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Lima VA, Silva REC, Camargo LHMC, Hiramoto RM, Leal EDS, Braz LMA, Lindoso JAL. Genetic variability of Leishmania (Leishmania) infantum causing human visceral leishmaniasis in the Southeastern Brazil. Rev Inst Med Trop Sao Paulo 2023; 65:e55. [PMID: 37878972 PMCID: PMC10588988 DOI: 10.1590/s1678-9946202365055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 09/04/2023] [Indexed: 10/27/2023] Open
Abstract
Leishmania infantum is a protozoan that causes visceral leishmaniasis (VL) in the Americas and some regions of Europe. The disease is mainly characterized by hepatosplenomegaly and fever, and can be fatal. Factors related to the host and parasite can contribute to the transmission of Leishmania and the clinical outcome. The intraspecific genetic variability of L. infantum strains may be one of these factors. In this study, we evaluated the genetic variability of L. infantum obtained from bone marrow smear slides from patients in the Sao Paulo State, Brazil. For this, the minicircle of the kDNA hypervariable region was used as target by Sanger sequencing. By analyzing the similarity of the nucleotides and the maximum likelihood tree (Fasttree), we observed a high similarity (98%) among samples. Moreover, we identified four different profiles of L. infantum. In conclusion, L. infantum strains from Sao Paulo State, Brazil, showed low diversity measured by minicircle of the kDNA hypervariable region.
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Affiliation(s)
- Vinicius Alves Lima
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil
- Universidade de São Paulo, Faculdade de Medicina, Instituto de Medicina Tropical de São Paulo, Laboratório de Protozoologia (LIM-49), São Paulo, São Paulo, Brazil
| | - Renata Elen Costa Silva
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil
- Universidade Federal de São Paulo, Laboratório de Endocrinologia Molecular e Translacional, São Paulo, São Paulo, Brazil
| | | | | | - Elcio de Souza Leal
- Universidade Federal do Pará, Instituto de Ciências Biológicas, Belém, Pará, Brazil
| | - Lucia Maria Almeida Braz
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Medicina Preventiva, São Paulo, São Paulo, Brazil
| | - José Angelo Lauletta Lindoso
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Moléstias Infecciosas e Parasitárias, São Paulo, São Paulo, Brazil
- Universidade de São Paulo, Faculdade de Medicina, Instituto de Medicina Tropical de São Paulo, Laboratório de Protozoologia (LIM-49), São Paulo, São Paulo, Brazil
- Instituto de Infectologia Emilio Ribas, São Paulo, São Paulo, Brazil
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Graepp-Fontoura I, Barbosa DS, Fontoura VM, Guerra RNM, Melo SDA, Fernandes MNDF, Costa PDSS, Maciel SM, Goiabeira YA, Santos FS, Santos-Neto M, Hunaldo Dos Santos L, Serra MAADO, Abreu-Silva AL. Visceral leishmaniasis and HIV coinfection in Brazil: epidemiological profile and spatial patterns. Trans R Soc Trop Med Hyg 2023; 117:260-270. [PMID: 36219448 DOI: 10.1093/trstmh/trac093] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 05/04/2021] [Accepted: 09/19/2022] [Indexed: 04/04/2023] Open
Abstract
BACKGROUND Geographical overlap of human visceral leishmaniasis (HVL) and HIV infection favors occurrences of HVL/HIV coinfection. The increasing numbers of cases of HVL/HIV coinfection are a worldwide concern and knowledge of the factors involved can help in developing preventive measures. METHODS We aimed to identify spatial patterns and describe the epidemiological profile of HVL/HIV coinfection in Brazil from 2007 to 2015. This was an ecological study, in which thematic maps were created through geoprocessing tools, based on secondary data obtained from open-access platforms, to identify priority areas for interventions for controlling HLV/HIV coinfection, using the TerraView 4.2.2 software. RESULTS We found spatial autocorrelations between the HVL/HIV rates of neighboring municipalities according to the global Moran index (0.10; p<0.01). The highest HVL/HIV rate was in the central-western region. Among the epidemiological characteristics according to the regions, an increasing trend in the annual variation rate was observed, with positive values over the years and statistical significance (p<0.05) in the North with 1.62 (95% CI 0.57 to 2.69; p=0.02) and Northeast with 6.41 (95% CI 2.60 to 10.37; p=0.006). Similarly, increasing trends were observed in the states of Maranhão with 21.34 (95% CI 13.99 to 9.16; p<0.001) and Sergipe with 5.44 (95% CI 0.61 to 10.50; p=0.04). CONCLUSIONS Our results showed spatial overlap between occurrences of HVL and HIV with spatial patterns of HVL/HIV coinfection, thus revealing that the numbers of cases reported are increasing. Identifying areas with higher coinfection indices contributes to applying interventions and control measures among targeted populations, to prevent new cases.
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Affiliation(s)
- Iolanda Graepp-Fontoura
- Postgraduate Program on Health Sciences, Universidade Federal do Maranhão, Bacanga, 65080-805, São Luís, Maranhão, Brazil
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
| | - David Soeiro Barbosa
- Department of Parasitology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, 31270-901, Belo Horizonte, Minas Gerais, Brazil
| | - Volmar Morais Fontoura
- Department of Nursing, Universidade Estadual do Tocantins, 77960-000, Augustinópolis, Tocantins, Brazil
| | - Rosane Nassar Meireles Guerra
- Postgraduate Program on Health Sciences, Universidade Federal do Maranhão, Bacanga, 65080-805, São Luís, Maranhão, Brazil
| | - Solange de Araújo Melo
- Department of Pathology, Universidade Estadual do Maranhão, Cidade Universitária, 65080-805, São Luís, Maranhão, Brazil
| | | | | | - Sergiane Maia Maciel
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
| | - Yara Andrade Goiabeira
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
- Postgraduate Program on Public Health, Universidade Federal do Maranhão, Center, 65020-070, São Luís, Maranhão, Brazil
| | - Floriacy Stabnow Santos
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
- Postgraduate Program on Health and Technology, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
| | - Marcelino Santos-Neto
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
- Postgraduate Program on Health and Technology, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
| | | | - Maria Aparecida Alves de Oliveira Serra
- Department of Nursing, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
- Postgraduate Program on Health and Technology, Universidade Federal do Maranhão, 65915-240, Imperatriz, Maranhão, Brazil
| | - Ana Lúcia Abreu-Silva
- Postgraduate Program on Health Sciences, Universidade Federal do Maranhão, Bacanga, 65080-805, São Luís, Maranhão, Brazil
- Department of Pathology, Universidade Estadual do Maranhão, Cidade Universitária, 65080-805, São Luís, Maranhão, Brazil
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Abstract
Human visceral leishmaniasis (HVL) cases are important public health problems due to their zoonotic aspect, with high rates of morbidity and mortality in Brazil. The aim of this this study was to identify spatial patterns in both rates of HVL cases in Brazilian states during the period from 2006 to 2015. This is an ecological study, using geoprocessing tools to create choropleth maps, based on secondary data from open access platforms, to identify priority areas for control actions of the disease. Data were collected in 2017 and analysed according to the global and local Moran's I, using TerraView 4.2.2 software. Similar clusters were observed in neighbouring municipalities in thematic maps of HVL, suggesting spatial similarity in the distribution of the disease in humans mainly in the North and Northeast Regions, which concentrate the states with the highest rates of HVL. Heterogeneous spatial patterns were observed in the distribution of HVL, which show municipalities that need higher priority in the intensification of disease surveillance and control strategies.
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Alves AF, Pereira RA, de Andrade HM, Mosser DM, Tafuri WL. Immunohistochemical study of renal fibropoiesis associated with dogs naturally and experimentally infected with two different strains of Leishmania (L.) infantum. Int J Exp Pathol 2019; 100:222-233. [PMID: 31696580 DOI: 10.1111/iep.12321] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 03/13/2019] [Accepted: 04/22/2019] [Indexed: 01/07/2023] Open
Abstract
The objectives of this work were to study some pathological aspects of kidneys obtained from dogs naturally infected with Leishmania infantum and from dogs experimentally infected with two different strains of L infantum with special emphasis on fibrotic process. Seventy eight specimens of paraffin-embedded kidney fragments were collected as follows: (a) CNI group composed by 62 kidney samples of adult mongrel dogs, naturally infected with L infantum; (b) BH401 group composed by five kidney samples of adult Beagles experimentally infected with L infantum strain MCAN BR/2002/BH401; (c) BH400 group composed by eleven kidney samples of adult Beagles experimentally infected with L infantum strain MCAN/BR/2000/BH400, at the same dose and same route of the previous group, denominated group BH400; Control group (CC) composed by four kidney samples of adult Beagles. All animals revealed glomerular and interstitial fibropoiesis associated with different types of glomerulonephritis and chronic interstitial nephritis. Fibrosis was markedly more intense in the BH401 group, followed by animals in the CNI group. Markers for myofibroblasts (mesenchymal markers) such as alpha-actin (α-SMA), vimentin and the cytokine transforming growth factor beta (TGF-β) were done by immunohistochemistry. BH401 group showed higher expression of all these markers than others. Intracellular amastigotes forms of Leishmania was mainly found in BH401. These results could be indicating that the MCAN/BR/2002/BH401 strain is a good choice for the study of renal LVC experimental model.
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Affiliation(s)
- Adriano F Alves
- Depto. de Patologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Ramon A Pereira
- Depto. de Patologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Helida M de Andrade
- Depto. de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - David M Mosser
- Department of Cell Biology and Molecular Genetics, Maryland Pathogen Research Institute, University of Maryland, College Park, Maryland
| | - Wagner L Tafuri
- Depto. de Patologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Ortuño M, Latrofa MS, Iborra MA, Pérez-Cutillas P, Bernal LJ, Risueño J, Muñoz C, Bernal A, Sánchez-Lopez PF, Segovia M, Annoscia G, Maia C, Cortes S, Campino L, Otranto D, Berriatua E. Genetic diversity and phylogenetic relationships between Leishmania infantum from dogs, humans and wildlife in south-east Spain. Zoonoses Public Health 2019; 66:961-973. [PMID: 31512370 DOI: 10.1111/zph.12646] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 07/19/2019] [Accepted: 08/05/2019] [Indexed: 01/16/2023]
Abstract
Leishmania infantum causes human and canine leishmaniosis. The parasite, transmitted by phlebotomine sand flies, infects species other than dogs and people, including wildlife, although their role as reservoirs of infection remains unknown for most species. Molecular typing of parasites to investigate genetic variability and evolutionary proximity can help understand transmission cycles and designing control strategies. We investigated Leishmania DNA variability in kinetoplast (kDNA) and internal transcribed spacer 2 (ITS2) sequences in asymptomatically infected wildlife (n = 58) and symptomatically and asymptomatically infected humans (n = 38) and dogs (n = 15) from south-east Spain, using single nucleotide polymorphisms (SNPs) and in silico restriction fragment length polymorphism (RFLP) analyses. All ITS2 sequences (n = 76) displayed a 99%-100% nucleotide identity with a L. infantum reference sequence, except one with a 98% identity to a reference Leishmania panamensis sequence, from an Ecuadorian patient. No heterogeneity was recorded in the 73 L. infantum ITS2 sequences except for one SNP in a human parasite sequence. In contrast, kDNA analysis of 44 L. infantum sequences revealed 11 SNP genotypes (nucleotide variability up to 4.3%) and four RFLP genotypes including B, F and newly described S and T genotypes. Genotype frequency was significantly greater in symptomatic compared to asymptomatic individuals. Both methods similarly grouped parasites as predominantly or exclusively found in humans, in dogs, in wildlife or in all three of them. Accordingly, the phylogenetic analysis of kDNA sequences revealed three main clusters, two as a paraphyletic human parasites clade and a third including dogs, people and wildlife parasites. Results suggest that Leishmania infantum genetics is complex even in small geographical areas and that, probably, several independent transmission cycles take place simultaneously including some connecting animals and humans. Investigating these transmission networks may be useful in understanding the transmission dynamics, infection risk and therefore in planning L. infantum control strategies.
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Affiliation(s)
- María Ortuño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - Maria S Latrofa
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Valenzano, Italy
| | - María A Iborra
- Servicio de Microbiología, Hospital Universitario 'Virgen de la Arrixaca', Murcia, Spain
| | | | - Luis J Bernal
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - José Risueño
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - Clara Muñoz
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
| | - Ana Bernal
- Centro de Zoonosis del Ayuntamiento de Murcia, Carril Torre Molina, La Albatalia, Murcia, Spain
| | - Pedro F Sánchez-Lopez
- Servicio de Sanidad Ambiental, Dirección General de Salud Pública y Adicciones, Consejería de Salud de la Región de Murcia, Murcia, Spain
| | - Manuel Segovia
- Servicio de Microbiología, Hospital Universitario 'Virgen de la Arrixaca', Murcia, Spain
| | - Giada Annoscia
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Valenzano, Italy
| | - Carla Maia
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), Lisboa, Portugal
| | - Sofia Cortes
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), Lisboa, Portugal
| | - Lenea Campino
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), Lisboa, Portugal
| | - Domenico Otranto
- Dipartimento di Medicina Veterinaria, Università degli Studi di Bari, Valenzano, Italy
| | - Eduardo Berriatua
- Departamento de Sanidad Animal, Facultad de Veterinaria, Campus de Excelencia Internacional Regional 'Campus Mare Nostrum', Universidad de Murcia, Murcia, Spain
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Nunes RV, Quaresma PF, Rugani JMN, Teixeira-Neto RG, Saboia Vahia L, da Silva ES. Molecular characterization of Leishmania infantum isolates in municipalities of the state of Minas Gerais, Brazil. Trans R Soc Trop Med Hyg 2018; 112:43-45. [PMID: 29566249 DOI: 10.1093/trstmh/try018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 03/09/2018] [Indexed: 11/12/2022] Open
Abstract
Background Little is known about the genetic diversity of Leishmania infantum isolates in the state of Minas Gerais, Brazil. Methods Molecular characterization of hsp70, mpi and ITS1 was carried out for 29 isolates of L. infantum from the bone marrow of naturally infected dogs from the cities of Divinópolis, Pará de Minas and Brumadinho, located in the central-west, central and central regions of the state of Minas Gerais, Brazil, respectively. Results Analysis of the parasite nucleotide sequences demonstrated very high homogeneity of the studied samples. Conclusions In the endemic regions studied, parasites are genotypically indistinguishable.
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Affiliation(s)
- Ramon Vieira Nunes
- Universidade Federal de São João Del Rei, Rua Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, Brazil
| | - Patrícia Flávia Quaresma
- Fundação Oswaldo Cruz (MG), Centro de Pesquisa René Rachou, Barro Preto, Belo Horizonte, MG, Brazil
| | | | | | - Leonardo Saboia Vahia
- Universidade Federal de São João Del Rei, Rua Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, Brazil
| | - Eduardo Sérgio da Silva
- Universidade Federal de São João Del Rei, Rua Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, Brazil
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Ayala AJ, Dimitrov KM, Becker CR, Goraichuk IV, Arns CW, Bolotin VI, Ferreira HL, Gerilovych AP, Goujgoulova GV, Martini MC, Muzyka DV, Orsi MA, Scagion GP, Silva RK, Solodiankin OS, Stegniy BT, Miller PJ, Afonso CL. Presence of Vaccine-Derived Newcastle Disease Viruses in Wild Birds. PLoS One 2016; 11:e0162484. [PMID: 27626272 PMCID: PMC5023329 DOI: 10.1371/journal.pone.0162484] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 08/23/2016] [Indexed: 01/28/2023] Open
Abstract
Our study demonstrates the repeated isolation of vaccine-derived Newcastle disease viruses from different species of wild birds across four continents from 1997 through 2014. The data indicate that at least 17 species from ten avian orders occupying different habitats excrete vaccine-derived Newcastle disease viruses. The most frequently reported isolates were detected among individuals in the order Columbiformes (n = 23), followed in frequency by the order Anseriformes (n = 13). Samples were isolated from both free-ranging (n = 47) and wild birds kept in captivity (n = 7). The number of recovered vaccine-derived viruses corresponded with the most widely utilized vaccines, LaSota (n = 28) and Hitchner B1 (n = 19). Other detected vaccine-derived viruses resembled the PHY-LMV2 and V4 vaccines, with five and two cases, respectively. These results and the ubiquitous and synanthropic nature of wild pigeons highlight their potential role as indicator species for the presence of Newcastle disease virus of low virulence in the environment. The reverse spillover of live agents from domestic animals to wildlife as a result of the expansion of livestock industries employing massive amounts of live virus vaccines represent an underappreciated and poorly studied effect of human activity on wildlife.
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Affiliation(s)
- Andrea J. Ayala
- College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States of America
- Exotic and Emerging Avian Viral Diseases Research Unit, Southeast Poultry Research Laboratory, United States National Poultry Research Center, Agricultural Research Service, United States Department of Agriculture, Athens, Georgia, United States of America
| | - Kiril M. Dimitrov
- Exotic and Emerging Avian Viral Diseases Research Unit, Southeast Poultry Research Laboratory, United States National Poultry Research Center, Agricultural Research Service, United States Department of Agriculture, Athens, Georgia, United States of America
- National Diagnostic Research Veterinary Medical Institute, Sofia, Bulgaria
| | - Cassidy R. Becker
- Odum School of Ecology, University of Georgia, Athens, Georgia, United States of America
| | - Iryna V. Goraichuk
- Exotic and Emerging Avian Viral Diseases Research Unit, Southeast Poultry Research Laboratory, United States National Poultry Research Center, Agricultural Research Service, United States Department of Agriculture, Athens, Georgia, United States of America
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Clarice W. Arns
- Laboratory of Animal Virology, Institute of Biology, University of Campinas-UNICAMP, Campinas, Brazil
| | - Vitaly I. Bolotin
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Helena L. Ferreira
- Department of Veterinary Medicine, College of Animal Science and Food Engineering and Graduate Program in Experimental Epidemiology of Zoonosis, University of São Paulo, São Paulo, Brazil
- Post-Graduate Program in the Experimental Epidemiology of Zoonoses, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Anton P. Gerilovych
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | | | - Matheus C. Martini
- Laboratory of Animal Virology, Institute of Biology, University of Campinas-UNICAMP, Campinas, Brazil
| | - Denys V. Muzyka
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Maria A. Orsi
- National Agricultural Laboratory of São Paulo, Lanagro/SP, Campinas, Brazil
| | - Guilherme P. Scagion
- Laboratory of Animal Virology, Institute of Biology, University of Campinas-UNICAMP, Campinas, Brazil
| | - Renata K. Silva
- Post-Graduate Program in the Experimental Epidemiology of Zoonoses, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Olexii S. Solodiankin
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Boris T. Stegniy
- National Scientific Center Institute of Experimental and Clinical Veterinary Medicine, Kharkiv, Ukraine
| | - Patti J. Miller
- Exotic and Emerging Avian Viral Diseases Research Unit, Southeast Poultry Research Laboratory, United States National Poultry Research Center, Agricultural Research Service, United States Department of Agriculture, Athens, Georgia, United States of America
| | - Claudio L. Afonso
- Exotic and Emerging Avian Viral Diseases Research Unit, Southeast Poultry Research Laboratory, United States National Poultry Research Center, Agricultural Research Service, United States Department of Agriculture, Athens, Georgia, United States of America
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