内脏利什曼病地方性流行区的家畜和啮齿动物不是杜氏利什曼原虫的储存宿主。

Livestock and rodents within an endemic focus of Visceral Leishmaniasis are not reservoir hosts for Leishmania donovani.

机构信息

Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, United States of America.

出版信息

PLoS Negl Trop Dis. 2022 Oct 20;16(10):e0010347. doi: 10.1371/journal.pntd.0010347. eCollection 2022 Oct.

Abstract

Leishmaniasis on the Indian subcontinent is thought to have an anthroponotic transmission cycle. There is no direct evidence that a mammalian host other than humans can be infected with Leishmania donovani and transmit infection to the sand fly vector. The aim of the present study was to evaluate the impact of sand fly feeding on other domestic species and provide clinical evidence regarding possible non-human reservoirs through experimental sand fly feeding on cows, water buffalo goats and rodents. We performed xenodiagnosis using colonized Phlebotomus argentipes sand flies to feed on animals residing in villages with active Leishmania transmission based on current human cases. Xenodiagnoses on mammals within the endemic area were performed and blood-fed flies were analyzed for the presence of Leishmania via qPCR 48hrs after feeding. Blood samples were also collected from these mammals for qPCR and serology. Although we found evidence of Leishmania infection within some domestic mammals, they were not infectious to vector sand flies. Monitoring infection in sand flies and non-human blood meal sources in endemic villages leads to scientific proof of exposure and parasitemia in resident mammals. Lack of infectiousness of these domestic mammals to vector sand flies indicates that they likely play no role, or a very limited role in Leishmania donovani transmission to people in Bihar. Therefore, a surveillance system in the peri-/post-elimination phase of visceral leishmaniasis (VL) must monitor absence of transmission. Continued surveillance of domestic mammals in outbreak villages is necessary to ensure that a non-human reservoir is not established, including domestic mammals not present in this study, specifically dogs.

摘要

印度次大陆的利什曼病被认为存在人际传播循环。没有直接证据表明人类以外的哺乳动物宿主可以感染杜氏利什曼原虫并将感染传播给沙蝇媒介。本研究旨在评估沙蝇摄食对其他家养动物的影响,并通过对牛、水牛、山羊和啮齿动物进行实验性沙蝇摄食,为可能的非人类宿主提供临床证据。我们使用已定居的埃及伊蚊沙蝇进行人源利什曼原虫感染的异种诊断,这些沙蝇摄食居住在当前人类病例活跃的利什曼病传播地区的动物。在流行地区对哺乳动物进行异种诊断,并在摄食后 48 小时通过 qPCR 分析血食蝇中是否存在利什曼原虫。还从这些哺乳动物中采集血液样本进行 qPCR 和血清学检测。尽管我们在一些家养哺乳动物中发现了利什曼原虫感染的证据,但它们对媒介沙蝇没有感染性。在流行地区监测沙蝇和非人类血餐源中的感染,为居民哺乳动物中的暴露和寄生虫血症提供了科学证据。这些家养哺乳动物对媒介沙蝇无感染性表明它们在比哈尔邦人群中传播杜氏利什曼原虫方面可能不起作用,或者作用非常有限。因此,内脏利什曼病(VL)消除前/后监测阶段的监测系统必须监测到无传播。在暴发村庄继续监测家养哺乳动物,以确保不建立非人类宿主,包括本研究中未涉及的家养哺乳动物,特别是狗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9048/9624431/7235d4f658ec/pntd.0010347.g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索