Viettri M, Herrera L, Aguilar C M, Morocoima A, Reyes J, Lares M, Lozano-Arias D, García-Alzate R, Chacón T, Feliciangeli M D, Ferrer E
Instituto de Investigaciones Biomédicas "Dr. Francisco J. Triana Alonso" (BIOMED); Departamento de Clinico Integral, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela.
Instituto de Zoología y Ecología Tropical (IZET), Facultad de Ciencias, Universidad Central de Venezuela (UCV), Caracas, Venezuela.
J Vector Borne Dis. 2019 Jul-Sep;56(3):252-262. doi: 10.4103/0972-9062.289394.
BACKGROUND & OBJECTIVES: Trypanosoma cruzi and Leishmania spp. are protozoans that cause American trypanosomiasis and leishmaniasis, respectively. In endemic foci where both diseases coincide, coinfection can occur. The objective of this work was the characterization of the parasites involved in coinfection in several endemic areas of Venezuela.
Molecular characterization was done in 30 samples of several species of mammals (Didelphis marsupialis, Equus mulus, Rattus rattus, Canis familiaris, Felis catus, and Sciurus granatensis) from the states of Anzoategui, Cojedes and Capital District diagnosed with T. cruzi and Leishmania spp. coinfections. For the typing of T. cruzi DTUs, the markers of miniexon, 24Sa rDNA, 18Sa rDNA, and hsp60-PCR-RFLP (EcoRV) were used. Infection by Leishmania spp. was characterized by miniexon multiplex PCR for complexes of Leishmania and ITS1-PCR-RFLP (HaeIII, HhaI, and RsaI) for the identification of the species.
The T. cruzi TcI was present in 100% of the coinfected mammals, which included 76.7% of triple infection by T. cruzi TcI-complex-L. (L) mexicana-L. infantum/chagasi, 13.3% of double infection by T. cruzi TcI-L. mexicana and 10% of double infection by T. cruzi Tcl-L. infantum/chagasi.
INTERPRETATION & CONCLUSION: These results suggest that the double or triple infection is a phenomenon existing in almost all the coendemics areas and mammals studied, which might influence the mechanisms of adaptation and pathogenicity of these parasites.
克氏锥虫和利什曼原虫属原生动物,分别引起美洲锥虫病和利什曼病。在这两种疾病共存的流行病灶地区,可能会发生混合感染。本研究旨在对委内瑞拉多个流行地区混合感染中涉及的寄生虫进行特征分析。
对来自安索阿特吉州、科赫德斯州和首都区的30份多种哺乳动物(有袋食蚁兽、骡、黑家鼠、家犬、家猫和松鼠)样本进行分子特征分析,这些样本被诊断为克氏锥虫和利什曼原虫属混合感染。对于克氏锥虫离散分型单元(DTUs)的分型,使用了微小外显子、24Sa rDNA、18Sa rDNA和hsp60-PCR-RFLP(EcoRV)标记。利什曼原虫属的感染通过用于利什曼原虫复合体的微小外显子多重PCR以及用于物种鉴定的ITS1-PCR-RFLP(HaeIII、HhaI和RsaI)来进行特征分析。
克氏锥虫TcI存在于所有混合感染的哺乳动物中,其中76.7%为克氏锥虫TcI-复合体-L.(L)墨西哥利什曼原虫-L.婴儿利什曼原虫/恰加斯利什曼原虫三重感染,13.3%为克氏锥虫TcI-L.墨西哥利什曼原虫双重感染,10%为克氏锥虫Tcl-L.婴儿利什曼原虫/恰加斯利什曼原虫双重感染。
这些结果表明,双重或三重感染是几乎所有研究的共流行地区和哺乳动物中存在的一种现象,这可能会影响这些寄生虫的适应机制和致病性。