Leptospira Seropositivity in Humans, Livestock and Wild Animals in a Semi-Arid Area of Tanzania.

BACKGROUND: Leptospirosis is among the major neglected zoonoses in developing countries. The prevalence of leptospirosis remains underestimated in many African countries because of limited diagnostic facilities. We studied Leptospira seropositivity prevalence in humans, sheep, goats and rodents in a semi-arid region of central Tanzania and compared findings with reports from humid tropical areas. The aims were to establish the disease burden in different settings; understand circulating Leptospira serovars and potential major reservoirs for establishing appropriate control measures. METHODS: Humans, sheep, goats, rodents and shrews (insectivores) were sampled from Bahi district, a semi-arid area in central Tanzania. Samples were tested for leptospiral antibodies using microscopic agglutination test (MAT) consisting of Leptospira serovars mainly reported in Tanzania and reference strains. Findings were compared with previous data to determine the disease epidemiological patterns. RESULTS AND CONCLUSION: Semi-arid area showed high Leptospira seropositivity prevalence in humans and domestic animals due to intensive human-animal interactions at scarce water points and by flash flooding which occur in the area. Rodent population in the semi-arid areas was relatively low due to flooding. Leptospira seropositivity in rodents was also slightly lower, and the rodents appeared to be prolific breeders, probably as a means to compensate for the lost population during extreme drought as well as during short spells of floods. Intensive human-animal interaction in the semi-arid areas especially, in water sources in valleys where human and animals often meet, likely increased the risk of leptospirosis transmission to rice farmers in the area. Goats and sheep which are kept around homesteads had higher leptospiral antibodies prevalence (62%), nearly double of the 38% reported in same species in humid tropical regions of Tanzania. Livestock, especially goats and sheep, could be the major source of leptospirosis transmission to humans. Vaccination of livestock with vaccines against local Leptospira strains should be encouraged, and rodent control emphasized, as part of a management strategy against leptospirosis. Public awareness of leptospirosis must also be raised and supported by availability of rapid test kits in clinics for preliminary testing of leptospirosis in people with fevers of unknown origin.

An overview on the molecular diagnosis of animal leptospirosis.

The most common presentation of animal leptospirosis is the subclinical and silent chronic form, that can lead to important reproductive disorders. The diagnosis of this chronic form remains a challenge. The aim of the present study is to gather and critically analyse the current information about molecular tools applied to animal leptospirosis diagnosis, particularly the silent chronic presentation of the infection. Regarding clinical specimens, samples from urinary tract were the most used (69/102, 67·7%), while few studies (12/102, 11·8%) investigated samples from reproductive tract. Concerning the molecular methods applied, the most used is still the conventional polymerase chain reaction (PCR) (46/102, 45%), followed by real-time PCR (38/102, 37·2%). The lipL32 gene is currently the most common target used for Leptospira detection, with 48% of studies applying this genetic marker. From all the studies, only few (21/102, 20·5%) performed gene sequencing. According to the majority of authors, current evidence suggests that lipL32-PCR is useful for an initial screening for Leptospira DNA detection in animal clinical samples. Posteriorly, if DNA sequencing could be performed on positive lipL32-PCR samples, we encourage the use of secY gene as a genetic marker. The molecular methods appear as the most important tools for the diagnosis of the chronic silent leptospirosis on domestic animals, reinforcing its evident impact not only on animal reproduction but also on a One Health context.

Serological, molecular and bacteriological approaches for detecting Leptospira sp. carrier rams maintained in semiarid conditions.

Even in the adverse environmental conditions of the semiarid region, leptospires can survive and spread by alternative routes of transmission, such as sexual in ewes, however, there is no data on rams. Thus, the present study aimed to evaluate the use of serological, molecular and microbial tools applied to diagnosis of Leptospira sp. Infection in rams maintained in semiarid conditions. Biological samples of urinary (urine, kidney and bladder) and genital (vas deferens, epididymis tail and vesicular gland) tracts were collected from 40 slaughtered rams for polymerase chain reaction (PCR) and bacterial isolation, as well as blood samples for antibody detection through microscopic serum agglutination test (MAT). Anti-Leptospira antibodies were found in five (12.5%) animals with antibody titer of 50 and 2 (5%) for the titer 100 for serogroups Pyrogenes, Ballum, Icterohaemorrhagiae and Australis. Leptospira sp. DNA was found in PCR of organs and urine of 30 (75%) animals. Overall, 240 fragments of organs from the urinary and genital tracts and urine were evaluated, with 93 (38.7%) positive samples, being 48/120 (40%) for the urinary tract and 45/120 (37.5%) for the genital. There was no statistically significant difference between the tracts. A bladder sample was sent for sequencing and showed 99% similarity with L. interrogans. Of the 240 cultures evaluated, 59 (24.5%) had leptospire growth, being that 23 (39%) were confirmed in PCR. Considering the PCR of organs and urine and bacterial growth as gold standards, the cut-off 50 in MAT showed greater sensitivity when compared to cut-off 100, regardless of the material used. The great proportion of leptospiral DNA in organs, urine and culture and bacterial growth from the genital tracts reinforce its importance as an extra-renal site and highlights the possible role of rams in venereal transmission, as well as the sensitivity of the cut-off 50 suggested its adoption in the serology of rams maintained in semiarid conditions.

High proportion of cattle and sheep seropositive and renal carriers of Leptospira sp. under semiarid conditions / Alta proporção de bovinos e ovinos soropositivos e portadores renais de Leptospira sp. em condições semiáridas

The aims of this study were to perform serological and molecular detection of Leptospira sp. infection in cattle and sheep under semiarid conditions. Based on a preliminary study performed in our research group, we selected six rural properties showing a positivity ≥ 60% for Sejroe serogroup with titer ≥ 200 measured in serological tests from cattle. In the present study, blood and urine samples were collected from 99 females of reproductive age (51 cattle and 48 sheep) for serological diagnosis, molecular detection and Leptospira sp. attempt to strain recovery. Of the 99 analyzed animals 38.4% (38/99) were positively reactive at the serological tests. Of them, 49% (25/51) were cattle and 27.1% (13/48) sheep. The serogroups detected in cattle were Sejroe (36.8%), Hebdomadis (26.3%), Australis (10.5%), Djasiman (10.5%), Ballum (5.3%), Pomona (5.3%), and Cynopteri (5.3%) with titers of 100­800. In sheep, the reactive serogroups were Australis (27.3%), Ballum (27.3%), Djasiman (18.1%), Tarassovi (9.1%), Icterohaemorrhagiae (9.1%), and Cynopteri (9.1%) with titers of 100­400.Leptospiral DNA was detected in nine urine samples, including five cattle and four sheep. Property 1 showed the highest serological positivity frequencies for both cattle (70.6%) and sheep (70.6%). Similarly, the highest frequency of DNA detection was also found (eight samples, 89%). In this property, we observed the existence of consorted rearing of cattle and sheep with close coexistence between these species. In semiarid conditions, transmission among animals of the same species seems to be the main form of Leptospira sp. dissemination in cattle and sheep herds. However, the contribution of other domestic and wild animals cannot be discarded. The practice of consorted rearing of cattle and sheep and their close coexistence may facilitate the spread of the pathogen in rural properties.

Os objetivos deste estudo foram realizar detecção sorológica e molecular da infecção por Leptospira sp. em bovinos e ovinos em condições semiáridas. Com base em estudo preliminar realizado em nosso grupo de pesquisa, foram selecionadas seis propriedades rurais com soropositividade ≥ 60% para o sorogrupo Sejroe com título ≥ 200 em bovinos. No presente estudo, amostras de sangue e urina foram coletadas de 99 fêmeas em idade reprodutiva (51 bovinos e 48 ovinos) para diagnóstico sorológico, detecção molecular e tentativa de recuperação de estirpesde Leptospira sp. Dos 99 animais analisados, 38,4% (38/99) foram sororeativos nos testes sorológicos. Destes, 49% (25/51) eram bovinos e 27,1% (13/48) ovinos. Os sorogrupos detectados em bovinos foram Sejroe (36,8%), Hebdomadis (26,3%), Australis (10,5%), Djasiman (10,5%), Ballum (5,3%), Pomona (5,3%) e Cynopteri (5,3%) com títulos de 100 a 800. Nos ovinos, os sorogrupos reativos foram Australis (27,3%), Ballum (27,3%), Djasiman (18,1%), Tarassovi (9,1%), Icterohaemorrhagiae (9,1%) e Cynopteri (9,1%) com títulos de 100-400. O DNA leptospiral foi detectado em nove amostras de urina, incluindo cinco bovinos e quatro ovinos. A propriedade 1 apresentou as maiores frequências de positividade sorológica para bovinos (70,6%) e ovinos (70,6%). Da mesma forma, a maior frequência de detecção de DNA também foi encontrada (oito amostras, 89%). Nesta propriedade observou-se a existência de criação consorciada de bovinos e ovinos com estreita convivência entre estas espécies. Em condições semiáridas, a transmissão entre animais da mesma espécie parece ser a principal forma de disseminação de Leptospira sp. em rebanhos bovinos e ovinos. No entanto, a contribuição de outros animais domésticos e selvagens não pode ser descartada. A prática de criação consorciada de bovinos e ovinos e sua estreita convivência podem facilitar a disseminação do patógeno em propriedades rurais.

High proportion of cattle and sheep seropositive and renal carriers of Leptospira sp. under semiarid conditions / Alta proporção de bovinos e ovinos soropositivos e portadores renais de Leptospira sp. em condições semiáridas

The aims of this study were to perform serological and molecular detection of Leptospira sp. infection in cattle and sheep under semiarid conditions. Based on a preliminary study performed in our research group, we selected six rural properties showing a positivity ≥ 60% for Sejroe serogroup with titer ≥ 200 measured in serological tests from cattle. In the present study, blood and urine samples were collected from 99 females of reproductive age (51 cattle and 48 sheep) for serological diagnosis, molecular detection and Leptospira sp. attempt to strain recovery. Of the 99 analyzed animals 38.4% (38/99) were positively reactive at the serological tests. Of them, 49% (25/51) were cattle and 27.1% (13/48) sheep. The serogroups detected in cattle were Sejroe (36.8%), Hebdomadis (26.3%), Australis (10.5%), Djasiman (10.5%), Ballum (5.3%), Pomona (5.3%), and Cynopteri (5.3%) with titers of 100–800. In sheep, the reactive serogroups were Australis (27.3%), Ballum (27.3%), Djasiman (18.1%), Tarassovi (9.1%), Icterohaemorrhagiae (9.1%), and Cynopteri (9.1%) with titers of 100–400. Leptospiral DNA was detected in nine urine samples, including five cattle and four sheep. Property 1 showed the highest serological positivity frequencies for both cattle (70.6%) and sheep (70.6%). Similarly, the highest frequency of DNA detection was also found (eight samples, 89%). In this property, we observed the existence of consorted rearing of cattle and sheep with close coexistence between these species. In semiarid conditions, transmission among animals of the same species seems to be the main form of Leptospira sp. dissemination in cattle and sheep herds. However, the contribution of other domestic and wild animals cannot be discarded. The practice of consorted rearing of cattle and sheep and their close coexistence may facilitate the spread of the pathogen in rural properties.

Os objetivos deste estudo foram realizar detecção sorológica e molecular da infecção por Leptospira sp. em bovinos e ovinos em condições semiáridas. Com base em estudo preliminar realizado em nosso grupo de pesquisa, foram selecionadas seis propriedades rurais com soropositividade ≥ 60% para o sorogrupo Sejroe com título ≥ 200 em bovinos. No presente estudo, amostras de sangue e urina foram coletadas de 99 fêmeas em idade reprodutiva (51 bovinos e 48 ovinos) para diagnóstico sorológico, detecção molecular e tentativa de recuperação de estirpesde Leptospira sp. Dos 99 animais analisados, 38,4% (38/99) foram sororeativos nos testes sorológicos. Destes, 49% (25/51) eram bovinos e 27,1% (13/48) ovinos. Os sorogrupos detectados em bovinos foram Sejroe (36,8%), Hebdomadis (26,3%), Australis (10,5%), Djasiman (10,5%), Ballum (5,3%), Pomona (5,3%) e Cynopteri (5,3%) com títulos de 100 a 800. Nos ovinos, os sorogrupos reativos foram Australis (27,3%), Ballum (27,3%), Djasiman (18,1%), Tarassovi (9,1%), Icterohaemorrhagiae (9,1%) e Cynopteri (9,1%) com títulos de 100-400. O DNA leptospiral foi detectado em nove amostras de urina, incluindo cinco bovinos e quatro ovinos. A propriedade 1 apresentou as maiores frequências de positividade sorológica para bovinos (70,6%) e ovinos (70,6%). Da mesma forma, a maior frequência de detecção de DNA também foi encontrada (oito amostras, 89%). Nesta propriedade observou-se a existência de criação consorciada de bovinos e ovinos com estreita convivência entre estas espécies. Em condições semiáridas, a transmissão entre animais da mesma espécie parece ser a principal forma de disseminação de Leptospira sp. em rebanhos bovinos e ovinos. No entanto, a contribuição de outros animais domésticos e selvagens não pode ser descartada. A prática de criação consorciada de bovinos e ovinos e sua estreita convivência podem facilitar a disseminação do patógeno em propriedades rurais.

Novel MLST sequence types of pathogenic Leptospira spp.: Opening the black box of animal leptospirosis in Brazil.

In the current context of the emergence of certain infectious diseases and discussion of the One Health concept for many of these, the study of leptospirosis - both in domestic and wild hosts - cannot be neglected. The study of animal leptospirosis has evolved in recent years. It has been demonstrated that the human-animal-environment interface is more important than previously thought. In the present study, 35 strains of five pathogenic Leptospira species were isolated from different animal species in Brazil and characterized by rrs, secY, and Multilocus Sequence Typing (MLST) sequencing. Phylogenetic inferences were performed and the molecular diversity of the populations (intra- and inter-population levels) was evaluated. Among the five studied species, 18 different sequence types (STs) were found (22 new alleles and 11 new STs). eBURST analysis revealed two clonal complexes (CCs) and seven singletons. A high genetic diversity was demonstrated (H = 0.954 ± 0.017), mainly for the L. santarosai population (H = 0.942 ± 0.034, n = 20). The same strain was identified in different host species, as well as strains with zoonotic potential circulating in the country. Although the difficulty of culturing Leptospira strains is well known, the high variability of the strains found in Brazil highlights the importance of animals in maintaining the biological cycle of the bacterium in nature. Moreover, the selection of autochthonous strains for the development of vaccines becomes a challenge.

Controle da eficácia de bacterinas antileptospirose: relação entre os resultados dos testes de inibição de crescimento de leptospiras in vitro com os do desafio in vivo em hamsters / Efficacy of anti-leptospirosis bacterines: relation between the results of the in vitro growth inhibition test and the potency test, in vivo, with challenge in hamsters

Foi efetuada a comparação em hamsters da proteção conferida e dos níveis de anticorpos induzidos por duas bacterinas comerciais antileptospirose. Os ensaios empregados foram o teste oficial de potência com desafio (TP), o ensaio proposto, teste de inibição de crescimento de leptospiras in vitro (ICLIV) e a soroaglutinação microscópica (SAM). O protocolo de imunização foi representado por duas aplicações individuais de 0,25 mL das bacterinas, puras ou de suas diluições geométricas de razão dois variando de 200 a 51.200 para a bacterina A e de 200 a 3.200 para a bacterina B, por via subcutânea com o intervalo de 15 dias. Decorridos 15 dias da segunda aplicação de vacina, um grupo de animais foi desafiado com 0,2 mL de cultivos de leptospiras, por indivíduo, respectivamente dos sorovares Canicola (bacterinas A e B) ou Kennewicki (bacterina A). Os números de doses infectantes empregados nos desafios foram de 100 e 631 respectivamente, para os sorovares Canicola e Kennewicki. Decorridos 21 dias do desafio, os grupos de animais utilizados nos testes de ICLIV e SAM foram sangrados e os seus soros foram reunidos em pools (n = 5). No TP, adotando-se os critérios internacionais, as bacterinas foram aprovadas. A comparação do desempenho das bacterinas para os sorovares adotados, segundo sua concentração, por meio das proporções de animais sobreviventes ao TP e a média dos títulos de anticorpos identificados no teste de ICLIV, indicou que um título igual ou superior a 0,77 log corresponde ao nível de aprovação da bacterina no TP.

It was performed a comparison between the protection afforded in hamsters and the antibody levels induced by two commercial vaccines against leptospirosis. The assays used were the official challenge test (TP), the in vitro leptospires growth inhibition test (ICLIV) and microscopic agglutination test (MAT). The immunization protocol consisted of two single applications, 15 days from each other, of 0.25 mL of the bacterins, pure or its two-fold serial dilutions: 200 to 51,200 for bacterin A and 200 to 3.200 bacterin B, both of them administered subcutaneously. A group of animals was challenged, after 15 days from the second vaccine application, with 0.2 mL/animal of live leptospire cultures, with Canicola (bacterin A and B) or Kennewicki (bacterin A) serovars. The numbers of infective doses employed in the challenges were 100 and 631 for Canicola and Kennewicki serovars, respectively. After 15 days from the second vaccine dose the groups of animals used in ICLIV and SAM tests were bled and their sera were collected in pools (n = 5). In TP, adopting the criteria established by the Code Federal Regulation, both bacterins were approved. The comparison of the performance of the tested bacterins with the adopted serovars, according to its concentration, by the proportions of surviving animals to the challenge assay and the average of the neutralizing antibodies titers, established a neutralizing antibodies titer equal or higher than 0.77 log corresponding with the bacterin level of approval in the potency assay.