Occurrence of Leishmania infantum in the central nervous system of naturally infected dogs: Parasite load, viability, co-infections and histological alterations

Zoonotic visceral leishmaniasis is caused by the protozoan Leishmania infantum and little is known about the occurrence and pathogenesis of this parasite in the CNS. The aims of this study were to evaluate the occurrence, viability and load of L. infantum in the CNS, and to identify the neurological...

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Veröffentlicht in:PloS one 2017-04, Vol.12 (4), p.e0175588-e0175588
Hauptverfasser: Oliveira, Valéria da Costa, Boechat, Viviane Cardoso, Mendes Junior, Artur Augusto Velho, Madeira, Maria de Fátima, Ferreira, Luiz Claudio, Figueiredo, Fabiano Borges, Campos, Monique Paiva, de Carvalho Rodrigues, Francisco das Chagas, Carvalhaes de Oliveira, Raquel de Vasconcellos, Amendoeira, Maria Regina Reis, Menezes, Rodrigo Caldas
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container_start_page e0175588
container_title PloS one
container_volume 12
creator Oliveira, Valéria da Costa
Boechat, Viviane Cardoso
Mendes Junior, Artur Augusto Velho
Madeira, Maria de Fátima
Ferreira, Luiz Claudio
Figueiredo, Fabiano Borges
Campos, Monique Paiva
de Carvalho Rodrigues, Francisco das Chagas
Carvalhaes de Oliveira, Raquel de Vasconcellos
Amendoeira, Maria Regina Reis
Menezes, Rodrigo Caldas
description Zoonotic visceral leishmaniasis is caused by the protozoan Leishmania infantum and little is known about the occurrence and pathogenesis of this parasite in the CNS. The aims of this study were to evaluate the occurrence, viability and load of L. infantum in the CNS, and to identify the neurological histological alterations associated with this protozoan and its co-infections in naturally infected dogs. Forty-eight Leishmania-seropositive dogs from which L. infantum was isolated after necropsy were examined. Cerebrospinal fluid (CSF) samples were analyzed by parasitological culture, quantitative real-time PCR (qPCR) and the rapid immunochromatographic Dual Path Platform test. Brain, spinal cord and spleen samples were submitted to parasitological culture, qPCR, and histological techniques. Additionally, anti-Toxoplasma gondii and anti-Ehrlichia canis antibodies in serum and distemper virus antigens in CSF were investigated. None of the dogs showed neurological signs. All dogs tested positive for L. infantum in the CNS. Viable forms of L. infantum were isolated from CSF, brain and spinal cord in 25% of the dogs. Anti-L. infantum antibodies were detected in CSF in 61% of 36 dogs. Inflammatory histological alterations were observed in the CNS of 31% of the animals; of these, 66% were seropositive for E. canis and/or T. gondii. Amastigote forms were associated with granulomatous non-suppurative encephalomyelitis in a dog without evidence of co-infections. The highest frequency of L. infantum DNA was observed in the brain (98%), followed by the spinal cord (96%), spleen (95%), and CSF (50%). The highest L. infantum load in CNS was found in the spinal cord. These results demonstrate that L. infantum can cross the blood-brain barrier, spread through CSF, and cause active infection in the entire CNS of dogs. Additionally, L. infantum can cause inflammation in the CNS that can lead to neurological signs with progression of the disease.
doi_str_mv 10.1371/journal.pone.0175588
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The aims of this study were to evaluate the occurrence, viability and load of L. infantum in the CNS, and to identify the neurological histological alterations associated with this protozoan and its co-infections in naturally infected dogs. Forty-eight Leishmania-seropositive dogs from which L. infantum was isolated after necropsy were examined. Cerebrospinal fluid (CSF) samples were analyzed by parasitological culture, quantitative real-time PCR (qPCR) and the rapid immunochromatographic Dual Path Platform test. Brain, spinal cord and spleen samples were submitted to parasitological culture, qPCR, and histological techniques. Additionally, anti-Toxoplasma gondii and anti-Ehrlichia canis antibodies in serum and distemper virus antigens in CSF were investigated. None of the dogs showed neurological signs. All dogs tested positive for L. infantum in the CNS. Viable forms of L. infantum were isolated from CSF, brain and spinal cord in 25% of the dogs. Anti-L. infantum antibodies were detected in CSF in 61% of 36 dogs. Inflammatory histological alterations were observed in the CNS of 31% of the animals; of these, 66% were seropositive for E. canis and/or T. gondii. Amastigote forms were associated with granulomatous non-suppurative encephalomyelitis in a dog without evidence of co-infections. The highest frequency of L. infantum DNA was observed in the brain (98%), followed by the spinal cord (96%), spleen (95%), and CSF (50%). The highest L. infantum load in CNS was found in the spinal cord. These results demonstrate that L. infantum can cross the blood-brain barrier, spread through CSF, and cause active infection in the entire CNS of dogs. Additionally, L. infantum can cause inflammation in the CNS that can lead to neurological signs with progression of the disease.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0175588</identifier><identifier>PMID: 28419136</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Amastigotes ; Analysis ; Animals ; Antibodies ; Antibodies, Bacterial - blood ; Antibodies, Bacterial - immunology ; Antibodies, Protozoan - blood ; Antibodies, Protozoan - immunology ; Assaying ; Bark ; Biology and Life Sciences ; Blood-brain barrier ; Bone marrow ; Brain ; Causes of ; Central nervous system ; Central Nervous System - parasitology ; Central Nervous System - pathology ; Central Nervous System Diseases - cerebrospinal fluid ; Central Nervous System Diseases - parasitology ; Central Nervous System Diseases - veterinary ; Cerebrospinal fluid ; Coinfection - microbiology ; Coinfection - parasitology ; Coinfection - veterinary ; Cuffs ; Degeneration ; Deoxyribonucleic acid ; Development and progression ; Diagnosis ; DNA ; DNA, Protozoan - genetics ; Dog Diseases - microbiology ; Dog Diseases - parasitology ; Dogs ; Dosage and administration ; Ehrlichia canis - immunology ; Ehrlichia canis - physiology ; Ehrlichiosis - microbiology ; Ehrlichiosis - veterinary ; Enzymes ; Experimental infection ; Females ; Genital tract ; Glands ; Health aspects ; Histopathology ; Host-Parasite Interactions ; Host-Pathogen Interactions ; Immune response (humoral) ; Immunoassay ; Immunohistochemistry ; In Situ Hybridization ; Infections ; Inflammation ; Leishmania infantum - genetics ; Leishmania infantum - immunology ; Leishmania infantum - physiology ; Leishmaniasis ; Leishmaniasis, Visceral - cerebrospinal fluid ; Leishmaniasis, Visceral - parasitology ; Leishmaniasis, Visceral - veterinary ; Lesions ; Lymphocytes ; Lymphocytes B ; Males ; Medicine and Health Sciences ; Meningitis ; Migration ; Motivation ; Myelitis ; Nervous system ; Neurodegeneration ; Paralysis ; Parasite Load ; Parasites ; Parasitic diseases ; Pathogenesis ; Probability theory ; Protozoa ; Public health ; Real-Time Polymerase Chain Reaction ; Risk factors ; Seizures ; Semiarid environments ; Semiarid lands ; Skin ; Skull ; Spinal cord ; Spleen ; Toxoplasma - immunology ; Toxoplasma - physiology ; Toxoplasmosis ; Toxoplasmosis - parasitology ; Urban areas ; Vector-borne diseases ; Viability ; Visceral leishmaniasis ; Zoonoses</subject><ispartof>PloS one, 2017-04, Vol.12 (4), p.e0175588-e0175588</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Oliveira et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The aims of this study were to evaluate the occurrence, viability and load of L. infantum in the CNS, and to identify the neurological histological alterations associated with this protozoan and its co-infections in naturally infected dogs. Forty-eight Leishmania-seropositive dogs from which L. infantum was isolated after necropsy were examined. Cerebrospinal fluid (CSF) samples were analyzed by parasitological culture, quantitative real-time PCR (qPCR) and the rapid immunochromatographic Dual Path Platform test. Brain, spinal cord and spleen samples were submitted to parasitological culture, qPCR, and histological techniques. Additionally, anti-Toxoplasma gondii and anti-Ehrlichia canis antibodies in serum and distemper virus antigens in CSF were investigated. None of the dogs showed neurological signs. All dogs tested positive for L. infantum in the CNS. Viable forms of L. infantum were isolated from CSF, brain and spinal cord in 25% of the dogs. Anti-L. infantum antibodies were detected in CSF in 61% of 36 dogs. Inflammatory histological alterations were observed in the CNS of 31% of the animals; of these, 66% were seropositive for E. canis and/or T. gondii. Amastigote forms were associated with granulomatous non-suppurative encephalomyelitis in a dog without evidence of co-infections. The highest frequency of L. infantum DNA was observed in the brain (98%), followed by the spinal cord (96%), spleen (95%), and CSF (50%). The highest L. infantum load in CNS was found in the spinal cord. These results demonstrate that L. infantum can cross the blood-brain barrier, spread through CSF, and cause active infection in the entire CNS of dogs. Additionally, L. infantum can cause inflammation in the CNS that can lead to neurological signs with progression of the disease.</description><subject>Age</subject><subject>Amastigotes</subject><subject>Analysis</subject><subject>Animals</subject><subject>Antibodies</subject><subject>Antibodies, Bacterial - blood</subject><subject>Antibodies, Bacterial - immunology</subject><subject>Antibodies, Protozoan - blood</subject><subject>Antibodies, Protozoan - immunology</subject><subject>Assaying</subject><subject>Bark</subject><subject>Biology and Life Sciences</subject><subject>Blood-brain barrier</subject><subject>Bone marrow</subject><subject>Brain</subject><subject>Causes of</subject><subject>Central nervous system</subject><subject>Central Nervous System - parasitology</subject><subject>Central Nervous System - pathology</subject><subject>Central Nervous System Diseases - cerebrospinal fluid</subject><subject>Central Nervous System Diseases - parasitology</subject><subject>Central Nervous System Diseases - veterinary</subject><subject>Cerebrospinal fluid</subject><subject>Coinfection - microbiology</subject><subject>Coinfection - parasitology</subject><subject>Coinfection - veterinary</subject><subject>Cuffs</subject><subject>Degeneration</subject><subject>Deoxyribonucleic acid</subject><subject>Development and progression</subject><subject>Diagnosis</subject><subject>DNA</subject><subject>DNA, Protozoan - genetics</subject><subject>Dog Diseases - microbiology</subject><subject>Dog Diseases - parasitology</subject><subject>Dogs</subject><subject>Dosage and administration</subject><subject>Ehrlichia canis - immunology</subject><subject>Ehrlichia canis - physiology</subject><subject>Ehrlichiosis - microbiology</subject><subject>Ehrlichiosis - veterinary</subject><subject>Enzymes</subject><subject>Experimental infection</subject><subject>Females</subject><subject>Genital tract</subject><subject>Glands</subject><subject>Health aspects</subject><subject>Histopathology</subject><subject>Host-Parasite Interactions</subject><subject>Host-Pathogen Interactions</subject><subject>Immune response (humoral)</subject><subject>Immunoassay</subject><subject>Immunohistochemistry</subject><subject>In Situ Hybridization</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Leishmania infantum - genetics</subject><subject>Leishmania infantum - immunology</subject><subject>Leishmania infantum - physiology</subject><subject>Leishmaniasis</subject><subject>Leishmaniasis, Visceral - cerebrospinal fluid</subject><subject>Leishmaniasis, Visceral - parasitology</subject><subject>Leishmaniasis, Visceral - veterinary</subject><subject>Lesions</subject><subject>Lymphocytes</subject><subject>Lymphocytes B</subject><subject>Males</subject><subject>Medicine and Health Sciences</subject><subject>Meningitis</subject><subject>Migration</subject><subject>Motivation</subject><subject>Myelitis</subject><subject>Nervous system</subject><subject>Neurodegeneration</subject><subject>Paralysis</subject><subject>Parasite Load</subject><subject>Parasites</subject><subject>Parasitic diseases</subject><subject>Pathogenesis</subject><subject>Probability theory</subject><subject>Protozoa</subject><subject>Public health</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Risk factors</subject><subject>Seizures</subject><subject>Semiarid environments</subject><subject>Semiarid lands</subject><subject>Skin</subject><subject>Skull</subject><subject>Spinal cord</subject><subject>Spleen</subject><subject>Toxoplasma - immunology</subject><subject>Toxoplasma - physiology</subject><subject>Toxoplasmosis</subject><subject>Toxoplasmosis - parasitology</subject><subject>Urban areas</subject><subject>Vector-borne diseases</subject><subject>Viability</subject><subject>Visceral leishmaniasis</subject><subject>Zoonoses</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11rFDEUhgdRrFb_gWhAEIXuOplsZiZeCKX4UShU_LoNmeTMbkomqUmmuP_Gn-rZ3WnpSi9kLiYkz_ue5HwUxTNazilr6NuLMEav3PwyeJiXtOG8be8Vj6hg1ayuSnb_1vqgeJzSRVly1tb1w-KgahdUUFY_Kv6caz3GCF4DCT05A5tWg_JWEet75fM44ILkFRANPkfliId4FcZE0jplGDYir_KIJ2690YDOYIgJy_SOfFFRJZuBuKDMEbmyqrPO5vUR0WG2Y23wiShvyMqmHFxYWo0xlMsQ1fbwSfGgVy7B0-l_WPz4-OH7yefZ2fmn05Pjs5muRZVnWpiG11XbdQoaajAXXd1otgBTNQvGTV_VrW4Fa9tSAZhyAVUjFDXM0I4LTMxh8WLne-lCklNyk6QtimrKGUXidEeYoC7kZbSDimsZlJXbjRCXUsVstQMpupKiL28r2uMVhMDbVbzruooLDLbxej9FG7sBzJTbPdP9E29XchmuJGeC06ZEg9eTQQy_RkhZDjZpcE55wOps7900dcsrRF_-g979uolaKnwAFidgXL0xlccLUZY1w7hIze-g8DMwWI2d2Fvc3xO82RMgk-F3XqoxJXn67ev_s-c_99lXt9gVYMesUnDjtmf2wcUO1DGkFKG_STIt5WaQrrMhN4Mkp0FC2fPbBboRXU8O-wsjARr7</recordid><startdate>20170418</startdate><enddate>20170418</enddate><creator>Oliveira, Valéria da Costa</creator><creator>Boechat, Viviane Cardoso</creator><creator>Mendes Junior, Artur Augusto Velho</creator><creator>Madeira, Maria de Fátima</creator><creator>Ferreira, Luiz Claudio</creator><creator>Figueiredo, Fabiano Borges</creator><creator>Campos, Monique Paiva</creator><creator>de Carvalho Rodrigues, Francisco das Chagas</creator><creator>Carvalhaes de Oliveira, Raquel de Vasconcellos</creator><creator>Amendoeira, Maria Regina Reis</creator><creator>Menezes, Rodrigo Caldas</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1853-3449</orcidid></search><sort><creationdate>20170418</creationdate><title>Occurrence of Leishmania infantum in the central nervous system of naturally infected dogs: Parasite load, viability, co-infections and histological alterations</title><author>Oliveira, Valéria da Costa ; Boechat, Viviane Cardoso ; Mendes Junior, Artur Augusto Velho ; Madeira, Maria de Fátima ; Ferreira, Luiz Claudio ; Figueiredo, Fabiano Borges ; Campos, Monique Paiva ; de Carvalho Rodrigues, Francisco das Chagas ; Carvalhaes de Oliveira, Raquel de Vasconcellos ; Amendoeira, Maria Regina Reis ; Menezes, Rodrigo Caldas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-c9d75628bbae71d588b67c34ed27435df268c893880aeed04e279a1d3d1b59053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age</topic><topic>Amastigotes</topic><topic>Analysis</topic><topic>Animals</topic><topic>Antibodies</topic><topic>Antibodies, Bacterial - blood</topic><topic>Antibodies, Bacterial - immunology</topic><topic>Antibodies, Protozoan - blood</topic><topic>Antibodies, Protozoan - immunology</topic><topic>Assaying</topic><topic>Bark</topic><topic>Biology and Life Sciences</topic><topic>Blood-brain barrier</topic><topic>Bone marrow</topic><topic>Brain</topic><topic>Causes of</topic><topic>Central nervous system</topic><topic>Central Nervous System - parasitology</topic><topic>Central Nervous System - pathology</topic><topic>Central Nervous System Diseases - cerebrospinal fluid</topic><topic>Central Nervous System Diseases - parasitology</topic><topic>Central Nervous System Diseases - veterinary</topic><topic>Cerebrospinal fluid</topic><topic>Coinfection - microbiology</topic><topic>Coinfection - parasitology</topic><topic>Coinfection - veterinary</topic><topic>Cuffs</topic><topic>Degeneration</topic><topic>Deoxyribonucleic acid</topic><topic>Development and progression</topic><topic>Diagnosis</topic><topic>DNA</topic><topic>DNA, Protozoan - genetics</topic><topic>Dog Diseases - microbiology</topic><topic>Dog Diseases - parasitology</topic><topic>Dogs</topic><topic>Dosage and administration</topic><topic>Ehrlichia canis - immunology</topic><topic>Ehrlichia canis - physiology</topic><topic>Ehrlichiosis - microbiology</topic><topic>Ehrlichiosis - veterinary</topic><topic>Enzymes</topic><topic>Experimental infection</topic><topic>Females</topic><topic>Genital tract</topic><topic>Glands</topic><topic>Health aspects</topic><topic>Histopathology</topic><topic>Host-Parasite Interactions</topic><topic>Host-Pathogen Interactions</topic><topic>Immune response (humoral)</topic><topic>Immunoassay</topic><topic>Immunohistochemistry</topic><topic>In Situ Hybridization</topic><topic>Infections</topic><topic>Inflammation</topic><topic>Leishmania infantum - genetics</topic><topic>Leishmania infantum - immunology</topic><topic>Leishmania infantum - physiology</topic><topic>Leishmaniasis</topic><topic>Leishmaniasis, Visceral - cerebrospinal fluid</topic><topic>Leishmaniasis, Visceral - parasitology</topic><topic>Leishmaniasis, Visceral - veterinary</topic><topic>Lesions</topic><topic>Lymphocytes</topic><topic>Lymphocytes B</topic><topic>Males</topic><topic>Medicine and Health Sciences</topic><topic>Meningitis</topic><topic>Migration</topic><topic>Motivation</topic><topic>Myelitis</topic><topic>Nervous system</topic><topic>Neurodegeneration</topic><topic>Paralysis</topic><topic>Parasite Load</topic><topic>Parasites</topic><topic>Parasitic diseases</topic><topic>Pathogenesis</topic><topic>Probability theory</topic><topic>Protozoa</topic><topic>Public health</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Risk factors</topic><topic>Seizures</topic><topic>Semiarid environments</topic><topic>Semiarid lands</topic><topic>Skin</topic><topic>Skull</topic><topic>Spinal cord</topic><topic>Spleen</topic><topic>Toxoplasma - immunology</topic><topic>Toxoplasma - physiology</topic><topic>Toxoplasmosis</topic><topic>Toxoplasmosis - parasitology</topic><topic>Urban areas</topic><topic>Vector-borne diseases</topic><topic>Viability</topic><topic>Visceral leishmaniasis</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliveira, Valéria da Costa</creatorcontrib><creatorcontrib>Boechat, Viviane Cardoso</creatorcontrib><creatorcontrib>Mendes Junior, Artur Augusto Velho</creatorcontrib><creatorcontrib>Madeira, Maria de Fátima</creatorcontrib><creatorcontrib>Ferreira, Luiz Claudio</creatorcontrib><creatorcontrib>Figueiredo, Fabiano Borges</creatorcontrib><creatorcontrib>Campos, Monique Paiva</creatorcontrib><creatorcontrib>de Carvalho Rodrigues, Francisco das Chagas</creatorcontrib><creatorcontrib>Carvalhaes de Oliveira, Raquel de Vasconcellos</creatorcontrib><creatorcontrib>Amendoeira, Maria Regina Reis</creatorcontrib><creatorcontrib>Menezes, Rodrigo Caldas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>Proquest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliveira, Valéria da Costa</au><au>Boechat, Viviane Cardoso</au><au>Mendes Junior, Artur Augusto Velho</au><au>Madeira, Maria de Fátima</au><au>Ferreira, Luiz Claudio</au><au>Figueiredo, Fabiano Borges</au><au>Campos, Monique Paiva</au><au>de Carvalho Rodrigues, Francisco das Chagas</au><au>Carvalhaes de Oliveira, Raquel de Vasconcellos</au><au>Amendoeira, Maria Regina Reis</au><au>Menezes, Rodrigo Caldas</au><au>Stäger, Simona</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occurrence of Leishmania infantum in the central nervous system of naturally infected dogs: Parasite load, viability, co-infections and histological alterations</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-04-18</date><risdate>2017</risdate><volume>12</volume><issue>4</issue><spage>e0175588</spage><epage>e0175588</epage><pages>e0175588-e0175588</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Zoonotic visceral leishmaniasis is caused by the protozoan Leishmania infantum and little is known about the occurrence and pathogenesis of this parasite in the CNS. The aims of this study were to evaluate the occurrence, viability and load of L. infantum in the CNS, and to identify the neurological histological alterations associated with this protozoan and its co-infections in naturally infected dogs. Forty-eight Leishmania-seropositive dogs from which L. infantum was isolated after necropsy were examined. Cerebrospinal fluid (CSF) samples were analyzed by parasitological culture, quantitative real-time PCR (qPCR) and the rapid immunochromatographic Dual Path Platform test. Brain, spinal cord and spleen samples were submitted to parasitological culture, qPCR, and histological techniques. Additionally, anti-Toxoplasma gondii and anti-Ehrlichia canis antibodies in serum and distemper virus antigens in CSF were investigated. None of the dogs showed neurological signs. All dogs tested positive for L. infantum in the CNS. Viable forms of L. infantum were isolated from CSF, brain and spinal cord in 25% of the dogs. Anti-L. infantum antibodies were detected in CSF in 61% of 36 dogs. Inflammatory histological alterations were observed in the CNS of 31% of the animals; of these, 66% were seropositive for E. canis and/or T. gondii. Amastigote forms were associated with granulomatous non-suppurative encephalomyelitis in a dog without evidence of co-infections. The highest frequency of L. infantum DNA was observed in the brain (98%), followed by the spinal cord (96%), spleen (95%), and CSF (50%). The highest L. infantum load in CNS was found in the spinal cord. These results demonstrate that L. infantum can cross the blood-brain barrier, spread through CSF, and cause active infection in the entire CNS of dogs. Additionally, L. infantum can cause inflammation in the CNS that can lead to neurological signs with progression of the disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28419136</pmid><doi>10.1371/journal.pone.0175588</doi><tpages>e0175588</tpages><orcidid>https://orcid.org/0000-0003-1853-3449</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Amastigotes
Analysis
Animals
Antibodies
Antibodies, Bacterial - blood
Antibodies, Bacterial - immunology
Antibodies, Protozoan - blood
Antibodies, Protozoan - immunology
Assaying
Bark
Biology and Life Sciences
Blood-brain barrier
Bone marrow
Brain
Causes of
Central nervous system
Central Nervous System - parasitology
Central Nervous System - pathology
Central Nervous System Diseases - cerebrospinal fluid
Central Nervous System Diseases - parasitology
Central Nervous System Diseases - veterinary
Cerebrospinal fluid
Coinfection - microbiology
Coinfection - parasitology
Coinfection - veterinary
Cuffs
Degeneration
Deoxyribonucleic acid
Development and progression
Diagnosis
DNA
DNA, Protozoan - genetics
Dog Diseases - microbiology
Dog Diseases - parasitology
Dogs
Dosage and administration
Ehrlichia canis - immunology
Ehrlichia canis - physiology
Ehrlichiosis - microbiology
Ehrlichiosis - veterinary
Enzymes
Experimental infection
Females
Genital tract
Glands
Health aspects
Histopathology
Host-Parasite Interactions
Host-Pathogen Interactions
Immune response (humoral)
Immunoassay
Immunohistochemistry
In Situ Hybridization
Infections
Inflammation
Leishmania infantum - genetics
Leishmania infantum - immunology
Leishmania infantum - physiology
Leishmaniasis
Leishmaniasis, Visceral - cerebrospinal fluid
Leishmaniasis, Visceral - parasitology
Leishmaniasis, Visceral - veterinary
Lesions
Lymphocytes
Lymphocytes B
Males
Medicine and Health Sciences
Meningitis
Migration
Motivation
Myelitis
Nervous system
Neurodegeneration
Paralysis
Parasite Load
Parasites
Parasitic diseases
Pathogenesis
Probability theory
Protozoa
Public health
Real-Time Polymerase Chain Reaction
Risk factors
Seizures
Semiarid environments
Semiarid lands
Skin
Skull
Spinal cord
Spleen
Toxoplasma - immunology
Toxoplasma - physiology
Toxoplasmosis
Toxoplasmosis - parasitology
Urban areas
Vector-borne diseases
Viability
Visceral leishmaniasis
Zoonoses
title Occurrence of Leishmania infantum in the central nervous system of naturally infected dogs: Parasite load, viability, co-infections and histological alterations
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