Abstract

Background Angiostrongylus cantonensis is a lungworm of rats (Muridae) that is the causative agent of human cerebral angiostrongyliasis. The life cycle of A. cantonensis involves rats and mollusks as the definitive and intermediate hosts, respectively. This study was designed to increase the knowledge about the occurrence and distribution of A. cantonensis in its definitive host in the Canary Islands, using parasitological and serological analysis in different areas and age groups.Methodology/Principal FindingsBetween 2009 and 2010, 54 black rats (Rattus rattus) from Tenerife were captured from six human-inhabited areas and sera samples were obtained. The lung nematodes were identified by morphological and molecular tools as A. cantonensis. The 31-kDa glycoprotein antigen was purified from A. cantonensis adult worms by electrophoresis and electroelution. Of the 54 tested rodents, 30 showed IgG antibodies against A. cantonensis 31-kDa antigen by ELISA. Therefore, the overall seroprevalence was 55.6% (95% CI: 42.4–68). Seroprevalent rodents were found in all the 6 areas. This 31-kDa antigen was not recognized by some sera of rats infected by other helminth species (but not A. cantonensis). Seroprevalence of IgG antibodies against A. cantonensis and prevalence based on the presence of adult worms showed significant correlation (R2 = 0.954, p<0.05).Conclusions/SignificanceThe present results could indicate a high prevalence of A. cantonensis in Tenerife and suggest the inclusion of two new zones in the distribution area of the parasite. The commonness and wide distribution of A. cantonensis in rats implies the presence of intermediate hosts, indicating that humans may be at risk of getting infected.

Highlights

  • Angiostrongylus cantonensis is a lungworm of rats that has been endemic to the south Asia, Pacific Islands, Australia, and Caribbean islands

  • Chi-square test was used to analyze the anti-A. cantonensis IgG seroprevalence in respect of gender and age. 95% confidence intervals (CI) for parasitologically proven prevalence and seroprevalence were calculated by Wilson method

  • The seroprevalence of A. cantonensis in R. rattus was higher than the prevalence observed by parasitological analysis previously on Tenerife [2], and in different endemic areas as Antilles (23.4% in R. rattus) [21], Taiwan (16.3% in R. rattus) [22], China (16.6% in R. norvegicus) [23]

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Summary

Introduction

Angiostrongylus cantonensis is a lungworm of rats that has been endemic to the south Asia, Pacific Islands, Australia, and Caribbean islands. The Canary Islands have been added to the distribution area of this nematode [2]. Humans are accidentally infected through the consumption of raw or undercooked mollusks that contain the infective third stage larvae. Angiostrongylus cantonensis is a lungworm of rats (Muridae) that is the causative agent of human cerebral angiostrongyliasis. The life cycle of A. cantonensis involves rats and mollusks as the definitive and intermediate hosts, respectively. This study was designed to increase the knowledge about the occurrence and distribution of A. cantonensis in its definitive host in the Canary Islands, using parasitological and serological analysis in different areas and age groups

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