Assessing the role of Filopaludina martensi martensi as a biocontrol agent of Bithynia siamensis goniomphalos, the first intermediate host of Opisthorchis viverrini

Genetic structure and geographical distribution of Bithynia siamensis sensu lato from Khong and Mounlapamok districts, Champasak Province, Laos

BACKGROUND

Bithynia spp., a key intermediate host of Opisthorchis viverrini, is widely distributed in the lower Mekong sub-region, where opisthorchiasis remains a major public health concern. Understanding the genetic diversity and population structure of these snails is crucial for disease control. Bithynia siamensis sensu lato has been classified into three genetic lineages (I-III) based on cytochrome c oxidase subunit 1 (cox1) and 16S ribosomal RNA (16S rRNA) sequence analysis. This study focuses on Champasak Province, Laos, a highly endemic area of opisthorchiasis with limited genetic data on Bithynia spp.

METHODS

Bithynia snails were collected from 12 villages in Khong and Mounlapamok districts, Champasak Province, Laos, between February and August 2024. To compare with previous reports, a total of 246 and 139 samples were analyzed using cox1 and 16S rRNA markers, respectively. Genetic diversity, genetic differentiation, and genetic structure were assessed based on these markers. Haplotype networks were constructed based on cox1 and 16S RNA sequences to elucidate the genetic lineage of these samples.

RESULTS

In the present study, only Bithynia siamensis goniomphalos was identified, while B. s. siamensis and B. funiculata were not found. Our findings revealed that both cox1 and 16S rRNA sequences exhibited high haplotype diversity among populations but relatively low nucleotide diversity. Two lineages of B. s. goniomphalos (lineages II and III) were detected in the studied areas, exhibiting significant genetic structuring among groups of snail populations from different villages in each lineage. Notably, lineage II was identified in Laos for the first time. The distribution of lineage II was observed near the southern border of Laos and Cambodia.

CONCLUSIONS

This study is the first to use DNA analysis to investigate Bithynia spp. in opisthorchiasis-endemic areas of Champasak Province, where B. s. goniomphalos lineages II and III were detected, but lineage I was not found. Our finding suggested that geographic or environmental factors influence the distribution of specific Bithynia lineages in this region. Many O. viverrini endemic areas in Southeast Asia still lack genetic data on Bithynia snails which could provide valuable insights into the transmission dynamics of opisthorchiasis. Therefore, further investigations should be conducted in these areas using cox1 and 16S rRNA sequences for comparison with previous studies.

Clonorchiasis and opisthorchiasis: epidemiology, transmission, clinical features, morbidity, diagnosis, treatment, and control

Clonorchis sinensis, Opisthorchis viverrini, and Opisthorchis felineus are important liver flukes that cause a considerable public health burden in eastern Asia, southeastern Asia, and eastern Europe, respectively. The life cycles are complex, involving humans, animal reservoirs, and two kinds of intermediate hosts. An interplay of biological, cultural, ecological, economic, and social factors drives transmission. Chronic infections are associated with liver and biliary complications, most importantly cholangiocarcinoma. With regard to diagnosis, stool microscopy is widely used in epidemiologic surveys and for individual diagnosis. Immunologic techniques are employed for screening purposes, and molecular techniques facilitate species differentiation in reference laboratories. The mainstay of control is preventive chemotherapy with praziquantel, usually combined with behavioral change through information, education and communication, and environmental control. Tribendimidine, a drug registered in the People's Republic of China for soil-transmitted helminth infections, shows potential against both C. sinensis and O. viverrini and, hence, warrants further clinical development. Novel control approaches include fish vaccine and biological control. Considerable advances have been made using multi-omics which may trigger the development of new interventions. Pressing research needs include mapping the current distribution, disentangling the transmission, accurately estimating the disease burden, and developing new diagnostic and treatment tools, which would aid to optimize control and elimination measures.

Echinostoma mekongi: Discovery of Its Metacercarial Stage in Snails, Filopaludina martensi cambodjensis, in Pursat Province, Cambodia

Echinostoma mekongi was reported as a new species in 2020 based on specimens collected from humans in Kratie and Takeo Province, Cambodia. In the present study, its metacercarial stage has been discovered in Filopaludina martensi cambodjensis snails purchased from a local market nearby the Tonle Sap Lake, Pursat Province, Cambodia. The metacercariae were fed orally to an experimental hamster, and adult flukes were recovered at day 20 post-infection. They were morphologically examined using light and scanning electron microscopes and molecularly analyzed by sequencing of their mitochondrial cox1 and nad1 genes. A total of 115 metacercariae (1-8 per snail) were detected in 60 (60.0%) out of 100 Filopaludina snails examined. The metacercariae were round, 174 µm in average diameter (163-190 µm in range), having a thin cyst wall, a head collar armed with 37 collar spines, and characteristic excretory granules. The adult flukes were elongated, ventrally curved, 7.3 (6.4-8.2)×1.4 (1.1-1.7) mm in size, and equipped with 37 collar spines on the head collar (dorsal spines in 2 alternating rows), being consistent with E. mekongi. In phylogenetic analyses, the adult flukes showed 99.0-100% homology based on cox1 sequences and 98.9-99.7% homology based on nad1 sequences with E. mekongi. The results evidenced that F. martensi cambodjensis snails act as the second intermediate host of E. mekongi, and hamsters can be used as a suitable experimental definitive host. As local people favor to eat undercooked snails, these snails seem to be an important source of human infection with E. mekongi in Cambodia.