Prevalence, risk factors and molecular epidemiology of neonatal cryptosporidiosis in calves: The Argentine perspective

Paloma de Alba , Carlos Garro , Monica Florin-Christensen , Leonhard Schnittger
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Abstract

Cryptosporidium spp. are enteroparasitic protozoans that cause cryptosporidiosis in newborn calves. Clinical signs of the infection are diarrhoea and dehydration leading to decreased productivity and economic losses in cattle farms around the world. Additionally, cryptosporidiosis is a relevant zoonotic disease since the ingestion of oocysts can be fatal for children under five years of age, the elderly, and/or immunocompromised adults. This review aims to integrate existing knowledge on the epidemiological situation of calf cryptosporidiosis and associated risk factors in Argentina. In addition, the GP60 subtype diversity of the pathogen was analysed and related with the global distribution of corresponding GP60 subtypes. Depending on the study region and applied diagnostics, prevalence among calves up to 20 days of age varied between 25.2% and 42.5%, while a prevalence of 16.3–25.5% was observed at the age of 1–90 days. So far, molecular studies have determined exclusively Cryptosporidium parvum in preweaned calves. In addition, C. parvum infection was reported as the major cause of calf diarrhoea, followed by rotavirus A (RVA), while enteropathogens such as coronavirus, Escherichia coli, and Salmonella sp. played a negligible role. Calf age of 20 days or less, incidence of diarrhoea, poorly drained soils, and large farm size were identified as risk factors for C. parvum-infection in Argentina. A total of nine GP60 subtypes (IIaAxxG1R1, xx = 16 to 24) were identified, showing a stepwise increase of the trinucleotide motif TCA, and including the zoonotic subtypes IIaA16G1R1, IIaA17G1R1, IIaA18G1R1, IIaA19G1R1, and IIaA20G1R1. We found that an increase in the A16→A24 trinucleotide repeat was accompanied by a gradual decrease in the global distribution of GP60 alleles, strongly suggesting that IIaA16G1R1 represents the primordial allelic variant of this group. Since identified GP60 alleles have a similar genetic background, we hypothesize that the continuous trinucleotide repeat array has been generated by stepwise repeat expansion of A16. The information gathered and integrated in this study contributes to an improved understanding of the epidemiological characteristics of bovine cryptosporidiosis in and beyond Argentina, which in turn can help to develop control strategies for this parasitosis of veterinary and medical relevance.

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小牛新生儿隐孢子虫病的患病率、危险因素和分子流行病学:阿根廷的观点。
隐孢子虫属是一种肠寄生原生动物,可引起新生小牛隐孢子虫病。感染的临床症状是腹泻和脱水,导致世界各地养牛场生产力下降和经济损失。此外,隐孢子虫病是一种相关的人畜共患疾病,因为摄入卵囊对五岁以下的儿童、老年人和/或免疫功能低下的成年人可能致命。这篇综述旨在整合阿根廷小牛隐孢子虫病流行病学状况和相关危险因素的现有知识。此外,还分析了病原体的GP60亚型多样性,并与相应的GP60子型的全球分布有关。根据研究区域和应用诊断,20日龄以下小牛的患病率在25.2%至42.5%之间,而在1-90日龄时观察到的患病率为16.3-25.5%。到目前为止,分子研究已经在断奶前的小牛中独家确定了细小隐孢子虫。此外,据报道,细小梭菌感染是小牛腹泻的主要原因,其次是轮状病毒A(RVA),而冠状病毒、大肠杆菌和沙门氏菌等肠道病原体的作用可以忽略不计。在阿根廷,20天或更短的小牛年龄、腹泻的发生率、排水不良的土壤和大型农场被确定为细小梭菌感染的风险因素。共鉴定出9种GP60亚型(IIaAxxG1R1,xx=16至24),显示三核苷酸基序TCA的逐步增加,包括人畜共患亚型IIaA16G1R1、IIaA17G1R1、IIaA18G1R1、IIaA19G1R1和IIaA20G1R1。我们发现A16→A24三核苷酸重复序列伴随着GP60等位基因全球分布的逐渐减少,强烈表明IIaA16G1R1代表该组的原始等位基因变体。由于已鉴定的GP60等位基因具有相似的遗传背景,我们假设连续的三核苷酸重复序列是通过A16的逐步重复扩增产生的。本研究中收集和整合的信息有助于更好地了解阿根廷内外牛隐孢子虫病的流行病学特征,这反过来又有助于制定这种具有兽医和医学意义的寄生虫病的控制策略。
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