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评估利什曼病的储存宿主状态,特别关注野生啮齿动物中利什曼原虫(Viannia)巴西利ensis 感染的传染性。

Assessing reservoir host status in leishmaniasis with special reference to the infectiousness of Leishmania (Viannia) braziliensis infections in wild rodents.

机构信息

Universidade de São Paulo, Instituto de Ciências Biomédicas, Departamento de Parasitologia, São Paulo, SP, Brasil.

Fundação Oswaldo Cruz, Instituto Aggeu Magalhães, Recife, PE, Brasil.

出版信息

Rev Soc Bras Med Trop. 2023 Dec 15;56:0503. doi: 10.1590/0037-8682-0503-2023. eCollection 2023.

Abstract

Molecular methods have been responsible for a notable increase in the detection of Leishmaniinae infections in wild animals. Determining their infectiousness is of paramount importance in evaluating their epidemiological significance. One of the most efficient ways of determining infectiousness for vector borne diseases is xenodiagnosis with the appropriate vector. However, this is logistically very difficult to accomplish in the field, and an ideal solution is to find a molecular surrogate for xenodiagnosis. In this review we discuss different approaches to the problem by focusing on the infectiousness of Leishmania (Viannia) braziliensis in rodents under laboratory and field conditions. Comparisons with similar studies for other Leishmania species emphasizes that there are pivotal differences in the infectiousness and the importance of asymptomatic infections in different hosts. Potentially the most promising surrogate is the real time quantitative PCR (qPCR). However, its success depends on choosing a tissue that relates to the vector's feeding location and the parasite's tissue tropism. This requires detailed knowledge of the infection of each species in its wild hosts. We conclude that for L. (V.) braziliensis infections in wild rodents the tissue of choice for a molecular xenodiagnostic test, based on the qPCR is blood, providing that a significant number of samples must be examined.

摘要

分子方法在检测野生动物中的利什曼原虫感染方面发挥了重要作用。确定其传染性对于评估其流行病学意义至关重要。确定媒介传播疾病传染性的最有效方法之一是使用适当的媒介进行异种诊断。然而,在野外这在后勤上非常困难,理想的解决方案是找到异种诊断的分子替代物。在这篇综述中,我们通过关注实验室和野外条件下啮齿动物中的利什曼(Viannia)巴西利ensis 感染的传染性,讨论了该问题的不同方法。与其他利什曼物种的类似研究进行比较强调了在不同宿主中,传染性和无症状感染的重要性存在关键差异。最有前途的替代方法可能是实时定量 PCR(qPCR)。然而,它的成功取决于选择与媒介的取食位置和寄生虫的组织嗜性相关的组织。这需要对每种物种在其野生宿主中的感染有详细的了解。我们得出结论,对于野生啮齿动物中的 L.(V.)巴西利ensis 感染,基于 qPCR 的分子异种诊断测试的首选组织是血液,前提是必须检查大量样本。

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