Antimicrobial Resistance Profiles of Staphylococcus Isolated from Cows with Subclinical Mastitis: Do Strains from the Environment and from Humans Contribute to the Dissemination of Resistance among Bacteria on Dairy Farms in Colombia?

Staphylococcus is a very prevalent etiologic agent of bovine mastitis, and antibiotic resistance contributes to the successful colonization and dissemination of these bacteria in different environments and hosts on dairy farms. This study aimed to identify the antimicrobial resistance (AMR) genotypes and phenotypes of Staphylococcus spp. isolates from different sources on dairy farms and their relationship with the use of antibiotics. An antimicrobial susceptibility test was performed on 349 Staphylococcus strains (S. aureus, n = 152; non-aureus staphylococci (NAS), n = 197) isolated from quarter milk samples (QMSs) from cows with subclinical mastitis (176), the teats of cows (116), the milking parlor environment (32), and the nasal cavities of milk workers (25). Resistance and multidrug resistance percentages found for S. aureus and NAS were (S. aureus = 63.2%, NAS = 55.8%) and (S. aureus = 4.6%, NAS = 11.7%), respectively. S. aureus and NAS isolates showed resistance mainly to penicillin (10 IU) (54.1% and 32.4%) and ampicillin (10 mg) (50.3% and 27.0%) drugs. The prevalence of AMR Staphylococcus was higher in environmental samples (81.3%) compared to other sources (52.6-76.0%). In S. aureus isolates, the identification of the blaZ (83.9%), aacAaphD (48.6%), ermC (23.5%), tetK (12.9%), and mecA (12.1%) genes did not entirely agree with the AMR phenotype. We conclude that the use of ß-lactam antibiotics influences the expression of AMR in Staphylococcus circulating on dairy farms and that S. aureus isolates from the environment and humans may be reservoirs of AMR for other bacteria on dairy farms.

Sequence-Based Antigenic Analyses of H1 Swine Influenza A Viruses from Colombia (2008-2021) Reveals Temporal and Geographical Antigenic Variations.

Swine influenza is a respiratory disease that affects the pork industry and is a public health threat. It is caused by type A influenza virus (FLUAV), which continuously undergoes genetic and antigenic variations. A large amount of information regarding FLUAV in pigs is available worldwide, but it is limited in Latin America. The HA sequences of H1 subtype FLUAV-positive samples obtained from pigs in Colombia between 2008-2021 were analyzed using sequence-based antigenic cartography and N-Glycosylation analyses. Of the 12 predicted global antigenic groups, Colombia contained five: four corresponding to pandemic strains and one to the classical swine H1N1 clade. Circulation of these clusters was observed in some regions during specific years. Ca2 was the immunodominant epitope among Colombian viruses. The counts of N-Glycosylation motifs were associated with the antigenic cluster ranging from three to five. The results show for the first time the existence of antigenic diversity of FLUAV in Colombia and highlight the impact of spatial and temporal factors on this diversity. This study provides information about FLUAV variability in pigs under natural conditions in the absence of vaccination and emphasizes the need for surveillance of its phylogenetic and antigenic characteristics.

Proteomics and Genetic Approaches Elucidate the Circulation of Low Variability Staphylococcus aureus Strains on Colombian Dairy Farms.

Staphylococcus aureus is one of the most prevalent pathogens causing bovine mastitis in the world, in part because of its ease of adaptation to various hosts and the environment. This study aimed to determine the prevalence of S. aureus in Colombian dairy farms and its relationship with the causal network of subclinical mastitis. From thirteen dairy farms enrolled, 1288 quarter milk samples (QMS) and 330 teat samples were taken from cows with positive (70.1%) and negative California Mastitis Test (CMT). In addition, 126 samples from the milking parlor environment and 40 from workers (nasal) were collected. On each dairy farm, a survey was conducted, and the milking process was monitored on the day of sampling. S. aureus was identified in 176 samples, i.e., 138 QMS, 20 from teats, 8 from the milking parlor environment, and 10 from workers' nasal swabs. Isolates identified as S. aureus underwent proteomics (clustering of mass spectrum) and molecular (tuf, coa, spa Ig, clfA, and eno genes) analysis. Regarding proteomics results, isolates were distributed into three clusters, each with members from all sources and all farms. Concerning molecular analysis, the virulence-related genes clfA and eno were identified in 41.3% and 37.8% of S. aureus isolates, respectively. We provide evidence on the circulation of S. aureus strains with limited variability among animals, humans, and the environment. The parameters with the lowest compliance in the farms which may be implicated in the transmission of S. aureus are the lack of handwashing and abnormal milk handling.

New Insights into Avian Infectious Bronchitis Virus in Colombia from Whole-Genome Analysis.

Infectious Bronchitis (IB) is a respiratory disease caused by a highly variable Gammacoronavirus, which generates a negative impact on poultry health worldwide. GI-11 and GI-16 lineages have been identified in South America based on Infectious Bronchitis virus (IBV) partial S1 sequences. However, full genome sequence information is limited. In this study we report, for the first time, the whole-genome sequence of IBV from Colombia. Seven IBV isolates obtained during 2012 and 2013 from farms with respiratory disease compatible with IB were selected and the complete genome sequence was obtained by NGS. According to S1 sequence phylogenetic analysis, six isolates belong to lineage GI-1 and one to lineage GVI-1. When whole genome was analyzed, five isolates were related to the vaccine strain Ma5 2016 and two showed mosaic genomes. Results from complete S1 sequence analysis provides further support for the hypothesis that GVI-1, considered a geographically confined lineage in Asia, could have originated in Colombia. Complete genome information reported in this research allow a deeper understanding of the phylogenetic evolution of variants and the recombination events between strains that are circulating worldwide, contributing to the knowledge of coronavirus in Latin America and the world.

Characterization and evaluation of Colombian propolis on the intestinal integrity of broilers.

Nutritional additives such as propolis seek to improve intestinal health as an alternative to the global ban on in-feed antibiotics used as growth promoters (AGP). The objective of this study was to evaluate the effect of propolis supplementation in diet of broilers. Four hundred and fifty straight-run Ross 308 AP broilers were fed with a basal diet (BD) throughout the whole experimental period. Birds were randomly distributed into 5 groups at d 14: negative control without antibiotics nor propolis (AGP-), positive control 500 ppm of Zinc Bacitracin as growth promoter (AGP+), and 3 groups supplemented with 150, 300, and 450 ppm of propolis. Every group included 6 replicates of 15 birds each. Propolis concentration was increased from d 22 to 42, in experimental groups to 300, 600, and 900 ppm of propolis, and 10% of raw soybean was included as a challenge in all groups during the same period. Analysis of productive parameters, intestinal morphometry, and relative quantification of genes associated with epithelial integrity by qPCR were performed at 21 and 42 d. The groups with the greatest weights were those that consumed diets including 150 (21 d) and 900 ppm (42 d) of propolis compared with all treatments. The lowest score of ISI was found at 300 (21 d) and 600 ppm (42 d). A lower degree of injury in digestive system was seen with the inclusion of 300 ppm (21 d) and 900 ppm (42 d). Up-regulation of zonula occludens-1 (ZO-1) was observed in jejunum of broilers supplemented with 150 and 300 ppm at 21 d. Up-regulation of ZO-1 and TGF-ß was also evidenced in ileum at all propolis inclusion levels at 42-day-old compared to AGP+ and AGP-. The beneficial effects were evidenced at inclusion levels of 150 ppm in the starter and 900 ppm in the finisher. According to the results, the Colombian propolis inclusion can improve productive performance, physiological parameters, and gene expression associated with intestinal integrity.

Zooming in on the molecular characteristics of swine influenza virus circulating in Colombia before and after the H1N1pdm09 virus.

Influenza is one of the most critical viral agents involved in the respiratory disease complex affecting swine production systems worldwide. Despite the absence of vaccination against swine influenza virus in Colombia, the serologic reactivity to classic H1N1 and H3N2 subtypes reported since 1971 indicates the virus has been circulating in the country's swine population for several decades. However, successful isolation and sequencing of field virus from pigs was nonexistent until 2008, when H1N1 classical influenza virus was identified. One year later, due to the emergence of the influenza A (H1N1) pdm09 virus, responsible for the first global flu pandemic of the 21st century, it was introduced in the country. Therefore, to understand the impact of the introduction of the H1N1pdm09 virus in Colombia on the complexity and dynamics of influenza viruses previously present in the swine population, we carried out a study aiming to characterize circulating viruses genetically and establish possible reassortment events that might have happened between endemic influenza viruses before and after the introduction of the pandemic virus. A phylogenetic analysis of ten swine influenza virus isolates from porcine samples obtained between 2008 and 2015 was conducted. As a result, a displacement of the classical swine influenza virus with the pdmH1N1 virus in the swine population was confirmed. Once established, the pandemic subtype exhibited phylogenetic segregation based on a geographic pattern in all the evaluated segments. The evidence presents reassortment events with classic viruses in one of the first H1N1pdm09 isolates. Thus, this study demonstrates complex competition dynamics and variations in Colombian swine viruses through Drift and Shift.

Rhabdoid melanoma in a harpy eagle (Harpia harpyja).

A 28-year-old male harpy eagle (Harpia harpyja) with a history of anorexia, hyporexia, lethargy, and progressive weight loss was found dead and submitted for post-mortem examination. Gross findings include dark brown discolouration of testes and lungs; the testes were bilaterally enlarged, glistening brown-grey to blackish in appearance, firm, smooth, and multilobulated. The lungs contained a mass with similar features to the testicles, irregularly shaped with multiple nodules. Histology of testis showed round, polygonal and pleomorphic cells, containing melanin pigments and a typical eosinophilic vacuole in their cytoplasm and with severe pleomorphism. An immunohistochemistry panel with Melan-A, vimentin, CK AE1/AE/3, MUM-1 and CD-68 were performed, yielding a positive reaction for Melan-A and vimentin. The morphology of the tumour cells, the presence of melanin pigment and the immunoreactivity for Melan-A and vimentin by the cells led to a diagnosis of rhabdoid melanoma. This is the first case of this pathology in the testis with lung metastasis in a harpy eagle.

Key Factors That Enable the Pandemic Potential of RNA Viruses and Inter-Species Transmission: A Systematic Review.

Viruses play a primary role as etiological agents of pandemics worldwide. Although there has been progress in identifying the molecular features of both viruses and hosts, the extent of the impact these and other factors have that contribute to interspecies transmission and their relationship with the emergence of diseases are poorly understood. The objective of this review was to analyze the factors related to the characteristics inherent to RNA viruses accountable for pandemics in the last 20 years which facilitate infection, promote interspecies jump, and assist in the generation of zoonotic infections with pandemic potential. The search resulted in 48 research articles that met the inclusion criteria. Changes adopted by RNA viruses are influenced by environmental and host-related factors, which define their ability to adapt. Population density, host distribution, migration patterns, and the loss of natural habitats, among others, have been associated as factors in the virus-host interaction. This review also included a critical analysis of the Latin American context, considering its diverse and unique social, cultural, and biodiversity characteristics. The scarcity of scientific information is striking, thus, a call to local institutions and governments to invest more resources and efforts to the study of these factors in the region is key.

Bilateral osteoma cutis in a Peach-Faced Lovebird (Agapornis roseicollis).

An osteoma is an infrequent tumor documented in avian species. An adult female Peach-Faced Lovebird (Agapornis roseicollis) with a history of previous trauma was examined due to the presence of bilateral hard and yellowish-white masses in the radio-cubital humerus junction. Histopathological dermal examination revealed a non-neoplastic process of mesenchymal origin, characterized by the formation of well-differentiated trabecular bone, multiple areas of medullary bone and loose connective tissue and coagulation of the necrosis foci. Based on the histological findings and the medical history, the masses were diagnosed as bilateral secondary osteoma cutis. To our knowledge, this is the first report of this pathology with an acute course in this exotic pet bird. The previous trauma could be the initiating cause.

Identification of genogroups of Infectious Bursal Disease Virus in poultry farms at Colombia / Identificación de genogrupos del virus de la enfermedad de gumboro en granjas avícolas en colombia

RESUMEN El virus de la enfermedad de Gumboro (IBDV) es un avibirnavirus con genoma dsARN que presenta altas tasas de mutación y recombinación. A pesar del efecto inmunosupresor en aves y la frecuencia con que ocurre la infección por este agente en el país son pocos los estudios que caracterizan los cuadros clínicos y se desconoce cuáles son los genogrupos circulantes. Esta investigación tuvo como objetivo determinar la frecuencia de lesiones histopatológicas en órganos del sistema inmune e identificar los genogrupos del IBDV en aves comerciales de Colombia. Para determinar la frecuencia de presentación de lesiones en órganos del sistema inmune se analizaron 381 casos clínicos de las bases de datos del Laboratorio de Patología Aviar (LPA) de la Universidad Nacional de Colombia, sede Bogotá (periodo 2016-2018). Asimismo, se secuenciaron los productos de RT-PCR del gen que codifica para la proteína viral VP2 provenientes de 35 muestras de bursas de Fabricio. Como resultado se encontró evidencia de lesiones microscópicas compatibles con procesos de inmunodepresión en órganos del sistema inmune (bursa de Fabricio, timo, bazo y médula ósea) en el 25 % (97) de los casos analizados y se identificaron los genogrupos 1, 2 y 4 en la siguiente proporción: genogrupo 1-69 % (virus clásicos), genogrupo 2-25 % (variantes) y genogrupo 4-6 % (identificado en Suramérica). Estos hallazgos demuestran la presencia de lesiones en órganos del sistema inmune y la existencia de los genogrupos 1, 2 y 3 del IBDV circulando en aves comerciales en Colombia. Esta es la primera investigación en el país con este sistema de clasificación que permite evidenciar con mayor precisión los cambios en el genoma del IBDV. Lo anterior señala la necesidad de continuar con este tipo de estudios para tener una mejor comprensión de la infección en campo y orientar el diseño e implementación de estrategias de control.

ABSTRACT Infectious Bursal Disease Virus (IBDV) is an avibirnavirus with a dsRNA genome, which has a high mutation and recombination rates. Despite the immunosuppressive effect in poultry and the frequency of infections by this agent, few studies in Colombia that characterize the clinical signs and identify the circulating genogroups have been reported. This study aimed to determine the frequency of histopathological lesions in immune organs and to identify IBDV genogroups in poultry from Colombia. In this way, the Laboratorio de Patología Aviar (LPA) databases from the Universidad Nacional de Colombia (period 2016-2018) were analyzed in order to identify the frequency of lesions present in immune organs. 35 samples of the bursa of Fabricius, positive by RT-PCR, were sequenced to the gene that codes for the VP2 protein. 97 (25 %) cases showed microscopic lesions in the immune organs. The genogroups identified and the frequencies were: genogroup 1-69 % (classical viruses), genogroup 2-25 % (antigenic variants), and genogroup 4-6 % (identified in South America). These findings demonstrate the lesions of immune organs and the presence of different genogroups circulating in commercial birds in Colombia. This indicates the need to continue with these studies in order to have a better understanding of the infection in the field and to guide the design and implementation of control strategies.

Characterization of hygiene habits and environments in children's care homes. / Caracterización de hábitos de higiene y ambientes en lugares de atención integral a población infantil.

OBJECTIVE: Identify the hygiene habits of children and caregivers in order to prevent and control infectious diseases in care environments in Bogotá, Colombia, as well as characterize the surface bacteria in these environments. METHOD: Instruments were designed, validated and applied to evaluate healthy habits, with samples taken from surfaces in kitchens, bathrooms, halls, mats, and tools in 230 locations. Th e isolated bacteria were classifi ed using automated methodologies. RESULTS: A total of 699 bacteria were isolated, with the largest growth percentage found in kitchens (36%). Th ese results are contrary to what was observed, where most of the kitchens appeared to be clean. In the survey, 93% of the caregivers reported washing their hands before handling food, and 23% said they used personal protection items when handling food. CONCLUSION: There is a need for monitoring and interventions in hygiene and care habits in environments that care for children.

Caracterización de hábitos de higiene y ambientes en lugares de atención integral a población infantil / Caracterização de hábitos de higiene e ambientes em locais de atenção integral na população infantil / Characterization of hygiene habits and environments in children's care homes

RESUMEN Objetivo: Identificar hábitos de higiene de niños y cuidadores para la prevención y el control de enfermedades infecciosas en lugares de atención en Bogotá, Colombia; asimismo, caracterizar las bacterias en las superficies de estos ambientes. Método: Se diseñaron, validaron y aplicaron dos instrumentos para evaluar hábitos saludables y se tomaron muestras de superficies en cocinas, baños, salones, colchonetas y juguetes de 230 lugares. Las bacterias aisladas fueron clasificadas por metodologías automatizadas. Resultados: Se aislaron 699 bacterias, donde el mayor porcentaje de crecimiento fue en cocinas (36%). Estos resultados contrastan con lo observado, donde se evidenció que la mayoría de las cocinas se encontraron limpias (80%). La encuesta reportó que 93% de los cuidadores reconocen lavarse las manos antes de manipular alimentos y 23% informó utilizar elementos de protección para la manipulación de alimentos. Conclusión: Se evidencia la necesidad de acompañar e intervenir los hábitos de higiene y de cuidado del ambiente en lugares de atención a población infantil.

RESUMO Objetivo: Descrever os hábitos de higiene de crianças e seus cuidadores para a prevenção e o controle de doenças infecciosas em locais de atendimento em Bogotá, Colômbia; e identificar as bactérias nas superfícies desses ambientes. Método: Foram desenhados, validados e aplicados dois instrumentos para avaliar os hábitos saudáveis e coletadas amostras de superfícies em cozinhas, banheiros, salas de aula, colchões e brinquedos de 230 locais. As bactérias isoladas foram classificadas por metodologias automatizadas. Resultados: Foram identificados 699 isolados, cuja maior porcentagem de crescimento foi em cozinhas (36%). Estes resultados contrastam com o observado, uma vez que foi evidenciado que a maioria das cozinhas estavam limpas (80%). A pesquisa reportou que 93% dos cuidadores reconhecem lavar suas mãos antes de manipular alimentos e 23% informou utilizar elementos de proteção para sua manipulação. Conclusão: Evidenciou-se a necessidade de intervir nos hábitos de higiene e nas práticas de cuidado d o ambiente e m locais de aten ção à população infantil, através de estraté gias de educação dirigidas às crianças e aos cuidadores.

ABSTRACT Objective: Identify the hygiene habits of children and caregivers in order to prevent and control infectious diseases in care environments in Bogotá, Colombia, as well as characterize the surface bacteria in these environments. Method: Instruments were designed, validated and applied to evaluate healthy habits, with samples taken from surfaces in kitchens, bathrooms, halls, mats, and tools in 230 locations. Th e isolated bacteria were classifi ed using automated methodologies. Results: A total of 699 bacteria were isolated, with the largest growth percentage found in kitchens (36%). Th ese results are contrary to what was observed, where most of the kitchens appeared to be clean. In the survey, 93% of the caregivers reported washing their hands before handling food, and 23% said they used personal protection items when handling food. Conclusion: There is a need for monitoring and interventions in hygiene and care habits in environments that care for children.

Diversidad molecular de candidatos vacunales en Leptospira spp / Molecular Diversity of Vaccine Candidates in Leptospira spp / Diversidade molecular de candidatos para vacina em Leptospira spp

El objetivo de este estudio fue determinar la diversidad molecular de las proteínas OmpL1, LipL32, LipL41, LigA y LigB y de los genes que las codifican mediante análisis bioinformáticos en diferentes cepas patógenas de Leptospira spp., a partir de la información disponible en las bases de datos. Se utilizaron las secuencias de aminoácidos de las proteínas OmpL1, LipL32, LipL41, LigA y LigB, así como las de los genes que las codifican en las cepas de Leptospira spp. registradas en The National Center for Biotechnology Information (NCBI). Los análisis de las proteínas y los genes se realizaron mediante los recursos Protein, Nucleotide y Gene del NCBI. La alineación de las secuencias consenso se realizó con las herramientas PSI-BLAST y BLASTn. El porcentaje de cobertura de las secuencias seleccionadas de los genes ompL1, lipL32, lipL41, ligA y ligB en cepas patógenas de Leptospira spp. es de 100% para ompL1, lipL32 y lipL41, 75% para ligA y 99% para ligB con porcentajes de identidad de 85, 98, 88, 90 y 80% respectivamente; el porcentaje de cobertura de las secuencias seleccionadas de las proteínas es de 100, 77, 99, 100 y 100% con porcentajes de identidad de 90, 99, 92, 63 y 60% respectivamente, lo cual indica que los genes y las proteínas, excepto las proteínas LigA y LigB, son bastante conservadas en los diferentes serovares patógenos de Leptospira spp. Según dichos resultados, se recomienda realizar análisis complementarios de estas proteínas con el fin de determinar si es viable su uso como candidatos vacunales.

The aim of this study was to determine the molecular diversity of OmpL1, LipL32, LipL41, LigA and LigB proteins and that of the genes that encode them using bioinformatic analysis in different pathogenic strains of Leptospira spp. based on the information available in databases. The amino acid sequences of OmpL1, LipL32, LipL41, LigA and LigB proteins were used, as well as the genes encoding them in strains of Leptospira spp. reported at The National Center for Biotechnology Information (NCBI). The analysis of proteins and genes were performed using the Protein, Nucleotide and Gene resources from the NCBI. The alignment of the consensus sequences was performed using the PSI-BLAST and BLASTn tools. The coverage percentage of the selected sequences ofthe ompL1, lipL32, lipL41, ligA and ligB genes in pathogenic strains of Leptospira spp. is 100% for ompL1, lipL32 and lipL41, 75% for ligA and 99% for ligB with identity percentages of 85, 98, 88, 90 and 80% respectively; the coverage percentage of the selected protein sequences is 100, 77, 99, 100 and 100% with identity percentages of 90, 99, 92, 63 and 60% respectively, indicating that genes and proteins, except LigA and LigB proteins, are highly conserved in various pathogenic serovars of Leptospira spp. According to these results, it is recommended that further analysis of these proteins be made in order to determine the feasibility of its use as vaccine candidates.

El objetivo de este estudo foi determinar a diversidade molecular das proteínas OmpL1, LipL32, LipL41, LigA e LigB e dos genes que as codificam mediante análises bioinformáticas em diferentes cepas patógenas de Leptospira spp. A partir da informação disponível nas bases de dados. Utilizaram-se as sequências de aminoácidos das proteínas OmpL1, LipL32, LipL41, LigA e LigB, assim como as dos genes que as codificam nas cepas de Leptospira spp. Reportadas em The National Center for Biotechnology Information (NCBI). As análises das proteínas e dos genes se realizaram mediante os recursos Protein, Nucleotide e Gene do NCBI. O alinhamento das sequências consenso se realizou com as ferramentas PSI-BLAST e BLASTn. A porcentagem de cobertura das sequências selecionadas dos genes ompL1, lipL32, lipL41, ligA e ligB em cepas patógenas de Leptospira spp. É de 100% para ompL1, lipL32 e lipL41, 75% para ligA e 99% para ligB com porcentagens de identidade de 85, 98, 88, 90 e 80% respectivamente; A porcentagem de cobertura das sequências selecionadas das proteínas é de 100, 77, 99, 100 e 100% com porcentagens de identidade de 90, 99, 92, 63 e 60% respectivamente, o que indica que os genes e as proteínas, exceto as proteínas LigA e LigB, são altamente conservadas nos diferentes serovares patogênicos de Leptospira spp. Segundo esses resultados, se recomenda realizar análises complementares destas proteínas com finalidade de determinar se é viável o seu uso como candidatos para vacina.

Aspectos moleculares relevantes de las proteínas de patogenicidad de Leptospira sp / Relevant molecular aspects of leptospiral pathogenicity proteins

La leptospirosis es una zoonosis ampliamente difundida, que afecta cerca de 160 especies salvajes y domésticas, las cuales se constituyen en reservorios latentes y son fuente primaria de contaminación para el hombre. Esta zoonosis es causada por la Leptospira sp., bacteria Gram negativa que tiene la capacidad de sobrevivir en la orina. Esto, sumado a la presencia de charcos, lagunas y aguas estancadas que se contaminan fácilmente y se convierten en un foco permanente de transmisión, hace de la leptospirosis una enfermedad de impacto en salud pública. La leptospirosis se diagnóstica utilizando la técnica convencional por icroglutinación (MAT). Sin embargo, no existen criterios unificados respecto a los títulos considerados como positivos, originando un número relevante de falsos positivos y negativos. Por consiguiente, es necesario evaluar nuevas estrategias diagnósticas altamente sensibles y específicas para lograr un diagnóstico preciso y confiable. Con este artículo se busca hacer una revisión sobre el papel de las proteínas asociadas con patogenicidad y la utilidad de estudios de expresión génica, en la implementación de nuevas técnicas diagnósticas que permitan postular marcadores moleculares de infección...

Eficacia y toxicidad de los antimoniales pentavalentes (Glucantime® y Pentostam®) en un modelo animal de leishmaniasis cutánea americana: aplicación de la luminometría / Efficacy and toxicity of pentavalent antimonials (Glucantime® and Pentostam®) in an American cutaneous leishmaniasis animal model: luminometry application

Los antimoniales pentavalentes Glucantime® y Pentostam® son los medicamentos de primera línea usados en el tratamiento anti- Leishmania; sin embargo, no hay estudios in vivo que comparen su eficacia y toxicidad controlando variables del hospedero. Los estudios bioquímicos en Leishmania detectaron diferencias entre los dos medicamentos en la inhibición de la topoisomerasa I, que podrían reflejarse en diferencias en su efectividad. Para evaluar la eficacia clínica se infectaron hámsteres en la pata trasera derecha con 106 promastigotes de Leishmania panamensis silvestre y transfectada con el gen de la luciferasa. Para evaluar la eficacia parasitológica se estandarizó la cuantificación de parásitos en los tejidos por luminometría. Tres semanas después de la inoculación, los animales se trataron intramuscularmente con Glucantime® o Pentostam® (30, 60 o 120 mg de SbV/kg por día por 20 días). La toxicidad se evaluó en hámsteres tratados intramuscularmente con 120, 160 o 240 mg de SbV/kg por día por 20 días de Glucantime® o Pentostam®. La resolución de las lesiones en los animales inoculados con ambas cepas fue similar con ambos medicamentos. La carga parasitaria disminuyó de forma equivalente con ambos medicamentos en todas las dosis, y resultó en diferencias significativas con respecto a los controles ( p<0,01). Los niveles séricos de creatinina, aspartato aminotransferasa, alanino aminotransferasa y amilasa no evidenciaron alteraciones hepáticas o renales. Los animales tratados con dosis iguales o mayores de 120 mg de SbV/kg por día por 20 días de Pentostam® presentaron alteraciones inflamatorias micro y macroscópicas en el sitio de la inyección que no se observaron en los tratados con Glucantime®. Estos resultados confirman observaciones clínicas sobre la eficacia similar de ambos productos e indican una toxicidad local mayor del Pentostam®

[Efficacy and toxicity of pentavalent antimonials (Glucantime and Pentostam) in an American cutaneous leishmaniasis animal model: luminometry application]. / Eficacia y toxicidad de los antimoniales pentavalentes (Glucantime y Pentostam) en un modelo animal de leishmaniasis cutánea americana: aplicación de la luminometría.

The pentavalent antimonial compounds Glucantime and Pentostam are the first line drugs used in anti-Leishmania treatment. However, no in vivo studies have compared the efficacy and toxicity of these drugs where host variability has been controlled. Biochemical studies of Leishmania have detected differences between the two drugs with regard to DNA topoisomerase I inhibition, a phenomenon that possibly impacts treatment efficacy. To evaluate the clinical efficacy, hamsters were infected intradermally in the right hind foot with 10(6) promastigotes of a wild type or luciferase-transfected Leishmania panamensis. At three weeks post-inoculation, the animals were treated intramuscularly with either Glucantime or Pentostam (30, 60 or 120 mg SbV/kg per day for 20 days). To evaluate parasitological efficacy a luminometry assay was standardized for quantitation of amastigotes in hamster tissues. To evaluate toxicity, hamsters were treated intramuscularly with Glucantime or Pentostam (120, 160 or 240 mg SbV/kg per day for 20 days). Animals inoculated with either of the parasite strains and treated with either drug, showed a similar rate of lesion reduction, as compared to untreated controls (p<0.01). Parasite burden was also comparable, and no significant differences were found in the cure rate. No renal or hepatic alterations occurred as evidenced by normal serum levels of creatinine, aspartate aminotransferase, alanine aminotransferase and amylase. Hamsters treated with 120 mg SbV/kg per day for 20 days or higher doses of Pentostam showed macro- and microscopic signs of inflammation at the site of injection. These effects were absent in the animals treated with Glucantime. The results confirmed clinical observations regarding the similar efficacy of the two drugs, as well as the higher local toxicity of Pentostam.