Multiple anthelmintic drug resistant Ancylostoma caninum in foxhounds

Anthelmintic Resistance in Ancylostoma caninum: A Comprehensive Review

Ancylostoma caninum, a zoonotic hookworm species, significantly affects the global health of companion animals, humans and wildlife populations. This parasitic infection is prevalent in various environments, particularly in regions with warm climates, and affects a wide range of canids, including dogs, where it is most commonly found. A. caninum is a major concern not only due to its zoonotic potential but also because of its growing resistance to anthelmintic treatments. The development of resistance in parasitic species is primarily driven by genetic mutations that allow the parasite to survive treatment with commonly used drugs and presents a serious challenge to parasite control efforts. This review explores the biology and epidemiology of A. caninum, focusing on the mechanisms and prevalence of anthelmintic resistance. By reviewing worldwide studies, this paper highlights the prevalence of resistance across different anthelmintic classes and its implications for veterinary and public health. The findings emphasize the need for better management strategies and innovative solutions to address this growing problem.

Efficacy of Simparica Trio® against induced infections of Ancylostoma braziliense and Ancylostoma ceylanicum in dogs

BACKGROUND

Hookworm infections such as Ancylostoma braziliense and A. ceylanicum pose a significant threat to pets and are implicated in causing zoonotic diseases. Despite the availability of preventatives, compliance can be lacking. Increasing pet owner options and combining endo- and ectoparasite treatments might improve this compliance. In four separate studies, we investigated the efficacy of Simparica Trio® (Zoetis Inc., Parsippany, NJ, USA) containing minimum dosages of 1.2 mg/kg sarolaner, 24 µg/kg moxidectin and 5 mg/kg pyrantel against fourth- and fifth-stage larvae (L4 and L5, respectively) and adults of A. braziliense and adults of A. ceylanicum in dogs.

METHODS

Four negatively controlled, randomised and blinded laboratory studies were conducted against induced infections of A. braziliense and A. ceylanicum, with the interval between infection and treatment selected to evaluate efficacy against each targeted stage. Each treated dog received a single oral dose of Simparica Trio® at the recommended label dose. Necropsy was conducted for worm recovery on day 7 or 8 post-treatment.

RESULTS

No treatment-related adverse events were recorded in any of the studies. No worms were recovered from any of the Simparica Trio®-treated dogs in all four studies, thus resulting in 100% efficacy (P ≤ 0.0005) of Simparica Trio® against all stages of A. braziliense and the adult stage of A. ceylanicum in dogs.

CONCLUSIONS

Simparica Trio® containing sarolaner, moxidectin and pyrantel was highly effective against induced infections of L4, L5 and adult stages of A. braziliense and the adult stage of A. ceylanicum in dogs.

Identifying Zoonotic Parasites in Domiciled and Non-Domiciled Dogs (Canis lupus familiaris) Within an Urban Zone of the Eastern State of Mexico

BACKGROUND

There are over 42 million dogs in Mexico, with a significant population living on the streets, especially in the State of Mexico. These dogs can act as carriers of zoonotic pathogens, placing children and individuals with chronic diseases or immunodeficiencies at risk.

OBJECTIVES

To evaluate the prevalence of zoonotic parasites in feral and domestic dogs in the urban area of the eastern State of Mexico and assess their potential impact on public health.

METHODS

The study was conducted from July 2022 to March 2023 in the urban area located in the eastern region of the State of Mexico. A total of 134 samples of dog faces were collected through convenience sampling, from both domiciled and non-domiciled dogs.

RESULTS

Fifty-one dogs were identified with Ancylostomatidae family (38.1%, 95% CI: 27.0%-52.1%), 10 with Toxocara spp. (7.5%, 95% CI: 3.6%-13.3%), 7 with Dipylidium caninum (5.5%, 95% CI: 2.1%-10.5%), 8 with Cystoisospora spp. (6.0%, 95% CI: 2.6%-11.4%), 6 with Giardia spp. (4.5%, 95% CI: 1.7-9.5%) and 2 positive cases for Hymenolepis spp. (1.5%, 95% CI: 0.2%-5.3%) were identified.

CONCLUSIONS

This study highlights a public health concern related to non-domiciled dogs, which can serve as carriers of zoonotic parasites. Interactions among non-domiciled dogs, domiciled dogs and humans heighten the risk of transmission. Implementing prevention, control and awareness strategies is crucial to reduce the spread of these parasites.

Nationwide USA re-analysis of amplicon metabarcoding targeting β-tubulin isoform-1 reveals absence of benzimidazole resistant SNPs in Ancylostoma braziliense, Ancylostoma tubaeforme and Uncinaria stenocephala

Nationwide sampling by Venkatesan and colleagues (2023) described the resistance status of the canine hookworm, Ancylostoma caninum, to benzimidazoles across the USA via β-tubulin isotype-1 amplicon metabarcoding. In this study, we aimed to use the existing public amplicon metabarcoding data and mine it for the presence of β-tubulin isotype-1 sequences that belong to hookworm species other than A. caninum. Through bioinformatics analysis we assigned species to A. caninum, Ancylostoma braziliense, Ancylostoma tubaeforme and Uncinaria stenocephala. All non-A. caninum sequences contained only the benzimidazole susceptible residues of β-tubulin isotype-1. Using two β-tubulin isotype-1 metabarcoding sequence data (assay targeting 134 and 167 codons, and assay targeting 198 and 200 codons), 2.0% (6/307) and 2.9% (9/310) individual samples had hookworms other than A. caninum (A. braziliense n = 5, A. tubaeforme n = 4 and U. stenocephala n = 2), respectively. We identified one sample containing A. braziliense in each of the Northeastern region and Midwestern region, and in three samples from the Southern region. Presence of A. tubaeforme in dog faeces is considered as pseudoparasitism. There were no statistically significant regional differences for the distribution of each species, for either of the two assays independently or combined (χ2 tests, P > 0.05). Our work demonstrates the utility of the amplicon metabarcoding for the identification of species through antemortem assays, thus resolving the dilemma of assigning hookworm species based on either post-mortem or egg sizes for the identification of hookworms.

Altered larval activation response associated with multidrug resistance in the canine hookworm Ancylostoma caninum

Parasitic gastrointestinal nematodes pose significant health risks to humans, livestock, and companion animals, and their control relies heavily on the use of anthelmintic drugs. Overuse of these drugs has led to the emergence of resistant nematode populations. Herein, a naturally occurring isolate (referred to as BCR) of the dog hookworm, Ancylostoma caninum, that is resistant to 3 major classes of anthelmintics is characterized. Various drug assays were used to determine the resistance of BCR to thiabendazole, ivermectin, moxidectin and pyrantel pamoate. When compared to a drug-susceptible isolate of A. caninum, BCR was shown to be significantly resistant to all 4 of the drugs tested. Multiple single nucleotide polymorphisms have been shown to impart benzimidazole resistance, including the F167Y mutation in the β-tubulin isotype 1 gene, which was confirmed to be present in BCR through molecular analysis. The frequency of the resistant allele in BCR was 76.3% following its first passage in the lab, which represented an increase from approximately 50% in the founding hookworm population. A second, recently described mutation in codon 134 (Q134H) was also detected at lower frequency in the BCR population. Additionally, BCR exhibits an altered larval activation phenotype compared to the susceptible isolate, suggesting differences in the signalling pathways involved in the activation process which may be associated with resistance. Further characterization of this isolate will provide insights into the mechanisms of resistance to macrocyclic lactones and tetrahydropyrimidine anthelmintics.