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1.
Artigo em Inglês | MEDLINE | ID: mdl-37229949

RESUMO

Reports of anthelmintic resistance in Ancylostoma caninum are increasing in frequency in the United States of America (USA). In the last few years in vitro and in vivo studies characterized individual isolates, demonstrating multiple anthelmintic drug resistance (MADR). In 2021, the American Association of Veterinary Parasitologists initiated a hookworm task force to address this issue. The first report of drug resistant A. caninum occurred in 1987 in Australian racing Greyhounds. In the last five years multiple case reports and investigations show drug resistant A. caninum is becoming a much greater problem in the USA and now extends beyond racing Greyhounds into the general companion animal dog population. The literature, regarding drug resistance in livestock and equine nematodes, provides helpful guidance along with diagnostic methods to better understand the evolution and selection of canine MADR hookworms; however, there are limitations and caveats due to A. caninum's unique biology and zoonotic potential. Mass drug administration (MDA) of anthelminthic drugs to humans to reduce morbidity associated with human hookworms (Necator americanus) should consider the factors that contributed to the development of MADR A. caninum. Finally, as Greyhound racing undergoes termination in some regions and the retired dogs undergo subsequent rehoming, drug resistant parasites, if present, are carried with them. Drug resistant A. caninum requires greater recognition by the veterinary community, and small animal practitioners need to be aware of the spread into current pet dog populations. The current understanding of anthelmintic resistance, available treatments, and environmental mitigation for these drug resistant A. caninum isolates must be monitored for horizontal spread. A major goal in this emerging problem is to prevent continued dissemination.


Assuntos
Ancilostomíase , Anti-Helmínticos , Doenças do Cão , Animais , Cães , Cavalos , Humanos , Ancylostoma , Ancilostomíase/tratamento farmacológico , Ancilostomíase/veterinária , Ancilostomíase/parasitologia , Doenças do Cão/tratamento farmacológico , Doenças do Cão/parasitologia , Austrália/epidemiologia , Anti-Helmínticos/farmacologia , Anti-Helmínticos/uso terapêutico , Ancylostomatoidea
2.
Parasitology ; 150(6): 511-523, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36883013

RESUMO

Soil-transmitted nematodes (STNs) place a tremendous burden on health and economics worldwide with an estimate of at least 1.5 billion people, or 24% of the population, being infected with at least 1 STN globally. Children and pregnant women carry the heavier pathological burden, and disease caused by the blood-feeding worm in the intestine can result in anaemia and delays in physical and intellectual development. These parasites are capable of infecting and reproducing in various host species, but what determines host specificity remains unanswered. Identifying the molecular determinants of host specificity would provide a crucial breakthrough towards understanding the biology of parasitism and could provide attractive targets for intervention. To investigate specificity mechanisms, members of the hookworm genus Ancylostoma provide a powerful system as they range from strict specialists to generalists. Using transcriptomics, differentially expressed genes (DEGs) in permissive (hamster) and non-permissive (mouse) hosts at different early time points during infection with A. ceylanicum were examined. Analysis of the data has identified unique immune responses in mice, as well as potential permissive signals in hamsters. Specifically, immune pathways associated with resistance to infection are upregulated in the non-permissive host, providing a possible protection mechanism that is absent in the permissive host. Furthermore, unique signatures of host specificity that may inform the parasite that it has invaded a permissive host were identified. These data provide novel insight into the tissue-specific gene expression differences between permissive and non-permissive hosts in response to hookworm infection.


Assuntos
Ancilostomíase , Infecções por Uncinaria , Gravidez , Cricetinae , Feminino , Animais , Humanos , Camundongos , Ancylostoma/genética , Ancilostomíase/parasitologia , Especificidade de Hospedeiro , Transcriptoma , Intestinos
3.
Emerg Infect Dis ; 28(9): 1870-1872, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35997602

RESUMO

Ancylostoma ceylanicum hookworms are recognized agents of human infection in the Asia-Pacific region. We investigated prevalence of zoonotic hookworm infections in dogs in Grenada in 2021; 40.8% were infected by hookworms, including Ancylostoma ceylanicum. Surveillance of this parasite in dogs and humans is needed in tropical/subtropical countries in the Americas.


Assuntos
Ancylostoma , Ancilostomíase , Ancylostomatoidea , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Ancilostomíase/veterinária , Animais , Cães , Fezes/parasitologia , Granada/epidemiologia , Humanos , Zoonoses/epidemiologia
4.
Emerg Infect Dis ; 28(9): 1867-1869, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35997627

RESUMO

Ancylostoma ceylanicum hookworms are zoonotic parasites that can infect humans. To detect autochthonous transmission, we analyzed human fecal samples collected in 2000. Multiparallel quantitative PCR detected infection in persons who had never traveled outside Ecuador. These data indicate human transmission of A. ceylanicum in the Americas, although endemicity remains unknown.


Assuntos
Ancilostomíase , Infecções por Uncinaria , Ancylostoma/genética , Ancylostomatoidea , Ancilostomíase/diagnóstico , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Animais , Equador/epidemiologia , Infecções por Uncinaria/epidemiologia , Humanos , Zoonoses
5.
Acta Parasitol ; 67(3): 1416-1420, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35773568

RESUMO

PURPOSE: Canine hookworm disease is a global zoonotic parasitic disease caused by a variety of nematodes in families Ancylostomatidae, including Ancylostoma spp., Necator spp., and Uncinaria spp., in the small intestine (mainly the duodenum) of dogs. The disease is widely distributed in China. The purpose of this study is to systematically diagnose and treat canine hookworm disease through the case of miniaturization Schnauzer dog feed infected with A. ceylanicum, so as to provide experimental basis for subsequent prevention and control of canine hookworm disease. METHODS: In the current study, we isolated hookworm eggs from a diseased miniature schnauzer, then the polymerase chain reaction (PCR) was used to amplify the ITS1-5.8S-ITS2 gene sequence from genomic DNA extracted from hookworms. Phylogenetic analysis based on ITS1-5.8S-ITS2 gene sequence sequences was inferred using MEGA-X. After phylogenetic analysis, etiologic and symptomatic therapies were used to treat the canine hookworm disease. RESULTS: The sequencing results showed that the length of the ITS1-5.8S-ITS2 gene sequence was approximately 960 bp, and ITS1 and ITS2 were extracted to analyze similarity with other hookworms to build a phylogenetic tree. After phylogenetic analysis, the results showed that the diseased miniature schnauzer was infected by A. ceylanicum. Using etiologic and symptomatic therapies, the sick dog with an A. ceylanicum infection was also treated for 5 days. CONCLUSIONS: To our knowledge, this is the first report of diagnosis and treatment for canine hookworm disease in Guangzhou city. In addition, with the improvement of economic level, the scale of pet dog breeding is also increasing. The diagnostic methods and treatment schemes adopted in this report will help to standardize the prevention and control of canine hookworm disease.


Assuntos
Ancilostomíase , Doenças do Cão , Infecções por Uncinaria , Ancylostoma/genética , Ancylostomatoidea/genética , Ancilostomíase/diagnóstico , Ancilostomíase/parasitologia , Ancilostomíase/veterinária , Animais , Doenças do Cão/diagnóstico , Doenças do Cão/parasitologia , Cães , Fezes/parasitologia , Infecções por Uncinaria/diagnóstico , Infecções por Uncinaria/parasitologia , Infecções por Uncinaria/veterinária , Filogenia , Zoonoses/parasitologia
6.
Int J Parasitol ; 51(13-14): 1233-1241, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34748782

RESUMO

The early-to-mid 1900s was an era that marked the first published reports of clinical cases and experimental human infections that provided valuable evidence to inform our current knowledge on the zoonotic nature of the canid and felid hookworms. To this day, descriptions of the pathognomonic syndromes produced in humans by these early pioneers provide vital information on the putative geographical distribution of these hookworm species, even before their discovery in dogs and cats. Cases of hookworm-related cutaneous larvae migrans and Ancylostoma caninum-induced eosinophilic enteritis continue to be reported in the medical literature, most commonly in recent migrants or returned travellers who have spent time in regions in which these canine and feline hookworms remain highly endemic. Ancylostoma ceylanicum, now recognised as the second most common hookworm infecting humans in the Asia Pacific region, is also being reported in regions of Africa and South America previously assumed free of this parasite. Despite the substantial technological progress made in the field of parasite diagnostics, our knowledge on the epidemiology and population-level morbidity impacts of these zoonotic hookworms in humans has remained relatively stagnant over the last few decades, with 'covert' infections continuing to remain undetected by currently available forms of routine diagnostics. Improved diagnostic tools that enable accurate and rapid species-specific diagnosis of zoonotic hookworm infections in humans are required to provide the necessary evidence to advocate for future investments in One Health-based intervention strategies.


Assuntos
Ancilostomíase , Doenças do Gato , Doenças do Cão , Infecções por Uncinaria , Ancylostoma , Ancylostomatoidea , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Ancilostomíase/veterinária , Animais , Doenças do Gato/epidemiologia , Doenças do Gato/parasitologia , Gatos , Doenças do Cão/epidemiologia , Doenças do Cão/parasitologia , Cães , Fezes/parasitologia , Infecções por Uncinaria/epidemiologia , Infecções por Uncinaria/parasitologia , Infecções por Uncinaria/veterinária , Zoonoses/epidemiologia , Zoonoses/parasitologia
7.
Parasitol Int ; 84: 102405, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34139361

RESUMO

Ancylostoma ceylanicum is recognized as the only zoonotic hookworm species that is able to mature into adult stage in the human intestine. While human infections caused by this hookworm species have been reported from neighboring countries and this hookworm is prevalent in dogs in Vietnam, human infection has never been reported in Vietnam. The present study, therefore, aimed to identify human infections with A. ceylanicum in Vietnam. A total of 526 fecal samples from the residents in Long An Province were collected and the presence of hookworm eggs was detected by the Kato-Katz method. The results indicated that the overall prevalence of human hookworm infection was 85/526 (16.2%). After filter paper culture, 3rd stage larvae were successfully obtained from 48 egg-positive samples. The larvae were identified for their species using semi-nested PCR-RLFP on the cox1 gene. As a result, two hookworm species were confirmed; single species infections with Necator americanus or A. ceylanicum, and mixed infections with both species were found in 47.9%, 31.3%, and 20.8% of the samples, respectively.


Assuntos
Ancylostoma/isolamento & purificação , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Animais , Complexo IV da Cadeia de Transporte de Elétrons/análise , Proteínas de Helminto/análise , Humanos , Prevalência , Vietnã/epidemiologia
9.
Parasit Vectors ; 14(1): 255, 2021 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-34001200

RESUMO

BACKGROUND: The hookworm, Ancylostoma caninum, is a common and important zoonotic intestinal nematode parasite that infects dogs globally. Both the immature and adult stages of A. caninum ingest large volumes of blood during the feeding process and can cause severe anemia and death in young dogs, even before patent infections can be diagnosed using routine faecal examination methods. Thus, effective treatment of any pre-patent stages of immature hookworms can reduce or eliminate the risk of clinical disease in infected dogs and additionally reduce environmental contamination of eggs and infective larvae. Two randomized, blinded, GCP-compliant, pivotal laboratory dose confirmation studies were conducted to evaluate the effectiveness and safety of a new novel combination of lotilaner and milbemycin oxime tablets (Credelio Plus®) administered orally to dogs experimentally infected with immature (L4 and immature adult [L5]) stages of A. caninum. METHODS: Treatments using the intended global commercial tablet formulation of Credelio Plus were administered in a time frame relative to inoculation with infective larvae so that effectiveness could be assessed against each specific immature stage of A. caninum. In each study, dogs were randomized to one of six (study 1) or four (study 2) treatment groups. Each treatment group contained 8 (study 1) or 10 (study 2) dogs that had been experimentally inoculated with infective A. caninum larvae on day 0 and were dosed once on day 7 or day 11. Enrolled subjects were administered placebo tablets, Credelio Plus tablets, or lotilaner mono tablets to provide minimum dosages of 0.75 mg/kg of milbemycin oxime and 20 mg/kg of lotilaner. All dogs were necropsied 5 days after their respective treatment. All nematodes recovered from the gastrointestinal tract at necropsy were counted by species and stage. RESULTS: For both dose confirmation studies and based on geometric mean worm counts, efficacy of Credelio Plus was ≥ 97.3% against L4 larval stage of A. caninum and ≥ 98.7% against immature adult (L5) A. caninum. CONCLUSIONS: These studies demonstrated that the orally administered Credelio Plus combination tablet was highly efficacious in treating immature (L4 and immature adult [L5]) stages of A. caninum in experimentally infected dogs.


Assuntos
Ancylostoma/efeitos dos fármacos , Ancilostomíase/tratamento farmacológico , Anti-Helmínticos/uso terapêutico , Enteropatias Parasitárias/tratamento farmacológico , Enteropatias Parasitárias/veterinária , Larva/efeitos dos fármacos , Macrolídeos/uso terapêutico , Oxazóis/uso terapêutico , Tiofenos/uso terapêutico , Administração Oral , Ancilostomíase/parasitologia , Animais , Anti-Helmínticos/normas , Doenças do Cão/tratamento farmacológico , Doenças do Cão/parasitologia , Cães , Combinação de Medicamentos , Feminino , Macrolídeos/normas , Masculino , Oxazóis/normas , Contagem de Ovos de Parasitas , Distribuição Aleatória , Tiofenos/normas , Resultado do Tratamento
10.
Acta Trop ; 213: 105758, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33197446

RESUMO

A number of gastrointestinal parasites have been reported to infect dogs in Nigeria, some of which have zoonotic potential. Of these, hookworms are the most prevalent, with both Ancylostoma caninum and Uncinaria stenocephala reported in the country. In this study, we subjected 203 hookworm microscopy-positive samples of the 885 individual faecal samples collected from dogs in Nigeria to a recently developed multiplex qPCR for the detection and characterisation of canine hookworm species. The qPCR demonstrated a diagnostic sensitivity of 98% (95% CI 95-99.4) allowing the detection of A. caninum and A. braziliense in 81.3% (165/203, 95% CI 75.3-86.1) and 51.2% (104/203, 95% CI 44.4-58) of the microscopy-positive faecal samples of dogs from Nigeria, respectively and 34.5% (70/203, 95% CI 28.3-41.3) of mixed infections with both hookworm species. The finding of A. braziliense is particularly worrisome given this is a well-known agent of persistent cutaneous larva migrans, commonly referred to as "creeping eruptions" in humans. Although this parasite has been diagnosed in locals and in people travelling in Nigeria suffering from dermatological illnesses, this represents the first molecular identification of A. braziliense in its canine reservoir in the country. These results update the occurrence and distribution of hookworm species affecting dogs in Nigeria highlighting the suitability of the newly developed multiplex qPCR assay as a high-throughput tool for the surveillance of zoonotic hookworms, globally.


Assuntos
Ancylostoma/isolamento & purificação , Ancylostomatoidea/isolamento & purificação , Ancilostomíase/parasitologia , Doenças do Cão/parasitologia , Fezes/parasitologia , Infecções por Uncinaria/parasitologia , Ancylostoma/genética , Ancylostomatoidea/genética , Ancilostomíase/epidemiologia , Ancilostomíase/veterinária , Animais , Bioensaio , DNA de Helmintos/análise , Doenças do Cão/epidemiologia , Cães , Infecções por Uncinaria/epidemiologia , Infecções por Uncinaria/veterinária , Humanos , Microscopia , Nigéria , Reação em Cadeia da Polimerase em Tempo Real , Zoonoses/parasitologia
11.
Vet Parasitol Reg Stud Reports ; 22: 100452, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33308717

RESUMO

Ancylostoma spp. are the most prevalent canine nematode parasites in Brazil. Despite their widespread parasitism in juvenile dogs, infections may occur regardless of host age. Although eosinophilia is a frequent finding in experimental infections, it is uncommon in naturally infected dogs. This study aimed to evaluate the prevalence of Ancylostoma spp. and the eosinophil blood counts (EBC) in naturally infected dogs, with or without comorbidities, admitted to the Veterinary Teaching Hospital of the São Paulo State University (UNESP), School of Veterinary Medicine and Animal Science, Botucatu campus, São Paulo state, Brazil, from 2009 to 2018. All retrospective data were gathered from veterinary medical records (VMR); diagnosis of Ancylostoma infection required the identification of eggs in fecal samples by the simple flotation test (SFT). Ancylostoma-infected animals were evaluated for other intestinal parasitic coinfections (IPC) by either the SFT or the centrifugal-flotation test. Dogs free of any gastro-intestinal parasites were prospectively included in control group (Group C). Ancylostoma-infected animals were defined: Ancylostoma spp. only intestinal parasite infection (Group A), Ancyslostoma spp. with concurrent IPC (Group B), Ancylostoma spp. only intestinal parasite infection with concurrent systemic disorders (Group D), and Ancylostoma spp. with both IPC and concurrent systemic disorders (Group E). The overall prevalence of Ancylostoma spp. was 12.1% (207/1715), that was decreased from 2014 to 2018 (9.7%) relative to the 2009-to-2013 period (13.9%). Prevalence was not significantly different between dogs <1-year-old (10.7% [51/478]) and ≥ 1 year-old (11.7% [130/1109]). IPC was observed in 45.4% (93/205) of the animals positive for Ancylostoma spp., while dogs <1 year old experienced IPC more often (58.8% [30/51]) than dogs ≥1 year old (38.5% [50/130]) (P = 0.02). Group A (n = 35) exhibited median EBC of 1.05 × 109/L, and an eosinophilia ratio of 34.3% that was significantly higher (P < 0.05) than Group C (0.45 × 109/L and 4.1%, respectively). Both variables did not differ in Group B (n = 20), D (n = 39) or E (n = 36) in comparison to Group C (P > 0.05). By ROC curve analysis, only Group A generated a significant area under the curve (0.72). With EBC cutoff of 0.85 × 109 eosinophils/L, sensitivity and specificity were 65.7% and 70.8%, respectively. Eosinophil counts alone may be helpful in raising suspicion of an Ancylostoma spp. infection if further intestinal parasites and concurrent disorders are absent. However, local prevalence data and epidemiological findings should also be evaluated, since eosinophilia is less frequently observed with Ancylostoma spp. infections in the presence of comorbidities.


Assuntos
Ancylostoma/isolamento & purificação , Ancilostomíase/veterinária , Doenças do Cão/epidemiologia , Enteropatias Parasitárias/veterinária , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Animais , Brasil/epidemiologia , Doenças do Cão/parasitologia , Cães , Eosinófilos , Feminino , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Contagem de Leucócitos/veterinária , Masculino , Prevalência
12.
Parasitology ; 147(14): 1718-1722, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32829714

RESUMO

Hookworms are some of the most widespread of the soil-transmitted helminths (STH) with an estimated 438.9 million people infected. Until relatively recently Ancylostoma ceylanicum was regarded as a rare cause of hookworm infection in humans, with little public health relevance. However, recent advances in molecular diagnostics have revealed a much higher prevalence of this zoonotic hookworm than previously thought, particularly in Asia. This study examined the prevalence of STH and A. ceylanicum in the municipalities of Palapag and Laoang in the Philippines utilizing real-time polymerase chain reaction (PCR) on stool samples previously collected as part of a cross-sectional survey of schistosomiasis japonica. Prevalence of hookworm in humans was high with 52.8% (n = 228/432) individuals positive for any hookworm, 34.5% (n = 149/432) infected with Necator americanus, and 29.6% (n = 128/432) with Ancylostoma spp; of these, 34 were PCR-positive for A. ceylanicum. Considering dogs, 12 (n = 33) were PCR-positive for A. ceylanicum. This is the first study to utilize molecular diagnostics to identify A. ceylanicum in the Philippines with both humans and dogs infected. Control and elimination of this zoonotic hookworm will require a multifaceted approach including chemotherapy of humans, identification of animal reservoirs, improvements in health infrastructure, and health education to help prevent infection.


Assuntos
Ancylostoma/isolamento & purificação , Ancilostomíase/epidemiologia , Ancilostomíase/veterinária , Doenças do Cão/epidemiologia , Adolescente , Adulto , Idoso , Ancilostomíase/parasitologia , Animais , Criança , Pré-Escolar , Doenças do Cão/parasitologia , Cães , Fezes/parasitologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Filipinas/epidemiologia , Prevalência , Reação em Cadeia da Polimerase em Tempo Real/veterinária , Solo/parasitologia , Adulto Jovem
13.
Parasitol Res ; 119(7): 2343-2346, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32435896

RESUMO

Marsupials of the genus Didelphis, such as black-eared opossums (Didelphis aurita), are common synanthropic animals in urban areas of Brazil. These marsupials are frequently parasitized by numerous helminth species, including ancylostomatid nematodes. This study aimed to report the occurrence of Ancylostoma caninum in black-eared opossums captured in an urban environment of Southeastern Brazil and discuss the potential impact of these findings for public health. From January to June 2019, we collected fecal samples from 49 restrained opossums and evaluated by a simple flotation method; Helminth eggs were observed at different magnifications and identified according to morphological and morphometric features. Genomic DNA was extracted from Ancylostomatidae eggs and screened by duplex PCR for Ancylostoma spp. and Necator americanus using primers that amplify a region of internal transcribed spacer 2 and the 28S ribosomal RNA (ITS2-28S rRNA). Ancylostoma spp. eggs were detected in 65.3% (32/49) of the animals. Sequence analysis revealed 100% homology with A. caninum sequences from GenBank. Our results demonstrate a new host-parasite interaction for A. caninum, suggesting that black-eared opossums may participate in the zoonotic cycle of this parasite in urban areas of Brazil.


Assuntos
Ancylostoma/isolamento & purificação , Ancilostomíase/veterinária , Didelphis/parasitologia , Ancylostoma/genética , Ancilostomíase/epidemiologia , Ancilostomíase/parasitologia , Animais , Brasil/epidemiologia , Cidades/epidemiologia , Fezes/parasitologia , Genoma Helmíntico/genética , Contagem de Ovos de Parasitas , Prevalência
14.
Am J Trop Med Hyg ; 103(1): 64-68, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32342850

RESUMO

Hookworm infections are classified as the most impactful of the human soil-transmitted helminth (STH) infections, causing a disease burden of ∼4 million disability-adjusted life years, with a global prevalence of 406-480 million infections. Until a decade ago, epidemiological surveys largely assumed Necator americanus and Ancylostoma duodenale as the relevant human hookworm species implicated as contributing to iron-deficiency anemia. This assumption was based on the indistinguishable morphology of the Ancylostoma spp. eggs in stool and the absence of awareness of a third zoonotic hookworm species, Ancylostoma ceylanicum. The expanded use of molecular diagnostic assays for differentiating hookworm species infections during STH surveys has now implicated A. ceylanicum, a predominant hookworm of dogs in Asia, as the second most common hookworm species infecting humans in Southeast Asia and the Pacific. Despite this, with the exception of sporadic case reports, there is a paucity of data available on the impact of this emerging zoonosis on human health at a population level. This situation also challenges the current paradigm, necessitating a One Health approach to hookworm control in populations in which this zoonosis is endemic. Here, we have summarized the available research studies and case reports on human A. ceylanicum infections in Southeast Asia and the Pacific after 2013 using a systematic review approach. We summarized eight research articles and five clinical case studies, highlighting the importance of future in-depth investigation of zoonotic A. ceylanicum infections using sensitive and cost-effective diagnostic tools.


Assuntos
Ancylostoma/patogenicidade , Ancilostomíase/epidemiologia , Doenças do Cão/epidemiologia , Doenças Negligenciadas/epidemiologia , Zoonoses/epidemiologia , Ancylostoma/isolamento & purificação , Ancilostomíase/diagnóstico , Ancilostomíase/parasitologia , Ancilostomíase/transmissão , Animais , Sudeste Asiático/epidemiologia , Doenças do Cão/diagnóstico , Doenças do Cão/parasitologia , Doenças do Cão/transmissão , Cães , Fezes/parasitologia , Humanos , Doenças Negligenciadas/diagnóstico , Doenças Negligenciadas/parasitologia , Saúde Única/legislação & jurisprudência , Ilhas do Pacífico/epidemiologia , Contagem de Ovos de Parasitas , Zoonoses/diagnóstico , Zoonoses/parasitologia , Zoonoses/transmissão
15.
Sci Rep ; 10(1): 3006, 2020 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-32080267

RESUMO

Hookworms are intestinal parasites that cause major public health problems, especially in developing countries. To differentiate eggs from different hookworm species, it is necessary to use molecular methodologies, since the eggs are morphologically similar. Here, we performed the molecular identification of single hookworm eggs from six Brazilian states. Of the 634 eggs individually analyzed, 98.1% (622/634) represented Necator americanus, and surprisingly, 1.9% (12/634 eggs from the same patient) represented Ancylostoma caninum. DNA analysis of the A. caninum-positive stool sample revealed no contamination with animal feces. This is the first report of the presence of A. caninum eggs in human feces, which may have a direct implication for the epidemiology of hookworm infection caused by this species. This suggests the need for special attention regarding prophylaxis, as different reservoirs, previously not described, may have great relevance for the spread of A. caninum.


Assuntos
Ancylostoma/genética , Ancilostomíase/epidemiologia , DNA de Helmintos/genética , Necator americanus/genética , Necatoríase/epidemiologia , Ancylostoma/classificação , Ancylostoma/isolamento & purificação , Ancilostomíase/diagnóstico , Ancilostomíase/parasitologia , Animais , Brasil/epidemiologia , Fezes/parasitologia , Genótipo , Humanos , Intestinos/parasitologia , Necator americanus/classificação , Necator americanus/isolamento & purificação , Necatoríase/diagnóstico , Necatoríase/parasitologia
16.
Parasit Vectors ; 13(1): 6, 2020 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-31915050

RESUMO

BACKGROUND: Japan is one of the few countries believed to have eliminated soil-transmitted helminths (STHs). In 1949, the national prevalence of Ascaris lumbricoides was 62.9%, which decreased to 0.6% in 1973 due to improvements in infrastructure, socioeconomic status, and the implementation of national STH control measures. The Parasitosis Prevention Law ended in 1994 and population-level screening ceased in Japan; therefore, current transmission status of STH in Japan is not well characterized. Sporadic cases of STH infections continue to be reported, raising the possibility of a larger-scale recrudescence of STH infections. Given that traditional microscopic detection methods are not sensitive to low-intensity STH infections, we conducted targeted prevalence surveys using sensitive PCR-based assays to evaluate the current STH-transmission status and to describe epidemiological characteristics of areas of Japan believed to have achieved historical elimination of STHs. METHODS: Stool samples were collected from 682 preschool- and school-aged children from six localities of Japan with previously high prevalence of STH. Caregivers of participants completed a questionnaire to ascertain access to water, sanitation and hygiene (WASH), and potential exposures to environmental contamination. For fecal testing, multi-parallel real-time PCR assays were used to detect infections of Ascaris lumbricoides, Necator americanus, Ancylostoma duodenale and Trichuris trichiura. RESULTS: Among the 682 children, no positive samples were identified, and participants reported high standards of WASH. CONCLUSIONS: To our knowledge, this is the first STH-surveillance study in Japan to use sensitive molecular techniques for STH detection. The results suggest that recrudescence of STH infections has not occurred, and that declines in prevalence have been sustained in the sampled areas. These findings suggest that reductions in prevalence below the elimination thresholds, suggestive of transmission interruption, are possible. Additionally, this study provides circumstantial evidence that multi-parallel real-time PCR methods are applicable for evaluating elimination status in areas where STH prevalence is extremely low.


Assuntos
Ancylostoma/isolamento & purificação , Ascaris lumbricoides/isolamento & purificação , Necator americanus/isolamento & purificação , Trichuris/isolamento & purificação , Adolescente , Ancylostoma/genética , Ancilostomíase/parasitologia , Animais , Ascaríase/parasitologia , Ascaris lumbricoides/genética , Criança , Pré-Escolar , Fezes/parasitologia , Feminino , Helmintos , Humanos , Higiene , Japão , Masculino , Necator americanus/genética , Necatoríase/parasitologia , Solo/parasitologia , Inquéritos e Questionários , Tricuríase/parasitologia , Trichuris/genética
17.
Am J Hum Biol ; 32(2): e23337, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31642576

RESUMO

OBJECTIVES: Despite public health concerns about hookworm infection in pregnancy, little is known about immune profiles associated with hookworm (Necator americanus and Ancylostoma duodenale) infection during pregnancy. Fetal tolerance requirements may constrain maternal immune response to hookworm, thereby increasing susceptibility to new infections or increasing hemoglobin loss. To explore this possibility, we study systemic immune response and hemoglobin levels in a natural fertility population with endemic helminthic infection. METHODS: We used Bayesian multilevel models to analyze mixed longitudinal data on hemoglobin, hookworm infection, reproductive state, eosinophils, and erythrocyte sedimentation rate (ESR) to examine the effects of pregnancy and hookworm infection on nonspecific inflammation, cellular parasite response, and hemoglobin among 612 Tsimane women aged 15-45 (1016 observations). RESULTS: Pregnancy is associated with lower eosinophil counts and lower eosinophil response to hookworm, particularly during the second and third trimesters. Both hookworm and pregnancy are associated with higher ESR, with evidence for an interaction between the two causing further increases in the first trimester. Pregnancy is moderately associated with higher odds of hookworm infection (OR: 1.23, 95% CI: 0.83 to 1.83). Pregnancy and hookworm both decrease hemoglobin and may interact to accentuate this effect in the first-trimester of pregnancy (Interaction: ß: -0.30 g/dL; CI: -0.870 to 0.24). CONCLUSIONS: Our findings are consistent with a possible trade-off between hookworm immunity and successful pregnancy, and with the suggestion that hookworm and pregnancy may have synergistic effects, particularly in the first trimester.


Assuntos
Ancilostomíase/epidemiologia , Horticultura , Índios Sul-Americanos/estatística & dados numéricos , Necatoríase/epidemiologia , Doenças Profissionais/epidemiologia , Adolescente , Adulto , Ancylostoma/fisiologia , Ancilostomíase/parasitologia , Animais , Bolívia/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Necator americanus/fisiologia , Necatoríase/parasitologia , Doenças Profissionais/parasitologia , Gravidez , Prevalência , Adulto Jovem
18.
Emerg Infect Dis ; 26(1): 181-183, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31855538

RESUMO

A 60-year-old man from South Korea underwent a colonoscopy. A juvenile female worm showing 3 pairs of teeth in the buccal cavity was recovered from the descending colon. Partial sequencing of the internal transcribed spacer region showed 100% identity with Ancylostoma caninum, the dog hookworm.


Assuntos
Ancylostoma , Ancilostomíase/epidemiologia , Ancylostoma/genética , Ancilostomíase/diagnóstico , Ancilostomíase/parasitologia , Animais , Humanos , Masculino , Pessoa de Meia-Idade , Filogenia , Reação em Cadeia da Polimerase , República da Coreia/epidemiologia , Análise de Sequência de DNA
19.
Parasit Vectors ; 12(1): 576, 2019 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-31818311

RESUMO

BACKGROUND: The canine hookworm, Ancylostoma caninum is the most prevalent and important intestinal nematode parasite of dogs in the USA. Hookworms are typically well controlled by treatment with all commonly used anthelmintics that are approved for this use in dogs. However, in the past few years, cases of recurrent/persistent canine hookworm infections appear to have dramatically increased, suggesting that anthelmintic resistance (AR) may have evolved in this parasite. These cases are highly overrepresented by greyhounds, but multiple other breeds are also represented. The aim of this study was to characterize several of these suspected resistant isolates using in vitro, genetic and clinical testing to determine if these cases represent true anthelmintic resistance in A. caninum. METHODS: Fecal samples containing hookworm eggs from three cases of persistent hookworm infections; one from a greyhound, one from a miniature schnauzer and one from a hound-mix, were received by our laboratory. These were then used to establish infections in laboratory dogs and to perform egg hatch assays (EHA) and larval development assays (LDA) for detecting resistance to benzimidazoles and macrocyclic lactones, respectively. Additional EHA and LDA were performed on eggs recovered from the laboratory-induced infections. Fecal egg count reduction tests were performed to detect resistance to pyrantel. Deep amplicon sequencing assays were developed to measure the frequency of non-synonymous single nucleotide polymorphisms (SNP) at codons 167, 198 and 200 of the A. caninum isotype-1 ß-tubulin gene. RESULTS: Resistance ratios for the three A. caninum isolates tested ranged from 6.0 to > 100 and 5.5 to 69.8 for the EHA and LDA, respectively. Following treatment with pyrantel, reduction in faecal egg counts was negative or 0%. Deep amplicon sequencing of the isotype-1 ß-tubulin gene identified a high frequency of resistance-associated SNPs at codon 167 in all three resistant isolates and in two additional clinical cases. CONCLUSIONS: These data conclusively demonstrate multiple anthelmintic resistance in multiple independent isolates of A. caninum, strongly suggesting that this is an emerging problem in the USA. Furthermore, evidence suggest that these resistant hookworms originate from racing greyhound farms and kennels, though additional research is needed to confirm this.


Assuntos
Ancylostoma/efeitos dos fármacos , Ancylostoma/genética , Ancilostomíase/veterinária , Anti-Helmínticos/farmacologia , Resistência a Múltiplos Medicamentos/genética , Contagem de Ovos de Parasitas/veterinária , Ancilostomíase/parasitologia , Animais , Cruzamento , Doenças do Cão , Cães , Fezes/parasitologia , Polimorfismo de Nucleotídeo Único , Pirantel/farmacologia , Estados Unidos
20.
J Parasitol ; 105(6): 904-912, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31805245

RESUMO

From the small intestines of both Ctenomys boliviensis and Ctenomys steinbachi collected from August 1984 through June 1990 from the eastern lowlands of the Department of Santa Cruz, Bolivia a total of 36 specimens of Ancylostoma were recovered. Morphological investigation and comparisons with known species described and reported from mammals in the Neotropical Region show that this is an undescribed species, herein described as new. These nematans were collected from individuals of C. steinbachi collected from near a locality called Caranda (northwest of Santa Cruz de la Sierra) and from C. boliviensis from near Santa Rosa de la Roca (northeast of Santa Cruz de la Sierra) and from cajuchis collected from 3 km west of Estación El Pailón, 30 km east of Santa Cruz de la Sierra. The new species of Ancylostoma differs from all other species of Ancylostoma known from the Neotropical Region in the presence of paired sub-terminal papillae on the dorsal ray of males.


Assuntos
Ancylostoma/classificação , Ancilostomíase/veterinária , Doenças dos Roedores/parasitologia , Ancylostoma/anatomia & histologia , Ancylostoma/isolamento & purificação , Ancilostomíase/diagnóstico , Ancilostomíase/parasitologia , Animais , Bolívia , Diagnóstico Diferencial , Feminino , Intestino Delgado/parasitologia , Masculino , Doenças dos Roedores/diagnóstico , Roedores/parasitologia
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