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Reina AM, Mewa JC, Calzada JE, Saldaña A. Characterization of Leishmania spp. Causing Cutaneous Lesions with a Negative Parasitological Diagnosis in Panama. Trop Med Infect Dis 2022; 7:tropicalmed7100282. [PMID: 36288023 PMCID: PMC9609048 DOI: 10.3390/tropicalmed7100282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Revised: 09/26/2022] [Accepted: 09/29/2022] [Indexed: 11/06/2022] Open
Abstract
A total of 123 DNA samples from Panamanian patients with cutaneous leishmaniasis (CL) lesions were evaluated. These samples were previously confirmed with CL by a specific KDNA-Viannia PCR but had a negative parasitological diagnosis (Group A). Epidemiological variables, such as age, sex, geographic origin, evolution time, and the number and location of the lesions, were analyzed. No significant differences (p < 0.05) were found when these variables were evaluated against a control panel of 123 CL lesion samples from CL patients with positive parasitological diagnoses (Group B). Of the 123 samples (Group A), 67% (82/123) gave positive results when re-analyzed by PCR-hsp70. An analysis of 69 of these samples via PCR-hsp70-RFLP showed that 59.4% (41/69) of the found restriction patterns corresponded to Leishmania (Viannia) panamensis and 40.6% (28/69) to Leishmania (Viannia) guyanensis. Finally, the sequence and phylogenetic analysis of 32 of the samples confirmed the species in 21 (65.6%, 21/32) samples, originally characterized as L. (V.) panamensis. However, 11 samples (34.4%, 11/32), initially identified via RFLP-Hsp70 as L. (V.) guyanensis, matched the sequence of a genetic variant known as Leishmania sp.1. These results point out the species/genetic variants of Leishmania in the case of CL lesions with an apparently low parasite load.
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Affiliation(s)
- Adelys M. Reina
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama 0816, Panama
| | - Juan Castillo Mewa
- Departamento de Investigación en Genómica y Proteómica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama 0816, Panama
| | - José E. Calzada
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama 0816, Panama
| | - Azael Saldaña
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama 0816, Panama
- Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Panama 0824, Panama
- Correspondence: ; Tel.: +507-523-4920
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Pineda VJ, González KA, Perea M, Rigg C, Calzada JE, Chaves LF, Vásquez V, Samudio F, Gottdenker N, Saldaña A. Surveillance and genotype characterization of zoonotic trypanosomatidae in Didelphis marsupialis in two endemic sites of rural Panama. Int J Parasitol Parasites Wildl 2022; 17:20-25. [PMID: 34917470 PMCID: PMC8668424 DOI: 10.1016/j.ijppaw.2021.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 12/01/2021] [Accepted: 12/04/2021] [Indexed: 11/29/2022]
Abstract
Didelphis marsupialis has been reported as a competent reservoir for trypanosomatid parasites infections. The aim of this study was to measure Trypanosoma cruzi, T. rangeli, and Leishmania spp. infection rates and to characterize discrete typing units (DTUs) of T. cruzi in D. marsupialis from two Chagas disease endemic sites in Panama. Blood from 57 wild-caught D. marsupialis were examined from two rural communities, Las Pavas (N = 18) and Trinidad de las Minas (N = 39). Twenty-two (38.60%) opossums were positive for flagellates by general hemoculture. T. cruzi infection was confirmed by positive hemoculture and/or kDNA based PCR performed in 31/57 (54.39%) blood samples from opossums. T. rangeli infection was confirmed by hemoculture and/or TrF/R2-Primer PCR assay applied on 12/57 (21.05%) blood samples. Nine (15.79%) D. marsupialis harbored T. cruzi/T. rangeli coinfections. All opossums tested negative for Leishmania spp. by PCR assays based on kDNA and HSP70 gene amplification. There was a significant association between T. cruzi infection and site (Fisher exact test, p = 0.02), with a higher proportion of T. cruzi infected opossums in Las Pavas (77.78%, n = 14/18) compared to Trinidad de las Minas (43.59%, n = 17/39). A significant association was found between habitat type and T. cruzi infection in opossums across both communities, (X2 = 6.91, p = 0.01, df = 1), with a higher proportion of T. cruzi infection in opossums captured in forest remnants (76%, 19/25) compared to peridomestic areas (37.5%, 12/32). T. rangeli detection, but not T. cruzi detection, may be improved by culture followed by PCR. TcI was the only DTU detected in 22 T. cruzi samples using conventional and real-time PCR. Eight T. rangeli positive samples were characterized as KP1(-)/lineage C. Trypanosome infection data from this common synanthropic mammal provides important information for improved surveillance and management of Chagas disease in endemic regions of Panama. Trypanosoma cruzi infection is common in Didelphis marsupialis from the studied sites. T. rangeli infection was confirmed in many opossums. All opossums tested negative for Leishmania infection. A higher proportion of T. cruzi infected opossums came from forest remnants. T. cruzi parasites were characterized as TcI and T. rangeli as KP1(-)/lineage C.
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Affiliation(s)
- Vanessa J. Pineda
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Kadir A. González
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Milixa Perea
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Chystrie Rigg
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - José E. Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
- Facultad de Medicina Veterinaria, Universidad de Panamá, Panama
| | - Luis F. Chaves
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Vanessa Vásquez
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Franklyn Samudio
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
| | - Nicole Gottdenker
- Center for the Ecology of Infectious Diseases, The University of Georgia, Athens, GA, USA
- Department of Veterinary Pathology, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA
- Corresponding author. Department of Veterinary Pathology, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Avenida Justo Arosemena, Panama, Panama
- Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Panama
- Corresponding author. Instituto Conmemorativo Gorgas de Estudios de la Salud, Avenida Justo Arosemena, Calle 35, Calidonia, 0816-02593, Panama.
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Torres-Cosme R, Rigg C, Santamaría AM, Vásquez V, Victoria C, Ramirez JL, Calzada JE, Cáceres Carrera L. Natural malaria infection in anophelines vectors and their incrimination in local malaria transmission in Darién, Panama. PLoS One 2021; 16:e0250059. [PMID: 33939707 PMCID: PMC8092770 DOI: 10.1371/journal.pone.0250059] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 03/30/2021] [Indexed: 12/28/2022] Open
Abstract
Background More than 85% of the malaria cases in Panama occur in poor, rural and indigenous regions like Darien Province. Vector diversity, infection rate and spatial distribution are important entomological parameters of malaria transmission dynamics. Their understanding is crucial for the development of effective disease control strategies. The objective of this study was to determine the composition of Anopheles species, their natural infection rate and their geographic distribution to better understand the malaria transmission dynamics in Darién, Panama. Methods Anophelines mosquitoes were captured during the rainy and dry season of 2016. We selected five communities where adult anophelines were collected using CDC light-traps, and through protective human-baited traps. Detection of natural infection and Plasmodium genotype were detected via nested PCR through the amplification of ssrRNA and the circumsporozoite protein gene (csp), respectively. Results A total of 1,063 mosquitoes were collected mosquitoes were collected for the detection of natural infection with Plasmodium spp. Nine Anophelines species were identified, with the predominant species being: An. (Nys.) darlingi (45.0%) and An. (Nys.) albimanus (42.6%). Natural infection in An. (Nys.) albimanus with P. vivax was detected in one mosquito pool from the community Pueblo Tortuga (0.6%), three from Marraganti (1.7%), two from Bajo Chiquito (1.1%) and three pools from Alto Playona 3 (1.7%). For An. (Nys.) darlingi mosquitoes, we detected seven positive pools from the community Bajo Chiquito (4.0%), two pools from Marraganti (1.1%) and two pools from Alto Playona (1.1%). The P. vivax allelic variant VK210 was detected in infected mosquitoes. Conclusion The results from this study provide new information on the transmission dynamics associated with anophelines vectors in the Darién region. This is the first report of natural P. vivax infection in An. (Nys.) darlingi and its incrimination as a potential malaria vector in this region of Panama. Additional studies are necessary to expand our knowledge and determine crucial parameters in malaria transmission in Darién, which in turn will aid the National Malaria Program in attaining an adequate malaria control strategy towards malaria elimination.
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Affiliation(s)
- Rolando Torres-Cosme
- Departamento de Investigación en Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
| | - Chystrie Rigg
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
| | - Ana María Santamaría
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
| | - Vanessa Vásquez
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
| | - Carlos Victoria
- Departamento de Control de Vectores, Ministerio de Salud (MINSA), Panam, Repblica de Panam
| | - José Luis Ramirez
- Crop Bioprotection Research Unit, National Center for Agricultural Utilization Research, Agricultural Research Service, United States Department of Agriculture, Peoria, Illinois, United States of America
| | - José E. Calzada
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
| | - Lorenzo Cáceres Carrera
- Departamento de Investigación en Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panam, Repblica de Panam
- * E-mail: ,
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Davila M, Pineda V, Calzada JE, Saldaña A, Samudio F. Evaluation of cytochrome b sequence to identify Leishmania species and variants: the case of Panama. Mem Inst Oswaldo Cruz 2021; 116:e200572. [PMID: 33886871 PMCID: PMC8061342 DOI: 10.1590/0074-02760200572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 03/22/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND The genetic heterogeneity of Leishmania parasites is a major factor responsible for the wide variety of Leishmania-associated manifestations. Consequently, understanding the genetic make-up of Leishmania species using suitable molecular markers is an important component of realising local and regional scale disease risk. The cytochrome b (cytb) is frequently used to type New World Leishmania species. However, its potential to discriminate Leishmania species and variants requires further evaluation. OBJECTIVES To explore the capacity of cytb gene to identify New World Leishmania species and variants and to develop an approach able to type local Leishmania species and variants. METHODS We retrieved 360 partial and complete Leishmania cytb gene sequences publicly available in GenBank database to study all single nucleotide polymorphisms (SNPs) across the cytb gene that differentiate New World Leishmania species. This information was used to develop an approach based upon the polymorphisms found in a DNA segment of 948bp. We also compared the typing results found with this technique with the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) profiling obtained using HSP70 gene as target. One hundred Panamanian isolates were used to both typed Leishmania species and assess local genetic variability. FINDINGS We found complete agreement between our cytb approach and the PCR-RFLP profiling method based on HSP70 for Leishmania species identification. Ninety-two isolates were identified as L. panamensis, although other Viannia species were found circulating at a lower frequency. Three L. panamensis haplotypes were identified in Panamanian provinces. We also provide an initial report of L. guyanensis haplotypes circulating in Panama. MAIN CONCLUSIONS Cytb gene sequence encompasses key main SNPs that aid to identify Leishmania species. The cytb approach developed with this information was able to identify and assess genetic variability of local Leishmania species found in this study.
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Affiliation(s)
- Michelle Davila
- Universidad de Panamá, Facultad de Ciencias Naturales, Exactas y Tecnología, Panama, Panama
| | - Vanessa Pineda
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Laboratorio de Investigación en Parasitología, Panama, Panama
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Laboratorio de Investigación en Parasitología, Panama, Panama
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Laboratorio de Investigación en Parasitología, Panama, Panama.,Universidad de Panamá, Centro de Investigación y Diagnóstico de Enfermedades Parasitarias, Panama, Panama
| | - Franklyn Samudio
- Universidad de Panamá, Facultad de Ciencias Naturales, Exactas y Tecnología, Panama, Panama.,Instituto Conmemorativo Gorgas de Estudios de la Salud, Laboratorio de Investigación en Parasitología, Panama, Panama
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5
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Talavera-López C, Messenger LA, Lewis MD, Yeo M, Reis-Cunha JL, Matos GM, Bartholomeu DC, Calzada JE, Saldaña A, Ramírez JD, Guhl F, Ocaña-Mayorga S, Costales JA, Gorchakov R, Jones K, Nolan MS, Teixeira SMR, Carrasco HJ, Bottazzi ME, Hotez PJ, Murray KO, Grijalva MJ, Burleigh B, Grisard EC, Miles MA, Andersson B. Repeat-Driven Generation of Antigenic Diversity in a Major Human Pathogen, Trypanosoma cruzi. Front Cell Infect Microbiol 2021; 11:614665. [PMID: 33747978 PMCID: PMC7966520 DOI: 10.3389/fcimb.2021.614665] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 01/22/2021] [Indexed: 12/18/2022] Open
Abstract
Trypanosoma cruzi, a zoonotic kinetoplastid protozoan parasite, is the causative agent of American trypanosomiasis (Chagas disease). Having a very plastic, repetitive and complex genome, the parasite displays a highly diverse repertoire of surface molecules, with pivotal roles in cell invasion, immune evasion and pathogenesis. Before 2016, the complexity of the genomic regions containing these genes impaired the assembly of a genome at chromosomal level, making it impossible to study the structure and function of the several thousand repetitive genes encoding the surface molecules of the parasite. We here describe the genome assembly of the Sylvio X10/1 genome sequence, which since 2016 has been used as a reference genome sequence for T. cruzi clade I (TcI), produced using high coverage PacBio single-molecule sequencing. It was used to analyze deep Illumina sequence data from 34 T. cruzi TcI isolates and clones from different geographic locations, sample sources and clinical outcomes. Resolution of the surface molecule gene distribution showed the unusual duality in the organization of the parasite genome, a synteny of the core genomic region with related protozoa flanked by unique and highly plastic multigene family clusters encoding surface antigens. The presence of abundant interspersed retrotransposons in these multigene family clusters suggests that these elements are involved in a recombination mechanism for the generation of antigenic variation and evasion of the host immune response on these TcI strains. The comparative genomic analysis of the cohort of TcI strains revealed multiple cases of such recombination events involving surface molecule genes and has provided new insights into T. cruzi population structure.
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Affiliation(s)
- Carlos Talavera-López
- Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden
- European Bioinformatics Institute, Wellcome Sanger Institute, Hinxton, United Kingdom
| | - Louisa A. Messenger
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Michael D. Lewis
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Matthew Yeo
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - João Luís Reis-Cunha
- Departamento de Parasitologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Gabriel Machado Matos
- Departamento de Biologia Celular, Embriologia e Genética, Universidade Federal Santa Catarina, Florianópolis, Brazil
| | | | - José E. Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panama
| | - Azael Saldaña
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panama
| | - Juan David Ramírez
- Grupo de Investigaciones Microbiológicas-UR (GIMUR), Departamento de Biología, Facultad de Ciencias Naturales, Universidad del Rosario, Bogotá, Colombia
| | - Felipe Guhl
- Grupo de Investigaciones en Microbiología y Parasitología Tropical (CIMPAT), Tropical Parasitology Research Center, Universidad de Los Andes, Bogotá, Colombia
| | - Sofía Ocaña-Mayorga
- Centro de Investigación para la Salud en América Latina (CISeAL), Escuela de Ciencias Biológicas, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
| | - Jaime A. Costales
- Centro de Investigación para la Salud en América Latina (CISeAL), Escuela de Ciencias Biológicas, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
| | - Rodion Gorchakov
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Kathryn Jones
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Melissa S. Nolan
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Santuza M. R. Teixeira
- Departamento de Bioquímica e Imunologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Hernán José Carrasco
- Laboratorio de Biología Molecular de Protozoarios, Instituto de Medicina Tropical, Facultad de Medicina, Universidad Central de Venezuela, Caracas, Venezuela
| | - Maria Elena Bottazzi
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Peter J. Hotez
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Kristy O. Murray
- Sabin Vaccine Institute and Texas Children’s Hospital Center for Vaccine Development, National School of Tropical Medicine, Department of Pediatrics - Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Mario J. Grijalva
- Centro de Investigación para la Salud en América Latina (CISeAL), Escuela de Ciencias Biológicas, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
- Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Infectious and Tropical Disease Institute, Ohio University, Athens, OH, United States
| | - Barbara Burleigh
- Department of Immunology and Infectious Diseases, T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
| | - Edmundo C. Grisard
- Departamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal Santa Catarina, Florianópolis, Brazil
| | - Michael A. Miles
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Björn Andersson
- Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden
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Miranda ADC, González KA, Samudio F, Pineda VJ, Calzada JE, Capitan-Barrios Z, Jiménez A, Castillo J, Mendoza Y, Suárez JA, Ortiz B, Méndez J, Pascale JM, Grögl M, Sosa N, Saldaña A. Molecular Identification of Parasites Causing Cutaneous Leishmaniasis in Panama. Am J Trop Med Hyg 2021; 104:1326-1334. [PMID: 33432903 DOI: 10.4269/ajtmh.20-1336] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Accepted: 11/27/2020] [Indexed: 02/03/2023] Open
Abstract
Isolates from 475 cutaneous leishmaniasis (CL) patients from three endemic regions were studied by three typing techniques. The molecular analysis from lesion scrapings based on hsp70 PCR-RFLP showed that 78.1% (371/475) restriction patterns corresponded to Leishmania (Viannia) panamensis, 19% (90/475) to Leishmania (Viannia) guyanensis, and 3.0% (14/475) to Leishmania (Viannia) braziliensis. Promastigotes isolated by culture from lesions of 228 patients (48.0%, 228/475) were identified by multi-locus enzyme electrophoresis. Of them, 95.2% (217/228) were typified as L. (V.) panamensis, 1.3% (3/228) as L. (V.) guyanensis, 2.2% (5/228) as L. (V.) braziliensis, and 1.3% (3/228) as hybrids (L. [V.] braziliensis/L. [V.] panamensis). However, a partial sequencing analysis of the hsp70 gene from 77 selected samples showed 16.9% (13/77) typified as L. (V.) panamensis, 68.8% (53/77) as Leishmania (V.) sp., 1, 3.9% (3/77) as L. (V.) guyanensis, 1.3% (1/77) as L. (V.) braziliensis outlier, 2.6% (2/77) as Leishmania (Viannia) naiffi, 2.6% as (2/77) Leishmania (V.) sp., and 2 and 3.9% (3/77) hybrid isolates of L. (V.) braziliensis/L. (V.) guyanensis. These results confirm L. (V.) panamensis as the predominant species and cause of CL lesions in Panama and that L. (V.) guyanensis, L. (V.) braziliensis, and L. (V.) naiffi are circulating to a lower degree. Furthermore, the determination of parasite isolates belonging to atypical clusters and hybrid isolates suggests the circulation of genetic variants with important implications for the epidemiology and clinical follow-up of CL in Panama. No evidence of the existence of parasites of the Leishmania (Leishmania) mexicana complex in Panamanian territory was found in this study.
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Affiliation(s)
| | - Kadir A González
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Franklyn Samudio
- Facultad de Ciencias Naturales, Exactas y Tecnología, Universidad de Panamá, Panama, Panama.,Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Vanessa J Pineda
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - José E Calzada
- Facultad de Medicina Veterinaria, Universidad de Panamá, Panama, Panama.,Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | | | - Ana Jiménez
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Juan Castillo
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Yaxelis Mendoza
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - José A Suárez
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Betsi Ortiz
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Juan Méndez
- Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Juan M Pascale
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Max Grögl
- U.S. Naval Medical Research Unit No. 6, Lima, Peru
| | - Néstor Sosa
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Panama.,Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Panama, Panama
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7
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Mertzlufft CE, Madden M, Gottdenker NL, Velásquez Runk J, Saldaña A, Tanner S, Calzada JE, Yao X. Landscape disturbance impacts on Attalea butyracea palm distribution in central Panama. Int J Health Geogr 2020; 19:58. [PMID: 33298058 PMCID: PMC7724708 DOI: 10.1186/s12942-020-00244-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Accepted: 10/31/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Increased Attalea butyracea palm propagation, notable for its role as key habitat for the primary Chagas disease vector in Panama, has been linked to landscape disturbance in single-palm observations in this region. Close proximity of these palms to human dwellings is proposed to increase risk of Chagas disease transmission from sylvatic transmission cycles to domestic transmission involving human populations. This study examines the relationship between landscape disturbance and mature A. butyracea spatial distribution, density, and proximity to human populations and vector and reservoir species' movement corridors at a regional scale in a 300 km2 heterogeneous tropical landscape in central Panama. METHODS We remotely identified the locations of over 50,000 mature A. butyracea palms using high-resolution WorldView2 satellite imagery. A local Getis-Ord Gi* spatial analysis identified significant clusters of aggregated palms. Associations between palm and cluster abundance and a landscape disturbance gradient, derived from official Panama land cover data, were tested using Chi-square tests for Homogeneity and Z-test for proportions. Kruskall-Wallis non-parametric analysis of variance tests were run to assess whether palm cluster area varied by disturbance level, or whether disturbance was associated with proximity of palms and palm clusters to susceptible populations or vector movement corridors. RESULTS Our findings indicate a regional relationship between landscape disturbance and A. butyracea occurrence. We observe a significant increase in both individual and clustered A. butyracea in secondary forest, but a reduction of palms in agricultural settings. We do not detect evidence of any reduction in abundance of palms in residential settings. The majority of residential and commercial buildings in our study area are within vector flight distance of potential vector habitat in palm crowns. CONCLUSIONS We observe probable anthropogenic elimination of A. butyracea palms in agricultural, but not residential, settings. Even in heavily deforested regions, significant concentrations of mature palms remain in close proximity to human establishments.
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Affiliation(s)
- Caitlin E Mertzlufft
- Geospatial Research, Analysis, and Services Program, U.S. Agency for Toxic Substances and Disease Registry, Atlanta, GA, USA.
- Department of Geography, University of Georgia, Athens, GA, USA.
| | | | | | | | | | - Susan Tanner
- Department of Anthropology, University of Georgia, Athens, GA, USA
| | | | - Xiaobai Yao
- Department of Geography, University of Georgia, Athens, GA, USA
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8
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Santamaría AM, Vásquez V, Rigg C, Moreno D, Romero L, Justo C, Chaves LF, Saldaña A, Calzada JE. Plasmodium falciparum Genetic Diversity in Panamá Based on glurp, msp-1 and msp-2 Genes: Implications for Malaria Elimination in Mesoamerica. Life (Basel) 2020; 10:E319. [PMID: 33260605 PMCID: PMC7760695 DOI: 10.3390/life10120319] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 11/17/2020] [Accepted: 11/24/2020] [Indexed: 12/26/2022] Open
Abstract
Panamá, together with all the nations in Mesoamerica, has committed to eliminate malaria from the region by 2020. As these countries approach malaria elimination and local transmission decreases, an active molecular surveillance to identify genotypes circulating along the border areas is particularly needed to accurately infer infection origin, drug resistance and disease propagation patterns in the region. This study evaluated the genetic diversity and allele frequencies of msp-1, msp-2 and glurp genes using different molecular analyses (nested PCR, PCR-restriction fragment length polymorphism (RFLP) and sequencing) from 106 autochthonous and imported P. falciparum isolates collected from different endemic areas in Panamá between 2003 and 2019. We also explored if P. falciparum genotypes assessed with these molecular markers were associated with relevant malaria epidemiological parameters using a multiple correspondence analysis. A strong association of certain local haplotypes with their geographic distribution in endemic areas, but also with parasite load and presence of gametocytes, was evidenced. Few multiclonal infections and low genetic diversity among locally transmitted P. falciparum samples were detected, consequent with the low transmission intensity of this parasite in Panamá, a pattern likely to be extended across Mesoamerica. In addition, several imported cases were genetically dissimilar to local infections and representative of more diverse extra-continental lineages.
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Affiliation(s)
- Ana María Santamaría
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (A.M.S.); (V.V.); (C.R.); (A.S.)
- Facultades de Ciencias Naturales Exactas y Ciencias de la Salud, Universidad de Panamá, Panamá 4 3366, Republic of Panama
| | - Vanessa Vásquez
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (A.M.S.); (V.V.); (C.R.); (A.S.)
| | - Chystrie Rigg
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (A.M.S.); (V.V.); (C.R.); (A.S.)
| | - Dianik Moreno
- Laboratorio Central de Referencia en Salud Publica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (D.M.); (L.R.); (C.J.)
| | - Luis Romero
- Laboratorio Central de Referencia en Salud Publica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (D.M.); (L.R.); (C.J.)
| | - Carlos Justo
- Laboratorio Central de Referencia en Salud Publica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (D.M.); (L.R.); (C.J.)
| | - Luis Fernando Chaves
- Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos 4-2250, Cartago 1, Costa Rica;
| | - Azael Saldaña
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (A.M.S.); (V.V.); (C.R.); (A.S.)
- Facultades de Ciencias Naturales Exactas y Ciencias de la Salud, Universidad de Panamá, Panamá 4 3366, Republic of Panama
| | - José E. Calzada
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panamá 0816-02593, Republic of Panama; (A.M.S.); (V.V.); (C.R.); (A.S.)
- Facultades de Ciencias Naturales Exactas y Ciencias de la Salud, Universidad de Panamá, Panamá 4 3366, Republic of Panama
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9
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Rigg CA, Calzada JE, Saldaña A, Perea M, Chaves LF, Valderrama A. Leishmania spp. Infection Rate and Feeding Patterns of Sand Flies (Diptera: Psychodidae) from a Hyperendemic Cutaneous Leishmaniasis Community in Panamá. Am J Trop Med Hyg 2020; 100:798-807. [PMID: 30793681 DOI: 10.4269/ajtmh.17-0628] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
American cutaneous leishmaniasis (ACL) is a common and important vector-borne parasitic zoonosis in Panamá. Here, we study Leishmania spp. infection rates and blood-feeding patterns among common sand flies in Trinidad de Las Minas, a rural community with hyperendemic ACL transmission, and where a deltamethrin fogging trial was performed. Sand flies were collected from April 2010 to June 2011 with light traps installed inside and in the peridomicile of 24 houses. We restricted our analysis to the most abundant species at the study site: Lutzomyia trapidoi, Lutzomyia gomezi, Lutzomyia panamensis, Lutzomyia triramula, and Lutzomyia dysponeta. We detected Leishmania spp. infection in sand flies by polymerase chain reaction (PCR) amplification of the internal transcribed spacer region 1 (ITS-1) in pooled females (1-10 females per pool). Host species of engorged sand flies were identified using a cytochrome b PCR. From 455 sand fly pools analyzed, 255 pools were positive for Leishmania spp., with an estimated infection rate (confidence interval) of 0.096 [0.080-0.115] before the deltamethrin fogging which slightly, but not significantly (P > 0.05), increased to 0.116 [0.098-0.136] after the deltamethrin fogging. Blood meal analysis suggested that pigs, goats, and birds were the most common sand fly blood sources, followed by humans and domestic dogs. DNA sequencing from a subsample of ITS-1 positive pools suggests that Leishmania panamensis, Leishmania naiffi, and other Leishmania spp. were the parasite species infecting the most common vectors at the study site. Our data confirm an association between sand fly species, humans, domestic dogs, and pigs and Leishmania spp. parasites in rural Panamá.
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Affiliation(s)
- Chystrie A Rigg
- Programa Centroamericano de Maestría en Entomología, Universidad de Panamá, Ciudad de Panamá, Panamá.,Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Milixa Perea
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Luis F Chaves
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Heredia, Costa Rica.,Instituto Costarricense de Investigación y enseñanza en Nutrición y Salud (INCIENSA), Tres Ríos, Costa Rica
| | - Anayansi Valderrama
- Programa Centroamericano de Maestría en Entomología, Universidad de Panamá, Ciudad de Panamá, Panamá.,Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
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10
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Cáceres Carrera L, Victoria C, Ramirez JL, Jackman C, Calzada JE, Torres R. Study of the epidemiological behavior of malaria in the Darien Region, Panama. 2015-2017. PLoS One 2019; 14:e0224508. [PMID: 31730618 PMCID: PMC6857920 DOI: 10.1371/journal.pone.0224508] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 10/15/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Malaria is endemic in Darién and an assessment of the different factors affecting its epidemiology is crucial for the development of adequate strategies of surveillance, prevention, and disease control. The objective of this study was to determine the main characteristics of the epidemiological behavior of malaria in the Darien region. METHODS This research was comprised of a retrospective analysis to determine the incidence and malaria distribution in the Darien region from 2015 to 2017. We evaluated malaria indicators, disease distribution, incidence (by age group and sex), diagnostic methods, treatment, and control measures. In addition, we examined the cross-border migration activity and its possible contribution to the maintenance and distribution of malaria. RESULTS During the period of 2015-2017, we examined 41,141 thick blood smear samples, out of which 501 tested positive for malaria. Plasmodium vivax was responsible for 92.2% of those infections. Males comprised 62.7% of the total diagnosed cases. Meanwhile, a similar percentage, 62.7%, of the total cases were registered in economically active ages. The more frequent symptoms included fever (99.4%) and chills (97.4%), with 53.1% of cases registering between 2,000 and 6,000 parasites/μl of blood. The annual parasitic incidence (API) average was 3.0/1,000 inhabitants, while the slide positivity rate (SPR) was 1.2% and the annual blood examination rate (ABER) 22.5%. In Darién there is a constant internal and cross-border migration movement between Panama and Colombia. Malaria control measures consisted of the active and passive search of suspected cases and of the application of vector control measures. CONCLUSION This study provides an additional perspective on malaria epidemiology in Darién. Additional efforts are required to intensify malaria surveillance and to achieve an effective control, eventually moving closer to the objective of malaria elimination. At the same time, there is a need for more eco-epidemiological, entomological and migratory studies to determine how these factors contribute to the patterns of maintenance and dissemination of malaria.
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Affiliation(s)
- Lorenzo Cáceres Carrera
- Department of Medical Entomology, Gorgas Memorial Institute of Health Studies, Panama City, Panama
- * E-mail:
| | | | - Jose L. Ramirez
- Crop Bioprotection Research Unit, National Center for Agricultural Utilization Research, Agricultural Research Service, United States Department of Agriculture, Peoria, Illinois, United States of America
| | - Carmela Jackman
- Epidemiology Department of the Darién Region, Ministry of Health, Panama City, Panama
| | - José E. Calzada
- Direcction of Research and Technological Development, Gorgas Memorial Institute of Health Studies, Panama City, Panama
| | - Rolando Torres
- Department of Medical Entomology, Gorgas Memorial Institute of Health Studies, Panama City, Panama
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11
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Rigg CA, Hurtado LA, Calzada JE, Chaves LF. Malaria infection rates in Anopheles albimanus (Diptera: Culicidae) at Ipetí-Guna, a village within a region targeted for malaria elimination in Panamá. Infection, Genetics and Evolution 2019; 69:216-223. [DOI: 10.1016/j.meegid.2019.02.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Revised: 12/23/2018] [Accepted: 02/02/2019] [Indexed: 10/27/2022]
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12
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Hurtado LA, Rigg CA, Calzada JE, Dutary S, Bernal D, Koo SI, Chaves LF. Population Dynamics of Anopheles albimanus (Diptera: Culicidae) at Ipetí-Guna, a Village in a Region Targeted for Malaria Elimination in Panamá. Insects 2018; 9:insects9040164. [PMID: 30453469 PMCID: PMC6316695 DOI: 10.3390/insects9040164] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/16/2018] [Accepted: 07/17/2018] [Indexed: 11/20/2022]
Abstract
Anopheles albimanus Wiedemann is a major malaria vector in Mesoamerica and the Caribbean whose population dynamics, in response to changing environments, has been relatively poorly studied. Here, we present monthly adult and larvae data collected from May 2016 to December 2017 in Ipetí-Guna, a village within an area targeted for malaria elimination in the República de Panamá. During the study period we collected a total of 1678 Anopheles spp. mosquitoes (1602 adults and 76 larvae). Over 95% of the collected Anopheles spp. mosquitoes were An. albimanus. Using time series analysis techniques, we found that population dynamics of larvae and adults were not significantly correlated with each other at any time lag, though correlations were highest at one month lag between larvae and adults and four months lag between adults and larvae. Larvae population dynamics had cycles of three months and were sensitive to changes in temperature with 5 months lag, while adult abundance was correlated with itself (1 month lag) and with the normalized difference vegetation index (NDVI) with three months lag. A key observation from our study is the absence of both larvae and adults of An. albimanus between January and April from environments associated with Guna population’s daily activities, which suggests this time window could be the best time to implement elimination campaigns aimed at clearing Plasmodium spp. parasites from Guna populations using, for example, mass drug administration.
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Affiliation(s)
- Lisbeth Amarilis Hurtado
- Departamento de Análisis Epidemiológico y Bioestadísticas, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - Chystrie A Rigg
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - José E Calzada
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - Sahir Dutary
- Departamento de Análisis Epidemiológico y Bioestadísticas, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - Damaris Bernal
- Departamento de Investigación en Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - Susana Isabel Koo
- Departamento de Investigación en Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Apartado Postal 0816-02593, Panamá, Republic of Panama.
| | - Luis Fernando Chaves
- Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Apartado Postal 4-2250, Tres Ríos, Cartago, Costa Rica.
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Apartado Postal 304-3000, Heredia, Costa Rica.
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13
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Saldaña A, Santamaría AM, Pineda V, Vásquez V, Gottdenker NL, Calzada JE. A darker chromatic variation of Rhodnius pallescens infected by specific genetic groups of Trypanosoma rangeli and Trypanosoma cruzi from Panama. Parasit Vectors 2018; 11:423. [PMID: 30012203 PMCID: PMC6048724 DOI: 10.1186/s13071-018-3004-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 07/09/2018] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Rhodnius pallescens, the only species of this genus reported in Panama, has a wide geographical distribution and is associated with most cases of Chagas disease and human infections with Trypanosoma rangeli in this country. Thus far, no phenotypic variants of this triatomine have been registered. Similarly, genotyping of the trypanosomes that infect this vector has only been partially evaluated. RESULTS A total of 347 specimens of R. pallescens were collected in Attalea butyracea palm trees located near a mountainous community of the district of Santa Fe, province of Veraguas. Bugs were slightly longer and had a darker coloration compared to that reported for this species. Infection rates for trypanosomes performed with three PCR analyses showed that 41.3% of the adult triatomines were positive for T. cruzi, 52.4% were positive for T. rangeli and 28.6% had mixed T. cruzi/T. rangeli infections. Based on cox2 analysis, TcI was the single T. cruzi discrete typing unit (DTU) detected, and a genetic variant of KP1(-)/lineage C was the only genetic group found for T. rangeli. CONCLUSIONS A darker chromatic variation of R. pallescens predominates in a mountainous region of Panama. These triatomines show high trypanosome infection rates, especially with T. rangeli. Regarding T. rangeli genetic diversity, complementary studies using other molecular markers are necessary to better define its phylogenetic position.
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Affiliation(s)
- Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá.,Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Ciudad de Panama, Panamá
| | - Ana María Santamaría
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Vanessa Pineda
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Vanessa Vásquez
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Nicole L Gottdenker
- Department of Veterinary Pathology, University of Georgia College of Veterinary Medicine, Athens, Georgia, 30602, USA
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá.
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14
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Rodríguez IG, Saldaña A, González K, Pineda V, Perea M, Santamaría AM, de Junca CC, Chaves LF, Calzada JE. Trypanosoma cruzi Infection in Rhodnius pallescens (Heteroptera: Reduviidae) Infesting Coyol Palms in the Dry Arch of Panamá. J Med Entomol 2018; 55:691-700. [PMID: 29425363 DOI: 10.1093/jme/tjx249] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Indexed: 06/08/2023]
Abstract
Ecoepidemiological scenarios for Trypanosoma cruzi Chagas transmission are partially shaped by kissing bug vector ecology. The presence of Attalea butyracea Kunth, the 'royal palm', is a major risk factor for Chagas disease transmission in Panamá given their frequent infestations by Rhodnius pallescens Barber, a major neotropical T. cruzi vector. It was assumed that in Panamá this relationship was very close and unique, limiting the niche of R. pallescens to that of Att. butyracea. However, here we present observations about T. cruzi-infected R. pallescens infesting coyol palms, Acrocomia aculeata Jacquin, in Pedasí district, Los Santos Province, Panamá. Between May 2015 and August 2016, we sampled kissing bugs from 83 coyol palms using mice-baited traps placed at the crown of each palm during the dry and wet season. We collected 62 R. pallescens and one Eratyrus cuspidatus Stål kissing bugs. Using logistic regression, we found that the probability of kissing bug infestation in coyol palms increased during the rainy season, with infructescence number and palm height. We examined adult R. pallescens bugs (n = 30) and found T. cruzi in 67% of the samples. We were able to isolate and characterize T. cruzi from parasites present in the feces from R. pallescens, all parasites belonging to the TC I lineage. We found that green fronds number and house proximity increased T. cruzi infection probability in kissing bugs collected in coyol palms. These results highlight coyol palms as a potential risk factor for Chagas disease transmission in the dry arch of Panamá.
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Affiliation(s)
- Indra G Rodríguez
- Programa Centroamericano de Maestría en Entomología, Universidad de Panamá, Ciudad de Panamá, República de Panamá
| | - Azael Saldaña
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
- Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Panamá
| | - Kadir González
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
| | - Vanessa Pineda
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
| | - Milixa Perea
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
| | - Ana M Santamaría
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
| | - Carmen C de Junca
- Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Facultad de Medicina, Universidad de Panamá, Panamá
| | - Luis F Chaves
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Heredia, Costa Rica
| | - José E Calzada
- Departamento de Investigación en Parasitología, Instituto Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, República de Panamá
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15
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Hurtado LA, Calzada JE, Rigg CA, Castillo M, Chaves LF. Climatic fluctuations and malaria transmission dynamics, prior to elimination, in Guna Yala, República de Panamá. Malar J 2018; 17:85. [PMID: 29463259 PMCID: PMC5819664 DOI: 10.1186/s12936-018-2235-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 02/13/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Malaria has historically been entrenched in indigenous populations of the República de Panamá. This scenario occurs despite the fact that successful methods for malaria elimination were developed during the creation of the Panamá Canal. Today, most malaria cases in the República de Panamá affect the Gunas, an indigenous group, which mainly live in autonomous regions of eastern Panamá. Over recent decades several malaria outbreaks have affected the Gunas, and one hypothesis is that such outbreaks could have been exacerbated by climate change, especially by anomalous weather patterns driven by the EL Niño Southern Oscillation (ENSO). RESULTS Monthly malaria cases in Guna Yala (1998-2016) were autocorrelated up to 2 months of lag, likely reflecting parasite transmission cycles between humans and mosquitoes, and cyclically for periods of 4 months that might reflect relapses of Plasmodium vivax, the dominant malaria parasite transmitted in Panamá. Moreover, malaria case number was positively associated (P < 0.05) with rainfall (7 months of lag), and negatively with the El Niño 4 index (15 months of lag) and the Normalized Difference Vegetation Index, NDVI (8 months of lag), the sign and magnitude of these associations likely related to the impacts of weather patterns and vegetation on the ecology of Anopheles albimanus, the main malaria vector in Guna Yala. Interannual cycles, of approximately 4-year periods, in monthly malaria case numbers were associated with the El Niño 4 index, a climatic index associated with weather and vegetation dynamics in Guna Yala at seasonal and interannual time scales. CONCLUSION The results showed that ENSO, rainfall and NDVI were associated with the number of malaria cases in Guna Yala during the study period. These results highlight the vulnerability of Guna populations to malaria, an infection sensitive to climate change, and call for further studies about weather impacts on malaria vector ecology, as well as the association of malaria vectors with Gunas paying attention to their socio-economic conditions of poverty and cultural differences as an ethnic minority.
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Affiliation(s)
- Lisbeth Amarilis Hurtado
- Unidad de Análisis Epidemiológico y Bioestadísticas, Instituto Commemorativo Gorgas de Estudios de la Salud, Panamá, República de Panamá
| | - José E Calzada
- Departamento de Investigación en Parasitología, Instituto Commemorativo Gorgas de Estudios de la Salud, Panamá, República de Panamá
| | - Chystrie A Rigg
- Departamento de Investigación en Parasitología, Instituto Commemorativo Gorgas de Estudios de la Salud, Panamá, República de Panamá
| | - Milagros Castillo
- Unidad de Análisis Epidemiológico y Bioestadísticas, Instituto Commemorativo Gorgas de Estudios de la Salud, Panamá, República de Panamá
| | - Luis Fernando Chaves
- Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (INCIENSA), Apartado 4-2250, Tres Ríos, Cartago, Costa Rica.
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Apartado Postal 304-3000, Heredia, Costa Rica.
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16
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González K, Diaz R, Ferreira AF, García V, Paz H, Calzada JE, Ruíz M, Laurenti M, Saldaña A. Histopathological characteristics of cutaneous lesions caused by Leishmania Viannia panamensis in Panama. Rev Inst Med Trop Sao Paulo 2018; 60:e8. [PMID: 29451596 PMCID: PMC5813671 DOI: 10.1590/s1678-9946201860008] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Accepted: 11/17/2017] [Indexed: 02/04/2023] Open
Abstract
Cutaneous leishmaniasis (CL) is an endemic disease in the Republic of Panama, caused by Leishmania (Viannia) parasites, whose most common clinical manifestation is the presence of ulcerated lesions on the skin. These lesions usually present a chronic inflammatory reaction, sometimes granulomatous, with the presence of lymphocytes, plasma cells and macrophages. This study describes the histopathological characteristics found in the skin lesions of patients with CL caused by Leishmania (V.) panamensis in Panama. We analyzed 49 skin biopsy samples from patients with clinical suspicion of CL, by molecular tests (PCR for subgenus Viannia and HSP-70) and by Hematoxylin-Eosin staining. Samples were characterized at the species level by PCR-HSP-70/RFLP. From the 49 samples studied, 46 (94%) were positive by PCR and were characterized as Leishmania (V.) panamensis. Of these, 48% were positive by Hematoxylin-Eosin staining with alterations being observed both, in the epidermis (85%) and in the dermis (100%) of skin biopsies. The inflammatory infiltrate was characterized according to histopathological patterns: lymphohistiocytic (50%), lymphoplasmacytic (61%) and granulomatous (46%) infiltration, being the combination of these patterns frequently found. The predominant histopathological characteristics observed in CL lesions caused by L. (V.) panamensis in Panama were: an intense inflammatory reaction in the dermis with a combination of lymphohistiocytic, lymphoplasmacytic and granulomatous presentation patterns and the presence of ulcers, acanthosis, exocytosis and spongiosis in the epidermis.
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Affiliation(s)
- Kadir González
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama
| | - Rosendo Diaz
- Departamento de Patología, Hospital Santo Tomás, Panama
| | - Aurea F Ferreira
- Departamento de Patologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Víctor García
- Departamento de Patología, Hospital Santo Tomás, Panama
| | - Héctor Paz
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama
| | | | - Márcia Laurenti
- Departamento de Patologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama
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17
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Cáceres L, Calzada JE, Gabster A, Young J, Márquez R, Torres R, Griffith M. Social representations of malaria in the Guna indigenous population of Comarca Guna de Madungandi, Panama. Malar J 2017; 16:256. [PMID: 28619033 PMCID: PMC5472999 DOI: 10.1186/s12936-017-1899-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 06/07/2017] [Indexed: 11/10/2022] Open
Abstract
Background The purpose of the study was to recognize the social representation of the Guna indigenous population by identifying cultural elements related to malaria, in order to create an intercultural approach to any health intervention to control and prevent the disease. Methods This qualitative study has an anthropological focus that used participant observation, informal conversations, focus groups, interviews, in-depth interviews with key actors. Analyses included review, classification and categorization of interviews. Results Malaria within the Guna culture is in harmony with several cultural factors, such as magic, religion, beliefs, myths, and nature. The health system must include these factors in its intercultural approach to ensure the sustainability of anti-malarial intervention measures. Until this is not properly addressed, the Guna population of Madungandi will remain a permanent source of risk for malaria transmission in this region and for the rest of the country. Conclusion The findings of this study contribute new variables that can facilitate an intercultural approach to improve the perception of malaria in the indigenous population of Comarca Guna de Madungandi, Panama. Electronic supplementary material The online version of this article (doi:10.1186/s12936-017-1899-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Lorenzo Cáceres
- Department of Medical Entomology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama.
| | - José E Calzada
- Department of Parasitology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama
| | - Amanda Gabster
- Department Proteomic and Genomic, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama
| | - Josue Young
- Department of Medical Entomology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama
| | - Ricardo Márquez
- Department of Medical Entomology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama
| | - Rolando Torres
- Department of Medical Entomology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama
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18
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Bermúdez SE, Gottdenker N, Krishnvajhala A, Fox A, Wilder HK, González K, Smith D, López M, Perea M, Rigg C, Montilla S, Calzada JE, Saldaña A, Caballero CM, Lopez JE. Synanthropic Mammals as Potential Hosts of Tick-Borne Pathogens in Panama. PLoS One 2017; 12:e0169047. [PMID: 28060928 PMCID: PMC5218486 DOI: 10.1371/journal.pone.0169047] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 12/11/2016] [Indexed: 11/18/2022] Open
Abstract
Synanthropic wild mammals can be important hosts for many vector-borne zoonotic pathogens. The aim of this study was determine the exposure of synanthropic mammals to two types of tick-borne pathogens in Panama, spotted fever group Rickettsia (SFGR) and Borrelia relapsing fever (RF) spirochetes. One hundred and thirty-one wild mammals were evaluated, including two gray foxes, two crab-eating foxes (from zoos), four coyotes, 62 opossum and 63 spiny rats captured close to rural towns. To evaluate exposure to SFGR, serum samples from the animals were tested by indirect immunofluorescence assay (IFA) using Rickettsia rickettsii and Candidatus Rickettsia amblyommii antigen. Immunoblotting was performed using Borrelia turicatae protein lysates and rGlpQ, to assess infection caused by RF spirochetes. One coyote (25%) and 27 (43%) opossums showed seroreactivity to SFGR. Of these opossums, 11 were seroreactive to C. R. amblyommii. Serological reactivity was not detected to B. turicatae in mammal samples. These findings may reflect a potential role of both mammals in the ecology of tick-borne pathogens in Panama.
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Affiliation(s)
- Sergio E. Bermúdez
- Departamento de Investigación en Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | - Nicole Gottdenker
- Department of Veterinary Pathology, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States of America
| | - Aparna Krishnvajhala
- Department of Pediatrics, Section of Tropical Medicine, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, United States of America
| | - Amy Fox
- Department of Pediatrics, Section of Tropical Medicine, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, United States of America
| | - Hannah K. Wilder
- Department of Pediatrics, Section of Tropical Medicine, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, United States of America
| | - Kadir González
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | | | | | - Milixa Perea
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | - Chystrie Rigg
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | - Santiago Montilla
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | - José E. Calzada
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | - Azael Saldaña
- Departamento de Investigación en Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panamá
| | | | - Job E. Lopez
- Department of Pediatrics, Section of Tropical Medicine, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, United States of America
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19
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Saldaña A, Calzada JE, Pineda V, Perea M, Rigg C, González K, Santamaria AM, Gottdenker NL, Chaves LF. Risk factors associated with Trypanosoma cruzi exposure in domestic dogs from a rural community in Panama. Mem Inst Oswaldo Cruz 2016; 110:936-44. [PMID: 26560985 PMCID: PMC4660624 DOI: 10.1590/0074-02760150284] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Accepted: 09/29/2015] [Indexed: 12/24/2022] Open
Abstract
Chagas disease, caused by Trypanosoma cruzi infection, is a zoonosis of humans, wild and domestic mammals, including dogs. In Panama, the main T. cruzi vector is Rhodnius pallescens, a triatomine bug whose main natural habitat is the royal palm, Attalea butyracea. In this paper, we present results from three T. cruzi serological tests (immunochromatographic dipstick, indirect immunofluorescence and ELISA) performed in 51 dogs from 24 houses in Trinidad de Las Minas, western Panama. We found that nine dogs were seropositive (17.6% prevalence). Dogs were 1.6 times more likely to become T. cruzi seropositive with each year of age and 11.6 times if royal palms where present in the peridomiciliary area of the dog's household or its two nearest neighbours. Mouse-baited-adhesive traps were employed to evaluate 12 peridomestic royal palms. All palms were found infested with R. pallescens with an average of 25.50 triatomines captured per palm. Of 35 adult bugs analysed, 88.6% showed protozoa flagellates in their intestinal contents. In addition, dogs were five times more likely to be infected by the presence of an additional domestic animal species in the dog's peridomiciliary environment. Our results suggest that interventions focused on royal palms might reduce the exposure to T. cruzi infection.
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Affiliation(s)
- Azael Saldaña
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - José E Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Vanessa Pineda
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Milixa Perea
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Chystrie Rigg
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Kadir González
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Ana Maria Santamaria
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de Salud, Ciudad de Panamá, República de Panamá
| | - Nicole L Gottdenker
- Department of Veterinary Pathology, College of Veterinary Medicine, University of Georgia, Athens, GA, USA
| | - Luis F Chaves
- Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
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20
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Yamada K, Valderrama A, Gottdenker N, Cerezo L, Minakawa N, Saldaña A, Calzada JE, Chaves LF. Macroecological patterns of American Cutaneous Leishmaniasis transmission across the health areas of Panamá (1980-2012). Parasite Epidemiol Control 2016; 1:42-55. [PMID: 29988197 PMCID: PMC5991822 DOI: 10.1016/j.parepi.2016.03.003] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 03/15/2016] [Accepted: 03/15/2016] [Indexed: 11/29/2022] Open
Abstract
American Cutaneous Leishmaniasis (ACL) is a neglected vector-borne zoonosis that persists despite increasing socio-economic development and urbanization in Panamá. Here, we investigate the association between environmental changes and spatio-temporal ACL transmission in the Republic of Panamá (1980-2012). We employ a macroecological approach, where patterns of variation in ACL incidence at the spatially coarse-grained scale of health areas are studied considering factors linked to the ecology of ACL transmission. We specifically study impacts of climatic variability, measured by the different phases of El Niño Southern Oscillation (ENSO), within diverse ecosystems and sand fly (Diptera: Psychodidae) vector species, as well as heterogeneous local climatic patterns, deforestation, population growth rates, and changes in social marginalization. We found that over the study period, patterns of ACL incidence: (i) were asynchronous with clusters changing from east to west of the Panamá Canal, (ii) trends increased in the west, and decreased or remained nearly constant in the east, independent of human population growth, (iii) generally increased in years following El Niño, and (iv) decreased as forest cover increased. We found no significant association between changes in socio-economic indicators and ACL transmission. Regarding vector abundance and presence, we found that studies had been biased to locations east of the Panamá canal, and that, in general, the abundance of dominant vector species decreased during the cold phase of ENSO. Finally, our results indicate that a macroecological approach is useful to understand heterogeneities related to environmental change impacts on ACL transmission.
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Affiliation(s)
- Koji Yamada
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, Sakamoto 1-12-4, 852-8523 Nagasaki, Japan.,Graduate School of Biomedical Sciences, Nagasaki University, Sakamoto 1-12-4, 852-8523 Nagasaki, Japan
| | - Anayansi Valderrama
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, Panama
| | - Nicole Gottdenker
- Department of Veterinary Pathology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA
| | - Lizbeth Cerezo
- Departamento de Epidemiología, Ministerio de Salud, Ciudad de Panamá, Panama
| | - Noboru Minakawa
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, Sakamoto 1-12-4, 852-8523 Nagasaki, Japan
| | - Azael Saldaña
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, Panama
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, Panama
| | - Luis Fernando Chaves
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, Sakamoto 1-12-4, 852-8523 Nagasaki, Japan.,Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Apartado Postal 304-3000, Heredia, Costa Rica
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21
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Calzada JE, Marquez R, Rigg C, Victoria C, De La Cruz M, Chaves LF, Cáceres L. Characterization of a recent malaria outbreak in the autonomous indigenous region of Guna Yala, Panama. Malar J 2015; 14:459. [PMID: 26578076 PMCID: PMC4650261 DOI: 10.1186/s12936-015-0987-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 11/04/2015] [Indexed: 12/29/2022] Open
Abstract
Background This study aims to describe the epidemiological and entomological factors associated with a recent malaria outbreak that occurred in 2012 in a socially marginalized population from Guna Yala Comarca in Panama. Methods A descriptive and observational study was conducted by analysing demographic and epidemiological data from all malaria cases registered during 2012 in the Comarca Guna Yala, Panama. Malaria intensity indicators were calculated during the study period. Entomological evaluations were performed monthly, from October to December 2012, in the three communities that presented the most intense malaria transmission during the first semester of 2012. Anopheles breeding habitats were also characterized. Results During the studied period, 6754 blood smears were examined (17.8 % of the total population), and 143 were confirmed as positive for Plasmodium vivax. A significant increase of malaria transmission risk indicators (API: 3.8/1000, SPR: 2.1 %) was observed in Guna Yula, when compared with previous years, and also in comparison with estimates from the whole country. Anopheles albimanus was the most abundant and widespread (877; 72.0 %) vector species found in the three localities, followed by Anopheles punctimacula (231; 19.0 %) and Anopheles aquasalis (110; 9.0 %). Three An. albimanus pools were positive for P. vivax, showing an overall pooled prevalence estimate of 0.014. Conclusions Data analysis confirmed that during 2012 a malaria epidemic occurred in Guna Yala. Panama. This study provides baseline data on the local epidemiology of malaria in this vulnerable region of Panamá. This information will be useful for targeting control strategies by the National Malaria Control Programme.
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Affiliation(s)
- José E Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama.
| | - Ricardo Marquez
- Departamento de Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama.
| | - Chystrie Rigg
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama.
| | - Carlos Victoria
- Programa Nacional de Malaria del Ministerio de Salud, Panama, Panama.
| | - Manuel De La Cruz
- Departamento de Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama.
| | - Luis F Chaves
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, 852-8523 Sakamoto 1-12-4, Nagasaki, Japan. .,Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Heredia, Costa Rica.
| | - Lorenzo Cáceres
- Departamento de Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama.
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22
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Affiliation(s)
- Lisbeth Amarilis Hurtado
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - Lorenzo Cáceres
- Departamento de Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - Luis Fernando Chaves
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Apartado Postal No. 304-3000, Heredia, Costa Rica
| | - José E Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
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23
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Hurtado LA, Calzada JE, Pineda V, González K, Santamaría AM, Cáceres L, Wald C, Saldaña A. [Knowledge and risk factors related to Chagas' disease in two Panamanian communities where Rhodnius pallescens is the main vector]. Biomedica 2015; 34:260-70. [PMID: 24967931 DOI: 10.1590/s0120-41572014000200012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 09/25/2013] [Accepted: 02/05/2014] [Indexed: 11/22/2022]
Abstract
INTRODUCTION The implementation of surveillance, control and prevention measures for Chagas´ disease requires an integrated approach. The sustainability of programs depends on community participation supported on a basic understanding of the problem. OBJECTIVE To evaluate the knowledge of people interviewed which facilitates or limits the surveillance, prevention and control of Chagas' disease in two endemic Panamanian communities where Rhodnius pallescens is the main vector. MATERIALS AND METHODS A questionnaire assessed the knowledge and risk factors related to Chagas' disease in 201 people over 10 years of age from the endemic communities of Las Pavas and Lagartera Grande located on the western shore of Panama Canal. Additionally, with the help of the residents, the presence of triatomine bugs in 93 dwellings was evaluated during a year. RESULTS Of those interviewed, 69.2% (139/201) had poor or very poor knowledge about Chagas' disease. Nearly 93% (187/201) was exposed to moderate or high risk factors. Triatomine bugs were collected in 20.4% (19/93) of the evaluated homes; 80% (66/76) of them were R. pallescens. Significant association was found between the presence of triatomines inside the houses and precarious housing (p<0.01). CONCLUSION Despite having been exposed to health education-related programs, it is necessary to strengthen the basic knowledge about Chagas' disease in the two communities before establishing prevention and surveillance measures which involve active participation of its inhabitants.
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Affiliation(s)
- Lisbeth A Hurtado
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Vanessa Pineda
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Kadir González
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Ana María Santamaría
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Lorenzo Cáceres
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Coridalia Wald
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Ciudad de Panamá, Panamá
| | - Azael Saldaña
- Centro de Investigación y Diagnóstico de Enfermedades Parasitarias (CIDEP), Faculta de Medicina, Universidad de Panamá, Ciudad de Panamá, Panamá
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24
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González K, Calzada JE, Saldaña A, Rigg CA, Alvarado G, Rodríguez-Herrera B, Kitron UD, Adler GH, Gottdenker NL, Chaves LF, Baldi M. Survey of wild mammal hosts of cutaneous leishmaniasis parasites in panamá and costa rica. Trop Med Health 2014; 43:75-8. [PMID: 25859156 PMCID: PMC4361339 DOI: 10.2149/tmh.2014-30] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 11/25/2014] [Indexed: 11/11/2022] Open
Abstract
The eco-epidemiology of American cutaneous leishmaniasis (ACL) is driven by animal reservoir species that are a source of infection for sand flies that serve as vectors infecting humans with Leishmania spp parasites. The emergence and re-emergence of this disease across Latin America calls for further studies to identify reservoir species associated with enzootic transmission. Here, we present results from a survey of 52 individuals from 13 wild mammal species at endemic sites in Costa Rica and Panama where ACL mammal hosts have not been previously studied. For Leishmania spp. diagnostics we employed a novel PCR technique using blood samples collected on filter paper. We only found Leishmania spp parasites in one host, the two-toed sloth, Choloepus hoffmanni. Our findings add further support to the role of two-toed sloths as an important ACL reservoir in Central America.
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Affiliation(s)
- Kadir González
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES) , Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - José E Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES) , Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - Azael Saldaña
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES) , Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - Chystrie A Rigg
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES) , Apartado Postal No. 0816-02593, Ciudad de Panamá, República de Panamá
| | - Gilbert Alvarado
- Escuela de Biología, Universidad de Costa Rica , Apartado Postal 11501-2060, San Pedro, Costa Rica
| | - Bernal Rodríguez-Herrera
- Escuela de Biología, Universidad de Costa Rica , Apartado Postal 11501-2060, San Pedro, Costa Rica
| | - Uriel D Kitron
- Department of Environmental Studies, Emory University , Atlanta, GA, 30322 USA
| | | | - Nicole L Gottdenker
- Department of Pathology, School of Veterinary Medicine, University of Georgia , Athens, GA, 30602 USA
| | - Luis Fernando Chaves
- Institute of Tropical Medicine (NEKKEN), Nagasaki University , 1-12-4 Sakamoto, Nagasaki 852-8523, Japan ; Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional , Apartado Postal 304-3000, Heredia, Costa Rica
| | - Mario Baldi
- Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional , Apartado Postal 304-3000, Heredia, Costa Rica
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Hurtado LA, Cáceres L, Chaves LF, Calzada JE. When climate change couples social neglect: malaria dynamics in Panamá. Emerg Microbes Infect 2014; 3:e27. [PMID: 26038518 PMCID: PMC4008768 DOI: 10.1038/emi.2014.27] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Revised: 02/28/2014] [Accepted: 03/03/2014] [Indexed: 11/09/2022]
Abstract
A major challenge of infectious disease elimination is the need to interrupt pathogen transmission across all vulnerable populations. Ethnic minorities are among the key vulnerable groups deserving special attention in disease elimination initiatives, especially because their lifestyle might be intrinsically linked to locations with high transmission risk. There has been a renewed interest in malaria elimination, which has ignited a quest to understand factors necessary for sustainable malaria elimination, highlighting the need for diverse approaches to address epidemiological heterogeneity across malaria transmission settings. An analysis of malaria incidence among the Guna Amerindians of Panamá over the last 34 years showed that this ethnic minority was highly vulnerable to changes that were assumed to not impact malaria transmission. Epidemic outbreaks were linked with El Niño Southern Oscillations and were sensitive to political instability and policy changes that did not ensure adequate attention to the malaria control needs of the Gunas. Our results illustrate how the neglect of minorities poses a threat to the sustainable control and eventual elimination of malaria in Central America and other areas where ethnic minorities do not share the benefits of malaria control strategies intended for dominant ethnic groups.
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Affiliation(s)
- Lisbeth Amarilis Hurtado
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593 , Ciudad de Panamá, República de Panamá
| | - Lorenzo Cáceres
- Departamento de Entomología Médica, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593 , Ciudad de Panamá, República de Panamá
| | - Luis Fernando Chaves
- Institute of Tropical Medicine (NEKKEN), Nagasaki University, 1-12-4 Sakamoto , Nagasaki 852-8523, Japan ; Programa de Investigación en Enfermedades Tropicales (PIET), Escuela de Medicina Veterinaria, Universidad Nacional, Apartado Postal No. 304-3000 , Heredia, Costa Rica
| | - José E Calzada
- Departamento de Parasitología, Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Apartado Postal No. 0816-02593 , Ciudad de Panamá, República de Panamá
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Rodrigues PT, Alves JMP, Santamaria AM, Calzada JE, Xayavong M, Parise M, da Silva AJ, Ferreira MU. Using mitochondrial genome sequences to track the origin of imported Plasmodium vivax infections diagnosed in the United States. Am J Trop Med Hyg 2014; 90:1102-8. [PMID: 24639297 DOI: 10.4269/ajtmh.13-0588] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Although the geographic origin of malaria cases imported into the United States can often be inferred from travel histories, these histories may be lacking or incomplete. We hypothesized that mitochondrial haplotypes could provide region-specific molecular barcodes for tracing the origin of imported Plasmodium vivax infections. An analysis of 348 mitochondrial genomes from worldwide parasites and new sequences from 69 imported malaria cases diagnosed across the United States allowed for a geographic assignment of most infections originating from the Americas, southeast Asia, east Asia, and Melanesia. However, mitochondrial lineages from Africa, south Asia, central Asia, and the Middle East, which altogether contribute the vast majority of imported malaria cases in the United States, were closely related to each other and could not be reliably assigned to their geographic origins. More mitochondrial genomes are required to characterize molecular barcodes of P. vivax from these regions.
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Affiliation(s)
- Priscila T Rodrigues
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - João Marcelo P Alves
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Ana María Santamaria
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - José E Calzada
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Maniphet Xayavong
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Monica Parise
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Alexandre J da Silva
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Marcelo U Ferreira
- Department of Parasitology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Parasitology, Gorgas Memorial Institute of Health, Panama City, Panama; Center for Global Health, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia
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Restrepo CM, De La Guardia C, Sousa OE, Calzada JE, Fernández PL, Lleonart R. AFLP polymorphisms allow high resolution genetic analysis of American Tegumentary Leishmaniasis agents circulating in Panama and other members of the Leishmania genus. PLoS One 2013; 8:e73177. [PMID: 24039881 PMCID: PMC3767818 DOI: 10.1371/journal.pone.0073177] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Accepted: 07/18/2013] [Indexed: 11/18/2022] Open
Abstract
American Tegumentary Leishmaniasis is caused by parasites of the genus Leishmania, and causes significant health problems throughout the Americas. In Panama, Leishmania parasites are endemic, causing thousands of new cases every year, mostly of the cutaneous form. In the last years, the burden of the disease has increased, coincident with increasing disturbances in its natural sylvatic environments. The study of genetic variation in parasites is important for a better understanding of the biology, population genetics, and ultimately the evolution and epidemiology of these organisms. Very few attempts have been made to characterize genetic polymorphisms of parasites isolated from Panamanian patients of cutaneous leishmaniasis. Here we present data on the genetic variability of local isolates of Leishmania, as well as specimens from several other species, by means of Amplified Fragment Length Polymorphisms (AFLP), a technique seldom used to study genetic makeup of parasites. We demonstrate that this technique allows detection of very high levels of genetic variability in local isolates of Leishmania panamensis in a highly reproducible manner. The analysis of AFLP fingerprints generated by unique selective primer combinations in L. panamensis suggests a predominant clonal mode of reproduction. Using fluorescently labeled primers, many taxon-specific fragments were identified which may show potential as species diagnostic fragments. The AFLP permitted a high resolution genetic analysis of the Leishmania genus, clearly separating certain groups among L. panamensis specimens and highly related species such as L. panamensis and L. guyanensis. The phylogenetic networks reconstructed from our AFLP data are congruent with established taxonomy for the genus Leishmania, even when using single selective primer combinations. Results of this study demonstrate that AFLP polymorphisms can be informative for genetic characterization in Leishmania parasites, at both intra and inter-specific levels.
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Affiliation(s)
- Carlos M Restrepo
- Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Ciudad de Panamá, Panamá ; Department of Biotechnology, Acharya Nagarjuna University, Guntur, India
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Gottdenker NL, Chaves LF, Calzada JE, Saldaña A, Carroll CR. Host life history strategy, species diversity, and habitat influence Trypanosoma cruzi vector infection in Changing landscapes. PLoS Negl Trop Dis 2012; 6:e1884. [PMID: 23166846 PMCID: PMC3499412 DOI: 10.1371/journal.pntd.0001884] [Citation(s) in RCA: 88] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2012] [Accepted: 09/14/2012] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND Anthropogenic land use may influence transmission of multi-host vector-borne pathogens by changing diversity, relative abundance, and community composition of reservoir hosts. These reservoir hosts may have varying competence for vector-borne pathogens depending on species-specific characteristics, such as life history strategy. The objective of this study is to evaluate how anthropogenic land use change influences blood meal species composition and the effects of changing blood meal species composition on the parasite infection rate of the Chagas disease vector Rhodnius pallescens in Panama. METHODOLOGY/PRINCIPAL FINDINGS R. pallescens vectors (N = 643) were collected in different habitat types across a gradient of anthropogenic disturbance. Blood meal species in DNA extracted from these vectors was identified in 243 (40.3%) vectors by amplification and sequencing of a vertebrate-specific fragment of the 12SrRNA gene, and T. cruzi vector infection was determined by pcr. Vector infection rate was significantly greater in deforested habitats as compared to contiguous forests. Forty-two different species of blood meal were identified in R. pallescens, and species composition of blood meals varied across habitat types. Mammals (88.3%) dominated R. pallescens blood meals. Xenarthrans (sloths and tamanduas) were the most frequently identified species in blood meals across all habitat types. A regression tree analysis indicated that blood meal species diversity, host life history strategy (measured as r(max), the maximum intrinsic rate of population increase), and habitat type (forest fragments and peridomiciliary sites) were important determinants of vector infection with T. cruzi. The mean intrinsic rate of increase and the skewness and variability of r(max) were positively associated with higher vector infection rate at a site. CONCLUSIONS/SIGNIFICANCE In this study, anthropogenic landscape disturbance increased vector infection with T. cruzi, potentially by changing host community structure to favor hosts that are short-lived with high reproductive rates. Study results apply to potential environmental management strategies for Chagas disease.
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Affiliation(s)
- Nicole L Gottdenker
- Department of Veterinary Pathology, University of Georgia College of Veterinary Medicine, Athens, GA, USA.
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Miranda A, Saldaña A, González K, Paz H, Santamaría G, Samudio F, Calzada JE. Evaluation of PCR for cutaneous leishmaniasis diagnosis and species identification using filter paper samples in Panama, Central America. Trans R Soc Trop Med Hyg 2012; 106:544-8. [PMID: 22818741 DOI: 10.1016/j.trstmh.2012.05.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2011] [Revised: 05/17/2012] [Accepted: 05/17/2012] [Indexed: 11/16/2022] Open
Abstract
Cutaneous leishmaniasis (CL) is a major vectorborne disease in Panama. In this study, the diagnostic performance and usefulness of two DNA extraction procedures from skin scraping samples collected on FTA filter paper for subsequent PCR diagnosis of CL was evaluated. A positive CL laboratory diagnosis was based on a positive parasitological test (Giemsa-stained smears or in vitro culture) and/or positive PCR test performed from skin scrapings collected in TE buffer (PCR-TE). Of 100 patients with skin lesions suggestive of CL, 82 (82%) were confirmed as CL positive. The sensitivity was calculated for each of the PCR approaches from samples collected on filter paper. The highest sensitivity was achieved by PCR-FTA processed by Chelex 100 (PCR-Chelex) (0.94). PCR-FTA extracted using the FTA purification reagent presented a lower sensitivity (0.60). Good concordance between routine PCR-TE and PCR-Chelex was observed (percent agreement=0.88, κ index=0.65). In conclusion, use of FTA filter paper for skin scraping collection combined with PCR is a reliable and convenient method for CL diagnosis in Panama, with comparable performance to the routine PCR method and with improved sensitivity compared with those of conventional parasitological methods.
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Affiliation(s)
- A Miranda
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), P.O. Box 0816-02593, Panamá City, Panamá
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Restrepo CM, Lao EP, De La Guardia C, Sousa OE, Calzada JE, Lleonart R. Use of AFLP to study the genetic variability of Leishmania sp. FASEB J 2012. [DOI: 10.1096/fasebj.26.1_supplement.981.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Gottdenker NL, Calzada JE, Saldaña A, Carroll CR. Association of anthropogenic land use change and increased abundance of the Chagas disease vector Rhodnius pallescens in a rural landscape of Panama. Am J Trop Med Hyg 2011; 84:70-7. [PMID: 21212205 DOI: 10.4269/ajtmh.2011.10-0041] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Anthropogenic disturbance is associated with increased vector-borne infectious disease transmission in wildlife, domestic animals, and humans. The objective of this study was to evaluate how disturbance of a tropical forest landscape impacts abundance of the triatomine bug Rhodnius pallescens, a vector of Chagas disease, in the region of the Panama Canal in Panama. Rhodnius pallescens was collected (n = 1,186) from its primary habitat, the palm Attalea butyracea, in five habitat types reflecting a gradient of anthropogenic disturbance. There was a high proportion of palms infested with R. pallescens across all habitat types (range = 77.1-91.4%). Results show that disturbed habitats are associated with increased vector abundance compared with relatively undisturbed habitats. Bugs collected in disturbed sites, although in higher abundance, tended to be in poor body condition compared with bugs captured in protected forest sites. Abundance data suggests that forest remnants may be sources for R. pallescens populations within highly disturbed areas of the landscape.
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Affiliation(s)
- Nicole L Gottdenker
- Department of Pathology, College of Veterinary Medicine, The University of Georgia, Athens, Georgia 30602, USA.
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Calzada JE, Pineda V, Garisto JD, Samudio F, Santamaria AM, Saldaña A. Human trypanosomiasis in the eastern region of the Panama Province: new endemic areas for Chagas disease. Am J Trop Med Hyg 2010; 82:580-2. [PMID: 20348502 DOI: 10.4269/ajtmh.2010.09-0397] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
The epidemiology of Chagas disease was studied in five rural communities located in the eastern region of the Panama Province. Serological tests for Trypanosoma cruzi infection revealed a prevalence of 5.88% (12/204). Hemocultures coupled with polymerase chain reaction (PCR) analysis showed a Trypanosoma rangeli infection rate of 5.88% (12/204). An overall trypanosome infection index of 11.76% (24/204) was detected in this population. A total of 121 triatomine specimens were collected in domestic and peridomestic habitats. Rhodnius pallescens was confirmed as the predominant species. Molecular analysis showed that 17.8% (13/73) of the examined insects were positive for T. cruzi, 17.8% (13/73) for T. rangeli, and 35.6% (26/73) presented mixed infections. Among 73 R. pallescens evaluated, 16.4% (12/73) contained opossum blood meals. The epidemiological implications of these findings are discussed.
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Affiliation(s)
- José E Calzada
- Gorgas Memorial Institute of Health Studies, Panama, Republic of Panama.
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Torres OA, Calzada JE, Beraún Y, Morillo CA, González A, González CI, Martín J. Role of the IFNG +874T/A polymorphism in Chagas disease in a Colombian population. Infect Genet Evol 2010; 10:682-5. [PMID: 20359550 PMCID: PMC7106279 DOI: 10.1016/j.meegid.2010.03.009] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/23/2009] [Revised: 03/17/2010] [Accepted: 03/20/2010] [Indexed: 12/18/2022]
Abstract
Genetic susceptibility to Trypanosoma cruzi infection and the development of cardiomyopathy is complex, heterogeneous, and likely involves several genes. Previous studies have implicated cytokine and chemokine genes in susceptibility to Chagas disease. Here we investigated the association between the interferon-gamma gene (IFNG) +874T/A polymorphism and Chagas disease, focusing on susceptibility and severity. This study included 236 chagasic patients (asymptomatic, n=116; cardiomyopathic, n=120) and 282 healthy controls from a Colombian population where T. cruzi is highly endemic. Individuals were genotyped for functional single nucleotide polymorphism (SNP; rs2430561; A/T) of the IFNG gene by amplification refractory mutational system PCR (ARMS-PCR). Moreover, clinical manifestations of Chagas in patients were analyzed. We found a significant difference in the distribution of the IFNG +874 "A" allele between patients and healthy controls (P=0.003; OR=1.46, 95% CI, 1.13-1.89). The frequency of the IFNG +874 genotype A/A, which is associated with reduced production of interferon-gamma, was increased in the patients relative to controls (38.1% vs. 26.6%). We compared the frequencies of IFNG alleles and genotypes between asymptomatic patients and those with chagasic cardiomyopathy and found no significant difference. Our data suggest that the IFNG +874T/A genetic polymorphism may be involved in susceptibility but not in the progression of Chagas disease in this Colombian population.
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Affiliation(s)
- Orlando A Torres
- Instituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain
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Torres OA, Calzada JE, Beraún Y, Morillo CA, González A, González CI, Martín J. Lack of association between IL-6-174G/C gene polymorphism and Chagas disease. ACTA ACUST UNITED AC 2010; 76:131-4. [PMID: 20331841 DOI: 10.1111/j.1399-0039.2010.01478.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this study was to investigate the role of the IL-6-174G/C gene polymorphism in susceptibility/resistance to Trypanosoma cruzi infection in two independent cohorts from Colombia and Peru. We determined the IL-6-174G/C genotypes in a sample of 399 seronegative individuals and 317 serologically positive patients from Colombia and Peru. All individuals are from regions where T. cruzi infection is endemic. No statistically significant differences in the frequency of IL-6-174G/C gene polymorphism between chagasic patients and controls or between asymptomatic and individuals with cardiomyopathy were observed. Our results do not support an evidence for a major role contribution of this IL-6 gene polymorphism in the susceptibility to or clinical manifestations of Chagas disease in these studied cohorts.
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Affiliation(s)
- O A Torres
- Instituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain
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Garisto-Risco JD, Saldaña A, Zebede S, Calzada JE. Alteraciones cardiacas en pacientes seropositivos a la infección chagásica en Panamá. Rev Esp Cardiol (Engl Ed) 2009. [DOI: 10.1016/s0300-8932(09)72083-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Torres OA, Calzada JE, Beraún Y, Morillo CA, González CI, González A, Martín J. Association of the macrophage migration inhibitory factor -173G/C polymorphism with Chagas disease. Hum Immunol 2009; 70:543-6. [PMID: 19376177 DOI: 10.1016/j.humimm.2009.04.022] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2008] [Revised: 04/02/2009] [Accepted: 04/10/2009] [Indexed: 01/25/2023]
Abstract
Our aim was to evaluate the association of functional polymorphism of macrophage migration inhibitory factor (MIF) gene with Chagas disease. Our study includes two independent cohorts: 240 chagasic patients and 199 controls from Colombia; and 74 chagasic patients and 85 controls from Peru. The single nucleotide polymorphism (SNP) -173 G/C of MIF gene was determined using a polymerase chain reaction (PCR) system with pre-developed TaqMan assay. We observed a statistically significant difference in the distribution of -173*C allele of MIF gene between patients and controls in the Colombian cohort (OR = 1.6, 95% CI = 1.12-2.18, p = 0.006). Similar association was found in the Peruvian cohort (OR = 2.4, 95% CI = 1.31-4.38, p = 0.003). A meta-analysis of the Colombian and Peruvian cohorts demonstrated that the -173 C allele confers a risk effect in chagasic patients (pooled OR = 1.75, 95% CI = 1.30-2.33, p = 0.0002). In addition, a gene dose of the MIF -173 C allele was observed (pooled OR = 4.01, 95% CI = 1.25-12.85, p = 0.004). Our results suggest that the MIF -173G/C polymorphism confers susceptibility to Chagas disease in the populations under study.
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Affiliation(s)
- Orlando A Torres
- Instituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain
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Calzada JE, Garisto J, Zebede S, Samudio FE, Blandón R, Avilés O, Saldaña A. [Prevalence of autoantibodies against autonomic receptors in patients with chronic cardiopathies]. Biomedica 2009; 29:133-139. [PMID: 19753847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Chagas disease is the main cause of chronic myocardiopathy in Central America. The mechanisms proposed for this cardiac pathology during the chronic phase remain controversial. Several studies have detected the presence of circulating autoantibodies against beta-adrenergic and cholinergic muscarinic receptors of the myocardium in patients with Chagas disease. These autoantibodies can trigger intracellular signals and modify the cardiac function during the progression of the disease. OBJECTIVES The serological frequency of these autoantibodies was compared among patients with chronic Chagas disease, patients with other cardiopathies and healthy controls. MATERIALS AND METHODS The prevalence of autoantibodies against beta-adrenergic and cholinergic muscarinic receptors was determined in four groups of Panamenian patients: 53 chagasic patients, 25 serologically negative patients with cardiac insufficiency, 25 patients with cardiac arrhythmia and 25 healthy individuals. RESULTS The antibodies against autonomic receptors were more frequently observed in patients with chronic chagasic cardiomyopathy (24.5%) compared to the cardiac insufficiency group (20.0%) and the cardiac arrhythmia group (16.0%). The proportion of autoantibodies was significantly different between the groups with chronic chagasic cardiomyopathy and healthy controls (24.5% versus 0%; p = 0.015). Of the 53 chronically infected chagasic patients, 48 (90%) showed some degree of cardiac dysfunction. CONCLUSIONS The frequency of autoantibodies against autonomic receptors is significantly increased in patients with chronic Chagas disease and in patients with other cardiopathies.
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Affiliation(s)
- José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panama, Panama
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Sousa OE, Samudio F, de Juncá C, Calzada JE. Molecular characterization of human Trypanosoma cruzi isolates from endemic areas in Panama. Mem Inst Oswaldo Cruz 2007; 101:455-7. [PMID: 16951819 DOI: 10.1590/s0074-02762006000400018] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2006] [Accepted: 05/09/2006] [Indexed: 11/21/2022] Open
Abstract
The present work provides information on Trypanosoma cruzi genotype circulating in endemic areas of Chagas disease in Panama. A total of 26 crude stocks of T. cruzi, isolated from the blood of persons with different clinical profiles of Chagas disease were collected and crio-conserved until used. Most of the stocks had been characterized by means of isoenzyme electrophoresis on cellulose acetate membranes. The clinical profiles of infected persons included 9 (34.6%) asymptomatic and 17 acute (65.4%) including 5 (19.2%) fatal cases, 2 under 5 years old and 3 adults. A multiplex-PCR assay based on the amplification of the non-transcribed spacer of the mini-exon gene was performed. All stocks of T. cruzi included in the study were found to correspond to Tc I group. This result supports the predominance of T. cruzi-I in the transmission cycles affecting the human population in the Republic of Panama.
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Affiliation(s)
- Octavio E Sousa
- Center for Research and Diagnosis of Parasitic Diseases, Faculty of Medicine, University of Panama, Panama.
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Calzada JE, Pineda V, Montalvo E, Alvarez D, Santamaría AM, Samudio F, Bayard V, Cáceres L, Saldaña A. Human trypanosome infection and the presence of intradomicile Rhodnius pallescens in the western border of the Panama Canal, Panama. Am J Trop Med Hyg 2006; 74:762-5. [PMID: 16687677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023] Open
Abstract
An entomologic search was carried out to collect intradomicile triatomines in dwellings from rural communities in the western border of the Panama Canal, Panama. Sixty-nine triatomines were collected inside 20 houses of 67 houses investigated. Rhodnius pallescens was the only triatomine species found and included adults of both sexes and nymphs. A significantly high Trypanosoma cruzi (72.7%) and T. rangeli (40%) vector infection rate was detected. Blood meal analysis showed that 68% of R. pallescens had fed on humans. Human serologic analysis and hemoculture performed on inhabitants from triatomine-infested houses showed that 32.1% (18 of 56) of the samples were trypanosome infected. Thirteen samples (23.2%) had antibodies against T. cruzi. Six of these seropositive samples were from children less than 15 years old. Trypanosoma rangeli was isolated in five hemoculture samples, all from children less than 11 years old. The epidemiologic implications of these findings in terms of human infection are discussed.
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Affiliation(s)
- José E Calzada
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Republic of Panama.
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Saldaña A, Samudio F, Miranda A, Herrera LM, Saavedra SP, Cáceres L, Bayard V, Calzada JE. Predominance of Trypanosoma rangeli infection in children from a Chagas disease endemic area in the west-shore of the Panama canal. Mem Inst Oswaldo Cruz 2006; 100:729-31. [PMID: 16410959 DOI: 10.1590/s0074-02762005000700008] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A total of 206 serum samples from children (3-14 years old) living in the Amador County (La Chorrera District, Province of Panama) were screened by indirect immunofluorescence antibody test (IFAT) for the presence of antibodies against Trypanosoma cruzi. Positive sera were confirmed by recombinant enzyme-linked immunosorbent assay (ELISA) and Western blot analysis. The presence of blood trypanosomes was investigated by hemoculture and subsequently identify by a duplex polymerase chain reaction (PCR) followed by dot blot hybridization. The results indicated a prevalence of 9.7% for trypanosome infections, a seroprevalence of 2.9% against T. cruzi and a predominance of T. rangeli infection (6.8%). The immunological and clinical implications of these findings are discussed.
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Affiliation(s)
- Azael Saldaña
- Gorgas Memorial Institute of Health Studies, PO Box 0816-02593, Panama 5, Republic of Panama.
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Vasquez AMD, Samudio FE, Saldaña A, Paz HM, Calzada JE. Eco-epidemiological aspects of Trypanosoma cruzi, Trypanosoma rangeli and their vector (Rhodnius pallescens) in Panama. Rev Inst Med Trop Sao Paulo 2004; 46:217-22. [PMID: 15361974 DOI: 10.1590/s0036-46652004000400008] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The eco-epidemiology of T. cruzi infection was investigated in the Eastern border of the Panama Canal in Central Panama. Between 1999 and 2000, 1110 triatomines were collected: 1050 triatomines (94.6%) from palm trees, 27 (2.4%) from periurban habitats and 33 (3.0%) inside houses. All specimens were identified as R. pallescens. There was no evidence of vector domiciliation. Salivary glands from 380 R. pallescens revealed a trypanosome natural infection rate of 7.6%, while rectal ampoule content from 373 triatomines was 45%. Isoenzyme profiles on isolated trypanosomes demonstrated that 85.4% (n = 88) were T. cruzi and 14.6% (n = 15) were T. rangeli. Blood meal analysis from 829 R. pallescens demonstrated a zoophilic vector behavior, with opossums as the preferential blood source. Seroprevalence in human samples from both study sites was less than 2%. Our results demonstrate that T. cruzi survives in the area in balanced association with R. pallescens, and with several different species of mammals in their natural niches. However, the area is an imminent risk of infection for its population, consequently it is important to implement a community educational program regarding disease knowledge and control measures.
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Affiliation(s)
- Ana Maria de Vasquez
- Instituto Conmemorativo Gorgas de Estudios de la Salud (ICGES), Panama, Republic of Panama
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Calzada JE, López-Nevot MA, Beraún Y, Martín J. No evidence for association of the inducible nitric oxide synthase promoter polymorphism with Trypanosoma cruzi infection. Tissue Antigens 2002; 59:316-9. [PMID: 12135432 DOI: 10.1034/j.1399-0039.2002.590411.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of the present study was to address the possible contribution of the (CCTTT)n microsatellite polymorphism in the NOS2 promoter region to the susceptibility to chronic Trypanosoma cruzi infection and to Chagas' disease related cardiomyopathy. We determined the (CCTTT)n genotypes in a sample of 76 serologically positive chagasic individuals and in 78 healthy controls. No statistically significant differences were observed between total chagasic patients and healthy controls with regard to frequency of the (CCTTT)n microsatellite repeat of any given length. Likewise, we found no differences in the distribution of the (CCTTT)n microsatellite repeats between seropositives without manifestations of the disease and those with chagasic cardiomyopathy. Our data suggest that the NOS2 promoter pentanucleotide microsatellite polymorphisms analyzed do not play a major role in the pathogenesis of chronic T. cruzi infection in this Peruvian sample.
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Affiliation(s)
- J E Calzada
- Instituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain
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Abstract
In this study we investigated the possible role of two CCR5 gene polymorphisms, CCR5Delta32 deletion and CCR5 59029 A-->G promoter point mutation, in determining the susceptibility to Trypanosoma cruzi infection as well as in the development of chagasic heart disease. These CCR5 polymorphisms were assessed in 85 seropositive (asymptomatic, n=53; cardiomyopathic, n=32) and 87 seronegative individuals. The extremely low frequency (0.009) of the CCR5Delta32 allele in our population did not allow us to analyse its possible influence on T. cruzi infection. We found no differences in the distribution of CCR5 59029 promoter genotype or phenotype frequencies between total chagasic patients and controls. However, we observed that the CCR5 59029-A/G genotype was significantly increased in asymptomatic with respect to cardiomyopathic patients (P=0.02; OR=0.33, 95% CI 0.10-0.94). In addition, the presence of the CCR5 59029-G allele was also increased in asymptomatics when compared with cardiomyopathics (P=0.02; OR=0.35, 95% CI 0.12-0.96). Our data suggest that the CCR5 59029 promoter polymorphism may be involved in a differential susceptibility to chagasic cardiomyopathy.
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Affiliation(s)
- J E Calzada
- Instituto de Parasitología y Biomedicina López Neyra, CSIC, C/Ventanilla 11, 18001 Granada, Spain
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Abstract
Genetic analysis in mice and humans have established the key role of the human natural resistance-associated macrophage protein 1 (NRAMP1) in resistance to intracellular infections. In the present study we investigated whether four NRAMP1 polymorphisms (5'(GT)n, -236 C-->T, D543N, and 3'UTR deletion) were important in determining the susceptibility to Trypanosoma cruzi infections as well as in the development of chagasic cardiac disease. Genotyping for these variants was assessed in 83 seropositive (asymptomatic, n=51, cardiomyopathic, n=32) and 85 seronegative individuals from a Peruvian population where T. cruzi is endemic. No statistically significant differences either between patients and controls or between asymptomatic and cardiomyopathic individuals were observed with respect to NRAMP1 variants. Our data suggest that the NRAMP1 genetic polymorphism analysed do not play a major role in the pathogenesis of T. cruzi infection in this Peruvian sample.
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Affiliation(s)
- J E Calzada
- Instituto de Parasitología y Biomedicina "López Neyra", CSIC, Granada, Spain
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de Pablo R, Beraún Y, Nieto A, Calzada JE, Rementería MC, Sanz L, López-Nevot MA, Martín J. HLA class I and class II allele distribution in the Peruvian population. Tissue Antigens 2000; 56:507-14. [PMID: 11169240 DOI: 10.1034/j.1399-0039.2000.560604.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The distribution of HLA-A, -B, -C, -DRB1 and -DQB1 alleles in the Peruvian population was studied and compared with those of other populations in order to provide further information about their anthropological origin. Our data are consistent with the Mestizo character of this population. In terms of genetic distance Peruvians are closest to Bolivians, which is in agreement with the geographical location and the cultural and anthropological background of the two human groups. Several HLA-B alleles originally described in genetically isolated Amerindian tribes are also present in the sample studied here. This fact and the reported finding of these alleles in several Amerindian groups suggests that they were present in the first wave of humans that populated South America (Paleoindians) before they split to give rise to the different South American tribes.
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Affiliation(s)
- R de Pablo
- Servicio de Inmunología, Clínica Puerta de Hierro, Madrid, Spain.
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