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Should we be treating animal schistosomiasis in Africa? The need for a One Health economic evaluation of schistosomiasis control in people and their livestock
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Publication date (Electronic):
16 October 2017
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Oxford University Press
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Abstract
A One Health economic perspective allows informed decisions to be made regarding control priorities and/or implementation strategies for infectious diseases. Schistosomiasis is a major and highly resilient disease of both humans and livestock. The zoonotic component of transmission in sub-Saharan Africa appears to be more significant than previously assumed, and may thereby affect the recently revised WHO vision to eliminate schistosomiasis as a public health problem by 2025. Moreover, animal schistosomiasis is likely to be a significant cost to affected communities due to its direct and indirect impact on livelihoods. We argue here for a comprehensive evaluation of the economic burden of livestock and zoonotic schistosomiasis in sub-Saharan Africa in order to determine if extending treatment to include animal hosts in a One Health approach is economically, as well as epidemiologically, desirable.
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Introgressive Hybridization of Schistosoma haematobium Group Species in Senegal: Species Barrier Break Down between Ruminant and Human Schistosomes
Bonnie Webster, Oumar T. Diaw, Mohmoudane Seye … (2013)
Introduction In recent years, developments in molecular tools and their use in epidemiological studies have revealed several cases of hybridization and introgression in plants and animals [1]–[8], although there are very few examples from metazoan parasites [7]–[8]. Hybridization can have a major impact on species diversification and adaptive radiation [9]–[12]. With regard to parasites and pathogens, this may have a crucial impact on disease epidemiology and evolution, affecting factors such as virulence, drug efficacy and response to control, and host range, potentially ultimately leading, in certain cases, to the evolution of new species of pathogens [13]–[14]. Schistosomiasis is a parasitic disease of considerable medical and veterinary importance throughout tropical and subtropical regions, caused by dioecious digeneans of the genus Schistosoma. Schistosomes infect more than 207 million people worldwide (the majority of whom are in sub-Saharan Africa) and cause chronic diseases that can lead to severe liver, intestinal and bladder pathology and death [15]. Schistosomiasis is also a disease affecting domestic livestock such as cattle, sheep and goats throughout Africa, the Middle East, Asia, and some countries bordering the Mediterranean Sea. Indeed it has been estimated that over 165 million cattle are infected worldwide with chronic infections resulting in hemorrhagic enteritis, anemia, emaciation and death [16]. Schistosomes have a two-host life cycle with an asexual stage occurring in an intermediate freshwater snail and a sexual stage within the definitive mammalian host from which eggs are voided in the urine or faeces of the infected individual, depending on the schistosome species involved. The sexual stage of these dioecious parasites enables interactions between male and female worms within their definitive hosts, while the asexual stage within the aquatic intermediate snail host gives rise to clonal larvae facilitating exposure and potential infection of any mammal in contact with the water. Most Schistosoma species are host specific and geographically separated, which helps to maintain species barriers however, given the opportunity, heterospecific crosses between species can occur and have been demonstrated in controlled laboratory experiments [17]–[20]. Heterospecific crosses can lead to either parthenogenesis or hybridization depending on the phylogenetic distance of the species involved. Hybridization, with the production of generations of viable offspring, will result from heterospecific crosses between closely related species and viable hybrids have been observed experimentally to exhibit several enhanced phenotypic characteristics such as higher fecundity, faster maturation time, higher infectivity, increased pathology and the ability to infect both intermediate snail hosts of the parental species, thereby widening their intermediate host spectrum [19]–[20]. Whilst in nature host specificity and distribution may have restricted the potential for hybridization between schistosomes, natural and anthropogenic environmental changes, accompanied by host migration, introduction and/or radiation, can all serve to alter the distribution of schistosome species. This can result in novel interactions between schistosomes and host and also between different schistosome species infecting the same host. For example, dam construction and irrigation may be expected to give rise to changes in agricultural practice and create new habitats for intermediate snail hosts, bringing humans into even greater contact with their livestock, and hence the parasites of these animals, certain species of which can successfully hybridize with human schistosome species. Due to the inaccessibility of schistosome adult worms within their hosts, detecting natural interactions and hybridization between schistosome species, especially in humans, can be highly problematic. Past studies have speculated on such events using morphological characteristics such as egg shape, infection site and snail compatibility, although this can be misleading [19]–[26]. Recent developments in the ability to store and genetically analyze individual schistosome larval stages directly from their natural hosts have, nevertheless, proved revolutionary in detecting natural hybridization events [27]–[33]. Accordingly, studies incorporating such molecular analysis of the parasites have proved that interactions and hybridization between schistosome species does occur in nature with varying epidemiological outcomes [19], [34]–[37]. In particular, a preliminary study reported on the bidirectional hybridization between a cattle schistosome, S. bovis, and a human schistosome, S. haematobium, in several villages along the Senegal River Basin in Northern Senegal [32]. Hybrid larval stages were found in human urine and stool samples and also transmitted through both the intermediate snail hosts (Bulinus truncatus and B. globosus respectively) of the parental species. This hybridization was hypothesized to have been able to occur due to the ecological and climatic changes that have taken place in these areas over the last 30 years facilitating the creation of areas of sympatry between these schistosome species and their hosts. Whilst this study provided the first conclusive evidence for the natural hybridization between these two species, it also inspired a number of further related questions such as: what is the occurrence, host use and distribution of these hybrids in Senegal and elsewhere. Additionally, in Senegal, there exists another schistosome species within the S. haematobium group, S. curassoni, which infects sheep, goats and cattle and is very closely related to both S. bovis and S. haematobium, potentially enabling all three species to interact if given the opportunity [38]–[41]. The definitive host range of S. curassoni and S. bovis does overlap, so it may be predicted that these two species also natural hybridize in areas of sympatry. Indeed an earlier report by Rollinson and colleagues [41], provided initial field and experimental evidence, based on isoenzyme data, for the hybridization between these two species in Senegal and Mali. There has also been some speculation about the potential involvement of S. curassoni infecting or interacting with S. haematobium in humans in Niger [42], although there was no conclusive evidence to support this as more sensitive molecular markers were needed to discriminate between S. haematobium and S. curassoni [41]–[44]. In the current study we use molecular sequencing tools and a multi-locus approach to provide novel data on the occurrence, interactions and host use of all three schistosome species and their natural hybrids at four foci across Senegal. In particular we aimed to confirm the presence of S. curassoni or hybrids thereof in children living in areas where S. curassoni occurs in ruminants and where transmission is likely to occur. We also aimed to elucidate the role of domestic livestock in the transmission and possible hybridization of the human schistosome S. haematobium and to provide data on the frequency and viability of the hybridization between, and also the transmission of, S. haematobium, S. bovis and S. curassoni at the specific field study sites. These data are discussed in relation to the implications for the transmission and control of schistosomiasis in Senegal and other neigbouring West African countries, where all three schistosome species may be occurring and interacting. Materials and Methods Parasite collection Parasitological surveys of domestic livestock and children were carried out in March 2009 and 2010 in four areas across Senegal; the Senegal River Basin (SRB) in the North, Vallée du Ferlo which is central, Tambacounda in the South East and Kolda in the South. (Figure 1). These sites were specifically selected as they were known foci for human and livestock schistosomiasis (personal communication). As these were mainly pilot surveys aimed to positively identify the different Schistosoma species and any hybrids infecting livestock and children in each area only human urine samples and animal intestines were sampled. 10.1371/journal.pntd.0002110.g001 Figure 1 Map showing the location of the survey sites across Senegal. The survey sties are numbered in red. GPS coordinates: 1. Richard Toll = 16°27′40.71″N, 15°41′15.29″W, 2. Nder = 16°15′33.50″N, 15°53′2.13″W, 3. Linguiere = 15°23′34.33″N, 15°6′55.87″W, 4. Barkedji = = 15°16′38.46″N, 14°51′55.48″W, 5. Tambacounda = 13°46′8.00″N, 13°40′2.00″W, 6. Kolda = 12°53′58.27″N, 14°56′39.37″W. The regions of Senegal are also shown on the map. Collection of schistosome miracidia from children To detect the presence and prevalence of urinary schistosomiasis, urine samples were collected from school-aged children in each area (refer to Table S1 for details). Schools and villages where children were suspected by the local health workers to have urinary schistosomiasis, were selected to take part in the study. Positive urine samples from each child were first identified using haemastix and by visual inspection to detect the presence of blood. Eggs from positive samples were hatched by sedimentation and subsequent exposure to clean water and light. Using a stereomicroscope individual miracidia were harvested and stored in RNAlater as described by Webster [33]. Schistosome collection from domestic livestock In each abattoir, intestines were randomly obtained from individual animals routinely slaughtered as part of the daily work of the abattoir. The mesenteric veins around the small and large intestines of individual cows, sheep or goats that had been slaughtered were visually inspected for the presence of schistosome worms. Any worms found were dissected from the veins and stored as individual pairs or individual single worms in ethanol. The number of worms dissected from each animal and the animal species was recorded. From some of the highly infected animals, a small piece of the liver was taken, macerated, and passed through a 212 µm sieve with 0.85% saline and any schistosome eggs present in the samples concentrated using a Pitchford funnel [45]. The eggs were then released into a clean Petri dish and exposed to fresh water and light to facilitate hatching. Individual miracidia were stored in RNAlater as above. Genomic DNA (gDNA) extraction gDNA from individual miracidia was extracted as described in Webster [33]. Individual worm pairs were washed in TE buffer to remove any residual ethanol and allowed time to relax in the TE buffer so that they could be separated. The male and female worm from each pair was recorded. gDNA from individual worms was extracted using the DNeasy blood and tissue kit (Qiagen) according the manufacture's protocol and DNA was eluted in a total of 100 µl. To enable high throughput processing of the samples the majority of the gDNA extractions were carried out using the DNeasy blood and tissue kit 96 well plate spin protocol (Qiagen) according the manufacturer's protocol and DNA was eluted in a total of 100 µl. Molecular hybrid detection Hybrid detection of schistosomes requires a multi-locus approach, analyzing both mitochondrial and nuclear DNA simultaneously from individual specimens [32]. A partial region of the mitochondrial cox1 gene and the complete ITS1+2 rDNA were analyzed from each individual as described below. Mitochondrial (mt) cox1 amplification and analysis To identify individual miracidia and worms with S. haematobium, S. bovis or S. curassoni mtDNA, the cox1 rapid diagnostic multiplex PCR (RD-PCR) was carried out for each individual sample as described by Webster and colleagues [46]. 4 µ1 of each RD-PCR was visualised on a 2% gel-red agarose gel. Any miracidium that was collected from the human urine samples that did not present a clear S. haematobium RD-PCR profile was selected for sequencing and those that did present a clear S. haematobium profile were recorded as having S. haematobium mtDNA. In addition, a selection of these miracidia (4 from each urine sample) was also sequenced to confirm the mtDNA identity. Where there was a mixture of S. bovis and S. curassoni RD-PCR profiles from the individual worms all RD-PCR products were sequenced to confirm the mtDNA identity. All RD-PCR's were run in conjunction with +ve and −ve reactions. Nuclear ITS1+2 rDNA amplification The complete ITS1+2 rDNA (981 bp) was amplified from each individual specimen in 25 µ1reactions containing 2 µ1 of each gDNA extract, Illustra PuReTaq Ready-To-Go PCR Beads (GE Healthcare) and 10 pmol of each forward and reverse primer [32]. Thermal cycling was performed in a Perkin Elmer 9600 Thermal Cycler and the PCR conditions used were: 5 min denaturing at 95°C: 40 cycles of 30 sec at 95°C, 30 sec at 40°C, 1 min at 72°C; followed by a final extension period of 7 min at 72°C. 4 µl of each PCR reaction was visualised on a 0.8% gel-red agarose gel to confirm amplification success. All PCR's were run in conjunction with +ve and −ve reactions. Sequencing and analysis Selected RD-PCR's and all positive ITS PCR reactions were purified using the Qiaquick 96 PCR purification Kit (Qiagen) according to the manufacturer's protocol. Both the forward and reverse strands of the purified amplicons were sequenced using a dilution of the original PCR primers and a Fluorescent Dye Terminator Sequencing Kit (Applied Biosystems), the sequencing reactions were run on an Applied Biosystems 377 automated sequencer. For the RD-PCR amplicons, the primer used for the reverse sequencing reaction corresponded with the diagnostic profile of the amplicon. The sequences were assembled and manually edited using Sequencher V.4.5 (GeneCodes Corp.). Identity of the sequence was confirmed using the Basic Local Alignment Search Tool (BLAST) and comparison to the reference sequences (see below). At the polymorphic positions of the ITS1+2 between S. haematobium, S. bovis and S. curassoni, any occurrence of double chromatogram peaks was recorded to identify mixed ITS sequences. The species identity of the mt and nuclear DNA for each individual specimen was recorded (Tables S1+S2). Reference sequences The cox1 and ITS reference sequences of S. haematobium, S. bovis and S. curassoni from Huyse and colleagues [32], were used to identify and compare the sequences from the samples in this study. Crosses of S. haematobium, S. bovis and S. curassoni in laboratory animals During the collection of the parasite material at the sampling sites, eggs were also collected to establish laboratory isolates of S. haematobium, S. bovis and S. curassoni. Group 1: S. curassoni A small liver sample was taken from a cow (C1, Table S2) from Tambacounda and processed for miracidial collection. After an hour of hatching a few miracidia had hatched and were seen swimming around the Petri dish. In view of the low numbers and slowness of the hatching, eight laboratory bred Bulinus wrighti were added to the Petri dish and left for approximately 12 hours to facilitate snail infection. Group 2: S. bovis A small liver sample was taken from a cow (C4, Table S2) from Kolda and processed for miracidial hatching. The eggs hatched well and 12 laboratory bred Bulinus wrighti were exposed to five miracidia each. Group 3: S. haematobium Miracidia hatched from the urine sample collected from a child ID (32, Table S1) from Nder school in the Senegal River basin were used to infect 24 laboratory bred Bulinus wrighti. The snails were individually exposed to five miracidia each. Snail shedding and molecular species identification The snails were maintained in their groups in the NHM schistosome culture facility and at 4–6 weeks post exposure each group was exposed to light to facilitate cercarial shedding. At the time of the snail infections, the species identity of the miracidia used had not been confirmed so 20 individual cercariae from each group of snails were harvested for molecular identification. Individual cercariae were captured in 2–3 µl of water and pipetted into individual Eppendorf tubes. gDNA was immediately extracted from each individual cercaria using the DNeasy blood and tissue kit (Qiagen) according to the manufacturer's protocol, but with the modifications to the protocol as described in Webster [33]. The mt cox1 and nuclear ITS DNA were analysed and identified from each individual cercaria using the same methodology as described earlier. Species crosses in laboratory animals The remaining cercariae from each group of snails were used to infect two laboratory mice or two laboratory hamsters (see Table 1) by the paddling technique [17]. The snails were then set up to shed cercariae again every other day and the same animals were exposed to the cercariae from a different group of snails, so that each of the animals had been exposed to a combination of cercariae from two of the different groups of snails (see Table 1). If necessary, animals were repeatedly exposed to cercariae shed from the snails on different days so that they had been exposed to approximately 100 cercariae from each of the 2 snail groups to which they had been initially exposed. Ten weeks post exposure, animals were culled and all the worms were perfused and dissected from the animals. Each individual worm pair was put into a separate pot in 0.85% saline and allowed to separate. gDNA was directly extracted from each individual worm and the mt cox1 and nuclear ITS DNA were analysed and identified as described earlier. The molecular identity of each male and female worm in each pair was recorded. From each animal the liver was processed for miracidial hatching [17] and 96 miracidia were harvested individually from each animal cross for molecular identification. Each miracidia was captured individually in 2–3 µl of water and pipetted into a single well of a 96 well PCR plate. gDNA was extracted from each individual miracidium as described in Webster [33]. The mt cox1 and nuclear ITS DNA were analysed and identified from each individual miracidium using the same methodology as previously described. 10.1371/journal.pntd.0002110.t001 Table 1 Experimental laboratory animal infections. Animal cross (No. of animals) 1st infection 2nd infection Homospecific worm pairs (no.) No. of homospecific miracidia (no.) Heterospecific worm pairs (no) Hybrid miracidia** Snail Group Cercariae sp. Snail Group Cercariae sp. ITS profile mt cox1 profile No. 1 (2 Mice) 1 S. c 2 S. b S. b M X S. b F (14) 18 S. b M X S. c F (15) S. c/S. b S. c 15 S. c M X S. c F (41) 51 S. c M X S. b F (17) S. b/S. c S. b 12 2 (2 Hamsters*) 2 S. b 3 S. h S. b M X S. b F (11) 83 S. h M X S. b F (3) S. h/S. b S. b 5 S. h M X S. h F (4) 4 S. b M X S. h F (2) S. b/S. h S. h 4 3 (2 Hamsters*) 3 S. h 1 S. c S. c M X S. c F (56) 77 S. h M X S. c F (7) S. h/S. c S. c 3 S. h M X S. h F (24) 12 S. c M X S. h F (8) S. c/S. h S. h 4 * Hamsters were used as S. haematobium does not develop well in mice. ** Genetic profiles and number of hybrid miracidia resulting from the heterospecific crosses. In total 96 miracidia from each animal cross were genetically analysed. S. c = S. curassoni, S. b = S. bovis, S. h = S. haematobium, M = male and F = female. Ethics statement Ethical approval for these studies was obtained from the Imperial College Research Ethics Committee (ICREC), Imperial College London and the Ministry of Health Dakar, Senegal. Before conducting the study, the MoH-approved plan of action had been presented and adopted by regional and local administrative and health authorities. Meetings were held in each village to inform the village leader, heads of the families, local health authority, teachers, parents and children about the study, its purpose and to invite them to participate voluntarily. According to common practice and with approval from the Imperial College Research Ethics Committee (ICREC), due to low levels of literacy all village leaders, teachers, parents and study participants gave oral consent for the studies to take place. Informed consent for the urine examinations was obtained from each study participant and their parents or guardians. Oral consent for each participant was documented by inscription at school committees comprising of parents, teachers and community leaders. All the data were analysed anonymously and all schistosomiasis positive participants were treated with PZQ (40 mg/kg). In schools or classes where the percentages of infections were more than 50%, mass treatment of all children was carried out at the end of the study. Laboratory animal use was within a designated facility regulated under the terms of the UK Animals (Scientific Procedures) Act, 1986, complying with all requirements therein, including an internal ethical review process at the NHM and regular independent Home Office inspection. Work was carried out under the Home Office project license number 70/6834. Results Adult schistosome worms and miracidia collected during parasitological surveys across Senegal of domestic livestock and children at four transmission foci, identified as potential hybrid zones, were identified by nuclear and mitochondrial (mt) DNA genotyping. The numbers of S. haematobium, S. bovis, S. curassoni or hybrids thereof from each host were recorded. The viability of the interactions between S. haematobium, S. bovis and S. curassoni were also investigated during inter-species crossing experiments in laboratory rodents. Nuclear and mtDNA genotyping ITS1+2 nuclear rDNA In the reference sequences and all the specimens examined S. haematobium differed from S. bovis and S. curassoni at five point mutations and S. curassoni differed from S. bovis at one point mutation. No intra-specific variation was detected in all the ITS sequences, however, in some of the hybrid miracidia double chromatogram profiles were observed at the polymorphic positions between the two species involved in the hybridization. The peak height that represented each species varied, with some hybrids having a higher peak for one species than the other and some hybrids having equal peak heights for both species. cox1 mtDNA Considerable genetic distance separates the cox1 mtDNA of S. haematobium, S. bovis and S. curassoni and this is therefore a good molecular tool for mtDNA identification for these three species [32]. The diagnostic cox1 RD-PCR [46] proved robust for distinguishing worms and larval stages with S. haematobium mtDNA from those that had S. bovis and S. curassoni mtDNA, with all the individuals that produced a S. haematobium cox1 RD-PCR profile, that were sequenced, having a S. haematobium cox1 mtDNA sequence. The diagnostic cox1 RD-PCR varied in its robustness to distinguish between worms and larval stages with S. bovis and S. curassoni mtDNA and hence all the individuals that presented a S. bovis or a double-banded (both the S. haematobium and S. bovis diagnostic bands present [46]) cox1 RD-PCR profile were sequenced. All individuals that presented a double-banded cox1 RD-PCR profile had a cox1 mtDNA sequence that was identified as S. curassoni. The majority of individuals that presented a S. bovis RD-PCR cox1 profile had a cox1 mtDNA sequence that was identified as S. bovis, however, a few had a cox1 mtDNA sequence that was identified as S. curassoni. Human parasitological surveys The prevalence of human urogenital schistosomiasis was high in all areas sampled, ranging from 57–100%, and visible haematuria was obvious in urines samples from all study areas. A total of 823 individual miracidia were collected and genetically analysed from 52 urine samples. 79% of the miracidia were molecularly identified as pure S. haematobium, however, 21% presented a mixed mt cox1 + nuclear ITS genotype suggesting that these miracidia had a hybrid origin. Hybrid miracidia were found in 88% of the urine samples analysed and in all areas surveyed. The numbers and type of hybrids varied between urine samples and areas (Table S1). Hybrids between S. bovis and S. haematobium were found in children from all areas except Barkedji in the Vallée du Ferlo and hybrids between S. curassoni and S. haematobium were only isolated in Tambacounda and the Vallée du Ferlo. Domestic livestock parasitological surveys In total, 1004 schistosome worms (502 pairs) were dissected and genetically analysed from the mesenteric vessels of 33 animal intestines and 109 miracidia were hatched and analysed from three infected liver samples (Table S2). Only S. bovis was found in animals from Kolda and Richard Toll but S. bovis and S. curassoni were found in animals from Tambacounda and the Vallée du Ferlo. The number of worm pairs found in each individual animal varied considerably from 1 to over 100. S. bovis/S. curassoni hybrid worms with different genetic profiles were found in small numbers in the intestines of five animals from Tambacounda and all these hybrids were paired with either S. bovis or S. curassoni worms. No worms with pure or hybrid S. haematobium genetic profiles were found in any domestic animal. Inter-species crosses in laboratory rodents All three species were successfully isolated from the field samples and maintained in laboratory Bulinus wrighti snails. The molecular ITS and cox1 identification of the cercariae resulting from the three groups of laboratory snail infections showed that each group was infected with one species (Group 1 S. curassoni, Group 2 S. bovis and Group 3 S. haematobium). No hybrid profiles were observed in these isolates. The mixed species infections in all the laboratory rodents (animal crosses 1–3, Table 1) produced heterospecific pairs between male and female worms of all three species (Table 1) and also homospecific pairs. The numbers of pairs varied between animals with the most abundant heterospecific parings occurring between S. bovis and S. curassoni worms. Miracidia were hatched from the infected livers of animals with mixed infections. Molecular typing of these miracidia detected hybrid offspring (Table 1) and confirmed viable heterospecific pairings between all three species. Homospecific miracidia of each species were also identified. The numbers of each type of miracidia correlated to the number of homospecific or heterospecific worm pairs present. Discussion When humans and their livestock start to frequent the same water bodies, due to environmental and/or behavioural changes, novel zoonotic hybrid schistosomes could evolve with subsequent changes in the parasite's life history traits, transmission potential and virulence. Here, through incorporating both field and laboratory experimental data, we provide both additional and novel molecular evidence for the natural hybridization between three Schistosoma species in Senegal: S. haematobium a parasite of humans, S. bovis and S. curassoni which both parasitize primarily domestic livestock. The data from different areas of Senegal demonstrate that these hybridisation events are not rare and so, understanding such inter-species interactions will be essential for predicting the outcomes of current and future control programmes in hybrid zones. Hybridization and introgression Children were found excreting S. haematobium/S. curassoni hybrids in Tambacounda and the Vallée du Ferlo and S. haematobium/S. bovis hybrids in Tambacounda, Kolda and the SRB. A low number of S. bovis and S. curassoni hybrid worms were found in cows slaughtered in the Tambacounda abattoir but no S. haematobium worms or hybrids thereof were found in ruminants, however this could be due to the fact that only the intestines of the animals were sampled. . These data do suggest that at some point host switching has been able to take place between these three sister species enabling the two species involved to interact, hybridize and produce viable offspring. The laboratory mixed infection experiments further indicate that males and females of each species readily pair and produce viable hybrid offspring and in these experimental crosses there does not appear to be any competition, exclusion or mating preference between the species and each cross produced viable hybrid offspring. In each of the three types of hybrids two hybrid lines were observed, resulting from bidirectional introgressive hybridization with mtDNA from both the parental species introgressing into the other species involved in the hybridization (see Table S1+S2). Regarding the nuclear DNA profiles, initial hybrid generations usually display both parental nuclear rDNA ITS copies, resulting in double chromatogram peaks at the species-specific mutation sites [32], [47]–[49]. In subsequent hybrid generations or backcrossing of hybrids with parental species, biased homogenisation towards one of the parental species may result in nuclear rDNA ITS sequences that can appear as just one species or the other [49]. As the dynamics of this homogenisation and silencing of the genetic signal from one species over the other is unknown it is impossible to decipher which generation the natural hybrids are from by looking at their genetic profiles. Nevertheless, the observation of both pure and mixed nuclear rDNA ITS sequences within our hybrid populations strongly suggest that there are different generations of hybrids and/or hybrid backcrosses persisting in nature. Host switching in the definitive hosts and animal reservoirs of infection The hybridization of S. bovis and S. curassoni with S. haematobium is of particular interest, as for this to occur, host switching must have taken place of either, S. bovis and S. curassoni into humans or S. haematobium into domestic livestock. The oviposition site of a schistosome pair is generally assumed to primarily be dependent on the species of the male worm [37], [43], with S. bovis and S. curassoni males carrying their females to the intestinal tract and S. haematobium males carrying their females to the urinary tract. It is unknown how hybridization will affect this phenotypic/behavioural characteristic, however it would be expected that in the initial parental cross the worm pair would migrate to the oviposition site determined by the species of the male worm. Hybrid miracidia analysed from the human urine samples that present S. curassoni cox1 and mixed ITS sequences or S. bovis cox1 and mixed ITS sequences could be first generation hybrids resulting from pure parental crosses between S. haematobium males and S. curassoni or S. bovis females, however, it is also possible that second generation hybrids or hybrid backcrosses could also present these genetic profiles. It would be expected that first generation hybrids of the reciprocal cross (S. haematobium females paired with males of S. bovis or S. curassoni) would be excreted in stool samples, therefore miracidia from any eggs present in stool samples also need to be analysed to identify further hybrids and also any possible homospecific infections of S. bovis and or S. curassoni in humans. No S. haematobium/S. bovis or S. haematobium/S. curassoni hybrids or S. haematobium worms were found in the domestic livestock, possibly suggesting that S. haematobium and indeed S. haematobium hybrids may lack the ability to penetrate and or develop in ruminants. It is also necessary to consider whether major differences in the vasculature between ruminants and humans would restrict the migration of S. haematobium to the blood vessels of the bladder of ruminants. However, as only the intestinal tracts of the slaughtered animals were routinely available for inspection at the abattoirs, and as S. haematobium is a parasite of the urinary tract, the presence of S. haematobium or the hybrids may have been missed. A much earlier study in Zambia did report the possible finding of S. haematobium/S. mattheei (another closely related ruminant schistosome) hybrids in the mesenteric veins of cattle [50] however these findings remain unconfirmed. It is clear that more extensive and detailed dissections off and egg collections from the ruminants is warranted. The infectivity of a schistosome to a mammalian host depends on several physical and immunological factors, however, the variety of host use by different species of the Schistosoma genus suggests that host switching has occurred at several time points in the evolution on this genus [38]. It is possible that the close phylogenetic ancestral position of S. haematobium to its sister species S. curassoni and S. bovis, together with physical and anatomical host differences may enable the latter two species to retain an ability to infect humans. Another possibility is that the initial pairing between these human and domestic livestock parasites occurred first in another susceptible host, such as a rodent. Rodents have proved extremely efficient for passaging a variety of schistosome species in the laboratory [17] and are utilised as reservoir hosts by other species of schistosome [51]–[54]. The hybridization between S. curassoni/S. bovis is not that surprising given their neighbouring phylogenetic position and their overlap in definitive host associations [38] and the molecular data presented here conclusively confirm that these parasites are able to hybridize. Distribution and prevalence Observations from the different survey sites clearly demonstrate the focality of the transmission of the different species and their hybrids. Hybridization between the human and domestic livestock schistosomes appears common with hybrid genetic profiles recovered from human urine samples from several areas where the different species are transmitted sympatrically. Also, S. haematobium/S. bovis hybrids have previously been sampled from humans from several widely dispersed villages along the SRB [32], and the possibility of the hybridization between S. haematobium/S. bovis or S. curassoni was reported by [42] in Niger. Due to the wide distribution of the intermediate snail hosts B. globosus and B. truncatus, S. haematobium and S. bovis are common infections across much of Senegal, providing the opportunity for these species to interact, however the distribution of S. curassoni, transmitted through B. umbilicatus, is more restricted. The data presented here confirm an intense S. curassoni focus in the Vallée du Ferlo, increasing the known distribution of this species and the hybrids thereof. S. haematobium/S. curassoni hybrids were found in the urines of children sampled from the village of Barkedji, where only S. curassoni was found in the slaughtered sheep. This, together with the data from Tambacounda, provides the first confirmation of this species or hybrids thereof infecting children in Senegal. Only small numbers of S. curassoni/S. bovis hybrids were found in cattle at Tambacounda abattoir, with most worms being identified as S. curassoni in agreement with an earlier report [41]. There are no obvious isolating barriers other than intermediate snail host preferences that prevent S. curassoni and S. bovis from interacting and hybridizing as both species readily infect ruminants. However, transmission of these two species does appear to be localised, with the majority of the animals sampled in one particular place being infected with either S. bovis or S. curassoni. The origins of the animals sampled at the small abattoirs in this study are usually unknown and would be almost impossible to trace due to changes of ownership during an animal's lifetime. The worm burden reflects past exposure: S. bovis transmission being associated with B. truncatus habitats while S. curassoni is associated with B. umbilicatus [54]. With regard to the role of intermediate snail hosts, hybridization between Schistosoma species potentially enables the schistosomes to increase their host range with the hybrids being able to utilize both the intermediate snail hosts of the parental species, which will have important implications for schistosomiasis epidemiology by increasing transmission and distribution [19]–[20], [27], [32]. Snail surveys were not conducted during this study, however, the study of Huyse and colleagues [32] did provide evidence for the transmission of S. haematobium/S. bovis hybrids through both B. globosus and B. truncatus the intermediate snail hosts of S. haematobium and S. bovis respectively. Snail surveys and molecular screening of cercariae from the hybrid zones are needed to clarify what role each snail species plays in the transmission of the parental species and their hybrids. Some degree of sympatric transmission enabling interbreeding between these species may have always occurred but remained undetected due to the limitations of previously available sampling and analysis tools. However, hybridisation between species can be further facilitated by the loss of ecological barriers existing between species due to natural and or man-made changes. [35]–[37]. In Northern Senegal, it was speculated that the hybridization between S. haematobium and S. bovis was facilitated by the creation of water bodies for agriculture, through dam construction, which led to an increased prevalence and distribution of the intermediate snail hosts and movements of humans and livestock to these resources, creating sympatric transmission of these species, resulting in hybridization. In the additional hybrid zones confirmed in this study, while no such ecological change can be attributed to enabling hybridization to have taken place, the natural progression in farming, population (both human and livestock) movements and expansion will result in areas of increased close associations between humans and their domestic livestock, increasing the chances of interspecific interactions between the schistosomes they carry. Other behavioural factors could also have an important impact, for instance during the sampling of cattle in the abattoir in Richard Toll in the SRB where S. bovis was highly prevalent, it became apparent that due to the lack of running water the intestines of slaughtered animals were routinely washed in the local river, which was also frequented by the local people for their everyday activities, thus creating a potential sympatric transmission site for S. haematobium and S. bovis. Implications Introgressive hybridization may lead to phenotypic changes that can dramatically influence disease dynamics and evolution of the parasites. Although treatment with praziquantel, the drug routinely used to control human schistosomiasis across Africa, is successful against S. haematobium, S. bovis and S. curassoni [55]–[56], hybridization between different Schistosoma species have been reported to affect the success of drug treatment in cattle [57], cause severe disease outbreaks and competitive exclusion of one species by the other [35]–[37] and laboratory hybrids have been observed to acquire enhanced characteristics such as infectivity, fecundity and growth rates [19], [20], [54]. S. haematobium has long been recognised as a parasite with few, if any, reservoir hosts [38]. However, it seems that in Senegal and possibly in other areas of West Africa, new genotypes may emerge that may pass from people to domestic livestock and vice versa. Furthermore, if the hybridization events reported here result in phenotypic characteristics that influence drug sensitivity, pathology and transmission, it will be highly important to re-evaluate control strategies in these hybrid zones. The increased host range of the hybrid parasites and changes in host distribution may have a direct impact on transmission of these schistosomes. Human and veterinary schistosomiasis in Senegal and neighbouring countries needs to be further monitored to clarify further the epidemiology and dynamic interactions of these closely related schistosome species. Supporting Information Table S1 Data from children. (DOC) Click here for additional data file. Table S2 Date from domestic livestock. (DOC) Click here for additional data file.
- Record: found
- Abstract: found
- Article: not found
Hybridizations within the Genus Schistosoma: implications for evolution, epidemiology and control.
Elsa Léger, Joanne P Webster (2017)
Hybridization of parasites is an emerging public health concern in our changing world. Hybridization and introgression in parasites and pathogens can have major impacts on the host and the epidemiology and evolution of disease. Schistosomiasis is a Neglected Tropical Disease of profound medical and veterinary importance across many parts of the world, with the greatest human burden within sub-Saharan Africa. Here we review how early phenotypic identification and recent confirmation through molecular studies on naturally occurring infections, combined with experimental manipulations, have revealed evidence of viable hybridization and introgressions within and between human and animal schistosome species. Environmental and anthropogenic changes in selective pressures following, for instance, new dam constructions, altered agricultural practices, together with mass drug administration programmes, may all be predicted to further impact the availability of suitable definitive and intermediate hosts for schistosomes. It is therefore imperative to understand the distribution and role of such novel zoonotic hybrid schistosomes on host range, drug efficacy, and hence ultimately transmission potential, if we are to achieve and maintain sustainable control.
- Record: found
- Abstract: found
- Article: found
One health – an ecological and evolutionary framework for tackling Neglected Zoonotic Diseases
Abstract Understanding the complex population biology and transmission ecology of multihost parasites has been declared as one of the major challenges of biomedical sciences for the 21st century and the Neglected Zoonotic Diseases (NZDs) are perhaps the most neglected of all the Neglected Tropical Diseases (NTDs). Here we consider how multihost parasite transmission and evolutionary dynamics may affect the success of human and animal disease control programmes, particularly neglected diseases of the developing world. We review the different types of zoonotic interactions that occur, both ecological and evolutionary, their potential relevance for current human control activities, and make suggestions for the development of an empirical evidence base and theoretical framework to better understand and predict the outcome of such interactions. In particular, we consider whether preventive chemotherapy, the current mainstay of NTD control, can be successful without a One Health approach. Transmission within and between animal reservoirs and humans can have important ecological and evolutionary consequences, driving the evolution and establishment of drug resistance, as well as providing selective pressures for spill‐over, host switching, hybridizations and introgressions between animal and human parasites. Our aim here is to highlight the importance of both elucidating disease ecology, including identifying key hosts and tailoring control effort accordingly, and understanding parasite evolution, such as precisely how infectious agents may respond and adapt to anthropogenic change. Both elements are essential if we are to alleviate disease risks from NZDs in humans, domestic animals and wildlife.
Author and article information
Journal
Journal ID (nlm-ta): Trans R Soc Trop Med Hyg
Journal ID (iso-abbrev): Trans. R. Soc. Trop. Med. Hyg
Journal ID (publisher-id): trstmh
Title:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Publisher:
Oxford University Press
ISSN
(Print):
0035-9203
ISSN
(Electronic):
1878-3503
Publication date
(Print):
June
2017
Publication date
(Electronic):
16
October
2017
Publication date PMC-release: 16
October
2017
Volume: 111
Issue: 6
Pages: 244-247
Affiliations
Author notes
Article
Publisher ID: trx047DOI: 10.1093/trstmh/trx047
PMC ID: 5914355
PubMed ID: 29044372
SO-VID: 0acff364-d38e-4126-8042-9f4cf3c74ab4
Copyright © © The Author 2017. Published by Oxford University Press on behalf of Royal Society
of Tropical Medicine and Hygiene.
License:
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
History
Date
received
: 01
June
2017
Date
revision received
: 29
June
2017
Date
accepted
: 1
August
2017
Page count
Pages: 4
Categories
Subject:
Commentaries
ScienceOpen disciplines: Medicine