Disease Transmission Cycle Research Articles

Potential of mRNA-based vaccines for the control of tick-borne pathogens in one health perspective.

The One Health approach, which integrates the health of humans, animals, plants, and ecosystems at various levels, is crucial for addressing interconnected health threats. This is complemented by the advent of mRNA vaccines, which have revolutionized disease prevention. They offer broad-spectrum effectiveness and can be rapidly customized to target specific pathogens. Their utility extends beyond human medicine, showing potential in veterinary practices to control diseases and reduce the risk of zoonotic transmissions. This review place mRNA vaccines and One Health in the context of tick-borne diseases. The potential of these vaccines to confer cross-species immunity is significant, potentially disrupting zoonotic disease transmission cycles and protecting the health of both humans and animals, while reducing tick populations, infestations and circulation of pathogens. The development and application of mRNA vaccines for tick and tick-borne pathogens represent a comprehensive strategy in global health, fostering a healthier ecosystem for all species in our interconnected world.

Revisiting gene typing and phylogeny of Trypanosoma cruzi reference strains: Comparison of the relevance of mitochondrial DNA, single-copy nuclear DNA, and the intergenic region of mini-exon gene

Chagas disease is a widespread neglected disease in Latin America. Trypanosoma cruzi, the causative agent of the disease, is currently subdivided into six DTUs (discrete typing units) named TcI-TcVI, and although no clear association has been found between parasite genetics and different clinical outcomes of the disease or different transmission cycles, genetic characterization of T. cruzi strains remains crucial for integrated epidemiological studies. Numerous markers have been used for this purpose, although without consensus. These include mitochondrial genes, single or multiple-copy nuclear genes, ribosomal RNA genes, and the intergenic region of the repeated mini-exon gene. To increase our knowledge of these gene sequences and their usefulness for strain typing, we sequenced fragments of three mitochondrial genes, nine single-copy nuclear genes, and the repeated intergenic part of the mini-exon gene by Next Generation Sequencing (NGS) on a sample constituted of 16 strains representative of T. cruzi genetic diversity, to which we added the corresponding genetic data of the 38 T. cruzi genomes fully sequenced until 2022.Our results show that single-copy nuclear genes remain the gold standard for characterizing T. cruzi strains; the phylogenetic tree from concatenated genes (3959 bp) confirms the six DTUs previously recognized and provides additional information about the alleles present in the hybrid strains. In the tree built from the three mitochondrial concatenated genes (1274 bp), three main clusters are identified, including one with TcIII, TcIV, TcV, and TcVI DTUs which are not separated. Nevertheless, mitochondrial markers remain necessary for detecting introgression and heteroplasmy. The phylogenetic tree built from the sequence alignment of the repeated mini-exon gene fragment (327 bp) displayed six clusters, but only TcI was associated with a single cluster. The sequences obtained from strains belonging to the other DTUs were scattered into different clusters. Therefore, while the mini-exon marker may bring, for some biological samples, some advantages in terms of sensibility due to its repeated nature, mini-exon sequences must be used with caution and, when possible, avoided for T. cruzi typing and phylogenetic studies.

The Therapeutic Potential of Angeli's Salt in Mitigating Acute Trypanosoma cruzi Infection in Mice.

Chagas disease (CD), caused by Trypanosoma cruzi, is a neglected tropical disease prevalent in Latin America. Infected patients are treated to eliminate the parasite, reduce the cardiomyopathy risk, and interrupt the disease transmission cycle. The World Health Organization recognizes benznidazole (BZ) and nifurtimox as effective drugs for CD treatment. In the chronic phase, both drugs have low cure rates and serious side effects. T. cruzi infection causes intense tissue inflammation that controls parasite proliferation and CD evolution. Compounds that liberate nitric oxide (NO) (NO donors) have been used as anti-T. cruzi therapeutics. Currently, there is no evidence that nitroxyl (HNO) affects T. cruzi infection outcomes. This study investigated the effects of the HNO donor Angeli's salt (AS) on C57BL/6 mice infected with T. cruzi (Y strain, 5 × 103 trypomastigotes, intraperitoneally). AS reduced the number of parasites in the bloodstream and heart nests and increased the protective antioxidant capacity of erythrocytes in infected animals, reducing disease severity. Furthermore, in vitro experiments showed that AS treatment reduced parasite uptake and trypomastigote release by macrophages. Taken together, these findings from the murine model and in vitro testing suggest that AS could be a promising therapy for CD.

Carboxylic acids that drive mosquito attraction to humans activate ionotropic receptors.

The mosquito, Aedes aegypti, is highly anthropophilic and transmits debilitating arboviruses within human populations and between humans and non-human primates. Female mosquitoes are attracted to sources of blood by responding to odor plumes that are emitted by their preferred hosts. Acidic volatile compounds, including carboxylic acids, represent particularly salient odors driving this attraction. Importantly, carboxylic acids are major constituents of human sweat and volatiles generated by skin microbes. As such, they are likely to impact human host preference, a dominant factor in disease transmission cycles. A more complete understanding of mosquito host attraction will necessitate the elucidation of molecular mechanisms of volatile odor detection that function in peripheral sensory neurons. Recent studies have shown that members of the variant ionotropic glutamate receptor gene family are necessary for physiological and behavioral responses to acidic volatiles in Aedes. In this study, we have identified a subfamily of variant ionotropic receptors that share sequence homology across several important vector species and are likely to be activated by carboxylic acids. Moreover, we demonstrate that selected members of this subfamily are activated by short-chain carboxylic acids in a heterologous cell expression system. Our results are consistent with the hypothesis that members of this receptor class underlie acidic volatile sensitivity in vector mosquitoes and provide a frame of reference for future development of novel mosquito attractant and repellent technologies.

Toxicity of insecticidal plant oils on the larval and adult stages of a major malaria vector (Anopheles gambiae Giles 1920)

Despite increasing reports and concerns about the development of resistance to public-health insecticides in malaria vectors, significant progress has been made in the search for alternative strategies to disrupt the disease transmission cycle by targeting insect vectors and thus sustaining vector management. The use of insecticidal plants is a strategy that can be employed and this study investigates the toxicity potential of insecticidal plant oils shortlisted in an ethnobotanical survey on Anopheles gambiae larvae and adult stages. The shortlisted plants parts, the leaves of Hyptis suaveolens, Ocimum gratissimum, Nicotiana tabacum, Ageratum conyzoides, and Citrus sinensis fruit-peel were collected and extracted using a Clevenger apparatus. Larvae and female adults of deltamethrin-susceptible Anopheles gambiae were obtained from an already-established colony at the University of Ilorin's Entomological Research Laboratory. In five replicates, twenty-five third instar stage larvae were used for larvicidal assays and twenty 2-5days old adults were used for adulticidal assays. After 24h, An. gambiae exposed to Hy. suaveolens and Ci. sinensis exhibited significantly higher larval toxicity (94.7-100%). The mortality induced by the oils of the four plants peaked at 100% after 48h. Ni. tabacum (0.50mg/ml) induced the highest percentage of adult mortality on An. gambiae (100%) when compared to the positive control Deltamethrin (0.05%). The lowest KdT50 was observed with 0.25mg/ml of Ni. tabacum (20.3min), and the lowest KdT95 was observed with 0.10mg/ml of Ag. conyzoides (35.97min) against adult An. gambiae. The evaluated plant oils demonstrated significant larval and adult mortality rates, lower lethal concentrations, and knockdown times, indicating promising results that can be further developed for malaria vector management.

The role of temperature in shaping Culex acharistus mosquitoes life history traits in its southern limit of distribution (Patagonia-Argentina)

There is substantial evidence showing that temperature have a great impact on insects behavior, phenology and life histories. Because of mosquito global importance as disease vectors, in temperate regions where climatic conditions could be only borderline suitable for mosquito development, there is a growing interest in understanding the effect of temperature shifts on vital statistics to more accurately define how such changes could impact distribution and abundance patterns, as well as disease transmission cycles. We determined the role of ambient temperature under fluctuating conditions in shaping Culex acharistus (Diptera: Culicidae) life history traits, and estimated its development threshold and physiological time, in its southern limit of distribution in the Argentine Patagonia region. Four horizontal life tables were conducted under natural fluctuating temperature range in Esquel city (42°S – 71°W; 563 m a.s.l.), during spring-summer (17°C), summer (15.4°C), summer-autumn (12.7°C) and autumn-winter (5.6°C) seasons. Larvae, pupae and adult traits were recorded. The mean duration of the experiments varied between 28 to ≅100 days for spring-summer and autumn-winter seasons. Only during the cold season experiment pupae experienced the most severe temperatures and freeze-thaw cycles, and failed to reach adult stage. We found that larva and pupa development time, adult emergence time and longevity significantly increased with decreasing temperatures, while larval survival was greatest at an intermediate temperature and decreased toward low and high values. Also, protandry was observed and males emerge 2 days before females across seasons. Temperature development threshold and physiological time estimated for larva + pupa were 5.98°C and 211.24°C-days. Our study contributes to a growing body of knowledge by examining the effect of seasonal changes in temperature on mosquito life history traits. Results obtained here can be applied as useful parameters in the development of population dynamic models, improving current mosquito control strategies in cold-temperate regions.

Accessibility to safe and hygienic sanitation facilities and the prevalence of open-air defecation among the school going adolescents in rural Puducherry

PurposeDespite various government initiatives to promote sanitary practices, open-air defecation (OAD) practice among school-going adolescents in rural India is still evident. The unhygienic sanitary practices propagate a vicious cycle of disease transmission affecting their nutritional status. The study aims to find the accessibility to safe, hygienic sanitation facilities and the prevalence of OAD open-air defecation practice, and the factors associated with it among the school-going adolescents in rural Puducherry. MethodsIt was a cross-sectional analytical study conducted among school-going adolescents in a rural Puducherry. Information on the sociodemographic, behavioural, and nutritional characteristics was collected using a pre-tested questionnaire in EpiData Version.3.03. Haemoglobin estimation was done using a portable hemoglobinometer and anaemia was categorized as per the WHO guidelines. Data analysis was done using SPSS version 19. ResultsOut of the 773 school-going adolescents, 74.6% (95% CI:73.4–80.2) had accessibility to safe and hygienic-sanitary toilets and 35.2% (95% CI: 31.9–38.6%) had the practise of OAD. Haemoglobin was estimated in 352 study participants. Among adolescents practising OAD, 87 (75%) were found to be anaemic compared to 143 (60.6%) among those without OAD practice. Statistically significant proportions of adolescents living in kutcha houses were practising OAD compared to semi-pucca or pucca houses. As per the national programme, 88.9% and 86.3% of the study participants consumed IFA and deworming tablets, respectively. ConclusionDue to the inaccessibility to safe and hygienic sanitation facilities and the lack of knowledge on the same, the school-going adolescents practised open-air defecation.

Host-Feeding Patterns of Mosquito Species in Aras Valley, Turkey

Identifying hosts of blood-feeding mosquito species is important to elucidate the role of vector species in disease transmission cycles. Herein, the aim was to identify the vertebrate hosts of mosquito species using the polymerase chain reaction-based reverse line blotting method. The mosquito species were Anopheles maculipennis sensu lato Meigen, 1818; Aedes caspius Pallas, 1771; Aedes vexans Meigen, 1830; Culex theileri Theobald, 1903; Anopheles hyrcanus Pallas 1771; Culex pipiens sensu lato Linnaeus, 1758; and Culiseta annulata Schrank, 1776, which were collected from the Aras Valley between July-August 2012 and June-September 2013. The analysis of mosquito blood-meal samples revealed several mammalian and avian host species. And also varying degrees of opportunistic mosquito feeding behavior in both birds and mammals were noted. These mosquito species fed on eight mammal species, i.e., humans, cows, sheep, horses, dogs, cats, goats, and porcupines, as well as avian species. Studies on the host-feeding patterns of blood-feeding vector arthropods may provide information about the vector potential of these species. However, the host-feeding patterns of the vector species are only one part of the vector capacity. To detect the exact potential of vector species, further studies are needed on vector competence for different pathogens.

Gene drive mosquitoes can aid malaria elimination by retarding Plasmodium sporogonic development.

Gene drives hold promise for the genetic control of malaria vectors. The development of vector population modification strategies hinges on the availability of effector mechanisms impeding parasite development in transgenic mosquitoes. We augmented a midgut gene of the malaria mosquito Anopheles gambiae to secrete two exogenous antimicrobial peptides, magainin 2 and melittin. This small genetic modification, capable of efficient nonautonomous gene drive, hampers oocyst development in both Plasmodium falciparum and Plasmodium berghei. It delays the release of infectious sporozoites, while it simultaneously reduces the life span of homozygous female transgenic mosquitoes. Modeling the spread of this modification using a large-scale agent-based model of malaria epidemiology reveals that it can break the cycle of disease transmission across a range of transmission intensities.

First identification of Lutzomyia longipalpis in an area of visceral leishmaniasis transmission in central Rio Grande do Sul State, southern Brazil.

Sand flies are hematophagous dipterans and are considered vectors of the parasites belonging to the genus Leishmania, which can infect mammals, including humans, and subsequently cause leishmaniasis. Rio Grande do Sul State (RS), southern Brazil, was considered free of this disease for the last few decades. However, several autochthonous cases of visceral leishmaniasis (VL) have been recorded in different municipalities in recent years. Since 2017, cases of canine visceral leishmaniasis (CVL) have been reported in the municipality of Santa Maria, located in the central region of RS. In 2021, two cases of human VL were confirmed in the city, resulting in one death. To capture the possible vectors involved in the disease transmission cycle, Centers for Disease Control (CDC) modified light traps were installed in the peridomestic residential areas. These points were situated in two city districts where cases of CVL had been reported from January 2021 to January 2022. In the 41 sample collections of sand flies, 9 specimens of Lutzomyia longipalpis were identified, confirming the municipality as an area of VL transmission, according to Brazilian sanitary standards. The spread of Leishmania spp. has been occurring efficiently, resulting in a negative impact on the One Health. This study reports the first detection of L. longipalpis in the central region of RS.

Detecting Signals of Species’ Ecological Niches in Results of Studies with Defined Sampling Protocols: Example Application to Pathogen Niches

Ecological niches are increasingly appreciated as a long-term stable constraint on the geographic and temporal distributions of species, including species involved in disease transmission cycles (pathogens, vectors, hosts). Although considerable research effort has used correlative methodologies for characterizing niches, sampling effort (and the biases that this effort may or may not carry with it) considerations have generally not been incorporated explicitly into ecological niche modeling. In some cases, however, the sampling effort can be characterized explicitly, such as when hosts are tested for pathogens, as well as comparable situations such as when traps are deployed to capture particular species, etc. Here, we present simple methods for testing the hypothesis that non-randomness in occurrence or detection exists with respect to environmental dimensions (= a detectable signal of ecological niche); i.e., whether a pathogen occurs nonrandomly with respect to environment, given the occurrence and sampling of its host. We have implemented a set of R functions that presents an overall test for nonrandom occurrence with respect to a set of environmental dimensions, and, a posteriori, a set of exploratory tests that identify in which dimension(s) and in which direction or form the nonrandom occurrence is manifested. Our tools correctly detected signals of niche in most of our example cases. Although such signal may not be detectable in cases in which the niche of interest is broader than the universe sampled, such a possibility was correctly discarded in our analyses, preventing further interpretations. This kind of testing can constitute an initial step in a process that would conclude with development of a more typical ecological niche model. The particular advantage of the analyses proposed is that they consider the biases involved in sampling, testing, and reporting, in the context of nonrandom occurrence with respect to environment before proceeding to inferential and predictive steps.

Identification of blood meal sources in species of genus Rhodnius in four different environments in the Brazilian amazon

Chagas disease is a zoonotic disease caused by the hemoflagellate Trypanosoma cruzi and transmitted primarily by triatomine vectors. Triatomines are hematophagous insects that feed on a variety of vertebrate hosts. The Chagas disease transmission cycle is closely related to the interactions between vectors, parasites, and vertebrate hosts. Knowledge of triatomine food sources is critical to understanding Chagas disease transmission dynamics. The aim of this study was to identify blood meal sources used by triatomines from different environments in the Brazilian Amazon. A total of 25 captures were conducted in four environments. Triatomine specimens were captured on palm trees and were identified by morphological and morphometric characters. Blood meal sources identification was conducted using a traditional PCR followed by Sanger sequencing of mtDNA cytb gene. Sequencing was successful in 167 specimens and a total of 21 blood meal sources were identified: two reptilians, six birds, and 13 mammals. Among these 21 species, three (Tamandua tetradactyla, Didelphis marsupialis and Rattus rattus) are considered reservoir of T. cruzi. Knowledge of the relationship between triatomines and possible reservoirs can help to elucidate the enzootic cycle of T. cruzi in the Amazon region and guide control strategies for Chagas disease transmission in that region.

Ticks on the Run: A Mathematical Model of Crimean-Congo Haemorrhagic Fever (CCHF)-Key Factors for Transmission.

Crimean-Congo haemorrhagic fever (CCHF) is a zoonotic disease caused by the Crimean-Congo hemorrhagic fever virus (CCHFV). Ticks of the genus Hyalomma are the main vectors and represent a reservoir for the virus. CCHF is maintained in nature in an endemic vertebrate-tick-vertebrate cycle. The disease is prevalent in wide geographical areas including Asia, Africa, South-Eastern Europe and the Middle East. It is of great importance for the public health given its occasionally high case/fatality ratio of CCHFV in humans. Climate change and the detection of possible CCHFV vectors in Central Europe suggest that the establishment of the transmission in Central Europe may be possible in future. We have developed a compartment-based nonlinear Ordinary Differential Equation (ODE) system to model the disease transmission cycle including blood sucking ticks, livestock and human. Sensitivity analysis of the basic reproduction number R0 shows that decreasing the tick survival time is an efficient method to control the disease. The model supports us in understanding the influence of different model parameters on the spread of CCHFV. Tick-to-tick transmission through co-feeding and the CCHFV circulation through transstadial and transovarial transmission are important factors to sustain the disease cycle. The proposed model dynamics are calibrated through an empirical multi-country analysis and multidimensional plot reveals that the disease-parameter sets of different countries burdened with CCHF are different. This information may help decision makers to select efficient control strategies.

Local Community Composition Drives Avian Borrelia burgdorferi Infection and Tick Infestation.

Globally, zoonotic vector-borne diseases are on the rise and understanding their complex transmission cycles is pertinent to mitigating disease risk. In North America, Lyme disease is the most commonly reported vector-borne disease and is caused by transmission of Borrelia burgdorferi sensu lato (s.l.) from Ixodes spp. ticks to a diverse group of vertebrate hosts. Small mammal reservoir hosts are primarily responsible for maintenance of B. burgdorferi s.l. across the United States. Nevertheless, birds can also be parasitized by ticks and are capable of infection with B. burgdorferi s.l. but their role in B. burgdorferi s.l. transmission dynamics is understudied. Birds could be important in both the maintenance and spread of B. burgdorferi s.l. and ticks because of their high mobility and shared habitat with important mammalian reservoir hosts. This study aims to better understand the role of avian hosts in tick-borne zoonotic disease transmission cycles in the western United States. We surveyed birds, mammals, and ticks at nine sites in northern California for B. burgdorferi s.l. infection and collected data on other metrics of host community composition such as abundance and diversity of birds, small mammals, lizards, predators, and ticks. We found 22.8% of birds infected with B. burgdorferi s.l. and that the likelihood of avian B. burgdorferi s.l. infection was significantly associated with local host community composition and pathogen prevalence in California. Additionally, we found an average tick burden of 0.22 ticks per bird across all species. Predator and lizard abundances were significant predictors of avian tick infestation. These results indicate that birds are relevant hosts in the local B. burgdorferi s.l. transmission cycle in the western United States and quantifying their role in the spread and maintenance of Lyme disease requires further research.

Public road transport system and the spread of communicable diseases: Perspectives of operators and passengers in Accra, Ghana

In spite of its role in the development of nations, transport has also been identified as a means of spreading some communicable diseases. However, few studies have been conducted to assess the spread of diseases on road transport. This study sought to explore the views of operators and passengers about the spread of communicable diseases on the public road transport system in Accra, Ghana. Adapting the Disease Transmission Cycle as the conceptual framework, and following a qualitative research method, data for the study were collected through in-depth interviews and observations and were analysed manually based on the emerging themes. Though various diseases were identified to spread on the public road transport system, there were divergent views on the risk of being infected. Meanwhile, respondents indicated they would feel uncomfortable putting up with people suspected to be infected with communicable diseases. The study emphasises strict adherence to internationally acceptable standards on road transport in order to minimize the spread of communicable diseases on public transport in Ghana.

Toward strengthening active case finding for ending tuberculosis in India.

Active case finding (ACF) is critical for the timely detection and treatment of diseases like tuberculosis (TB). ACF is crucial in India, where health-seeking behaviour across various populations is low and non-reporting is a barrier to breaking disease transmission cycles and eliminating the disease. As an integral part of India's national TB control programs, there is further scope for improvement in its design. This paper outlines a roadmap for ACF for TB in the country. It is based on current national strategic plans for public health monitoring and TB case identification. It suggests that ACF should be strengthened by developing it as a learning surveillance system involving a change from a siloed public health approach to a more comprehensive surveillance exercise. It defines operational requirements for establishing predictive capabilities and introducing feedback and learning in the system as a precondition. It highlights the importance of establishing proper processes, as well as extending and expanding on existing infrastructural and human resource, and inter-programmatic coordination and collaboration in the health sector.

Reviewing the ecological evidence base for management of emerging tropical zoonoses: Kyasanur Forest Disease in India as a case study.

Zoonoses disproportionately affect tropical communities and are associated with human modification and use of ecosystems. Effective management is hampered by poor ecological understanding of disease transmission and often focuses on human vaccination or treatment. Better ecological understanding of multi-vector and multi-host transmission, social and environmental factors altering human exposure, might enable a broader suite of management options. Options may include “ecological interventions” that target vectors or hosts and require good knowledge of underlying transmission processes, which may be more effective, economical, and long lasting than conventional approaches. New frameworks identify the hierarchical series of barriers that a pathogen needs to overcome before human spillover occurs and demonstrate how ecological interventions may strengthen these barriers and complement human-focused disease control. We extend these frameworks for vector-borne zoonoses, focusing on Kyasanur Forest Disease Virus (KFDV), a tick-borne, neglected zoonosis affecting poor forest communities in India, involving complex communities of tick and host species. We identify the hierarchical barriers to pathogen transmission targeted by existing management. We show that existing interventions mainly focus on human barriers (via personal protection and vaccination) or at barriers relating to Kyasanur Forest Disease (KFD) vectors (tick control on cattle and at the sites of host (monkey) deaths). We review the validity of existing management guidance for KFD through literature review and interviews with disease managers. Efficacy of interventions was difficult to quantify due to poor empirical understanding of KFDV–vector–host ecology, particularly the role of cattle and monkeys in the disease transmission cycle. Cattle are hypothesised to amplify tick populations. Monkeys may act as sentinels of human infection or are hypothesised to act as amplifying hosts for KFDV, but the spatial scale of risk arising from ticks infected via monkeys versus small mammal reservoirs is unclear. We identified 19 urgent research priorities for refinement of current management strategies or development of ecological interventions targeting vectors and host barriers to prevent disease spillover in the future.

Patterns of flea infestation in rodents and insectivores from intensified agro-ecosystems, Northwest Spain

BackgroundFleas frequently infest small mammals and play important vectoring roles in the epidemiology of (re)emerging zoonotic disease. Rodent outbreaks in intensified agro-ecosystems of North-West Spain have been recently linked to periodic zoonotic diseases spillover to local human populations. Obtaining qualitative and quantitative information about the composition and structure of the whole flea and small mammal host coexisting communities is paramount to understand disease transmission cycles and to elucidate the disease-vectoring role of flea species. The aims of this research were to: (i) characterise and quantify the flea community parasiting a small mammal guild in intensive farmlands in North-West Spain; (ii) determine and evaluate patterns of co-infection and the variables that may influence parasitological parameters.MethodsWe conducted a large-scale survey stratified by season and habitat of fleas parasitizing the small mammal host guild. We report on the prevalence, mean intensity, and mean abundance of flea species parasitizing Microtus arvalis, Apodemus sylvaticus, Mus spretus and Crocidura russula. We also report on aggregation patterns (variance-to-mean ratio and discrepancy index) and co-infection of hosts by different flea species (Fager index) and used generalized linear mixed models to study flea parameter variation according to season, habitat and host sex.ResultsThree flea species dominated the system: Ctenophthalmus apertus gilcolladoi, Leptopsylla taschenbergi and Nosopsyllus fasciatus. Results showed a high aggregation pattern of fleas in all hosts. All host species in the guild shared C. a. gilcolladoi and N. fasciatus, but L. taschenbergi mainly parasitized mice (M. spretus and A. sylvaticus). We found significant male-biased infestation patterns in mice, seasonal variations in flea abundances for all rodent hosts (M. arvalis, M. spretus and A. sylvaticus), and relatively lower infestation values for voles inhabiting alfalfas. Simultaneous co-infections occurred in a third of all hosts, and N. fasciatus was the most common flea co-infecting small mammal hosts.ConclusionsThe generalist N. fasciatus and C. a. gilcolladoi dominated the flea community, and a high percentage of co-infections with both species occurred within the small mammal guild. Nosopsyllus fasciatus may show higher competence of inter-specific transmission, and future research should unravel its role in the circulation of rodent-borne zoonoses.Graphical

Combination Therapy Using Benznidazole and Aspirin during the Acute Phase of Experimental Chagas Disease Prevents Cardiovascular Dysfunction and Decreases Typical Cardiac Lesions in the Chronic Phase.

Chagas disease, caused by the protozoan Trypanosoma cruzi, is one of the main causes of death due to cardiomyopathy and heart failure in Latin American countries. The treatment of Chagas disease is directed at eliminating the parasite, decreasing the probability of cardiomyopathy and disrupting the disease transmission cycle. Benznidazole (BZ) and nifurtimox (Nfx) are recognized as effective drugs for the treatment of Chagas disease by the World Health Organization, but both have high toxicity and limited efficacy, especially in the chronic disease phase. At low doses, aspirin (ASA) has been reported to protect against T. cruzi infection. We evaluated the effectiveness of BZ in combination with ASA at low doses during the acute disease phase and evaluated cardiovascular aspects and cardiac lesions in the chronic phase. ASA treatment prevented the cardiovascular dysfunction (hypertension and tachycardia) and typical cardiac lesions. Moreover, BZ+ASA-treated mice had a smaller cardiac fibrotic area than BZ-treated mice. These results were associated with an increase in numbers of eosinophils and reticulocytes and levels of nitric oxide in the plasma and cardiac tissue of ASA-treated mice relative to respective controls. These effects of ASA and BZ+ASA in chronically infected mice were inhibited by pretreatment with the lipoxin A4 (LXA4) receptor antagonist Boc-2, indicating that the protective effects of ASA are mediated by ASA-triggered lipoxin. These results emphasize the importance of exploring new drug combinations for treatments of the acute phase of Chagas disease that are beneficial for patients with chronic disease.

Host distribution and pathogen infection of fleas (Siphonaptera) recovered from small mammals in Pennsylvania.

The number of recognized flea-borne pathogens has increased over the past decade. However, the true number of infections related to all flea-borne pathogens remains unknown. To better understand the enzootic cycle of flea-borne pathogens, fleas were sampled from small mammals trapped in central Pennsylvania. A total of 541 small mammals were trapped, with white-footed mice (Peromyscus leucopus) and southern red-backed voles (Myodes gapperi) accounting for over 94% of the captures. Only P. leucopus were positive for examined blood-borne pathogens, with 47 (18.1%) and ten (4.8%) positive for Anaplasma phagocytophilum and Babesia microti, respectively. In addition, 61 fleas were collected from small mammals and tested for pathogens. Orchopeas leucopus was the most common flea and Bartonella vinsonii subspecies arupensis, B. microti, and a Rickettsia felis-like bacterium were detected in various flea samples. To the best of our knowledge, this is the first report of B. microti DNA detected from a flea and the first report of a R. felis-like bacterium from rodent fleas in eastern North America. This study provides evidence of emerging pathogens found in fleas, but further investigation is required to resolve the ecology of flea-borne disease transmission cycles.