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      Isolation of pathogenic Leptospira strains from naturally infected cattle in Uruguay reveals high serovar diversity, and uncovers a relevant risk for human leptospirosis

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      1 , 2 , 3 , 4 , 5 , 1 , 3 , 6 , 4 , 7 , 6 , 3 , 7 , 7 , 2 , 7 , 7 , 4 , 3 , 8 , 9 , 4 , 4 , 5 , 6 , 4 , 5 , * , 4 , * , 7 , * , 1 , 9 , 10 , * , on behalf of the Grupo de Trabajo Interinstitucional de Leptospirosis Consortium
      PLoS Neglected Tropical Diseases
      Public Library of Science

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          Abstract

          Leptospirosis is a neglected zoonosis with worldwide distribution. The causative agents are spirochete bacteria of the Leptospira genus, displaying huge diversity of serovars, the identity of which is critical for effective diagnosis and vaccination purposes. Among many other mammalian species, Leptospira infects cattle, eliciting acute signs in calves, and chronic disease in adult animals often leading to abortions. In South America, and including in Uruguay, beef and dairy export are leading sources of national income. Despite the importance of bovine health, food safety, and bovine-related dissemination of leptospirosis to humans, extremely limited information is available as to the identity of Leptospira species and serovars infecting cattle in Uruguay and the South American subcontinent. Here we report a multicentric 3-year study resulting in the isolation and detailed characterization of 40 strains of Leptospira spp. obtained from infected cattle. Combined serologic and molecular typing identified these isolates as L. interrogans serogroup Pomona serovar Kennewicki (20 strains), L. interrogans serogroup Canicola serovar Canicola (1 strain), L. borgpetersenii serogroup Sejroe serovar Hardjo (10 strains) and L. noguchii (9 strains). The latter showed remarkable phenotypic and genetic variability, belonging to 6 distinct serogroups, including 3 that did not react with a large panel of reference serogrouping antisera. Approximately 20% of cattle sampled in the field were found to be shedding pathogenic Leptospira in their urine, uncovering a threat for public health that is being largely neglected. The two L. interrogans serovars that we isolated from cattle displayed identical genetic signatures to those of human isolates that had previously been obtained from leptospirosis patients. This report of local Leptospira strains shall improve diagnostic tools and the understanding of leptospirosis epidemiology in South America. These strains could also be used as new components within bacterin vaccines to protect against the pathogenic Leptospira strains that are actually circulating, a direct measure to reduce the risk of human leptospirosis.

          Author summary

          Several species of the genus Leptospira cause leptospirosis, a disease that is transmitted from animals to humans (zoonosis). Leptospirosis is the most extended zoonosis worldwide, with over a million human cases each year. Leptospira spp. infect a broad range of wildlife and domestic animals, including cattle. In several South American countries beef and dairy exports rank among the most important national income sources, explaining why in Uruguay cattle outnumber human population by a factor of 4. Yet, we did not know which Leptospira species and serovariants (serovars) circulate among Uruguayan cattle. Current serologic diagnostic methods and whole killed-cell vaccination approaches, critically depend on using the proper serovars, which are hugely variable in Leptospira spp. from different regions of the world. Through a multidisciplinary consortium effort, we now report the isolation and typing of 40 strains of pathogenic Leptospira spp. An unexpectedly large variation in terms of species and serovars was found. These data are extremely important: 1- to improve diagnostics by updating the available reference antigen panels; 2- to evaluate the efficacy of novel vaccines; and, 3- to implement efficacious bovine vaccination as a means of reducing the incidence of bovine and human leptospirosis.

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          Most cited references37

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          Leptospira and leptospirosis.

          Leptospirosis is the most wide spread zoonosis worldwide; it is present in all continents except Antarctica and evidence for the carriage of Leptospira has been found in virtually all mammalian species examined. Humans most commonly become infected through occupational, recreational, or domestic contact with the urine of carrier animals, either directly or via contaminated water or soil. Leptospires are thin, helical bacteria classified into at least 12 pathogenic and 4 saprophytic species, with more than 250 pathogenic serovars. Immunity following infection is generally, but not exclusively, mediated by antibody against leptospiral LPS and restricted to antigenically related serovars. Vaccines currently available consist of killed whole cell bacterins which are used widely in animals, but less so in humans. Current work with recombinant protein antigens shows promise for the development of vaccines based on defined protective antigens. The cellular and molecular basis for virulence remains poorly understood, but comparative genomics of pathogenic and saprophytic species suggests that Leptospira expresses unique virulence determinants. However, the recent development of defined mutagenesis systems for Leptospira heralds the potential for gaining a much improved understanding of pathogenesis in leptospirosis. Copyright 2009 Elsevier B.V. All rights reserved.
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            Global Burden of Leptospirosis: Estimated in Terms of Disability Adjusted Life Years

            Background Leptospirosis, a spirochaetal zoonosis, occurs in diverse epidemiological settings and affects vulnerable populations, such as rural subsistence farmers and urban slum dwellers. Although leptospirosis can cause life-threatening disease, there is no global burden of disease estimate in terms of Disability Adjusted Life Years (DALYs) available. Methodology/Principal Findings We utilised the results of a parallel publication that reported global estimates of morbidity and mortality due to leptospirosis. We estimated Years of Life Lost (YLLs) from age and gender stratified mortality rates. Years of Life with Disability (YLDs) were developed from a simple disease model indicating likely sequelae. DALYs were estimated from the sum of YLLs and YLDs. The study suggested that globally approximately 2·90 million DALYs are lost per annum (UIs 1·25–4·54 million) from the approximately annual 1·03 million cases reported previously. Males are predominantly affected with an estimated 2·33 million DALYs (UIs 0·98–3·69) or approximately 80% of the total burden. For comparison, this is over 70% of the global burden of cholera estimated by GBD 2010. Tropical regions of South and South-east Asia, Western Pacific, Central and South America, and Africa had the highest estimated leptospirosis disease burden. Conclusions/Significance Leptospirosis imparts a significant health burden worldwide, which approach or exceed those encountered for a number of other zoonotic and neglected tropical diseases. The study findings indicate that highest burden estimates occur in resource-poor tropical countries, which include regions of Africa where the burden of leptospirosis has been under-appreciated and possibly misallocated to other febrile illnesses such as malaria.
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              What Makes a Bacterial Species Pathogenic?:Comparative Genomic Analysis of the Genus Leptospira

              Leptospirosis, caused by spirochetes of the genus Leptospira, is a globally widespread, neglected and emerging zoonotic disease. While whole genome analysis of individual pathogenic, intermediately pathogenic and saprophytic Leptospira species has been reported, comprehensive cross-species genomic comparison of all known species of infectious and non-infectious Leptospira, with the goal of identifying genes related to pathogenesis and mammalian host adaptation, remains a key gap in the field. Infectious Leptospira, comprised of pathogenic and intermediately pathogenic Leptospira, evolutionarily diverged from non-infectious, saprophytic Leptospira, as demonstrated by the following computational biology analyses: 1) the definitive taxonomy and evolutionary relatedness among all known Leptospira species; 2) genomically-predicted metabolic reconstructions that indicate novel adaptation of infectious Leptospira to mammals, including sialic acid biosynthesis, pathogen-specific porphyrin metabolism and the first-time demonstration of cobalamin (B12) autotrophy as a bacterial virulence factor; 3) CRISPR/Cas systems demonstrated only to be present in pathogenic Leptospira, suggesting a potential mechanism for this clade’s refractoriness to gene targeting; 4) finding Leptospira pathogen-specific specialized protein secretion systems; 5) novel virulence-related genes/gene families such as the Virulence Modifying (VM) (PF07598 paralogs) proteins and pathogen-specific adhesins; 6) discovery of novel, pathogen-specific protein modification and secretion mechanisms including unique lipoprotein signal peptide motifs, Sec-independent twin arginine protein secretion motifs, and the absence of certain canonical signal recognition particle proteins from all Leptospira; and 7) and demonstration of infectious Leptospira-specific signal-responsive gene expression, motility and chemotaxis systems. By identifying large scale changes in infectious (pathogenic and intermediately pathogenic) vs. non-infectious Leptospira, this work provides new insights into the evolution of a genus of bacterial pathogens. This work will be a comprehensive roadmap for understanding leptospirosis pathogenesis. More generally, it provides new insights into mechanisms by which bacterial pathogens adapt to mammalian hosts.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: ValidationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: ValidationRole: Writing – review & editing
                Role: InvestigationRole: MethodologyRole: Resources
                Role: Data curationRole: InvestigationRole: MethodologyRole: Resources
                Role: Data curationRole: Formal analysisRole: InvestigationRole: Methodology
                Role: InvestigationRole: MethodologyRole: Resources
                Role: Investigation
                Role: Methodology
                Role: Investigation
                Role: ResourcesRole: Supervision
                Role: MethodologyRole: Resources
                Role: InvestigationRole: Writing – review & editing
                Role: ResourcesRole: Writing – review & editing
                Role: InvestigationRole: ResourcesRole: Writing – review & editing
                Role: InvestigationRole: Methodology
                Role: MethodologyRole: Resources
                Role: MethodologyRole: Resources
                Role: Formal analysisRole: ResourcesRole: SupervisionRole: Writing – review & editing
                Role: Methodology
                Role: Methodology
                Role: Methodology
                Role: Methodology
                Role: InvestigationRole: Supervision
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: ResourcesRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: InvestigationRole: Project administrationRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, CA USA )
                1935-2727
                1935-2735
                13 September 2018
                September 2018
                : 12
                : 9
                : e0006694
                Affiliations
                [1 ] Laboratorio de Microbiología Molecular y Estructural, Institut Pasteur de Montevideo, Montevideo, Uruguay
                [2 ] Unidad Mixta UMPI, Institut Pasteur de Montevideo + Instituto Nacional de Investigación Agropecuaria INIA, Montevideo, Uruguay
                [3 ] Departamento de Bacteriología, División Laboratorios Veterinarios “Miguel C. Rubino” Sede Central, Ministerio de Ganadería, Agricultura y Pesca, Montevideo, Uruguay
                [4 ] Departamento de Bacteriología y Virología, Instituto de Higiene, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay
                [5 ] División Laboratorios Veterinarios “Miguel C. Rubino” Laboratorio Regional Noroeste, Ministerio de Ganadería, Agricultura y Pesca, Paysandú, Uruguay
                [6 ] División Laboratorios Veterinarios “Miguel C. Rubino” Laboratorio Regional Este, Ministerio de Ganadería, Agricultura y Pesca, Treinta y Tres, Uruguay
                [7 ] Instituto Nacional de Investigación Agropecuaria INIA, Estación Experimental La Estanzuela, Colonia, Uruguay
                [8 ] Unité de Biologie des Spirochètes, Institut Pasteur, Paris, France
                [9 ] Joint International Unit « Integrative Microbiology of Zoonotic Agents » IMiZA, Institut Pasteur de Montevideo, Montevideo, Uruguay / Institut Pasteur, Paris, France
                [10 ] Département de Microbiologie, Institut Pasteur, Paris, France
                Medical College of Wisconsin, UNITED STATES
                Author notes

                I have read the journal's policy and the authors of this manuscript have the following competing interests: Alejandro Buschiazzo is an Associate Editor of PLoS Neglected Tropical Diseases. Mathieu Picardeau is a Deputy Editor of PLoS Neglected Tropical Diseases.

                ‡ These authors also contributed equally to this work

                ¶ Membership of the Grupo de Trabajo Interinstitucional de Leptospirosis Consortium is provided in S1 Text.

                Author information
                http://orcid.org/0000-0003-3390-9723
                http://orcid.org/0000-0001-8799-6848
                http://orcid.org/0000-0003-3379-1032
                http://orcid.org/0000-0002-2509-6526
                Article
                PNTD-D-18-00206
                10.1371/journal.pntd.0006694
                6136691
                30212451
                3c5fed78-4642-479f-a137-fecd64e57ddc
                © 2018 Zarantonelli et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 February 2018
                : 16 July 2018
                Page count
                Figures: 2, Tables: 2, Pages: 22
                Funding
                Funded by: Agencia Nacional de Investigación e Innovación (UY)
                Award ID: ALI_1_2014_1_4982
                Award Recipient :
                Funded by: Agencia Nacional de Investigación e Innovación (UY)
                Award ID: FSA_1_2013_1_12557
                Award Recipient :
                Funded by: Ministry of Industry, Industrial Funds program of the National Direction of Industries, Uruguay
                Award ID: 2016-8-2-002671
                Funded by: Agencia Nacional de Investigación e Innovación (UY)
                Award ID: FSA_X_2014_1_105696
                Award Recipient :
                Funded by: FOCEM (MERCOSUR Structural Convergence Fund)
                Award ID: COF 03/11
                This work was supported by grants from the Agencia Nacional de Investigacion e Innovación (ANII Uruguay) #ALI_1_2014_1_4982 (AB), #FSA_1_2013_1_12557 (AB) and #FSA_X_2014_1_105696 (FR-C). Partial support was also obtained through grants from Institut Pasteur Paris (PTR Program) #PTR30-17, Ministerio de Industria, Energia y Mineria (MIEM, Industrial Funds program) #2016-8-2-002671, and FOCEM (MERCOSUR Structural Convergence Fund) #COF03/11; and through institutional funds from Instituto Nacional de Investigacion Agropecuaria (INIA), Ministerio de Ganaderia, Agricultura y Pesca (MGAP), Instituto de Higiene (IH, UdelaR University Medical School) and Institut Pasteur de Montevideo (IPMontevideo). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
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                Custom metadata
                All relevant data are within the paper and its Supporting Information files. Sequence files for secY genes are available from the GenBank database (accession numbers MH325388, MH325389, MH325390, MH325391, MH325392, MH325393, MH325394, MH325395, MH325396, MH325397, MH325398, MH325399, MH325400, MH325401, MH325402, MH325403, MH325404, MH325405, MH325406, MH325407, MH325408, MH325409, MH325410, MH325411, MH325412, MH325413, MH325414, MH325415, MH325416, MH325417, MH325418, MH325419, MH325420, MH325421, MH325422, MH325423, MH325424, MH325425, MH325426, MH325427, MH376290, MH376291, MH376292, MH376293). Sequence files for rrs16S genes are available from the GenBank database (accession numbers MH329307, MH329308, MH329309, MH329310, MH329311, MH329312, MH329313, MH329314, MH329315, MH329316, MH329317, MH329318, MH329319, MH329320, MH329321, MH329322, MH329323, MH329324, MH329325, MH329326, MH329327, MH329328, MH329329, MH329330, MH329331, MH329332, MH329333, MH329334, MH329335, MH329336, MH329337, MH329338, MH329339, MH329340, MH329341, MH329342, MH329343, MH329344, MH329345, MH329346, MH374851, MH374852, MH374853, MH374854).

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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