A Screen-and-Treat Strategy Targeting Visceral Leishmaniasis in HIV-Infected Individuals in Endemic East African Countries: The Way Forward?

In the wake of the HIV epidemic, visceral leishmaniasis (VL), a disseminated protozoan infection caused by the Leishmania donovani complex, has been re-emerging, particularly in North Ethiopia where up to 40% of patients with VL are co-infected with HIV. Management of VL in HIV co-infection is complicated by increased drug toxicity, and high treatment failure and relapse rates with all currently available drugs, despite initiation of antiretroviral treatment. Tackling L. donovani infection before disease onset would thus be a logical approach. A screen-and-treat approach targeting latent or the early stage of infection has successfully been implemented in other HIV-associated opportunistic infections. While conceptually attractive in the context of VL–HIV, the basic understanding and evidence underpinning such an approach is currently lacking. Prospective cohort studies will have to be conducted to quantify the risk of VL in different risk groups and across CD4 cell count levels. This will allow developing clinical prognostic tools, integrating clinical, HIV and Leishmania infection markers. Interventional studies will be needed to evaluate prophylactic or pre-emptive treatment strategies for those at risk, ideally relying on an oral (combination) regimen. Issues like tolerability, emergence of resistance and drug interactions will require due attention. The need for maintenance therapy will have to be assessed. Based on the risk–benefit data, VL risk cut-offs will have to be identified to target treatment to those most likely to benefit. Such a strategy should be complemented with early initiation of antiretroviral treatment and other strategies to prevent HIV and Leishmania infection.     

Distribution and Clinical Manifestations of Cryptosporidium Species and Subtypes in HIV/AIDS Patients in Ethiopia

Background

Cryptosporidiosis is an important cause for chronic diarrhea and death in HIV/AIDS patients. Among common Cryptosporidium species in humans, C. parvum is responsible for most zoonotic infections in industrialized nations. Nevertheless, the clinical significance of C. parvum and role of zoonotic transmission in cryptosporidiosis epidemiology in developing countries remain unclear.

Methodology/Principal Findings

In this cross-sectional study, 520 HIV/AIDS patients were examined for Cryptosporidium presence in stool samples using genotyping and subtyping techniques. Altogether, 140 (26.9%) patients were positive for Cryptosporidium spp. by PCR-RFLP analysis of the small subunit rRNA gene, belonging to C. parvum (92 patients), C. hominis (25 patients), C. viatorum (10 patients), C. felis (5 patients), C. meleagridis (3 patients), C. canis (2 patients), C. xiaoi (2 patients), and mixture of C. parvum and C. hominis (1 patient). Sequence analyses of the 60 kDa glycoprotein gene revealed a high genetic diversity within the 82 C. parvum and 19 C. hominis specimens subtyped, including C. parvum zoonotic subtype families IIa (71) and IId (5) and anthroponotic subtype families IIc (2), IIb (1), IIe (1) and If-like (2), and C. hominis subtype families Id (13), Ie (5), and Ib (1). Overall, Cryptosporidium infection was associated with the occurrence of diarrhea and vomiting. Diarrhea was attributable mostly to C. parvum subtype family IIa and C. hominis, whereas vomiting was largely attributable to C. hominis and rare Cryptosporidium species. Calf contact was identified as a significant risk factor for infection with Cryptosporidium spp., especially C. parvum subtype family IIa.

Conclusions/Significance

Results of the study indicate that C. parvum is a major cause of cryptosporidiosis in HIV-positive patients and zoonotic transmission is important in cryptosporidiosis epidemiology in Ethiopia. In addition, they confirm that different Cryptosporidium species and subtypes are linked to different clinical manifestations.     

吡虫啉对成年意大利蜜蜂脑神经细胞致凋亡作用

【目的】蜜蜂是重要的授粉昆虫, 但一直受到新烟碱类杀虫剂（如吡虫啉）的危害, 该类杀虫剂主要作用于蜜蜂脑神经细胞。本研究旨在明确吡虫啉对意大利蜜蜂Apis mellifera ligustica脑神经细胞致凋亡作用。【方法】利用亚致死剂量吡虫啉饲喂成年意大利蜜蜂, 通过原位末端标记法（TUNEL）检测脑神经细胞的凋亡情况, 利用免疫荧光法检测Caspase-1激活情况, 通过透射电镜观察脑神经细胞的超微结构。【结果】在对选取的脑部7个部位进行总体观测后, 摄入亚致死剂量的吡虫啉（9.90 ng/蜜蜂）诱导成年意蜂工蜂脑神经细胞凋亡率随时间递增而增加, 在处理9 d和12 d时, 处理组与空白对照组差异极显著（P<0.01）; Caspase-1阳性细胞率也随时间递增而增加, 在处理3, 6, 9和12 d时, 处理组与空白对照组差异极显著（P<0.01）。凋亡率和Caspase-1阳性细胞率均表现出时间效应, 且两者成正相关性。超微结构表明凋亡的神经细胞呈现凋亡和自噬双重特征, 包括： 细胞固缩、 染色质浓缩、 凋亡小体和自噬体出现; 线粒体肿胀, 有的被自噬泡包裹后进行线粒体自噬。【结论】本研究从细胞水平证实了亚致死剂量吡虫啉对成年意蜂工蜂脑神经细胞具有致凋亡作用, 并且其凋亡途径与Caspase-1和细胞自噬有关, 这为利用细胞凋亡法评价杀虫剂对非靶标生物的神经毒性提供一定的理论基础。     

A genetic linkage map for tef [Eragrostis tef (Zucc.) Trotter]

Tef [Eragrostis tef (Zucc.) Trotter] is the major cereal crop in Ethiopia. Tef is an allotetraploid with a base chromosome number of 10 (2n = 4x = 40) and a genome size of 730 Mbp. Ninety-four F₉ recombinant inbred lines (RIL) derived from the interspecific cross, Eragrostis tef cv. Kaye Murri × Eragrostis pilosa (accession 30-5), were mapped using restriction fragment length polymorphisms (RFLP), simple sequence repeats derived from expressed sequence tags (EST–SSR), single nucleotide polymorphism/insertion and deletion (SNP/INDEL), intron fragment length polymorphism (IFLP) and inter-simple sequence repeat amplification (ISSR). A total of 156 loci from 121 markers was grouped into 21 linkage groups at LOD 4, and the map covered 2,081.5 cM with a mean density of 12.3 cM per locus. Three putative homoeologous groups were identified based on multi-locus markers. Sixteen percent of the loci deviated from normal segregation with a predominance of E. tef alleles, and a majority of the distorted loci were clustered on three linkage groups. This map will be useful for further genetic studies in tef including mapping of loci controlling quantitative traits (QTL), and comparative analysis with other cereal crops.Electronic Supplementary Material Supplementary material is available to authorised users in the online version of this article at .     

Evaluation of circulating cathodic antigen (CCA) strip for diagnosis of urinary schistosomiasis in Hassoba school children, Afar, Ethiopia

A total of 206 urine samples collected from Hassoba Elementary schoolchildren, Afar, Ethiopia, a low Schistosoma haematobium endemic setting, was diagnosed to evaluate the performance of CCA strip using double references, urine filtration technique and urinalysis dipstick (Combur 1.0 Test) that detect schistosome eggs and blood in urine, respectively. The former was used as a gold standard reference method. Sensitivity, specificity, positive and negative predictive values for the CCA were 52%, 63.8%, 56.7% and 59% respectively, with reference to urine filtration technique whereas these parameters were 50.4%, 62.4%, 55.6% and 57.5% respectively, with reference to Combur 10 Test. 47 S. haematobium egg-positive children were found negative by CCA strip while 38 egg-negative children were found positive by CCA strip. Moreover, among the pre-tests done in duplicate, inconsistent results were also recorded. Assays were also compared with regard to the cost of equipment and reagents, speed and simplicity of use. Though CCA strip was found to be rapid and could be performed with minimal training, it was found to be expensive (US $ 4.95 per test) to use it for large-scale field use even if its diagnostic value would have been satisfactory. Further development and standardization of the CCA strip are required for its applicability for field use. It is also recommended that its cost per strip should be substantially cut down if it is to be used in poor schistosomiasis endemic countries.     

Association of MITF loci with coat color spotting patterns in Ethiopian cattle

The genetics of coat color have been the focus of investigation for decades because beyond its aesthetic values, coat color is associated with thermo-tolerance, production and health traits. Despite the fascinating coat color phenotypes observed in Ethiopian cattle populations, up to now, there are no studies performed to identify and characterize polymorphisms associated with such variation at the genome level. In an attempt to identify and map the genetic basis of coat color variation in Ethiopian cattle, a genome-wide association study (GWAS), selection signatures test and network analysis were performed in 187 cattle populations genotyped on Illumina high-density chip. Loci significant at the genome-wide level (P ≤ 8.29 × 10^?7) and show selection signals (F _ST  ? 5SNP window = 0.13) were mainly localized on BTA22 (31.53–31.99) within the MITF gene. Network and functional annotation clustering analyses revealed that the candidate genes are involved in important pathways including melanogenesis. The results of the present study suggest a role of the MITF gene and its interaction with other genes in determining the spotting patterns observed in the Begait and Fogera cattle populations.     

Thalassomonhystera traesti n.sp., Eumonhystera andrassyi and three Monhystrella species (Monhysteridae: Nematoda) from Li River, China

A new Thalassomonhystera species, i.e. T. traesti n.sp., and a new subspecies, Monhystrella lepidura chinensis n. subsp., together with Eumonhystera andrassyi (Biró, 1969) Andrássy, 1981, Monhystrella macrura (de Man, 1880) Andrássy, 1981 and Monhystrella iranica Schiemer, 1965 are described from Li River at Guiling, China. Thalassomonhystera traesti n.sp. is characterised by a combination of the following characters: expanded lip region, large and anteriorly situated amphids, prominent inner labial sensilla, and slender spicules and tube-like gubernaculum in males. Monhystrella lepidura chinensis n. subsp. belongs to Monhystrella lepidura (Andrássy, 1963) Andrássy, 1968 but differs from the three hitherto described subspecies in its possession of a pharynx that posteriorly expands into a double bulb. Monhystrella macrura, M. iranica and Eumonhystera andrassyiare reported here for the first time from China.     

Identification by Subtractive Hybridization of Sequences Specific for Salmonella enterica Serovar Enteritidis

Salmonella enterica serovar Enteritidis, a major cause of food poisoning, can be transmitted to humans through intact chicken eggs when the contents have not been thoroughly cooked. Infection in chickens is asymptomatic; therefore, simple, sensitive, and specific detection methods are crucial for efforts to limit human exposure. Suppression subtractive hybridization was used to isolate DNA restriction fragments present in Salmonella serovar Enteritidis but absent in other bacteria found in poultry environments. Oligonucleotide primers to candidate regions were used in polymerase chain reactions to test 73 non-Enteritidis S. enterica isolates comprising 34 different serovars, including Dublin and Pullorum, two very close relatives of Enteritidis. A primer pair to one Salmonella difference fragment (termed Sdf I) clearly distinguished serovar Enteritidis from all other serovars tested, while two other primer pairs only identified a few non-Enteritidis strains. These primer pairs were also useful for the detection of a diverse collection of clinical and environmental Salmonella serovar Enteritidis isolates. In addition, five bacterial genera commonly found with Salmonella serovar Enteritidis were not detected. By treating total DNA with an exonuclease that degrades sheared chromosomal DNA but not intact circular plasmid DNA, it was shown that Sdf I is located on the chromosome. The Sdf I primers were used to screen a Salmonella serovar Enteritidis genomic library and a unique 4,060-bp region was defined. These results provide a basis for developing a rapid, sensitive, and highly specific detection system for Salmonella serovar Enteritidis and provide sequence information that may be relevant to the unique characteristics of this serovar.     

Aquatic nematodes from Ethiopia II

Eight species of the genus Monhystrella, six of which are new to science, are described from bottom samples collected from three lakes, two rivers and a hot spring in Ethiopia. Monhystrella hoogewijsi n. sp. is identified by a distinctive bulge on the lip region, position of the amphids, offset and well developed single pharyngeal terminal bulb, tail shorter than vulva-anus distance, tail elongate-conoid for two-thirds of its length, and by the shape and size of the spinneret outlet; M. jacobsi n. sp. by its slender body, distinctively offset and distended lip region, indistinct and weakly expanding single terminal pharyngeal bulb, and shape and size of the tail and spinneret outlet; M. arsiensis n. sp. by its single terminal pharyngeal bulb, position of amphids, shape and length of tail and spinneret outlet; M. woitorum n. sp. by its hemispherical lip region, double terminal pharyngeal bulb, shape and length of the spinneret outlet, and shape and length of tail; M. ethiopica n. sp. by its bipartite stoma, size of amphid in relation to corresponding body width, filiform tail and shape and length of spinneret outlet. M. atteae n. sp. differs from all known Monhystrella species in having an inflated cap-like lip region and fine crystalloid bodies. M. macrura (de Man, 1880) Andrássy, 1981 and M. lepidura altherri (Juget, 1969) Jacobs, 1987 are reported from Ethiopia for the first time. Crystalloid bodies in the genus Monhystrella is reported here for the first time. Also the presence of a hyaline coelomocyte next to the germinal zone of the reproductive system is reported for the first time in the genus here in all eight species. The structures used in the taxonomy of the genus are reviewed.