气候变化驱动的病媒传播疾病传播到温带气候地区:煎锅理论。

IF 4.3 2区 医学 Q1 INFECTIOUS DISEASES International Journal of Infectious Diseases Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI:10.1016/j.ijid.2024.107418
Prof Miguel Clavero , Dr Sergio Magallanes , Ms Pilar Aguilera-Sepulveda , Dr Maria Jose Ruiz-Lopez , Dr Josue Martinez-De la Puente , Dr Francisco Llorente , Dr Ana Vazquez , Dr Elisa Perez-Ramirez , Dr Martina Ferraguti , Dr Jovita Fernandez-Pinero , Prof Jordi Figuerola
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引用次数: 0

摘要

最近,随着人为气候变化(ACC)的影响变得明显,媒介传播疾病(VBD)正在世界温带地区传播和建立。我们调查了这两种现象是否相关。我们假设ACC已经将许多以前被认为“不适合”维持VBD循环的区域变成了“合适”的区域。该假设认为,VBD病原体在历史上能够到达温带地区,但在ACC的影响下才开始在那里茁壮成长,因此它们目前的传播。为了支持这一假设,我们暂时将其命名为“煎锅理论”,我们选择了最近在西班牙传播的西尼罗河病毒(WNV)作为研究模型。方法,研究区域为西班牙南部,现为西尼罗河病毒流行地区。我们分析了18年(2003年至2020年)普通白头翁和马的西尼罗河病毒血清患病率数据,并将其与年度一系列气候变量(温度、降水测量等)进行了统计比较。我们还利用从该地区收集到2022年的蚊子、鸟类和马样本中提取的西尼罗河病毒序列进行了系统发育分析,并在小鼠模型中分析了该地区和时期具有代表性的西班牙西尼罗河病毒分离株的致病性。结果犬和马的血清患病率呈双相曲线,表明2010年前和2010年后至少出现了两波兽疫流行。白骨顶血清阳性率与冬季最高温度和春季平均温度相关。马的血清阳性率与年平均最低气温和年降雨日数呈正相关,与年总降水量呈负相关。系统发育分析显示,在研究期间至少有6次西尼罗河病毒独立传入西班牙南部。一些引种成功地在该地区建立并传播到邻近地区,而另一些则没有。所研究菌株的致病性未见明显变化。长期比较病原体暴露的年变化和气候变量可以预测VBD趋势。在这方面,较高的最低温度是ACC趋势之一,可能有利于载体生物学,因此有利于VBD。我们的数据支持,像西尼罗河病毒这样的VBD病原体可以传播到新的地区,但它们只有在找到合适的条件时才能成功地建立自己的循环。在西班牙,有能力的西尼罗河病毒宿主(鸟类)和媒介(库蚊)一直存在,而且该病毒很可能长期以来偶尔被引入,例如通过鸟类迁徙。然而,只有当这些必要的成分被ACC“加热”时,当地的WNV循环才会建立起来,就像煮熟的培根和鸡蛋一样,只有在煎锅里加热才能产生。结论所得数据支持我们的假设,该假设也适用于欧洲大部分地区和世界其他温带地区,不仅适用于西尼罗河病毒,也适用于许多其他VBD。
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Climate change-driven vector-borne diseases spread to temperate climate territories: The frying pan theory.

Introduction

Recently, as the effects of anthropogenic climate change (ACC) become evident, vector-borne diseases (VBD) are spreading and establishing in temperate regions of the world. We investigated whether these two phenomena are related. We hypothesized that ACC has turned many areas, previously considered “unsuitable” for sustaining VBD cycles, into “suitable” ones. The hypothesis assumes that VBD pathogens have historically been able to reach temperate areas, but only started to thrive there under the influence of ACC, hence their current spread. To support this hypothesis, which we tentatively named “The frying pan theory”, we have chosen the recent spread of West Nile virus (WNV) in Spain as a model of study.

Methods & Materials

The study area was Southern Spain, now endemic for WNV. We analyzed eighteen years (2003 to 2020) of data on WNV seroprevalence in common coots and horses and compared them statistically with annual series of climate variables (temperature, pluviometry, etc). We also performed phylogenetic analyses using WNV sequences from samples of mosquitoes, birds and horses, collected in the area up to 2022, and analyzed the pathogenicity of representative Spanish WNV isolates from this area and period in a mouse model.

Results

Coots’ and horses’ seroprevalences exhibited a biphasic curve indicating at least two epizootic waves, one before and another after 2010. Seroprevalence in coots correlated with maximum winter temperature and average spring temperature. Horses’ seroprevalence correlated positively with average minimum annual temperature and the number of rain days per year and negatively with total annual precipitations. Phylogenetic analyses revealed at least six independent introductions of WNV into Southern Spain during the study period. Some introductions succeeded in establishing in the area and spreading to neighboring regions, while others did not. No significant changes in the pathogenicity of the strains studied were observed.

Discussion

Long-term comparisons between annual variation of pathogen exposure and climate variables allow forecasting VBD trends. In this regard, higher minimum temperatures are among the ACC trends that may favor vector biology and hence VBD. Our data support that VBD pathogens like WNV can spread to new territories, but they will only establish their cycles successfully if they find suitable conditions. In Spain, competent WNV hosts (birds) and vectors (Culex mosquitoes), have always been present, and the virus has likely been introduced occasionally since long, e.g. by bird migrations. However, local WNV cycles would only be established if these necessary ingredients are “heated” by ACC much like well-cooked bacon and eggs may result only if heated in a frying pan.

Conclusion

The data obtained support our hypothesis, which may also apply to most of Europe and other temperate areas of the world, not only for WNV but also for many other VBD.
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来源期刊
CiteScore
18.90
自引率
2.40%
发文量
1020
审稿时长
30 days
期刊介绍: International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.
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