J, Calderon Maritza, Willig Michael R, Pacheco Victor, Gotuzzo Eduardo, Gilman Robert H, Vinetz Joseph M
Division of Infectious Diseases, Department of Medicine, University of California, San Diego School of Medicine, La Jolla, California 92093, USA.
Am J Trop Med Hyg. 2005 Nov;73(5):964-74.
The role of bats as potential sources of transmission to humans or as maintenance hosts of leptospires is poorly understood. We quantified the prevalence of leptospiral colonization in bats in the Peruvian Amazon in the vicinity of Iquitos, an area of high biologic diversity. Of 589 analyzed bats, culture (3 of 589) and molecular evidence (20 of 589) of leptospiral colonization was found in the kidneys, yielding an overall colonization rate of 3.4%. Infection rates differed with habitat and location, and among different bat species. Bayesian analysis was used to infer phylogenic relationships of leptospiral 16S ribosomal DNA sequences. Tree topologies were consistent with groupings based on DNA-DNA hybridization studies. A diverse group of leptospires was found in peri-Iquitos bat populations including Leptospira interrogans (5 clones), L. kirschneri (1), L. borgpetersenii (4), L. fainei (1), and two previously undescribed leptospiral species (8). Although L. kirschenri and L. interrogans have been previously isolated from bats, this report is the first to describe L. borgpetersenii and L. fainei infection of bats. A wild animal reservoir of L. fainei has not been previously described. The detection in bats of the L. interrogans serovar Icterohemorrhagiae, a leptospire typically maintained by peridomestic rats, suggests a rodent-bat infection cycle. Bats in Iquitos maintain a genetically diverse group of leptospires. These results provide a solid basis for pursuing molecular epidemiologic studies of bat-associated Leptospira, a potentially new epidemiologic reservoir of transmission of leptospirosis to humans.
蝙蝠作为钩端螺旋体向人类传播的潜在源头或作为其维持宿主的作用,目前了解甚少。我们对秘鲁亚马逊伊基托斯附近生物多样性高的地区蝙蝠体内钩端螺旋体定植的流行情况进行了量化。在589只接受分析的蝙蝠中,在肾脏中发现了钩端螺旋体定植的培养证据(589只中有3只)和分子证据(589只中有20只),总体定植率为3.4%。感染率因栖息地、位置以及不同蝙蝠种类而异。采用贝叶斯分析来推断钩端螺旋体16S核糖体DNA序列的系统发育关系。树形拓扑结构与基于DNA-DNA杂交研究的分组一致。在伊基托斯周边的蝙蝠种群中发现了一组多样的钩端螺旋体,包括问号钩端螺旋体(5个克隆株)、克氏钩端螺旋体(1个)、波摩那钩端螺旋体(4个)、费氏钩端螺旋体(1个)以及两个先前未描述的钩端螺旋体物种(8个)。尽管此前已从蝙蝠中分离出克氏钩端螺旋体和问号钩端螺旋体,但本报告首次描述了蝙蝠感染波摩那钩端螺旋体和费氏钩端螺旋体。此前尚未描述过费氏钩端螺旋体的野生动物宿主。在蝙蝠中检测到通常由家栖鼠维持的问号钩端螺旋体血清型出血性黄疸钩端螺旋体,提示存在啮齿动物-蝙蝠感染循环。伊基托斯的蝙蝠维持着一组基因多样的钩端螺旋体。这些结果为开展与蝙蝠相关的钩端螺旋体分子流行病学研究提供了坚实基础,蝙蝠可能是钩端螺旋体病向人类传播的一个新的流行病学宿主。