Lagadec Erwan, Gomard Yann, Le Minter Gildas, Cordonin Colette, Cardinale Eric, Ramasindrazana Beza, Dietrich Muriel, Goodman Steven M, Tortosa Pablo, Dellagi Koussay
Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France.
Université de La Réunion, UMR PIMIT « Processus Infectieux en Milieu Insulaire Tropical », Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France.
PLoS Negl Trop Dis. 2016 Aug 30;10(8):e0004933. doi: 10.1371/journal.pntd.0004933. eCollection 2016 Aug.
Leptospirosis is a bacterial zoonosis of major concern on tropical islands. Human populations on western Indian Ocean islands are strongly affected by the disease although each archipelago shows contrasting epidemiology. For instance, Mayotte, part of the Comoros Archipelago, differs from the other neighbouring islands by a high diversity of Leptospira species infecting humans that includes Leptospira mayottensis, a species thought to be unique to this island. Using bacterial culture, molecular detection and typing, the present study explored the wild and domestic local mammalian fauna for renal carriage of leptospires and addressed the genetic relationships of the infecting strains with local isolates obtained from acute human cases and with Leptospira strains hosted by mammal species endemic to nearby Madagascar. Tenrec (Tenrec ecaudatus, Family Tenrecidae), a terrestrial mammal introduced from Madagascar, is identified as a reservoir of L. mayottensis. All isolated L. mayottensis sequence types form a monophyletic clade that includes Leptospira strains infecting humans and tenrecs on Mayotte, as well as two other Malagasy endemic tenrecid species of the genus Microgale. The lower diversity of L. mayottensis in tenrecs from Mayotte, compared to that occurring in Madagascar, suggests that L. mayottensis has indeed a Malagasy origin. This study also showed that introduced rats (Rattus rattus) and dogs are probably the main reservoirs of Leptospira borgpetersenii and Leptospira kirschneri, both bacteria being prevalent in local clinical cases. Data emphasize the epidemiological link between the two neighbouring islands and the role of introduced small mammals in shaping the local epidemiology of leptospirosis.
钩端螺旋体病是热带岛屿上备受关注的一种细菌性人畜共患病。尽管每个群岛的流行病学情况各不相同,但西印度洋岛屿上的人类群体受到这种疾病的严重影响。例如,科摩罗群岛的一部分马约特岛,与其他邻近岛屿不同,感染人类的钩端螺旋体种类高度多样,其中包括马约特钩端螺旋体,这一物种被认为是该岛特有的。本研究通过细菌培养、分子检测和分型,探索了当地野生和家养哺乳动物群体中钩端螺旋体的肾脏携带情况,并研究了感染菌株与从急性人类病例中分离出的当地菌株以及与马达加斯加特有的哺乳动物物种携带的钩端螺旋体菌株之间的遗传关系。从马达加斯加引入的陆生哺乳动物马岛猬(马岛猬科马岛猬属)被确定为马约特钩端螺旋体的宿主。所有分离出的马约特钩端螺旋体序列类型形成一个单系分支,其中包括感染马约特岛人类和马岛猬的钩端螺旋体菌株,以及Microgale属的另外两种马达加斯加特有的马岛猬科物种。与马达加斯加的马岛猬相比,马约特岛马岛猬体内马约特钩端螺旋体的多样性较低,这表明马约特钩端螺旋体确实起源于马达加斯加。这项研究还表明,引入的大鼠(黑家鼠)和狗可能是博氏钩端螺旋体和克氏钩端螺旋体的主要宿主,这两种细菌在当地临床病例中普遍存在。数据强调了这两个邻近岛屿之间的流行病学联系,以及引入的小型哺乳动物在塑造当地钩端螺旋体病流行病学中的作用。