Volume 69, Issue 5 pp. e3225-e3230
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Toxoplasmosis in a free-ranging hairy dwarf porcupine (Sphiggurus spinosus) with a potential novel genotype

Alessandra Loureiro Morales dos Santos

Alessandra Loureiro Morales dos Santos

Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo, Brazil

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Pedro Enrique Navas-Suárez

Pedro Enrique Navas-Suárez

Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo, Brazil

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Juliana Mariotti Guerra

Juliana Mariotti Guerra

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Ticiana Brasil Ervedosa

Ticiana Brasil Ervedosa

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Luana Rivas

Luana Rivas

Wildlife Division, Centro de Manejo e Conservação de Animais Silvestres, CEMACAS, São Paulo, São Paulo, Brazil

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Adriana Joppert

Adriana Joppert

Wildlife Division, Centro de Manejo e Conservação de Animais Silvestres, CEMACAS, São Paulo, São Paulo, Brazil

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Eduardo Ferreira Machado

Eduardo Ferreira Machado

Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo, Brazil

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Rodrigo Albergaria Ressio

Rodrigo Albergaria Ressio

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Isis Paixão de Jesus

Isis Paixão de Jesus

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Julia de Carvalho

Julia de Carvalho

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Patricia Sayuri Silvestre Matsumoto

Patricia Sayuri Silvestre Matsumoto

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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Ketlyn Bolsachini Figueiredo

Ketlyn Bolsachini Figueiredo

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

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José Luiz Catão-Dias

José Luiz Catão-Dias

Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo, Brazil

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Natália Coelho Couto de Azevedo Fernandes

Corresponding Author

Natália Coelho Couto de Azevedo Fernandes

Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo, Brazil

Pathology Center, Adolfo Lutz Institute, São Paulo, São Paulo, Brazil

Correspondence

Natália Coelho Couto de Azevedo Fernandes, Laboratory of Wildlife Comparative Pathology, School of Veterinary Medicine and Animal Sciences, University of São Paulo, São Paulo, São Paulo State, Brazil.

Email: [email protected]

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First published: 23 February 2022

Alessandra Loureiro Morales dos Santos and Pedro Enrique Navas-Suárez contributed equally to the work.

Abstract

Toxoplasmosis is a zoonotic disease caused by the ubiquitous coccidia Toxoplasma gondii. Rodents play an important role in maintaining its life cycle, as they are one of the main diet sources for felids (wild and domestic), the unique definitive hosts. However, reports of toxoplasmosis in porcupines (Order Rodentia) are uncommon, with gaps concerning its pathophysiology. South America is the continent with the greatest genetic diversity of rodents and T. gondii. A free-ranging hairy dwarf porcupine was admitted to a wildlife rescue centre with a history of trauma. During rehabilitation, the animal presented neurological symptoms (sporadic episodes of hind limbs paresis) and died 5 months later. The main findings during necropsy were brain congestion and severe incisor overgrowth associated with maxillary perforation. The histopathological exam showed moderate encephalitis, with variable-sized round cysts, positive for PAS stain and immunohistochemistry for T. gondii. Additionally, two cysts were observed in the medulla of the adrenal gland. Molecular techniques were performed to characterize the parasite load by qPCR (Cq = 30) and the genotype by PCR-RFLP with 11 markers, which revealed a potential new genotype. This case adds to the body of knowledge in comparative pathology of Neotropical Rodentia and reports a new potential genotype circulating in South America.

1 INTRODUCTION

Toxoplasmosis is a zoonotic disease caused by the protozoan Toxoplasma gondii, and its distribution is worldwide. Felids (Family Felidae) are its only definitive host, and rodents (Order Rodentia) play an essential role in maintaining their life cycle (Su et al., 2010); however, there is information demonstrating that T. gondii can infect almost all warm-blooded animal species. Recently, molecular studies show a wide diversity of genotypes worldwide, with Brazil being a hub of great genetic diversity (Pena et al., 2011). Within the order Rodentia, the family Erethizontidae includes the South American porcupines. Although these species have a wide distribution in the Americas, due to their cryptic habits, the knowledge on their ecological and sanitary aspects are limited. The hairy dwarf porcupine Sphiggurus spinosus (F. Cuvier, 1823) has a wide distribution in northeastern Argentina, eastern Paraguay, northern Uruguay and southeastern Brazil, including the Cerrado, the Pantanal and the Atlantic Forest biomes (Voss, 2015). The hairy dwarf porcupine is categorized as Least Concern (LC) according to the red list of the International Union for Conservation of Nature (IUCN) and is part of Appendix III of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) since 1976.

There are few reports of toxoplasmosis in porcupines. Microscopic and immunohistochemical features were described in a captive Sphiggurus mexicanus in Costa Rica (Morales et al., 1996), and T. gondii was molecularly diagnosed in three Chaetomys subspinous in Brazil (Bezerra et al., 2015). To the best of our knowledge, this is the first report describing the molecular, immunohistochemical and pathological features of this condition in neotropical porcupines, including the report of a potential new genotype.

2 MATERIAL AND METHODS

An adult female hairy dwarf porcupine (Sphiggurus spinosus, F. Cuvier, 1823) was admitted to a wildlife rescue centre with a history of trauma. It was found in a periurban area of the metropolitan region of São Paulo, between the Atlantic rainforest and densely urbanized area. The animal was kept under medical care for almost 5 months, and during the rehabilitation, the animal presented sporadic episodes of bilateral hind limb paresis (Supplementary material 1). Days before the natural death, a purulent discharge in the right nostril was observed. Necropsy was performed, and tissue fragments (brain, heart, lungs, liver, spleen, kidney, adrenal glands, small intestine, uterus and urinary bladder) were collected and fixed in 10% neutral buffered formalin, and fresh brain and liver fragments were frozen at −20°C. The samples were referred to Adolfo Lutz Institute within the framework of the wildlife epidemiological and laboratorial surveillance project: potential for the emergence and re-emergence of infectious diseases (SES-PRC-2020/32339 – PROC. 28/2020) in order to detect potential zoonotic diseases in wildlife.

For histopathology, the tissues were processed routinely, embedded in paraffin-wax, sectioned at 4-μm-thick and stained with haematoxylin and eosin (H&E) and periodic acid of Schiff (PAS), for routine microscopic analysis. Immunohistochemical and molecular methods are fully described in the Appendix. The location where the porcupine was found was recorded. The location where the porcupine was found was recorded (Appendix).

3 RESULTS AND DISCUSSION

The main gross findings were purulent discharge in the right nostril extending to the frontal sinus; dental overgrowth of the lower right incisor associated with a solution of continuity in the maxillary and the right infraorbital regions, and marked congestion of the cortical blood vessels in the brain. No lesions were observed in other organs. Histologically, mild-to-moderate multifocal non-suppurative encephalitis, characterized by mononuclear perivascular cuffs with two to four layers of lymphocytes, plasma cells and macrophages, associated with mild-to-moderate multifocal gliosis, occasional necrosis of neuropil, randomly in white and grey matter. Multifocal protozoan cysts ranging from 66.3 × 44.9 to 126.7 × 136.0 μm, PAS-positive, were observed (Figure 1). Protozoan cysts showed immunolabeling for T. gondii at IHC (Figure 1). Two protozoan cysts were found in the medulla of the adrenal gland.

Details are in the caption following the image
Histopathological and immunohistochemical findings. Histopathological analysis of Toxoplasma gondii infection in the brain of a hairy dwarf porcupine. (a) Mononuclear cells infiltrating into the brain (encephalitis) and around a vessel, brain, H&E. (b) Toxoplasma gondii tissue cyst surrounded by inflammatory cells brain, H&E. (c) Toxoplasma gondii tissue cyst next to a vascular cuffing with mononuclear cells infiltration, brain, IHC. (d) Toxoplasma gondii cysts in the medullary, adrenal gland, H&E

In rodents (mainly mice and rats), it is hypothesized that in latent infections, there is a neuroanatomical tendency of parasite cysts to be more abundant in amygdalar structures, resulting in impaired learning and memory and behavioural abnormalities, associated with loss of fear from predators, which could favour the biological cycle of the T. gondii (Hari Dass & Vyas, 2014). In this porcupine, we observed T. gondii cysts exclusively in the central nervous system and in the medulla of the adrenal gland, the latter with a neuroectodermal origin. We believe that this case corresponds to a latent infection due to the absence of tachyzoites in other tissues, such as the liver and spleen, the predominance of large cysts and rare inflammatory infiltrates around cystic structures.

Molecular confirmation through qPCR showed a moderate parasite load (Cq = 30). In ToxoDB database platform, different genotypes (#1–#278) of T. gondii in human and animal samples are registered. This sample is likely a new genotype, with similarity to other known genotypes, since 9 out of 11 markers matched to ToxoDB PCR-RFLP genotypes #6, #80, #126 and #244 (Table 1 and Figure 2). The genotype #6 (also known as BrI and Africa 1) is the major virulent lineage previously reported in Brazil, and it was previously identified in domestic and wild Brazilian animals like chickens, dogs, cats, sheep, goats, pigeons and capybaras (Dubey et al., 2012). The genotype #6 is also observed in HIV-immunosuppressed humans in Brazil, with severe and diffuse cerebral toxoplasmosis (Ferreira et al., 2011). The genotypes #80 and #126 are described in Brazilian cats. Information about genotype #244 was not found in the literature. Beyond that, the only genotyping study on Sphiggurus spinosus showed 4/7 markers similarity (Richini-Pereira et al., 2016).

TABLE 1. Multilocus genotyping of Toxoplasma gondii strain from a hairy dwarf porcupine (Sphiggurus spinosus) by PCR-RFLP analysis. Potential new genotype, with comparison to strains indexed into TOXO-DB
SAG1 5-3SAG2 alt.SAG2 SAG3 BTUB GRA6 c22-8 c29-2 L358 PK1 Apico
I? I I? III I? II u-1 III I u-1 I
  • Multilocus genotyping of Toxoplasma gondii strain from a hairy dwarf porcupine (Sphiggurus spinosus) by PCR-RFLP analysis. Potential new genotype, with comparison to strains indexed into TOXO-DB.
Details are in the caption following the image
Gel electrophoresis images of the frozen sample. Multilocus genotyping of Toxoplasma gondii strain from a hairy dwarf porcupine (Sphiggurus spinosus) by PCR-RFLP analysis. For the markers BTUB, SAG1 and alt.SAG-2, it was difficult to determine the result of the alleles, primordialy because gel electrophoresis was run separately for the reference strains and the unknown sample, but just with the results of the others nine markers conclusive, it is possible to assert that this is a potential new genotype, with comparison to strains indexed into TOXO-DB

4 CONCLUSION

Herein, we describe the pathologic, IHC and genotyping features of toxoplasmosis in a free-ranging hairy dwarf porcupine. To the best of our knowledge, this is the first report describing the molecular, immunohistochemical and pathological features of this condition in neotropical porcupines, including the report of a potential new genotype. It reinforces the importance of wildlife surveillance to detect zoonotic diseases, especially in urban areas.

ACKNOWLEDGEMENTS

The authors would like to give special thanks to Doctor Chunlei Su for the precious support in electrophoresis analysis. Thanks to all the Wildlife Division (Cemacas) staff, Biological Sample Management Center (NGAB) and Pathology Center, Adolfo Lutz Institute. Thanks to Vinícius Gomes da Silva and Silvana de Melo Pereira da Silva for technical support. Doctor Hilda Fátima de Jesus Pena for pattern strains. Doctor Roberto Mitsuyoshi Hiramoto for the positive control and Vera Lúcia Pereira-Chioccola for the technical guidance on genotyping. The authors thank all fundings: Support Group to Prevention and Protection to the Health (GAPS/FESIMA grant #28/2020 and #040/2019), the Wildlife and to Coordination for the Improvement of Higher Education Personnel (CAPES; grant # 88887.374652/2019-00), the financial support for Santos ALM Master's study and the National Research Council (CNPq; grant #304999-18) for Catão-Dias JL fellowship. The funders had no role in study design, data collection, analysis, decision to publish or manuscript preparation.

    ETHICS STATEMENT

    The authors confirm that the ethical policies of the journal, as noted on the journal's author guidelines page, have been adhered to. No ethical approval was required for this specific study.

    CONFLICT OF INTERESTS

    The authors declare no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

    APPENDIX: IMMUNOHISTOCHEMICAL AND MOLECULAR METHODOLOGIES

    Immunohistochemistry (IHC)

    Deparaffinized 3-μm sections of formalin-fixed paraffin-embedded (FFPE) tissues silanized slides were submitted to antigen retrieval (citric acid solution 10 mM pH 6.0 in a pressure cooker, for 3 min, at 120°C). Endogenous peroxidase was blocked with 6% hydrogen peroxide for 30 min followed by overnight incubation with Polyclonal Rabbit Anti-Toxoplasma gondii (Dako Carpinteria, CA, USA) at a concentration of 1/50. Signal was amplified by the micropolymers conjugated with alkaline phosphatase enzyme (MACH 4® Universal AP Polymer Kit, Biocare Medical, CA, EUA) for 60 min, and visualization was achieved by chromogenic substrate (Warp-red®, Biocare Medical, CA, EUA) for 3 min. The samples were counterstained with Harris Haematoxylin for 20 s followed by dehydration and slide mounting with synthetic resin. Tissue fragments known to be positive and confirmed by PCR for the agent were used as positive controls and tissue sections in which the primary antibodies were replaced by non-immune serum of those species where antibodies were raised served as negative controls.

    Molecular study

    For quantitative analysis, real-time PCR (qPCR) assays were performed. DNA was extracted from frozen samples of the central nervous system using a commercial kit (Bio Gene, Bioclin Quibasa, DNA/RNA Viral Extraction), according to the manufacturer's instruction. The lyse buffer and proteinase K were added to 20 mg of tissues and incubated at 56°C overnight. The lysate was transferred to the silica column, washed and eluted with the elution buffer in a final volume of 60 μl. qPCR assays for T. gondii were carried out using primer pairs forward (TCC CCT CTG CTG GCG AAA AGT)/Reverse (AGC GTT CGT GGT CAA CTA TCG ATT G) and the probe (FAM - TCT GTG CAA CTT TGG TGT ATT CGC AG – BHQ1) and the Taqman Universal PCR Master Mix (Applied Biosystems, ThermoFisher Scientific, Warrington, UK) in a final volume of 25 μl. The expected product sizes were 98 bp (Lin et al., 2000). The cycle threshold value (CT), indicative of the quantity of target gene at which the fluorescence exceeds a preset threshold, was determined.

    The genotype of this strain was determined by multilocus PCR-RFLP using 11 different markers: apico, PK1, L358, SAG1, SAG2, alt.SAG-2, SAG3, BTUB, GRA6, c22-8, c29-2 (Su et al., 2010). The PCR-RFLP products were examined by electrophoresis in 3% agarose gel, and compared to the pattern strains (RH, PTG, CTG, TgCgCa1, MAS, TgCatBr5, TgCatBr64) gel images (Figure A1).

    Location of the porcupine

    We geocoded the address using Geographic Information System ArcGIS 10.2.2. and its online imagery base maps only for location purposes (Figure A2).

    Details are in the caption following the image
    Gel electrophoresis images of the pattern strains
    Details are in the caption following the image
    Address where the porcupine was found. The animal was found alive near a wildlife corridor of the Atlantic rainforest in the Metropolitan Region of São Paulo

    DATA AVAILABILITY STATEMENT

    The data that support the findings of this study are openly available in Authorea at https://doi.org/10.22541/au.163590389.97218429/v1.

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