Abstract

BackgroundSeveral cases of food-borne acute Chagas disease (ACD) have been reported in the Brazilian Amazon so far. Up to 2004, the occurrence of ACD by oral transmission, associated with food consumption, was rare. Recent cases of ACD in Brazil have been attributed to the consumption of juice from the açai palm containing reservoir animals or insect vectors waste, infected with Trypanosoma cruzi. This study aimed to determine the T. cruzi contamination rate and to genotype the parasite in food samples prepared from açai, which are commercialized in Rio de Janeiro and the Pará States in Brazil.MethodsThe amplificability of DNA extracted from açai samples, and T. cruzi and Triatominae detection were performed by conventional PCR. Molecular characterization was done by multilocus PCR analysis, to determine the parasite discrete type units (DTUs) based on the size of PCR products in agarose gels, using the intergenic region of the spliced leader (SL), 24 Sα rDNA and nuclear fragment A10 as targets.ResultsFrom the 140 samples of açai-based products analyzed, T. cruzi DNA was detected in 14 samples (10%); triatomine DNA was detected in one of these 14 samples. The parasite genotyping demonstrated that food samples containing açai showed a mixture of T. cruzi DTUs with TcIII, TcV and TcI prevailing.ConclusionsIn this study, the molecular detection and identification of T. cruzi from açai-based manufactured food samples, was performed for the first time. Although parasite DNA is a marker of possible contamination during food manufacturing, our findings do not indicate that açai is a source of Chagas disease via oral transmission per se, as live parasites were not investigated. Nevertheless, a molecular approach could be a powerful tool in the epidemiological investigation of outbreaks, supporting previous evidence that açai-based food can be contaminated with T. cruzi. Furthermore, both food quality control and assessment of good manufacturing practices involving açai-based products can be improved, assuring the safety of açai products.

Highlights

  • Several cases of food-borne acute Chagas disease (ACD) have been reported in the Brazilian Amazon so far

  • The disease shows a diversity in clinical manifestations, from indeterminate to cardiac and/or digestive forms [2, 3], which can be associated with complex interactions between the genetic diversity of the parasite and the host, and environmental and epidemiologic factors [4]

  • The reemergence of Chagas disease (ChD) from 2005 challenged Brazilian authorities. This disease used to be characteristic of Ferreira et al Parasites & Vectors (2018) 11:233 rural areas, especially the most deprived populations without access to adequate sanitary conditions; in recent years, it has been disseminated in urban areas, with transmission via ingestion reported

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Summary

Introduction

Several cases of food-borne acute Chagas disease (ACD) have been reported in the Brazilian Amazon so far. The reemergence of ChD from 2005 challenged Brazilian authorities This disease used to be characteristic of Ferreira et al Parasites & Vectors (2018) 11:233 rural areas, especially the most deprived populations without access to adequate sanitary conditions; in recent years, it has been disseminated in urban areas, with transmission via ingestion reported. In this case, the disease is more aggressive and difficult to control, with lethality as high as 5% in the Amazon [5]. Despite the increasing number of acute cases, reports of this form of the disease are rare in the literature

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