VAN Dorssen Clare F, Gordon Catherine A, Li Yuesheng, Williams Gail M, Wang Yuanyuan, Luo Zhenhua, Gobert Geoffrey N, You Hong, McManus Donald P, Gray Darren J
Molecular Parasitology Laboratory, Infectious Diseases Division,QIMR Berghofer Medical Research Institute,Brisbane,Australia.
School of Public Health, University of Queensland,Brisbane,Australia.
Parasitology. 2017 Oct;144(12):1633-1642. doi: 10.1017/S0031182017000907. Epub 2017 Jun 22.
Schistosomiasis in China has been substantially reduced due to an effective control programme employing various measures including bovine and human chemotherapy, and the removal of bovines from endemic areas. To fulfil elimination targets, it will be necessary to identify other possible reservoir hosts for Schistosoma japonicum and include them in future control efforts. This study determined the infection prevalence of S. japonicum in rodents (0-9·21%), dogs (0-18·37%) and goats (6·9-46·4%) from the Dongting Lake area of Hunan province, using a combination of traditional coproparasitological techniques (miracidial hatching technique and Kato-Katz thick smear technique) and molecular methods [quantitative real-time PCR (qPCR) and droplet digital PCR (ddPCR)]. We found a much higher prevalence in goats than previously recorded in this setting. Cattle and water buffalo were also examined using the same procedures and all were found to be infected, emphasising the occurrence of active transmission. qPCR and ddPCR were much more sensitive than the coproparasitological procedures with both KK and MHT considerably underestimating the true prevalence in all animals surveyed. The high level of S. japonicum prevalence in goats indicates that they are likely important reservoirs in schistosomiasis transmission, necessitating their inclusion as targets of control, if the goal of elimination is to be achieved in China.
由于实施了有效的防控计划,包括对牛和人的化疗以及将牛从流行地区转移,中国的血吸虫病已大幅减少。为实现消除目标,有必要确定日本血吸虫其他可能的储存宿主,并将它们纳入未来的防控工作中。本研究采用传统粪便寄生虫学技术(毛蚴孵化技术和加藤厚涂片技术)和分子方法[定量实时PCR(qPCR)和液滴数字PCR(ddPCR)]相结合的方式,测定了湖南省洞庭湖地区啮齿动物(0 - 9.21%)、犬类(0 - 18.37%)和山羊(6.9 - 46.4%)的日本血吸虫感染率。我们发现山羊的感染率比此前在此环境中记录的要高得多。还使用相同程序对牛和水牛进行了检查,发现它们均被感染,这突出了当前存在活跃传播。qPCR和ddPCR比粪便寄生虫学检测程序更为灵敏,加藤厚涂片技术和毛蚴孵化技术均大大低估了所有受调查动物的实际感染率。山羊中日本血吸虫的高感染率表明它们可能是血吸虫病传播中的重要储存宿主,如果要在中国实现消除目标,就必须将它们纳入防控对象。