Songumpai Nopporn, Promrangsee Chulaluk, Noopetch Preudtipong, Siriyasatien Padet, Preativatanyou Kanok
Division of Infectious Diseases, Department of Internal Medicine, Hatyai Hospital, Songkhla 90110, Thailand.
Interdisciplinary Program of Biomedical Sciences, Graduate School, Chulalongkorn University, Bangkok 10330, Thailand.
Trop Med Infect Dis. 2022 Nov 15;7(11):379. doi: 10.3390/tropicalmed7110379.
Since 1996, autochthonous cases of emerging leishmaniasis caused by Leishmania (Mundinia) martiniquensis and Leishmania (Mundinia) orientalis have been more frequently reported, especially in the northern and southern parts of Thailand. However, the accurate identification of their natural vectors and reservoirs remains unconfirmed. Previous studies have suggested that these emerging parasites might be transmitted by other non-phlebotomine vectors. Herein, we speculated that Culicoides biting midges might act as the competent vectors responsible for autochthonous leishmaniasis in southern Thailand. In this research, 187 non-engorged, parous and gravid Culicoides females and 47 blood-engorged ones were trapped from the residences of two recently diagnosed visceral leishmaniasis patients in Sadao District and the unaffected site in Rattaphum District, Songkhla Province, southern Thailand. Species diversity and abundance of biting midges varied among the trapping sites. Using ITS1-PCR and BLASTn analysis, L. martiniquensis was predominantly detected in several Culicoides species, including C. peregrinus, C. oxystoma, C. mahasarakhamense, and C. huffi from the vicinity of patients’ houses; and in C. fordae and C. fulvus from the unaffected site. L. orientalis was also co-circulated in C. peregrinus and C. oxystoma caught near the second patient’s house. Additionally, Crithidia sp. were also detected using SSU rRNA-PCR across Culicoides spp. Host blood meal analysis of eight different Culicoides species from the unaffected site also revealed that all trapped Culicoides had fed on cows and goats, indicating the possible role of these mammalian species as reservoir hosts. Essentially, this study is the first entomological investigation, revealing the co-circulation of emerging trypanosomatids among several species of Culicoides biting midges and strongly supporting the potential role of this insect group as the main vectors responsible for the epidemiology of autochthonous leishmaniasis in southern Thailand.
自1996年以来,由马提尼克利什曼原虫(Mundinia亚属)和东方利什曼原虫(Mundinia亚属)引起的本地利什曼病病例报告得越来越频繁,尤其是在泰国的北部和南部地区。然而,它们的自然传播媒介和宿主的确切身份仍未得到证实。先前的研究表明,这些新出现的寄生虫可能由其他非白蛉属媒介传播。在此,我们推测蠓科昆虫可能是泰国南部本地利什曼病的有效传播媒介。在本研究中,从泰国南部宋卡府沙道区两名最近诊断为内脏利什曼病患者的住所以及拉达普区未受影响地点捕获了187只未吸血、已产过卵且怀有身孕的蠓科雌虫以及47只吸饱血的蠓科雌虫。不同捕获地点的蠓科昆虫物种多样性和丰度各不相同。通过ITS1-PCR和BLASTn分析,在几种蠓科物种中主要检测到马提尼克利什曼原虫,包括来自患者房屋附近的迁徙蠓、尖口蠓、呵叻蠓和哈氏蠓;以及来自未受影响地点的福氏蠓和淡黄蠓。在第二名患者房屋附近捕获的迁徙蠓和尖口蠓中也同时检测到了东方利什曼原虫。此外,通过SSU rRNA-PCR在蠓科物种中也检测到了克氏锥虫属。对来自未受影响地点的八种不同蠓科物种的宿主血餐分析还显示,所有捕获的蠓科昆虫都以牛和山羊为食,这表明这些哺乳动物物种可能是宿主。本质上,这项研究是首次昆虫学调查,揭示了新出现的锥虫在几种蠓科昆虫中的共同传播,并有力地支持了这一昆虫群体作为泰国南部本地利什曼病流行病学主要传播媒介的潜在作用。
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