Acta Tropica 104 (2007) 25–29

Susceptibility of Mepraia spinolai and Triatoma infestans to different Trypanosoma cruzi strains from naturally infected rodent hosts Ricardo Campos a , Mariana Acu˜na-Retamar b , Carezza Botto-Mahan c , Sylvia Ortiz a , Pedro E. Cattan b , Aldo Solari a,∗ a

Program of Cellular and Molecular Biology, Institute of Biomedical Sciences, Faculty of Medicine, University of Chile, Santiago, Chile b Department of Biological Sciences, Faculty of Veterinary Sciences, University of Chile, Santiago, Chile c Department of Ecological Sciences, Faculty of Sciences, University of Chile, Santiago, Chile Received 23 March 2007; received in revised form 25 June 2007; accepted 10 July 2007 Available online 25 July 2007

Abstract Trypanosoma cruzi is the causative agent of Chagas disease, a zoonosis involving domestic and sylvatic mammalian reservoirs. Since scarce information has been published about the susceptibility of T. cruzi lineages to other triatomine species besides Triatoma infestans, we evaluate the susceptibility of T. infestans and Mepraia spinolai to different T. cruzi lineages, originated from naturally infected Octodon degus rodents as mammal host. Xenodiagnosis-PCR methods to detect T. cruzi positive rodents and genotyping to differentiate T. cruzi lineages (TcI, TcIIb, TcIId and TcIIe) identified singly and mixed T. cruzi infections. More infections and nearly all mixed infections were identified using the wild vector M. spinolai than T. infestans. © 2007 Published by Elsevier B.V. Keywords: Triatomine; Reduviidae; Chagas disease; Insect vector; Chile

1. Introduction Chagas disease is a zoonosis involving a large number of domestic and sylvatic mammalian reservoirs. In Chile, two insect vectors propagate the protozoan parasite Trypanosoma cruzi, the causative agent of the disease. Triatoma infestans (Reduviidae: Triatominae) is the domestic vector, so far controlled (Lorca et al., 2001). Meantime, Mepraia spinolai is a peridomestic and sylvatic vector, found in corrals of domestic animal, stony hills and rock crevices, often inhabited by the



Corresponding author. Tel.: +56 2 978 6062; fax: +56 2 735 5580. E-mail address: [email protected] (A. Solari).

0001-706X/$ – see front matter © 2007 Published by Elsevier B.V. doi:10.1016/j.actatropica.2007.07.005

sylvatic rodent reservoir Octodon degus (Botto-Mahan et al., 2005a). This wild vector is an endemic species, inhabiting ecologically isolated areas by the presence of the Andes Mountains and the Atacama Desert. The taxon T. cruzi is divided into two groups, TcI and TcII. T. cruzi I corresponds to zymodeme Z1, and T. cruzi II has been proposed to be subdivided into five sublineages, one corresponding to Z2 (TcIIb), another to Z3 (TcIIa), and the hybrids TcIIc, TcIId and TcIIe (Brisse et al., 2001). According to direct parasite characterization methods, these lineages can be found singly or mixed as described for Bolivia and Chile (Bosseno et al., 1996; Breniere et al., 1998; Solari et al., 2001; Coronado et al., 2006). The relationship between the T. cruzi diversity and its vectorial transmissibility with

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R. Campos et al. / Acta Tropica 104 (2007) 25–29

different insect vectors is not well known. T. cruzi populations differ in their ability to multiply and differentiate inside the insect vector (Schaub et al., 1989; Mello et al., 1996). However, the susceptibility of different triatomine species to T. cruzi infection has been studied by means of xenodiagnosis, that is, the use of uninfected bugs to detect T. cruzi flagellates on reservoirs (Schenone, 1999). Several reports have described methods to improve diagnosis using different triatomine species or modified xenodiagnosis protocols (de Carvalho Moreira and Perlowagora-Szumlewicz, 1997; Campos et al., 2007). It has been suggested that indigenous vectors from the same geographic area present a greater susceptibility (Dias, 1940), emphasizing the superiority of sylvatic vectors over domestic ones to detect T. cruzi (Perlowagora-Szumlewicz et al., 1988, 1990; Campos et al., 2007). However, scarce information has been published about the susceptibility of T. cruzi lineages to other triatomine species besides T. infestans (de Lana et al., 1998). In this study, we evaluate the susceptibility of T. infestans and M. spinolai to different T. cruzi lineages, originated from naturally infected O. degus rodents as mammal host. In order to maximize T. cruzi detection, we use a recently described method by Campos et al. (2007), which combines xenodiagnosis and PCR assays. 2. Materials and methods 2.1. Trapping site The collecting site for O. degus specimens is located at Las Chinchillas National Reserve (IV Region; 31◦ 30 03 S; 71◦ 06 20 W), located about 300 km north from Santiago, Chile, and 60 km east from the Pacific coast. The reserve is in a mountainous terrain of 4229 ha with semiarid climate and sporadic precipitation concentrated during austral winter months (di Castri and Hajek, 1976). Several reports indicate the presence of M. spinolai populations in this area (Botto-Mahan et al., 2002, 2005a), with up to 46.2% of T. cruzi infection (BottoMahan et al., 2005b). In this study, we captured 35 O. degus (Rodentia: Octodontidae) using Sherman traps in diurnal and nocturnal periods. Captured rodents were carried out to the laboratory and kept in a biotherium at 25 ◦ C, 60% relative humidity with 12:12 h light:dark photoperiod, and individually housed in plastic cages (31.0 cm × 37.0 cm) with water and alfalfa pellet ad libitum. After experiments all O. degus specimens were returned to the collecting site. Experiments were conducted with permission of the Ethical Committee of the Faculty of Medicine, University of Chile.

2.2. Xenodiagnosis-PCR analysis For xenodiagnosis-PCR purposes, O. degus specimens were intramuscularly anesthetized with 50 mg/kg of ketamine and placed in a tray with 10–20 uninfected first and second instar nymphs of each vector species. T. infestans and M. spinolai nymphs were obtained from established insect colonies at the Faculty of Medicine and Faculty of Sciences (University of Chile), respectively. Nymphs from both vector species were reared under optimal growing conditions inside a climatic chamber at 26 ◦ C, 65–70% relative humidity, and 14:10 h light:dark photoperiod. Parental insects of the T. infestans colony were captured in the decade of 1950 from different localities in the IV region (Chile). Approximately, the nymphs used in this study correspond to the 50th generation in captivity. The M. spinolai colony was established in 2005 from parental insects captured at Las Chinchillas National Reserve (see location above), and the nymphs used in this study correspond to the 2nd generation in captivity. Sixty days post feeding, a pool of feces from all the bugs of each vector species fed with each O. degus individual was obtained through abdominal extrusion and examined under a light microscope (Schenone, 1999). Each pool of total intestinal contents was mixed with 200 ␮l of PBS buffer, centrifuged at 10,000 × g, and frozen at −20 ◦ C for PCR assay. A sample of 1–5 ␮l of this crude 10 min-preboiled extract was used as DNA template. Intestinal contents were free of fresh blood, therefore, no DNA extraction was required. PCR was performed as previously reported, using primers 121 and 122 directed to amplify the variable region of minicircle kinetoplast DNA (Wincker et al., 1994; Campos et al., 2007). Each run included positive and negative controls. Samples were tested in triplicate, and an animal was considered positive when at least two out of the three assays turned out positives. PCR products were analyzed by electrophoresis on 2% agarose gels and visualized by ethidium bromide staining. A 330 base pairs (bp) product represents a positive assay. For confirmation of positive PCR, Southern analyses were performed using 10 ␮l of each PCR assay. PCR products were electrophoresed, transferred onto Hybond N+ nylon membranes (Amersham), and cross-linked by ultraviolet light for DNA fixation. After transferring PCR products, membranes were pre-hybridized for at least 2 h at 55 ◦ C, and finally hybridized with total kinetoplast DNA labeled with P32 (1 × 106 cpm/membrane) as probe. After hybridization, membranes were washed three times for 30 min each with 2× SSC, 0.1% SDS at 55 ◦ C, and later exposed in the Molecular Imager FX

R. Campos et al. / Acta Tropica 104 (2007) 25–29

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(Bio-Rad). No inhibitors were detected in negative PCR samples. 2.3. Trypanosoma cruzi genotyping For T. cruzi genotyping, four different T. cruzi clones (sp 104cl1, CBBcl3, NRcl3 and v195cl1) corresponding to TcI, TcIIb, TcIId and TcIIe, respectively, were used to generate specific probes. Construction of minicircles probes was performed as previously described (Veas et al., 1991), and radiolabeled as described for total kinetoplast DNA. Southern analyses were performed with each genotype specific probe. 3. Results Light microscope examination detected two T. cruzi positive rodents (nos. 5 and 18) with both vectors. Results from xenodiagnosis-PCR analyses using M. spinolai and T. infestans showed that eight and two O. degus were T. cruzi positives, respectively (chisquare = 4.2, d.f. = 1, P = 0.04). The amount of blood extracted by each pool of bugs from T. cruzi positive O. degus did not differ between the two vector species with an average amount of 128.8 and 142.2 mg in M. spinolai and T. infestans, respectively (t-test; F1,14 = 0.155, P = 0.699; Table 1). T. cruzi genotyping was performed on fecal samples from insects fed with O. degus that resulted positives (Fig. 1A–E). Results from genotyping shown in Fig. 1B–E indicate that four O. degus were singly infected with TcI, two were infected with two strains (TcI and TcIId), and two other rodents were infected with three T. cruzi strains (TcI, TcIIb/TcIId, and TcIIe). These results indicate the presence of mixed infection in four rodents, three of them only detected with the wild vector M. spinolai. Table 1 Total amount of blood (mg) ingested by each pool of nymphs for both vector species from Octodon degus specimens infected with T. cruzi Octodon degus specimens

Ingested blood in mg (number of nymphs fed) Triatoma infestans

Mepraia spinolai

5 9 10 12 13 15 18 19

120 (10) 80 (6) 90 (6) 105 (5) 115 (5) 100 (6) 250 (6) 280 (6)

118 (16) 58 (11) 70 (10) 104 (13) 146 (12) 104 (13) 200 (6) 230 (6)

Numbers in parentheses indicate the total number of nymphs fed on O. degus.

Fig. 1. (A) Trypanosoma cruzi amplicons stained with ethidium bromide. Hybridization profiles obtained with genotype specific probes corresponding to (B) TcI, (C) TcIIb, (D) TcIId and (E) TcIIe. C: negative control, M: marker, i: Triatoma infestans and sp: Mepraia spinolai. Octodon degus specimens resulting xenodiagnosis-PCR positives are represented by numbers on the horizontal axe. A 330 base pairs (bp) product represents a positive assay.

Even though, our results for xenodiagnosis-PCR suggest a higher susceptibility of M. spinolai to different T. cruzi genotypes compared to T. infestans, not statistical differences were detected (chi-square = 4.2, d.f. = 2, P = 0.12). Finally, O. degus with high parasitemia (i.e., microscope positives) were only infected with TcI as detected with both vector species. 4. Discussion Experimental studies in chronic Chagas disease using genetically defined T. cruzi strains demonstrated that transmission efficiency could be associated with

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R. Campos et al. / Acta Tropica 104 (2007) 25–29

the triatomine species used (Perlowagora-Szumlewicz et al., 1988, 1990). More recent studies on T. infestans susceptibility to T. cruzi naturally infected patient from Minas Gerais, Brazil, concluded that this species has low transmissibility compared to other triatomines (Nirschl et al., 1994; de Carvalho Moreira and PerlowagoraSzumlewicz, 1997). Results from our study follow the same tendency, that is, triatomine susceptibility to local T. cruzi populations circulating in the wild rodent O. degus varies between vector species. The native triatomine species M. spinolai presents a higher susceptibility compared to the domestic species T. infestans. It can be hypothesized that T. infestans is less adapted to transmit local T. cruzi lineages than M. spinolai, especially if we consider the recent colonization of T. infestans in Chile after its migration from the origin in Cochabamba, Bolivia (Schofield, 2000). More recently, it has been determined by experimental infections with well-defined T. cruzi lineages, that T. infestans has the best transmissibility for the TcI lineage, a minimal for TcIIb, and an intermediate for TcIId (de Lana et al., 1998). Our results using naturally infected O. degus suggest that even though T. infestans was able to amplify the TcI lineage, only it was able to detect it from two heavily infected O. degus, as determined by classical xenodiagnosis. The rest of TcI-infected rodents, besides rodents 5 and 18, were only detected by M. spinolai. Three other rodents infected with mixed lineages (TcI, TcIIb/TcIId and TcIIe) were exclusively detected by M. spinolai. These results show the higher capacity of M. spinolai to host and reproduce different T. cruzi lineages compared to T. infestans. This observation is interesting considering the low probability of T. cruzi transmission by M. spinolai due to defecation delay when compared to T. infestans, implying a lower transmission efficiency (Canals et al., 1999). However, this aspect is attenuated since T. cruzi infection reduces defecation time in infected insects (Botto-Mahan et al., 2006). In this study, we detect lower infection rates in O. degus compared with previous reports of infection levels for the same geographic area (Botto-Mahan et al., 2005b). This fact may be explained by natural oscillations in parasite–host systems. Probably, the lack of statistical differences between the ability of both vectors to host and reproduce one or more T. cruzi strains is the result of this low infection levels in O. degus populations, which translates into a small sample size. However, our results show a tendency pointing that mixed infections could be better detected by M. spinolai than T. infestans, an aspect relevant when improving xenodiagnosis sensitivity. It is worth to point out that the direct characterization method used here, by PCR and Southern

analysis, allows detection and genotyping without parasite isolation and cultivation, procedures that could select some T. cruzi clones from a mixture. Acknowledgments This study was supported by FONDECYT grant 1040762 to A. Solari. Additional support was obtained from FONDECYT grants 1040711 and 3050033 to P.E. Cattan and C. Botto-Mahan, respectively. References Bosseno, M.F., Telleria, J., Vargas, F., Yaksic, N., Noireau, F., Morin, A., Breniere, S.F., 1996. Trypanosoma cruzi: study of the distribution of two widespread clonal genotypes in Bolivian Triatoma infestans vectors shows a high frequency of mixed infections. Exp. Parasitol. 83, 275–282. Botto-Mahan, C., Cattan, P.E., Canals, M., 2002. Field tests of carbon dioxide and conspecifics as baits for Mepraia spinolai, vector of Chagas disease. Acta Trop. 82, 377–380. Botto-Mahan, C., Cattan, P.E., Canals, M., Acu˜na, M., 2005a. Seasonal variation in the home range and host availability of the bloodsucking insect Mepraia spinolai in wild environment. Acta Trop. 95, 160–163. Botto-Mahan, C., Ortiz, S., Rozas, M., Cattan, P., Solari, A., 2005b. DNA evidence of Trypanosoma cruzi in the Chilean wild vector Mepraia spinolai (Hemiptera: Reduviidae). Mem. I. Oswaldo Cruz. 100, 237–239. Botto-Mahan, C., Cattan, P.E., Medel, R., 2006. Chagas disease parasite induces behavioural changes in the kissing bug Mepraia spinolai. Acta Trop. 98, 219–223. Breniere, S.F., Morochi, W., Bosseno, M.F., Ordones, J., Gutierrez, T., Vargas, F., Yaksic, N., Noireau, F., 1998. Trypanosoma cruzi genotypes associated with domestic Triatoma sordida in Bolivia. Acta Trop. 71, 269–283. Brisse, S., Verhoef, J., Tibayrenc, M., 2001. Characterisation of large and small subunit rRNA and mini-exon genes further supports the distinction of six Trypanosoma cruzi lineages. Int. J. Parasitol. 31, 1218–1226. Campos, R., Botto-Mahan, C., Ortiz, S., Acu˜na, M., Cattan, P., Solari, A., 2007. Trypanosoma cruzi detection in blood by xenodiagnosis and polymerase chain reaction in the wild rodent Octodon degus. Am. J. Trop. Med. Hyg. 76, 324–326. Canals, M., Solis, R., Tapia, C., Ehrenfeld, M., Cattan, P.E., 1999. Comparison of some behavioral and physiological feeding parameters of Triatoma infestans Klug, 1834 and Mepraia spinolai Porter, 1934, vectors of Chagas disease in Chile. Mem. I. Oswaldo Cruz. 94, 687–692. Coronado, X., Zulantay, I., Reyes, E., Apt, W., Venegas, J., Rodr´ıguez, J., Solari, A., S´anchez, G., 2006. Comparison of Trypanosoma cruzi detection by PCR in blood and dejections of Triatoma infestans fed on patients with chronic Chagas disease. Acta Trop. 98, 314– 317. de Carvalho Moreira, C.J., Perlowagora-Szumlewicz, A., 1997. Attempts to improve xenodiagnosis: comparative test of sensibility using Rhodnius neglectus, Panstrongylus megistus, Triatoma vitticeps and Triatoma infestans in endemic areas of Brazil. Mem. I. Oswaldo Cruz. 92, 91–96.

R. Campos et al. / Acta Tropica 104 (2007) 25–29 de Lana, M., Pinto, A.D.S., Barnabe, C., Quesney, V., Noel, S., Tibayrenc, M., 1998. Trypanosoma cruzi: compared vectorial transmissibility of three major clonal genotypes by Triatoma infestans. Exp. Parasitol. 90, 20–25. Dias, C., 1940. Xenodiagn´ostico seriados em c˜aes infectados com amostras venezuelanas de “Schizotrypanum cruzi”. Bras. Med. 52, 859–861. di Castri, F., Hajek, E.R., 1976. Bioclimatolog´ıa de Chile. Ediciones de la Universidad Cat´olica de Chile, Santiago, Chile. Lorca, M., Garcia, A., Contreras, M., Schenone, H., Rojas, A., 2001. Evaluation of a Triatoma infestans elimination program by the decrease of Trypanosoma cruzi infection frequency in children younger than 10 years, Chile 1991–1998. Am. J. Trop. Med. Hyg. 65, 861–864. Mello, C.B., Azambuja, P., Garcia, E.S., Ratcliffe, N.A., 1996. Differential in vitro and in vivo behavior of three strains of Trypanosoma cruzi in the gut and hemolymph of Rhodnius prolixus. Exp. Parasitol. 82, 112–121. Nirschl, R.A., Soares, J.M., Pirani, E.M., Franciscon, J.U., Ram´ırez, L.E., 1994. Susceptibility of Triatoma infestans to various strains of Trypanosoma cruzi isolated from chagasic patients from the Triangulo Mineiro. Rev. Soc. Bras. Med. Trop. 27, 235–239. Perlowagora-Szumlewicz, A., Muller, C.A., de Carvalho Moreira, C.J., 1988. Studies in search of a suitable experimental insect model for xenodiagnosis of hosts with Chagas’ disease. 3, On the interaction of vector species and parasite strains in the reaction of bugs to infection by Trypanosoma cruzi. Rev. Sa´ude. P´ubl. 22, 390–400.

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Perlowagora-Szumlewicz, A., Muller, C.A., de Carvalho Moreira, C.J., 1990. Studies in search of a suitable experimental insect model for xenodiagnosis of hosts with Chagas’ disease. 4, The reflection of parasite stock in the responsiveness of different vector species to chronic infection with different Trypanosoma cruzi stocks. Rev. Sa´ude. P´ubl. 24, 165–177. Schaub, G.A., Grunfelder, C.G., Zimmermann, D., Peters, W., 1989. Binding of lectin-gold conjugates by two Trypanosoma cruzi strains in ampullae and rectum of Triatoma infestans. Acta Trop. 46, 291–301. Schenone, H., 1999. Xenodiagnosis. Mem. I. Oswaldo Cruz. 94, 289–294. Schofield, C., 2000. Trypanosoma cruzi—the vector-parasite paradox. Mem. I. Oswaldo Cruz. 95, 535–544. Solari, A., Ortiz, S., Soto, A., Arancibia, C., Campillay, R., Contreras, M., Salinas, P., Rojas, A., Schenone, H., 2001. Treatment of Trypanosoma cruzi-infected children with nifurtimox: a 3-year follow-up by PCR. J. Antimicrob. Chemoth. 48, 515–519. Veas, F., Breniere, S.F., Cuny, G., Brengues, C., Solari, A., Tibayrenc, M., 1991. General procedure to construct highly specific kDNA probes for clones of Trypanosoma cruzi for sensitive detection by polymerase chain reaction. Cell. Mol. Biol. 37, 73–84. Wincker, P., Britto, C., Pereira, J.B., Cardoso, M.A., Oeleman, O., Morel, C.M., 1994. Use of a simplified polymerase chain reaction procedure to detect Trypanosoma cruzi in blood samples from chronic chagasic patients in a rural endemic area. Am. J. Trop. Med. Hyg. 51, 771–777.

Susceptibility of Mepraia spinolai and Triatoma ...

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