Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel

Abstract Background Equine piroplasmosis is a highly endemic protozoan disease of horses worldwide, caused by Theileria equi and Babesia caballi. While most horses in endemic areas are subclinically infected, the mechanisms leading to clinical outcome are vastly unknown. Moreover, since clinical sig...

Full description

Bibliographic Details
Main Authors: Sharon Tirosh-Levy, Amir Steinman, Hadas Levy, Yotam Katz, Margarita Shtilman, Yuval Gottlieb
Format: Article
Language:English
Published: BMC 2020-05-01
Series:Parasites & Vectors
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13071-020-04133-y
_version_ 1819022810017693696
author Sharon Tirosh-Levy
Amir Steinman
Hadas Levy
Yotam Katz
Margarita Shtilman
Yuval Gottlieb
author_facet Sharon Tirosh-Levy
Amir Steinman
Hadas Levy
Yotam Katz
Margarita Shtilman
Yuval Gottlieb
author_sort Sharon Tirosh-Levy
collection DOAJ
description Abstract Background Equine piroplasmosis is a highly endemic protozoan disease of horses worldwide, caused by Theileria equi and Babesia caballi. While most horses in endemic areas are subclinically infected, the mechanisms leading to clinical outcome are vastly unknown. Moreover, since clinical signs of disease are not specific, and the prevalence in endemic areas is high, it is difficult to determine if equine piroplasmosis is the cause of disease. To identify possible mechanisms leading to the clinical outcome in an endemic area, we compared parasite loads and genotypes in clinically and subclinically infected horses. Methods Blood was collected from horses with clinical signs consistent with equine piroplasmosis, and from apparently healthy horses in Israel. Packed cell volume and total solids were measured. Quantitative and diagnostic polymerase chain reaction were used to identify, quantify and classify equine piroplasmosis infection. Phylogenetic analyses were used to determine the genotype of both parasites. Results For both parasites, clinical cases were associated with low mean packed cell volume and high mean parasite load (P < 0.001), enabling the determination of a cut-off value to distinguish between clinically and subclinically infected horses. Samples of Theileria equi from subclinical horses were classified into three different 18S rRNA genotypes, D (n = 23), A (n = 12) and C (n = 5), while samples from all clinical cases (n = 6) were classified as genotype A. The sequences of T. equi equi merozoite antigens 1 (ema-1, n = 9) and 2 (ema-2, n = 11) genes were fairly conserved and did not differ between clinical and subclinical cases. Babesia caballi rhoptry associated protein-1 (rap-1) was classified into sub-genotypes A1 (n = 14) and A2 (n = 5) with no association to clinical outcome. Classification of the 18S rRNA gene (sub-genotypes B1 and B2) agreed with the rap-1 classification. Conclusions The results of this study suggest that quantification of parasite loads of infected horses may be used to distinguish between infections resulting in disease and subclinical cases. Although number of clinical cases is limited, we identified T. equi 18S rRNA genotype A to be associated with clinical disease. This finding emphasizes the importance of in-depth genetic characterization of T. equi genotypes to identify possible markers for virulence.
first_indexed 2024-12-21T04:28:54Z
format Article
id doaj.art-65ad413df9e840c1b53f5d0fc4daf984
institution Directory Open Access Journal
issn 1756-3305
language English
last_indexed 2024-12-21T04:28:54Z
publishDate 2020-05-01
publisher BMC
record_format Article
series Parasites & Vectors
spelling doaj.art-65ad413df9e840c1b53f5d0fc4daf9842022-12-21T19:16:00ZengBMCParasites & Vectors1756-33052020-05-011311910.1186/s13071-020-04133-yParasite load and genotype are associated with clinical outcome of piroplasm-infected equines in IsraelSharon Tirosh-Levy0Amir Steinman1Hadas Levy2Yotam Katz3Margarita Shtilman4Yuval Gottlieb5Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemKoret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of JerusalemAbstract Background Equine piroplasmosis is a highly endemic protozoan disease of horses worldwide, caused by Theileria equi and Babesia caballi. While most horses in endemic areas are subclinically infected, the mechanisms leading to clinical outcome are vastly unknown. Moreover, since clinical signs of disease are not specific, and the prevalence in endemic areas is high, it is difficult to determine if equine piroplasmosis is the cause of disease. To identify possible mechanisms leading to the clinical outcome in an endemic area, we compared parasite loads and genotypes in clinically and subclinically infected horses. Methods Blood was collected from horses with clinical signs consistent with equine piroplasmosis, and from apparently healthy horses in Israel. Packed cell volume and total solids were measured. Quantitative and diagnostic polymerase chain reaction were used to identify, quantify and classify equine piroplasmosis infection. Phylogenetic analyses were used to determine the genotype of both parasites. Results For both parasites, clinical cases were associated with low mean packed cell volume and high mean parasite load (P < 0.001), enabling the determination of a cut-off value to distinguish between clinically and subclinically infected horses. Samples of Theileria equi from subclinical horses were classified into three different 18S rRNA genotypes, D (n = 23), A (n = 12) and C (n = 5), while samples from all clinical cases (n = 6) were classified as genotype A. The sequences of T. equi equi merozoite antigens 1 (ema-1, n = 9) and 2 (ema-2, n = 11) genes were fairly conserved and did not differ between clinical and subclinical cases. Babesia caballi rhoptry associated protein-1 (rap-1) was classified into sub-genotypes A1 (n = 14) and A2 (n = 5) with no association to clinical outcome. Classification of the 18S rRNA gene (sub-genotypes B1 and B2) agreed with the rap-1 classification. Conclusions The results of this study suggest that quantification of parasite loads of infected horses may be used to distinguish between infections resulting in disease and subclinical cases. Although number of clinical cases is limited, we identified T. equi 18S rRNA genotype A to be associated with clinical disease. This finding emphasizes the importance of in-depth genetic characterization of T. equi genotypes to identify possible markers for virulence.http://link.springer.com/article/10.1186/s13071-020-04133-yTheileria equiBabesia caballiEquine piroplasmosisPhylogenyParasitemiaClinical signs
spellingShingle Sharon Tirosh-Levy
Amir Steinman
Hadas Levy
Yotam Katz
Margarita Shtilman
Yuval Gottlieb
Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
Parasites & Vectors
Theileria equi
Babesia caballi
Equine piroplasmosis
Phylogeny
Parasitemia
Clinical signs
title Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
title_full Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
title_fullStr Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
title_full_unstemmed Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
title_short Parasite load and genotype are associated with clinical outcome of piroplasm-infected equines in Israel
title_sort parasite load and genotype are associated with clinical outcome of piroplasm infected equines in israel
topic Theileria equi
Babesia caballi
Equine piroplasmosis
Phylogeny
Parasitemia
Clinical signs
url http://link.springer.com/article/10.1186/s13071-020-04133-y
work_keys_str_mv AT sharontiroshlevy parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael
AT amirsteinman parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael
AT hadaslevy parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael
AT yotamkatz parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael
AT margaritashtilman parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael
AT yuvalgottlieb parasiteloadandgenotypeareassociatedwithclinicaloutcomeofpiroplasminfectedequinesinisrael