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1.
Parasitology ; : 1-3, 2022 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-36226566

RESUMEN

The EG95 recombinant vaccine is protective against cystic echinococcus in animal intermediate hosts. Preparation of the existing, registered EG95 vaccines involves semi-purification of the vaccine protein, adding to the cost of production. Truncation of the EG95 cDNA, shortening both the amino and carboxy-termini of the protein, leads to high levels of recombinant protein expression. The recombinant EG95 protein was prepared as a bacterin from clarified, whole bacterial lysate, and used in a vaccine trial in sheep against an experimental challenge infection with Echinococcus granulosus eggs. The EG95 bacterin was found to induce 98% protection. Use of this in a new generation EG95 vaccine would simplify production, facilitate new sources of the vaccine and potentially enhance uptake of vaccination in control of E. granulosus transmission.

2.
Commun Biol ; 5(1): 199, 2022 03 03.
Artículo en Inglés | MEDLINE | ID: mdl-35241789

RESUMEN

Cystic echinococcosis is a socioeconomically important parasitic disease caused by the larval stage of the canid tapeworm Echinococcus granulosus, afflicting millions of humans and animals worldwide. The development of a vaccine (called EG95) has been the most notable translational advance in the fight against this disease in animals. However, almost nothing is known about the genomic organisation/location of the family of genes encoding EG95 and related molecules, the extent of their conservation or their functions. The lack of a complete reference genome for E. granulosus genotype G1 has been a major obstacle to addressing these areas. Here, we assembled a chromosomal-scale genome for this genotype by scaffolding to a high quality genome for the congener E. multilocularis, localised Eg95 gene family members in this genome, and evaluated the conservation of the EG95 vaccine molecule. These results have marked implications for future explorations of aspects such as developmentally-regulated gene transcription/expression (using replicate samples) for all E. granulosus stages; structural and functional roles of non-coding genome regions; molecular 'cross-talk' between oncosphere and the immune system; and defining the precise function(s) of EG95. Applied aspects should include developing improved tools for the diagnosis and chemotherapy of cystic echinococcosis of humans.


Asunto(s)
Equinococosis , Echinococcus granulosus , Vacunas , Animales , Antígenos Helmínticos/genética , Cromosomas , Equinococosis/genética , Equinococosis/prevención & control , Echinococcus granulosus/genética , Genotipo , Proteínas del Helminto/genética , Vacunas/genética
3.
Parasit Vectors ; 14(1): 444, 2021 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-34479608

RESUMEN

BACKGROUND: Strongyloides westeri is found in the small intestine of young horses, mainly in foals up to about 16 weeks of age. The main source of infection for foals is through transmammary transmission, and foals can develop acute diarrhoea, weakness, dermatitis and respiratory signs. The epidemiology of S. westeri in Australia is largely unknown. Further, molecular techniques have never been employed for detection of S. westeri in horses. This pilot study aimed to assess the utility of a molecular phylogenetic method for the detection of S. westeri in the faeces of foals. METHODS: Faecal samples were collected from a foal of less than 2 months of age, and eggs of Strongyloides sp. were detected using the modified McMaster technique. DNA was extracted from purified eggs, and a partial fragment of the small subunit of the nuclear ribosomal DNA (18S) was characterised using polymerase chain reaction, DNA sequencing and phylogenetic methods. RESULTS: Microscopic examination of faeces revealed small ellipsoidal eggs typical of Strongyloides sp. The 18S sequence generated by PCR in this study revealed 98.4% identity with that of a reference sequence of S. westeri available from GenBank. Phylogenetic analyses revealed a polyphyletic clustering of S. westeri sequences. CONCLUSION: This is the first study reporting the detection of DNA of Strongyloides sp. in faeces of a foal using a molecular phylogenetic approach targeting the variable region of 18S rDNA. It is anticipated that this study will allow future molecular epidemiological studies on S. westeri in horses.


Asunto(s)
Enfermedades de los Caballos/parasitología , Filogenia , Strongyloides/genética , Estrongiloidiasis/epidemiología , Estrongiloidiasis/veterinaria , Factores de Edad , Animales , Antiparasitarios/uso terapéutico , Australia/epidemiología , Cruzamiento , ADN de Helmintos/genética , Heces/parasitología , Enfermedades de los Caballos/tratamiento farmacológico , Enfermedades de los Caballos/epidemiología , Caballos , Ivermectina/uso terapéutico , Recuento de Huevos de Parásitos , Proyectos Piloto , Strongyloides/clasificación , Strongyloides/efectos de los fármacos , Strongyloides/aislamiento & purificación , Estrongiloidiasis/tratamiento farmacológico
4.
J Immunol Methods ; 497: 113121, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34352238

RESUMEN

Taenia solium oncosphere protein TSOL18 is the host-protective antigen against porcine cysticercosis. Little attention has been given to use it as target molecule in immunodiagnostic tests. The objective of this paper is to describe the immunodiagnostic potential of monoclonal antibodies (MoAbs) raised against conformational epitopes of TSOL18. Three murine IgG1 MoAbs (25D12C1, 21C2D2, 10H1F2) against three different conformational epitopes of TSOL18 were produced and evaluated with an inhibition enzyme-linked immunosorbent assay (i-ELISA) for the detection of anti-TSOL18 and anti-oncosphere antibodies. Serum samples from pigs immunized with TSOL18 inhibited the binding of the three MoAbs to TSOL18 antigen in i-ELISA. The highest inhibition of anti-TSOL18 antibodies in immunized pigs was observed with MoAb 25D12C1. Ten field sera (12.19%) from 82 non-vaccinated and non-infected pigs showed anti-oncosphere antibodies inhibiting the binding of MoAb 25D12C1. Anti-oncosphere antibodies in pigs experimentally infected with T. solium eggs inhibited the binding of MoAb 25D12C1 from 2 to 8 week-post infection. It is concluded that MoAb 25D12C1 has excellent immunodiagnostic potentials to detect anti-oncosphere antibodies in the intermediate hosts at early exposure to T. solium eggs. Further investigations on potential use of MoAb 25D12C1 in a capture antigen ELISA for the detection of post-oncospheral antigens in infected pigs cannot be overemphasized.


Asunto(s)
Anticuerpos Antihelmínticos/sangre , Anticuerpos Monoclonales/inmunología , Antígenos Helmínticos/inmunología , Ensayo de Inmunoadsorción Enzimática , Inmunoglobulina G/inmunología , Taenia solium/inmunología , Teniasis/diagnóstico , Animales , Especificidad de Anticuerpos , Biomarcadores/sangre , Modelos Animales de Enfermedad , Epítopos , Valor Predictivo de las Pruebas , Sus scrofa , Teniasis/inmunología , Teniasis/parasitología
5.
PLoS Negl Trop Dis ; 15(3): e0009253, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33684115

RESUMEN

BACKGROUND: Cystic echinococcosis (CE) is an important cause of human morbidity and mortality worldwide, particularly in Morocco and other North African countries. METHODOLOGY/PRINCIPAL FINDINGS: We investigated the potential of three strategies to reduce Echinococcus granulosus transmission: (1) 4-monthly treatment of dogs with praziquantel, (2) vaccination of sheep with the EG95 vaccine and (3) a combination of both measures. These measures were implemented during four consecutive years in different areas of the Middle Atlas Mountains in Morocco. The outcome of the interventions was assessed through hydatid cyst (viable and non-viable) counts in liver and lungs using necropsy or in vivo ultrasound examination of the liver. A total of 402 lambs were recruited for annual vaccination with the EG95 anti-E. granulosus vaccine and 395 similar lambs were selected as non-vaccinated controls. At approximately four years of age the relative risk (estimated as odds ratio) for vaccinated sheep to have viable hydatid cysts compared with non-vaccinated controls was 3% (9.37% of the vaccinated sheep were found infected while 72.82% of the controls were infected; p = 0.002). The number of viable cysts in vaccinated animals was reduced by approximately 97% (mean counts were 0.28 and 9.18 respectively; p<0.001). An average of 595 owned dogs received 4-monthly treatment during the 44 months trial, corresponding to 91% of the owned dog population. Approximately, 5% of them were examined for E. granulosus adult worms by arecoline purge or eggs in feces (confirmed by PCR). The proportion of infected dogs significantly decreased after treatment (12% versus 35%; p<0.001). Post-treatment incidence of re-infestation corresponded to a monthly risk of 4% (95% CI: 3-6%). Treatment of owned dogs on a 4-monthly basis did not reduce the level of transmission of E. granulosus to sheep, nor did it enhance the level of control generated by vaccination of sheep with EG95, possibly because of unowned dogs and wild canids were not treated. CONCLUSIONS/SIGNIFICANCE: These data suggest that vaccination of sheep with EG95 has the potential to reduce the level of CE in Morocco and in other parts of the world with similar transmission dynamics. Under the epidemiological circumstances existing in the trial area, 4-monthly treatment of owned dogs with praziquantel was insufficient to have a major impact of E. granulosus transmission to sheep.


Asunto(s)
Antígenos Helmínticos/inmunología , Enfermedades de los Perros/tratamiento farmacológico , Equinococosis/prevención & control , Equinococosis/veterinaria , Proteínas del Helminto/inmunología , Praziquantel/uso terapéutico , Enfermedades de las Ovejas/prevención & control , Vacunación/veterinaria , Animales , Perros , Marruecos/epidemiología , Ovinos , Enfermedades de las Ovejas/diagnóstico por imagen , Enfermedades de las Ovejas/patología
6.
Acta Trop ; 201: 105203, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31574252

RESUMEN

Detailed post mortem analyses of 68 free-ranging, slaughter-age pigs from two sites in the Banke District of Nepal identified 36% as being infected with Echinococcus granulosus. The cysts ranged from infertile, immature cysts a few millimetres in diameter to fertile cysts >10 cm in diameter. PCR RFLP and DNA sequencing identified the cysts as being E. granulosus sensu stricto. The Banke district has recently been identified as having a high prevalence of porcine cysticercosis. These data suggest that cestode zoonoses in this, and possibly other parts of Nepal may be a serious concern for human health. An assessment of the level of human cystic echinococcosis and neurocysticercosis, in the region is warranted and the introduction of control measures are required to limit the parasites' transmission.


Asunto(s)
Equinococosis/veterinaria , Enfermedades de los Porcinos/epidemiología , Animales , Equinococosis/epidemiología , Echinococcus granulosus/genética , Femenino , Humanos , Masculino , Nepal/epidemiología , Porcinos , Zoonosis/epidemiología
7.
PLoS Negl Trop Dis ; 13(6): e0007408, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31237878

RESUMEN

The definitive method for diagnosis of porcine cysticercosis is the detection of cysticerci at necropsy. Cysts are typically located in the striated muscle and brain. Until recently Taenia solium cysticerci have not been definitively identified in other tissue locations, despite several comprehensive investigations having been undertaken which included investigation of body organs other than muscle and brain. Recently a study conducted in Zambia reported 27% infection with T. solium in the liver of pigs with naturally acquired porcine cysticercosis, as well as some T. solium infection in the lungs and spleen of some animals. We investigated the cause of lesions in sites other than the muscle or brain in a total of 157 pigs from T. solium endemic regions of Uganda and Nepal which were subjected to extensive investigations at necropsy. Lesions which had the potential to be caused by T. solium were characterised by macroscopic and microscopic examination, histology as well as DNA characterisation by PCR-RFLP and sequencing. Lesions were confirmed as being caused by Taenia hydatigena (both viable and non-viable), by T. asiatica and Echinococcus granulosus (in Nepal) and nematode infections. No T. solium-related lesions or cysticerci were identified in any tissue other than muscle and brain. It is recommended that future evaluations of porcine cysticercosis in aberrant tissue locations include DNA analyses that take appropriate care to avoid the possibility of contamination of tissue specimens with DNA from a different tissue location or a different animal. The use of appropriate control samples to confirm the absence of cross-sample contamination is also recommended.


Asunto(s)
Estructuras Animales/patología , Estructuras Animales/parasitología , Cisticercosis/veterinaria , Enfermedades de los Porcinos/diagnóstico , Enfermedades de los Porcinos/patología , Taenia solium/aislamiento & purificación , Animales , Autopsia , Cisticercosis/diagnóstico , Cisticercosis/parasitología , Cisticercosis/patología , Histocitoquímica , Nepal , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Análisis de Secuencia de ADN , Porcinos , Enfermedades de los Porcinos/parasitología , Uganda
8.
Parasit Vectors ; 12(1): 238, 2019 May 16.
Artículo en Inglés | MEDLINE | ID: mdl-31097022

RESUMEN

BACKGROUND: Echinococcus tapeworms cause a severe helminthic zoonosis called echinococcosis. The genus comprises various species and genotypes, of which E. granulosus (sensu stricto) represents a significant global public health and socioeconomic burden. Mitochondrial (mt) genomes have provided useful genetic markers to explore the nature and extent of genetic diversity within Echinococcus and have underpinned phylogenetic and population structure analyses of this genus. Our recent work indicated a sequence gap (> 1 kb) in the mt genomes of E. granulosus genotype G1, which could not be determined by PCR-based Sanger sequencing. The aim of the present study was to define the complete mt genome, irrespective of structural complexities, using a long-read sequencing method. METHODS: We extracted high molecular weight genomic DNA from protoscoleces from a single cyst of E. granulosus genotype G1 from a sheep from Australia using a conventional method and sequenced it using PacBio Sequel (long-read) technology, complemented by BGISEQ-500 short-read sequencing. Sequence data obtained were assembled using a recently-developed workflow. RESULTS: We assembled a complete mt genome sequence of 17,675 bp, which is > 4 kb larger than the complete mt genomes known for E. granulosus genotype G1. This assembly includes a previously-elusive tandem repeat region, which is 4417 bp long and consists of ten near-identical 441-445 bp repeat units, each harbouring a 184 bp non-coding region and adjacent regions. We also identified a short non-coding region of 183 bp, which includes an inverted repeat. CONCLUSIONS: We report what we consider to be the first complete mt genome of E. granulosus genotype G1 and characterise all repeat regions in this genome. The numbers, sizes, sequences and functions of tandem repeat regions remain to be studied in different isolates of genotype G1 and in other genotypes and species. The discovery of such 'new' repeat elements in the mt genome of genotype G1 by PacBio sequencing raises a question about the completeness of some published genomes of taeniid cestodes assembled from conventional or short-read sequence datasets. This study shows that long-read sequencing readily overcomes the challenges of assembling repeat elements to achieve improved genomes.


Asunto(s)
Echinococcus granulosus/genética , Genoma Mitocondrial , Genotipo , Secuencias Repetidas en Tándem , Animales , ADN de Helmintos/genética , Genoma de los Helmintos , Filogenia , Análisis de Secuencia de ADN
9.
PLoS Negl Trop Dis ; 13(2): e0006838, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30802248

RESUMEN

Taenia solium is a zoonotic cestode parasite which causes human neurocysticercosis. Pigs transmit the parasite by acting as the intermediate host. An intervention was implemented to control transmission of T. solium by pigs in Dalit communities of Banke District, Nepal. Every 3 months, pigs were vaccinated with the TSOL18 recombinant vaccine (Cysvax, IIL, India)) and, at the same time, given an oral treatment with 30mg/kg oxfendazole (Paranthic 10% MCI, Morocco). The prevalence of porcine cysticercosis was determined in both an intervention area as well as a similar no intervention control area, among randomly selected, slaughter-age pigs. Post mortem assessments were undertaken both at the start and at the end of the intervention. Participants conducting the post mortem assessments were blinded as to the source of the animals being assessed. At the start of the intervention the prevalence of porcine cysticercosis was 23.6% and 34.5% in the control and intervention areas, respectively. Following the intervention, the prevalence of cysticercosis in pigs from the control area was 16.7% (no significant change), whereas no infection was detected after complete slicing of all muscle tissue and brain in animals from the intervention area (P = 0.004). These findings are discussed in relation to the feasibility and sustainability of T. solium control. The 3-monthly vaccination and drug treatment intervention in pigs used here is suggested as an effective and practical method for reducing T. solium transmission by pigs. The results suggest that applying the intervention over a period of years may ultimately reduce the number of tapeworm carriers and thereby the incidence of NCC.


Asunto(s)
Cisticercosis/veterinaria , Enfermedades de los Porcinos/prevención & control , Enfermedades de los Porcinos/transmisión , Vacunas Sintéticas/uso terapéutico , Animales , Antígenos Helmínticos , Bencimidazoles/uso terapéutico , Cisticercosis/prevención & control , Cisticercosis/terapia , Humanos , Incidencia , Nepal , Neurocisticercosis/prevención & control , Neurocisticercosis/transmisión , Proyectos Piloto , Prevalencia , Porcinos , Enfermedades de los Porcinos/terapia , Taenia solium , Vacunación/veterinaria
10.
Acta Trop ; 191: 1-7, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30576624

RESUMEN

Cystic echinococcosis (CE) is endemic in the Rio Negro province of Argentina. After 30 years of control using praziquantel in dogs the transmission rate to humans and sheep has decreased significantly, however transmission persists. The objective of the study was to assess the inclusion of the EG95 for sheep in the control program and to determine the vaccine's operative feasibility in field conditions. An intervention study was defined in Rio Negro Province in Argentina comprising, in total, an area of 5820 Km2. Lambs received two vaccinations with the EG95 vaccine followed by a single booster injection when the animals were 1-1.5 years of age. Vaccination of lambs born into one trial site was introduced and continued for 8 years. Evidence for Echinococcus granulosus transmission was monitored before and after vaccination by coproantigen ELISA in faecal samples of dog, purgation of dogs to detect E. granulosus worms, necropsy on adult sheep and by ultrasound screening in children of 6-14 years old. 29,323 doses of vaccine were applied between 2009 and 2017, which a vaccination coverage of 80.1%/85.7% (57.3% average for fully vaccinated). Before the introduction of the vaccine 56.3% of the 6-year-old sheep were infected with E. granulosus at necropsy and 84.2% of the farms had infected sheep; 4.3% of the dogs were positive for E. granulosus infection using the arecoline test, and with coproELISA 9.6% of dog fecal samples were positive and 20.3% of the farms had infected dog.After the vaccine was introduced, 21.6% of sheep older than 6 years were found to be infected at necropsy and 20.2% of the farms were found to be infected; in dogs, 4.5% were found positive for E. granulosus using arecoline purgation and with coproELISA 3.7% of samples were positive, with 8.9% of farms having a positive dog. In 2016 only one case of E. granulosus infection was diagnosed by US screening in a 6-14 years old child. Included in the analysis are discussions of difficulties experienced in the field which affected correct vaccine administration as well as social features and practices that may impact on echinococcosis control and the EG95 vaccination program in Rio Negro. Vaccination of sheep with the EG95 vaccine provides a valuable new tool which improves the effectiveness of CE control activities. Vaccination was effective even in a difficult, remote environment where only approximately half the lambs born into the communities were fully vaccinated.


Asunto(s)
Antígenos Helmínticos/inmunología , Equinococosis/epidemiología , Equinococosis/prevención & control , Proteínas del Helminto/inmunología , Enfermedades de las Ovejas/prevención & control , Vacunación/métodos , Vacunas/inmunología , Animales , Argentina/epidemiología , Humanos , Programas de Inmunización/métodos , Proyectos Piloto , Preceptoría/métodos , Ovinos , Enfermedades de las Ovejas/epidemiología
11.
Parasitology ; 145(6): 807-813, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29173204

RESUMEN

Echinococcus granulosus is an important zoonotic parasite that is distributed worldwide. The EG95 vaccine was developed to assist with control of E. granulosus transmission through the parasite's livestock intermediate hosts. The vaccine is based on a recombinant antigen encoded by a gene which is a member of a multi-gene family. With the recent availability of two E. granulosus draft genomes, we sought to map the eg95 gene family to the genomes. We were unable to map unequivocally any of the eg95 gene family members which had previously been characterized by cloning and sequencing both strands of genomic DNA fragments. Our inability to map EG95-related genes to the genomes has revealed limitations in the assembled sequence data when utilized for gene family analyses. This study contrasts with the expectations expressed in often high-profile publications describing draft genomes of parasitic organisms, highlighting deficiencies in currently available genomic resources for E. granulosus and provides a cautionary note for research which seeks to utilize these genome datasets.


Asunto(s)
Antígenos Helmínticos/inmunología , Echinococcus granulosus/genética , Genoma de los Helmintos , Proteínas del Helminto/genética , Animales , Antígenos Helmínticos/genética , Clonación Molecular , ADN Complementario , Equinococosis/inmunología , Equinococosis/parasitología , Equinococosis/prevención & control , Echinococcus granulosus/inmunología , Proteínas del Helminto/inmunología , Humanos , Vacunas/genética , Vacunas/inmunología
13.
Acta Trop ; 165: 261-267, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27887694

RESUMEN

Following confirmation that a remote village of approximately 300 inhabitants in northern Lao PDR was hyperendemic for the Neglected Tropical Disease Taenia solium, a pilot human-porcine therapeutic control intervention was implemented between October 2013 and November 2014. Mass drug administration with a three day albendazole 400mg protocol was offered to all eligible humans in October 2013 and March 2014. At these times, and again in October 2014, eligible village pigs received the anti-cysticercosis TSOL18 vaccination and an oral dose of oxfendazole anthelmintic at 30mg/kg, both repeated one month later. Community and individual human taeniasis prevalences were estimated via copro-antigen ELISA of volunteered human faecal samples prior to October 2013, and again in January 2015, in order to examine the short term impact of the intervention.


Asunto(s)
Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Cisticercosis/tratamiento farmacológico , Heces/parasitología , Sus scrofa/parasitología , Taenia solium/efectos de los fármacos , Teniasis/tratamiento farmacológico , Animales , Cisticercosis/prevención & control , Ensayo de Inmunoadsorción Enzimática , Humanos , Laos/epidemiología , Proyectos Piloto , Prevalencia , Porcinos , Enfermedades de los Porcinos/tratamiento farmacológico , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/prevención & control , Teniasis/epidemiología , Vacunación
14.
N Engl J Med ; 374(24): 2335-44, 2016 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-27305193

RESUMEN

BACKGROUND: Taeniasis and cysticercosis are major causes of seizures and epilepsy. Infection by the causative parasite Taenia solium requires transmission between humans and pigs. The disease is considered to be eradicable, but data on attempts at regional elimination are lacking. We conducted a three-phase control program in Tumbes, Peru, to determine whether regional elimination would be feasible. METHODS: We systematically tested and compared elimination strategies to show the feasibility of interrupting the transmission of T. solium infection in a region of highly endemic disease in Peru. In phase 1, we assessed the effectiveness and feasibility of six intervention strategies that involved screening of humans and pigs, antiparasitic treatment, prevention education, and pig replacement in 42 villages. In phase 2, we compared mass treatment with mass screening (each either with or without vaccination of pigs) in 17 villages. In phase 3, we implemented the final strategy of mass treatment of humans along with the mass treatment and vaccination of pigs in the entire rural region of Tumbes (107 villages comprising 81,170 people and 55,638 pigs). The effect of the intervention was measured after phases 2 and 3 with the use of detailed necropsy to detect pigs with live, nondegenerated cysts capable of causing new infection. The necropsy sampling was weighted in that we preferentially included more samples from seropositive pigs than from seronegative pigs. RESULTS: Only two of the strategies implemented in phase 1 resulted in limited control over the transmission of T. solium infection, which highlighted the need to intensify the subsequent strategies. After the strategies in phase 2 were implemented, no cyst that was capable of further transmission of T. solium infection was found among 658 sampled pigs. One year later, without further intervention, 7 of 310 sampled pigs had live, nondegenerated cysts, but no infected pig was found in 11 of 17 villages, including all the villages in which mass antiparasitic treatment plus vaccination was implemented. After the final strategy was implemented in phase 3, a total of 3 of 342 pigs had live, nondegenerated cysts, but no infected pig was found in 105 of 107 villages. CONCLUSIONS: We showed that the transmission of T. solium infection was interrupted on a regional scale in a highly endemic region in Peru. (Funded by the Bill and Melinda Gates Foundation and others.).


Asunto(s)
Cisticercosis/transmisión , Transmisión de Enfermedad Infecciosa/prevención & control , Enfermedades Endémicas/prevención & control , Taenia solium , Adolescente , Adulto , Animales , Antihelmínticos/uso terapéutico , Cisticercosis/prevención & control , Cisticercosis/veterinaria , Estudios de Factibilidad , Femenino , Educación en Salud , Humanos , Masculino , Tamizaje Masivo , Persona de Mediana Edad , Perú , Sus scrofa/parasitología , Taenia solium/aislamiento & purificación , Teniasis/prevención & control , Teniasis/transmisión , Vacunas , Adulto Joven
15.
Acta Trop ; 159: 185-91, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-26992295

RESUMEN

Following confirmation that a remote village of approximately 300 inhabitants in northern Lao PDR was hyperendemic for the Neglected Tropical Disease Taenia solium, a pilot human-porcine therapeutic control intervention was implemented between October 2013 and November 2014. Mass drug administration with a three day albendazole 400mg protocol was offered to all eligible humans in October 2013 and March 2014. At these times, and again in October 2014, eligible village pigs received the anti-cysticercosis TSOL18 vaccination and an oral dose of oxfendazole anthelmintic at 30mg/kg, both repeated one month later. Community and individual human taeniasis prevalences were estimated via copro-antigen ELISA of volunteered human faecal samples prior to October 2013, and again in January 2015, in order to examine the short term impact of the intervention.


Asunto(s)
Antihelmínticos/uso terapéutico , Enfermedades de los Porcinos/tratamiento farmacológico , Enfermedades de los Porcinos/parasitología , Taenia solium/aislamiento & purificación , Teniasis/tratamiento farmacológico , Teniasis/prevención & control , Vacunación , Adulto , Anciano , Anciano de 80 o más Años , Albendazol/uso terapéutico , Animales , Bencimidazoles/uso terapéutico , Cisticercosis/tratamiento farmacológico , Cisticercosis/epidemiología , Cisticercosis/prevención & control , Ensayo de Inmunoadsorción Enzimática , Heces/parasitología , Femenino , Humanos , Laos/epidemiología , Masculino , Persona de Mediana Edad , Proyectos Piloto , Prevalencia , Porcinos , Enfermedades de los Porcinos/epidemiología
16.
PLoS Negl Trop Dis ; 9(10): e0004134, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26517877

RESUMEN

BACKGROUND: Cystic echinococcosis (CE) is an important zoonotic disease caused by the cestode parasite Echinococcus granulosus. It occurs in many parts of the world where pastoral activities predominate, including the Rio Negro province of Argentina. Although CE control activities have been undertaken in the western regions of Rio Negro for more than two decades, the disease continues to remain prevalent in both the human and livestock animal populations. Vaccination of animal intermediate hosts of CE with the EG95 vaccine may provide a new opportunity to improve the effectiveness of CE control measures, although data are lacking about field application of the vaccine. AIMS: Evaluate the impact of EG95 vaccination in sheep on the transmission of Echinococcus granulosus in a field environment. METHODOLOGY: Two trial sites were established in western Rio Negro province within indigenous communities. Vaccination of lambs born into one trial site was introduced and continued for 6 years. Prior to initiation of the trial, and at the end of the trial, the prevalence of CE in sheep was determined by necropsy. Weaned lambs received two injections of EG95 vaccine, approximately one month apart, and a single booster injection one year later. Vaccination was not implemented at the second trial site. A total of 2725 animals were vaccinated in the first year. Animals from this cohort as well as age-matched sheep from the control area were evaluated by necropsy. KEY RESULTS: Introduction of the vaccine led to a statistically significant in the number and size of hydatid cysts in comparison to the situation prior to the introduction of the vaccine, or compared to CE prevalence in the control area where the vaccine was not applied. The prevalence of infection in the vaccinated area was also significantly reduced by 62% compared to the re-intervention level, being lower than the prevalence seen in the control area, although the difference from the control area after the intervention was not significant possibly due to limitations in the numbers of animals available for necropsy. CONCLUSIONS: Vaccination of sheep with the EG95 vaccine provides a valuable new tool which improves the effectiveness of CE control activities. Vaccination was effective even in a difficult, remote environment where only approximately half the lambs born into the communities were fully vaccinated.


Asunto(s)
Antígenos Helmínticos/inmunología , Transmisión de Enfermedad Infecciosa/prevención & control , Equinococosis/veterinaria , Proteínas del Helminto/inmunología , Enfermedades de las Ovejas/prevención & control , Enfermedades de las Ovejas/parasitología , Vacunas/administración & dosificación , Vacunas/inmunología , Animales , Antígenos Helmínticos/administración & dosificación , Argentina , Equinococosis/epidemiología , Equinococosis/prevención & control , Equinococosis/transmisión , Echinococcus granulosus/inmunología , Proteínas del Helminto/administración & dosificación , Esquemas de Inmunización , Carga de Parásitos , Prevalencia , Ovinos , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/transmisión , Resultado del Tratamiento
17.
Acta Trop ; 127(2): 143-51, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23632258

RESUMEN

Cystic echinococcosis is endemic in the Rio Negro province of Argentina. After 30 years of control using praziquantel in dogs the transmission rate to humans and sheep has decreased significantly, however transmission persists. The objective of the study is to assess the impact of the inclusion of the EG95 vaccine for sheep in the control programme, including analysis of the vaccine's operative feasibility in field conditions. The vaccine was applied in an area comprising four communities of native people including 79 farms with 3146 lambs and 311 dogs in total. Seventy one farms were designated as control areas where no vaccinations were undertaken while vaccinations of lambs undertaken on 91 farms. Lambs received two vaccinations with the EG95 vaccine followed by a single booster injection when the animals were 1-1.5 years of age. Farm locations were defined using GPS coordinates for the houses. Evidence for Echinococcus granulosus transmission was monitored by coproantigen ELISA on samples of dog faeces, by E. granulosus-specific PCR using soil samples, and anti-E. granulosus antibody assessments in sera from 2 to 4 teeth lambs, purgation of dogs to detect E. granulosus worms and necropsy on adult sheep. Before the vaccine was introduced, 26.2% of sheep with 2-4 teeth were positive using ELISA/WB, the prevalence decreased to 7.8% at the third year following use of the vaccine. Necropsy of animals older than 6 years (not vaccinated) showed that 66.1% of animals were infected with E. granulosus. In dogs, 4% was found positive for E. granulosus using arecoline purgation and 24.7% of the farms were infected using coproELISA/WB. During the first year of vaccination 2721 lambs received the first vaccine dose and 2448 received a booster. In the second year 2138 lambs were initially vaccinated and 1745 received a booster, and 1308 animals received the third dose. During the third year 1110 lambs received the first dose from which 539 received a booster and 723 animals received the third dose. An analysis of advantages and limitations of the diagnostic techniques used and the ability of the geospatial analysis to detect risk area are included. Based in the immunodiagnostic techniques, the EG95 vaccine has been able to prevent the infection in animals up to 3 years old. Also, the difficulties in the field for the correct vaccine administration and the social features and habits that may impact on echinococcosis control are included in the analysis.


Asunto(s)
Equinococosis Hepática/veterinaria , Enfermedades de las Ovejas/prevención & control , Vacunas/inmunología , Animales , Argentina/epidemiología , Enfermedades de los Perros/epidemiología , Enfermedades de los Perros/parasitología , Enfermedades de los Perros/prevención & control , Perros , Equinococosis Hepática/epidemiología , Equinococosis Hepática/parasitología , Equinococosis Hepática/prevención & control , Proyectos Piloto , Prevalencia , Ovinos , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/parasitología
18.
Bioengineered ; 4(5): 343-7, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23196744

RESUMEN

Taenia solium is a zoonotic parasite that causes cysticercosis. The parasite is a major cause of human disease in impoverished communities where it is transmitted to humans from pigs which act as intermediate hosts. Vaccination of pigs to prevent transmission of T. solium to humans is an approach that has been investigated to control the disease. A recombinant vaccine antigen, TSOL18, has been remarkably successful at reducing infection of pigs with T. solium in several experimental challenge trials. The vaccine has been shown to eliminate transmission of naturally acquired T. solium in a field trial conducted in Africa. We recently reported that the vaccine was also effective in a field trial conducted in Peru. The TSOL18 recombinant antigen for each of these trials has been produced by expression in Escherichia coli. Here we discuss research that has been undertaken on the TSOL18 antigen and related antigens with a focus on improved methods of preparation of recombinant TSOL18 and optimized expression in Escherichia coli.


Asunto(s)
Antígenos Helmínticos/genética , Cisticercosis/veterinaria , Escherichia coli/genética , Taenia solium/inmunología , Vacunas Sintéticas/genética , Animales , Antígenos Helmínticos/inmunología , Reactores Biológicos , Cisticercosis/inmunología , Cisticercosis/parasitología , Cisticercosis/prevención & control , Escherichia coli/metabolismo , Fermentación , Expresión Génica , Humanos , Estructura Secundaria de Proteína , Proteínas Recombinantes/genética , Proteínas Recombinantes/inmunología , Porcinos , Vacunas Sintéticas/biosíntesis , Vacunas Sintéticas/inmunología
19.
Bioengineered ; 4(3): 168-71, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23090389

RESUMEN

Recombinant vaccine antigens are being evaluated for their ability to protect livestock animals against cysticercosis and related parasitic infections. Practical use of some of these vaccines is expected to reduce parasite transmission, leading to a reduction in the incidence of neurocysticercosis and hydatid disease in humans. We recently showed that an antigen (TSOL16), expressed in Escherichia coli, confers high levels of protection against Taenia solium cysticercosis in pigs, which provides a strategy for control of T. solium parasite transmission. Here, we discuss the characteristics of this antigen that may affect the utility of TSOL16 and related antigens for development as recombinant vaccines. We also report that genes encoding antigens closely related to TSOL16 from T. solium also occur in other related species of parasites. These highly homologous antigens have the potential to be used as vaccines and may provide protection against related species of Taenia that cause infection in other hosts.


Asunto(s)
Antígenos Helmínticos/genética , Escherichia coli/genética , Expresión Génica , Taenia solium/genética , Teniasis/parasitología , Vacunas Sintéticas/genética , Vacunas/genética , Animales , Antígenos Helmínticos/metabolismo , Escherichia coli/metabolismo , Humanos , Taenia solium/metabolismo , Teniasis/prevención & control , Vacunas/metabolismo , Vacunas Sintéticas/metabolismo
20.
Vaccine ; 30(52): 7475-80, 2012 Dec 14.
Artículo en Inglés | MEDLINE | ID: mdl-23116696

RESUMEN

Recombinant antigens cloned from the oncosphere life cycle stage of the cestode parasite Taenia solium (T. solium) have been proven to be effective as vaccines for protecting pigs against infections with T. solium. Previous studies have defined three different host protective oncosphere antigens, TSOL18, TSOL16 and TSOL45. In this study, we evaluated the potential for combining the antigens TSOL16 and TSOL18 as a practical vaccine. Firstly, in a laboratory trial, we compared the immunogenicity of the combined antigens (TSOL16/18) versus the immunogenicity of the antigens separately. Secondly, in a field trial, we tested the ability of the TSOL16/18 vaccine to induce detectable antibody responses in animals living under environmental stress and traditionally reared in areas where T. solium cysticercosis is endemic; and finally, we characterised the immune response of the study population. Pigs of 8-16 weeks of age were vaccinated with 200 µg each of TSOL16 and TSOL18, plus 5mg of Quil-A. Specific total IgG, IgG(1) and IgG(2) antibody responses induced by TSOL16 and TSOL18 were determined with ELISA. The immunogenicity of both antigens was retained in the combined TSOL16/18 vaccine. The combined vaccine TSOL16/18 induced detectable specific anti-TSOL18 antibody responses in 100% (113/113) and specific anti-TSOL16 in 99% (112/113) of the vaccinated animals measured at 2 weeks following the booster vaccination. From the two IgG antibody subtypes analysed we found there was stronger response to IgG(2).


Asunto(s)
Anticuerpos Antihelmínticos/sangre , Formación de Anticuerpos , Antígenos Helmínticos/inmunología , Taenia solium/inmunología , Animales , Antígenos Helmínticos/genética , Cisticercosis/prevención & control , Cisticercosis/veterinaria , Ensayo de Inmunoadsorción Enzimática , Inmunoglobulina G/sangre , Porcinos , Enfermedades de los Porcinos/prevención & control , Taenia solium/genética
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