Abstract

Simple SummaryFasciolosis is a parasitic disease of livestock causing important economic losses worldwide and it is also a zoonosis. Current therapy relies on the use of anthelmintic drugs, which is no longer sustainable due to the increase of anthelmintic resistance and the risk of drug residues in food. A deep understanding of the host-parasite interaction is required to develop protective vaccines for the control of fasciolosis. The aim of the present study is to evaluate the hepatic lesions in sheep vaccinated with a partly protective vaccine for F. hepatica, a non-protective vaccine and an infected control group. The protective vaccine showed less severe hepatic lesions than the infected control group. In addition, in the protective vaccine group dead flukes surrounded by a severe granulomatous inflammation were observed, which taken together with the lower fluke burden, suggests that the host response induced by the partially protective vaccine may have been involved in the death of adult flukes of F. hepatica. This is the first study reporting the presence of degenerated flukes associated to a severe granulomatous inflammation in bile ducts in a vaccine trial, a finding that would be useful for improving vaccine efficacy in future trials.Fasciolosis is an important economic disease of livestock. There is a global interest in the development of protective vaccines since current anthelmintic therapy is no longer sustainable. A better knowledge of the host-parasite interaction is needed for the design of effective vaccines. The present study evaluates the microscopical hepatic lesions in sheep immunized with a partially protective vaccine (VAC1), a non-protective vaccine (VAC2), and an infected control group (IC). The nature of granulomatous inflammation associated with degeneration of adult flukes found in the VAC1 group was characterized by immunohistochemistry. Hepatic lesions (fibrous perihepatitis, chronic tracts, bile duct hyperplasia, infiltration of eosinophils and lymphocytes and plasma cells) were significantly less severe in the VAC1 group than in the IC group. Dead adult flukes within bile ducts were observed only in the VAC1 group and were surrounded by a severe granulomatous inflammation composed by macrophages and multinucleate giant cells with a high expression of lysozyme, CD163 and S100 markers, and a low expression of CD68. Numerous CD3+ T lymphocytes and scarce infiltrate of FoxP3+ Treg and CD208+ dendritic cells were present. This is the first report describing degenerated flukes associated to a severe granulomatous inflammation in bile ducts in a F. hepatica vaccine trial.

Highlights

  • Fasciolosis is a zoonosis caused by the helminth F. hepatica with a significant economic [1] public health importance all over the world and it is considered by the WHO as a re-emerging neglected tropical disease [2]

  • The aim of the present study was to evaluate the microscopical hepatic damage from sheep immunized with a partly protective vaccine composed of four recombinant proteins from F. hepatica in adjuvant Montanide 61 VG, a non-protective vaccine composed of the same antigens in adjuvant Alhydrogel and an infected control group of sheep experimentally infected with F. hepatica

  • The vaccine 1 (VAC1) included in the present study was considered partially protective since it induced a fluke burden reduction of 37.2% (p = 0.002) and a significant reduction (p = 0.03)

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Summary

Introduction

Fasciolosis is a zoonosis caused by the helminth F. hepatica with a significant economic [1] public health importance all over the world and it is considered by the WHO as a re-emerging neglected tropical disease [2]. After the ingestion of the infective form called metacercariae, the pathogenesis of F. hepatica involves a pre-hepatic stage starting with the penetration of newly excysted juveniles (NEJs) through the host intestine wall and its migration within the peritoneal cavity. In the hepatic stage of pathogenesis, the NEJs reach and penetrate the liver capsule, and in the parenchyma the parasites move randomly, forming characteristic transects/tunnels and feed on the hepatic cellular components and blood making NEJs growing and developing rapidly. The parasites enter the bile ducts where they develop into their adult form and start releasing up to 20,000–24,000 eggs per fluke per day. The feeding and migratory activities cause tissue perforation the presence of adult flukes within the bile ducts induces a severe chronic cholangitis with erosion and hyperplasia of the biliary epithelium leading to extensive tissue damage [3]. Vaccines have been highlighted as the most suitable option to deal with the detrimental effects found with the current used chemical therapies [3,4]

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