伊朗吉兰省地方病流行区肝片吸虫和巨片吸虫的分布:区域重叠与表型特征之间的关系

Distribution of Fasciola hepatica and F. gigantica in the endemic area of Guilan, Iran: Relationships between zonal overlap and phenotypic traits.

作者信息

Ashrafi Keyhan, Valero M Adela, Peixoto Raquel V, Artigas Patricio, Panova Miroslava, Mas-Coma Santiago

机构信息

Department of Medical Microbiology, School of Medicine, Guilan University of Medical Sciences, Guilan University Complex, km 7 of Rasht-Tehran Highway, 41996-13769 Rasht, Guilan Province, Iran; Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.

Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.

出版信息

Infect Genet Evol. 2015 Apr;31:95-109. doi: 10.1016/j.meegid.2015.01.009. Epub 2015 Jan 17.

Abstract

Fascioliasis is a zoonotic disease emerging in numerous parts of the world. In any endemic area, the characterisation of scenarios and patterns of infection must always be considered the starting point before implementing any control measure. Fascioliasis is a parasitic disease of different epidemiological, pathological and control characteristics depending on the endemic area and the causal agent, Fasciola hepatica and Fasciolagigantica. Classically it has been accepted that F. hepatica is present worldwide, while the distribution of the two species overlaps in many areas of Africa and Asia. Fascioliasis caused by F. hepatica, F. gigantica and intermediate forms is present in Guilan province, a complicated epidemiological situation where the highest human infection rates have been described in Iran. Morphometric tools were used to analyse the possible relationship between liver-fluke metric traits and geographical and altitudinal distribution. This is the first study in which a detailed distribution of both Fasciola species is analysed in a human fascioliasis endemic area with a zonal overlap transmission pattern. An accurate analysis was conducted to phenotypically discriminate between fasciolids from naturally infected livestock (cattle, buffaloes, sheep and goats). The distribution of the % F. hepatica-like (F.h.) and F. gigantica-like (F.g.) flukes detected in each liver versus altitude (m) in each group was analysed. The presence of F.g. specimens mainly in locations below sea level (average: 11.23% F.h., 88.77% F.g.), the presence of both species with similar intensity at 1-99m (average: 56.95% F.h., 43.05% F.g.) and the presence of F.h. specimens mainly from 100 to 999m (average: 71.69% F.h., 28.31% F.g.) as well as in locations with an altitude above 1000m (average: 97.48% F.h., 2.52% F.g.) are noteworthy. A significant positive correlation was obtained between altitude and % F.h., and a significant negative correlation was obtained between altitude and % F.g. The results show that F.g. populations in cattle, buffaloes and sheep share larger size values, but smaller specimens are present mainly in lowland populations located below sea level, independently of the host species (cattle, buffalo). F.g. from lowland cattle presented larger worm size variability. Four different fascioliasis transmission areas may be distinguished in Guilan: (a) lowland coastal areas neighbouring the Caspian Sea shore, below sea level, where basically F. gigantica-like specimens are found; (b) a coastal plain with an altitude between 1 and 100m where both species co-exist; (c) areas with altitude values of 100-999m where mainly F. hepatica-like specimens are found; (d) highland mountainous areas, where basically F. hepatica-like specimens are found. The study of the influence of the host species on the liver fluke was also carried out by a size-out analysis. This is the first report concerning the decisive influence exercised by the host species on the metric traits of F. gigantica adults.

摘要

肝片吸虫病是一种在世界许多地区出现的人畜共患病。在任何流行地区,在实施任何控制措施之前,始终必须将感染情况和模式的特征描述视为起点。肝片吸虫病是一种寄生虫病,其流行病学、病理学和控制特征因流行地区以及病原体肝片吸虫和巨片吸虫而异。传统上人们认为肝片吸虫在全球范围内都有分布,而这两个物种在非洲和亚洲的许多地区分布重叠。由肝片吸虫、巨片吸虫及中间类型引起的肝片吸虫病在吉兰省存在,该省的流行病学情况复杂,伊朗曾报道过该省人类感染率最高。使用形态测量工具来分析肝吸虫的形态特征与地理和海拔分布之间的可能关系。这是第一项在具有区域重叠传播模式的人类肝片吸虫病流行地区详细分析两种肝片吸虫物种分布的研究。对自然感染家畜(牛、水牛、绵羊和山羊)体内的肝吸虫进行了准确的表型鉴别分析。分析了每组中每个肝脏中检测到的肝片吸虫样(F.h.)和巨片吸虫样(F.g.)吸虫的百分比与海拔(米)的分布情况。F.g. 标本主要出现在海平面以下的低地地区(平均:11.23% F.h.,88.77% F.g.),在海拔1 - 99米处两种物种强度相似(平均:56.95% F.h.,43.05% F.g.),在海拔100至999米处主要是F.h. 标本(平均:71.69% F.h.,28.31% F.g.)以及海拔高于1000米的地区(平均:97.48% F.h.,2.52% F.g.),这些情况值得注意。海拔与F.h.百分比之间存在显著正相关,海拔与F.g.百分比之间存在显著负相关。结果表明,牛、水牛和绵羊体内的F.g. 种群具有较大的尺寸值,但较小的标本主要出现在海平面以下的低地种群中,与宿主物种(牛、水牛)无关。来自低地牛的F.g. 虫体大小变异性更大。在吉兰省可区分出四个不同的肝片吸虫病传播区域:(a)里海海岸相邻的低地沿海地区,低于海平面,基本上发现的是巨片吸虫样标本;(b)海拔1至100米的沿海平原,两种物种共存;(c)海拔值为100 - 999米的地区,主要发现的是肝片吸虫样标本;(d)高地山区,基本上发现的是肝片吸虫样标本。还通过大小分析研究了宿主物种对肝吸虫的影响。这是关于宿主物种对巨片吸虫成虫形态特征产生决定性影响的首份报告。

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