Division of Infectious Diseases, Department of Medicine, University of California, San Diego, San Diego, California.
Instituto de Medicina Tropical "Alexander von Humboldt", Universidad Peruana Cayetano Heredia, Lima, Peru.
Am J Trop Med Hyg. 2018 Aug;99(2):275-280. doi: 10.4269/ajtmh.17-0844. Epub 2018 Jun 21.
serovar Varillal, a group II intermediate pathogen species/serovar discovered in the Peruvian Amazon city of Iquitos, is commonly recognized in this region by sera from humans (at least 40% seroprevalence) without a known clinical history of leptospirosis. This high frequency of human seroreactivity remains unexplained. To test the hypothesis that the oral route of infection might explain the high rate of human seroreactivity against , an experimental infection model using was developed, given that rats were one of the original reservoir hosts identified as being colonized by this leptospire. Sprague-Dawley rats were experimentally exposed via mucosa, direct gastric gavage, or parenteral inoculation with nine different isolates of originally isolated from Peruvian humans, peridomiciliary rodents, and wildlife. As shown by quantitative polymerase chain reaction of kidney tissue, infection via these routes of infection was equally successful. Importantly, the data show that infects via the oral route, leading to renal colonization. Not only do these findings confirm the infectiousness of group II , but also they underscore the potential importance of oral as well as mucosal and transcutaneous routes of infection.
血清型 Varillal 是一种组 II 中间病原体/血清型,在秘鲁亚马逊城市伊基托斯被发现,该地区的人类血清(至少 40%的血清阳性率)通常对其有反应,但没有已知的钩端螺旋体病临床病史。这种高频率的人类血清反应性仍然无法解释。为了验证感染可能通过口服途径来解释针对 的高人类血清反应率的假设,开发了一种使用 的实验感染模型,因为大鼠是最初确定的被这种钩端螺旋体定植的原始宿主之一。通过黏膜、直接胃灌胃或皮下接种来自秘鲁人类、周边啮齿动物和野生动物的九种不同 的分离株,对 Sprague-Dawley 大鼠进行了实验性暴露。通过肾脏组织的定量聚合酶链反应显示,通过这些感染途径的 感染同样成功。重要的是,这些数据表明 通过口服途径感染 ,导致肾脏定植。这些发现不仅证实了组 II 的传染性,而且强调了 感染的口腔以及黏膜和经皮途径的潜在重要性。