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Xu N, Liu H, Jiang Y, Yin J, Yuan Z, Shen Y, Cao J. First report of Cryptosporidium viatorum and Cryptosporidium occultus in humans in China, and of the unique novel C. viatorum subtype XVaA3h. BMC Infect Dis 2020; 20:16. [PMID: 31910816 PMCID: PMC6947842 DOI: 10.1186/s12879-019-4693-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Accepted: 12/09/2019] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Cryptosporidium is a genus of common intestinal protozoa, members of which cause diarrhea in a wide variety of hosts. Previous studies on Cryptosporidium in China have mainly focused on diarrhea sufferers, children, and immunodeficient individuals such as HIV/AIDS patients. However, the epidemiological characteristics of Cryptosporidium in the population in rural areas remain unclear. Herein, we investigated the prevalence of, and risk factors for, Cryptosporidium in rural areas of Binyang County, Guangxi Zhuang Autonomous Region, China, and genetically characterized the Cryptosporidium isolates we obtained. METHODS From August to December 2016, two villages in Binyang County, Guangxi, were sampled using a random cluster sampling method. Fresh fecal samples were collected from all eligible residents (residence time > 6 months). Molecular characterization of Cryptosporidium was carried out based on its SSU rRNA, gp60, actin and hsp70 gene sequences. Fisher's exact test were conducted to assess the risk factors for Cryptosporidium infection. RESULTS A total of 400 fecal samples were collected from 195 males (48.8%) and 205 females (51.2%). Two samples (0.5%) were positive for Cryptosporidium and were identified as C. viatorum and C. occultus respectively. Moreover, a new C. viatorum subtype XVaA3h was identified based on the sequence of the gp 60 gene. CONCLUSIONS To our knowledge, this is the first report of C. viatorum and C. occultus infections in humans in China and of C. viatorum subtype XVaA3h. The findings provide important information on the prevalence of Cryptosporidium in the Chinese population, and expand the range of Cryptosporidium species known to infect people in China.
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Affiliation(s)
- Ning Xu
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China
| | - Hua Liu
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China
| | - Yanyan Jiang
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China
| | - Jianhai Yin
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China
| | - Zhongying Yuan
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China
| | - Yujuan Shen
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China.
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China.
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China.
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China.
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China.
| | - Jianping Cao
- Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China.
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China.
- Chinese Center for Tropical Diseases Research, Shanghai, 200025, China.
- WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China.
- National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China.
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Braima K, Zahedi A, Oskam C, Reid S, Pingault N, Xiao L, Ryan U. Retrospective analysis of Cryptosporidium species in Western Australian human populations (2015-2018), and emergence of the C. hominis IfA12G1R5 subtype. Infect Genet Evol 2019; 73:306-313. [PMID: 31146044 DOI: 10.1016/j.meegid.2019.05.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 05/18/2019] [Accepted: 05/25/2019] [Indexed: 11/29/2022]
Abstract
Cryptosporidium species are a major cause of diarrhoea worldwide. In the present study, a retrospective analysis of 109 microscopically Cryptosporidium-positive faecal specimens from Western Australian patients, collected between 2015 and 2018 was conducted. Sequence analysis of the 18S rRNA and the 60 kDa glycoprotein (gp60) gene loci identified four Cryptosporidium species: C. hominis (86.2%, 94/109), C. parvum (11.0%, 12/109), C. meleagridis (1.8%, 2/109) and C. viatorum (0.9%, 1/109). Subtyping at the gp60 locus identified a total of 11 subtypes including the emergence of the previously rare C. hominis IfA12G1R5 subtype in 2017 as the dominant subtype (46.7%, 21/45). This subtype has also recently emerged as the dominant subtype in the United States but the reasons for its emergence are unknown. This is also the first report of C. viatorum in humans in Australia and a novel subtype (XVaA3g) was identified in the one positive patient.
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Affiliation(s)
- Kamil Braima
- Vector and Waterborne Pathogens Research Group, College of Science, Health, Engineering and Education, Murdoch University, Perth 6150, Australia
| | - Alireza Zahedi
- Vector and Waterborne Pathogens Research Group, College of Science, Health, Engineering and Education, Murdoch University, Perth 6150, Australia
| | - Charlotte Oskam
- Vector and Waterborne Pathogens Research Group, College of Science, Health, Engineering and Education, Murdoch University, Perth 6150, Australia
| | - Simon Reid
- School of Public Health, The University of Queensland, Herston, Queensland 4006, Australia
| | - Nevada Pingault
- OzFoodNet Communicable Disease Control Directorate, Perth, Western Australia, Australia
| | - Lihua Xiao
- Key Laboratory of Zoonosis of Ministry of Agriculture, College of Veterinary Medicine, South China Agricultural University, Guangzhou 510642, China
| | - Una Ryan
- Vector and Waterborne Pathogens Research Group, College of Science, Health, Engineering and Education, Murdoch University, Perth 6150, Australia.
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