Low potential of fish as a source of infection with Angiostrongylus cantonensis
Objectives
Fish are hypothesized to act as paratenic hosts for the zoonotic nematode Angiostrongylus cantonensis, cause of human eosinophilic meningitis. There is a lack of data confirming the relevance of fish in A. cantonensis life cycle and their contribution to human infection.
Materials and methods
We conducted a series of experiments to investigate survival and infectivity of A. cantonensis larvae in Clarias gariepinus (catfish; n=30) and Oreochromis niloticus (tilapia; n=24). Each fish was inoculated with 10,000 third-stage larvae (L3). Larval survival was assessed through artificial digestion of fish tissues one, two, and three weeks post-infection. To investigate early stages of infection, four catfish were inoculated with 10,000 L3 each and sacrificed 3 days post-infection. qPCR and histopathological examinations were performed to evaluate larval distribution and tissue reactions. Two infected catfish, sacrificed one week post-infection, were used to feed Wistar rats.
Results
After 45 days, the rats were not shedding L1, indicating the absence of infection. One week post-infection, dead larvae were present in digested tissues of both fish species, and the same was observed two and three weeks after exposure. qPCR analysis revealed that intestine was the most heavily infected organ. Histopathology identified dead larvae within granulomas in intestines and liver. Early-stage infection experiment showed that fish sacrificed three days post-inoculation contained viable L3 which were infective to Wistar rats.
Conclusions
While A. cantonensis L3 can survive and remain infective in fish for a short period, they typically die within first few days post-infection. This suggests that fish may not be significant long-term paratenic hosts for A. cantonensis but may play a temporary role in its transmission to mammals (including humans) and birds. These results are consistent with previous studies on freshwater shrimps and highlight the importance of understanding aquatic host interactions in the epidemiology of this zoonotic food-borne pathogen.
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PLoS Neglected Tropical Diseases
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Public Library of Science (PLoS)
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