Phylogenetic Analysis Reveals a High Prevalence of Sporothrix brasiliensis in Feline Sporotrichosis Outbreaks

Abstract

Sporothrix schenckii, previously assumed to be the sole agent of human and animal sporotrichosis, is in fact a species complex. Recently recognized taxa include S. brasiliensis, S. globosa, S. mexicana, and S. luriei, in addition to S. schenckii sensu stricto. Over the last decades, large epidemics of sporotrichosis occurred in Brazil due to zoonotic transmission, and cats were pointed out as key susceptible hosts. In order to understand the eco-epidemiology of feline sporotrichosis and its role in human sporotrichosis a survey was conducted among symptomatic cats. Prevalence and phylogenetic relationships among feline Sporothrix species were investigated by reconstructing their phylogenetic origin using the calmodulin (CAL) and the translation elongation factor-1 alpha (EF1α) loci in strains originated from Rio de Janeiro (RJ, n = 15), Rio Grande do Sul (RS, n = 10), Paraná (PR, n = 4), São Paulo (SP, n = 3) and Minas Gerais (MG, n = 1). Our results showed that S. brasiliensis is highly prevalent among cats (96.9%) with sporotrichosis, while S. schenckii was identified only once. The genotype of Sporothrix from cats was found identical to S. brasiliensis from human sources confirming that the disease is transmitted by cats. Sporothrix brasiliensis presented low genetic diversity compared to its sister taxon S. schenckii. No evidence of recombination in S. brasiliensis was found by split decomposition or PHI-test analysis, suggesting that S. brasiliensis is a clonal species. Strains recovered in states SP, MG and PR share the genotype of the RJ outbreak, different from the RS clone. The occurrence of separate genotypes among strains indicated that the Brazilian S. brasiliensis epidemic has at least two distinct sources. We suggest that cats represent a major host and the main source of cat and human S. brasiliensis infections in Brazil.

Author Summary

Sporotrichosis is a subcutaneous mycosis acquired by traumatic inoculation of soil and plant material contaminated with infectious propagules of the pathogen. The transmission of the disease by cats to other animals and humans occurs by biting or scratching, promoting direct inoculation of yeast cells into host tissue. This may represent an alternative and a successful transmission of the fungus. In order to understand the impact of felines on the epidemiology of sporotrichosis, we evaluated the phenotypic and genotypic features of isolates obtained from animals and humans living in outbreak areas. Although sporotrichosis is caused by a complex of species, in this study we observed that S. brasiliensis is the prevalent etiological agent of feline sporotrichosis, having been recovered from 96.9% of the samples. Moreover, this approach allowed us to recognize that isolates from RJ, SP, PR and MG states are genetically similar among them but different from feline isolates recovered from the RS epidemic. Our study brings new insights into the eco-epidemiology of sporotrichosis in Brazil, clarifying the distribution and prevalence of S. brasiliensis in feline outbreaks. Knowledge about the source and distribution of the etiological agent between outbreak areas may help to establish public strategies for the containment of the epidemic of sporotrichosis in Brazil.