According to the World Health Organization (WHO), Fascioliasis is one of
the important diseases, which is found in humans and animals. More than
2.4 million people in 70 countries were affected by the disease (WHO,
2015; Amer, 1016). In Vietnam, Fascioliasis in humans tends to increase
gradually, from 2006 to 2010. In fact, 15,764 people and cases were
infected by Fasciola sp. in 2006 and those cases increased to over 20,000
people in 2011. The disease in 52 provinces from North to South and
pathogenic species is determined mainly Fasciola gigantica (Nair et al.
2012). Fasciolosis has been demonstrated and listed in zoonosis diseases.
The disease causes by the large liver flukes which require the intermediate
host (freshwater snail species) to complete its life cycle. The Mekong Delta
possesses the geographic features such as innumerable canals, rivers,
stream which is suitable to develop agriculture: paddy rice and vegetables
as well as provide the appropriate conditions for freshwater snail
development. Moreover, livestock husbandry also great develops because
famers take advantages the source of by-product from agricultural
processing. However, most of husbandry farms are small-scale farms where
people normally use by-products from agriculture and they do not have
well knowledge about applying the techniques in animal husbandry and
veterinary. As the results, their livestocks expose high prevalence of
helminthes infection. Therefore, it is crucial to research about fasciolosis
and how to manage the spreading of this disease in order to minimize the
damage from it. The study aimed to investigate “The epidemiological,
biological characteristics of Fasciola sp. and the efficacy of anthelmintic
treatments in cattle in Mekong Delta”
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MINISTRY OF EDUCATION AND TRAINING
CAN THO UNIVERSITY
SUMMARY OF DOCTORAL THESIS
Major: PATHOLOGY AND TREATMENT OF ANIMALS
Major code: 62 64 01 02
Ha Huynh Hong Vu
Some epidemiological biology and of Fasciola sp. and
the efficacy of anthelminthic treatments in cattle
in the Mekong delta
Can Tho- 2018
I
THIS THESIS WAS COMPLETED AT CAN THO
UNIVERSITY
Academic supervisor: Assoc. Prof. DR. Nguyen Huu Hung
This thesis was defended against the Ph.D. dissertation council at the
university level.
Place: ..
Time:
1
st
Opponent: ..
2
nd
Opponent:
Reviewed Confirmation of Chairman
..
Thesis could be found at:
1. Learning Resource Center, Can Tho University.
2. National Library of VietNam.
II
PUBLISHED ARTICLES
Published Articles in journals
1. Ha Huynh Hong Vu, Nguyen Ho Bao Tran, Nguyen Huu Hung, 2014.
Identification freshwater snail intermediate host of trematoda causing
animal disease in Vinh Long and Dong Thap Province. Journal of Science,
Can Tho University, Special issue agriculture, pp 8-12.
2. Ha Huynh Hong Vu, Nguyen Ho Bao Tran, Nguyen Huu Hung, 2015.
Morphological and molecular characteristic of Fasciola sp infected in cattle
in Dong Thap province. Journal of Science-Technique of Veterinary
Medicine, 6: 63-69.
3. Ha Huynh Hong Vu, Nguyen Ho Bao Tran, Pham Duc Phuc, Nguyen
Huu Hung, 2016. Application of molecular marker-ITS-1 gene and PCR-
RFLP technique for determining large liver flucke (Fasciola sp.) in cattle in
Mekong river Delta, 2016. Journal of Science-Technique of Veterinary
Medicine, 2: 85-92.
4. Ha Huynh Hong Vu, Nguyen Ho Bao Tran, Nguyen Huu Hung, 2016.
Large liver fluke (Fasciola sp.) infection of cattle in the Mekong Delta and
results of treatment trials. Journal of Science, Can Tho University, Special
issue agriculture, pp 17-22.
5. Ha Huynh Hong Vu, Nguyen Ho Bao Tran, Nguyen Huu Hung, 2018.
The surveillance on pathological characteristics of Fasciola gigantica
infected in Mekong delta. Journal of Science, Can Tho University, Special
issue agriculture, pp 12-17.
3
Chapter I: INTRODUCTION
1.1 Rationale
According to the World Health Organization (WHO), Fascioliasis is one of
the important diseases, which is found in humans and animals. More than
2.4 million people in 70 countries were affected by the disease (WHO,
2015; Amer, 1016). In Vietnam, Fascioliasis in humans tends to increase
gradually, from 2006 to 2010. In fact, 15,764 people and cases were
infected by Fasciola sp. in 2006 and those cases increased to over 20,000
people in 2011. The disease in 52 provinces from North to South and
pathogenic species is determined mainly Fasciola gigantica (Nair et al.
2012). Fasciolosis has been demonstrated and listed in zoonosis diseases.
The disease causes by the large liver flukes which require the intermediate
host (freshwater snail species) to complete its life cycle. The Mekong Delta
possesses the geographic features such as innumerable canals, rivers,
stream which is suitable to develop agriculture: paddy rice and vegetables
as well as provide the appropriate conditions for freshwater snail
development. Moreover, livestock husbandry also great develops because
famers take advantages the source of by-product from agricultural
processing. However, most of husbandry farms are small-scale farms where
people normally use by-products from agriculture and they do not have
well knowledge about applying the techniques in animal husbandry and
veterinary. As the results, their livestocks expose high prevalence of
helminthes infection. Therefore, it is crucial to research about fasciolosis
and how to manage the spreading of this disease in order to minimize the
damage from it. The study aimed to investigate “The epidemiological,
biological characteristics of Fasciola sp. and the efficacy of anthelmintic
treatments in cattle in Mekong Delta”
1.2 Objectives
- Identifying the species, distribution, biological characteristics and
influential factors to the liver flukes infection rate in cattle the Mekong
Delta.
- Suggesting the treatment methods for infected cattle in Mekong Delta.
1.3 Scientific significance
- This is a systematic research about liver flukes Fasciola gigantica in
cattle: determining the prevalence of infection and influential factors to the
pathogen. Species were identified by morphological and molecular
characteristics (PCR-RFLP, and sequencing)
- The life cycle of Fasciola gigantica in cattle in Mekong Delta were firstly
researched: identifying intermediate host (snails). Clinical symptoms and
4
anthelminthic testing would be useful for diagnosis and treatment.
- This thesis provides documentations about Fasciola sp. infected in cattle
(Mekong Delta), and supplies academic knowledge for veterinary
parasitology books to education and training purposes
1.4 Practical significance
- The thesis results are the scientific background for recommending farmers
in effectively diagnosis, treatment and prevention liver flukes that
minimizes the economic lose as well as contributes for the sustainable
development of livestock husbandry.
1.5 Innovative contributions of the thesis
This is the first research about Fasciola gigantica in infected cattle in
Mekong Delta which were identified by applying molecular biology
techniques.
This is also first research about the complete life cycle of Fasciola
gigantica.
Gross lesions and histopathological of Fasciolosis (causing by F.gigantica)
were completely described which were provided background for quickly
diagnosis and treatments
Chapter III: CONTENT AND RESEARCH METHODOLOGY
3.1 The research contents
3.1.1 Determining the prevalence of liver flukes of cattle in the Mekong
Delta provinces
- Determining the infection rate of liver flukes of cattle in the Mekong
Delta provinces by the fecal examination and necropsy methods.
3.1.2 Identifying the species of Fasciola sp. in the Mekong Delta
provinces
- Determining the species of Fasciola sp. by analyzing mophorlogical
molecular biology chacteristics and sequencing.
3.1.3 Researching about life cycle of Fasciola gigantica
- Observing the development of the Fasciola gigantica egg outside the
definite host.
- Observing the development of the larvaes of Fasciola gigantica in
intermediate host (Lymnaea swinhoei and Lymnaea viridis) to stage
cercaria infection.
- Analyzing and recording the every development stage of Fasciola
gigantica since embronated eggs to mature in definitive host.
5
3.1.4 Fasciola gigantica Pathogen researching
-Determine the clinical symptoms, gross lesions and histopathology on
infected Fasciola gigantica cattle
3.1.5 Studying on treatments of Fasciola gigantica infected cattle
- Testing the efficacy of anthelminths: albendazole, mebendazole and
triclabendazole; and suggest the efficient treatment on Fasciola gigantica
infected cattle.
3.2 Subjects, timeline, and researching areas
3.2.1 Subjects: cattle in six provinces: Dong Thap, An Giang, Vinh Long,
Tra Vinh, Ben Tre and Soc trang; liver flukes-Fasciola sp.; the snail
Lymnaea spp.
3.2.2 Timeline: from 11/2013 to 06/2017
3.2.3 Rearching areas
The cattle in 6 provinces (Mekong Delta), slaughter houses, histologic
laboratory in the Department of Veterinary Medicine – College of
Agricultural and Applied Biology, Can Tho University; Department of
Clinical Veterinary Science and livestock - veterinary medicine – Nong
Lam University, Anatomical pathology laboratory - University of medicine
and pharmacy of Can tho.
3.3. Materials and Chemistry
Necessary materials and chemistry for diagnosis and molecular biology
techniques.
3.4 Research methology
3.4.1 Identifying the prevelance of infected cattle in Mekong Delta
Subjects:
- Domestic cattle, cross-breeding Sind, dairy cow were classified into 3 age
groups: under 1 year old, 1-2 years old, and over 2 years old. Slaughter
cattles were selected for this research basing on the original surveyed
provinces.
- Methods:
Fecal examination: modified sedimentation of Benedek (1943).
The autopsy methods: the operating SKRJABINE (1937)
-Observation targets
The overall infected rate of Fasciola sp. in cattle, the infection rate of this
disease according to seasons, husbandry methods, ages, and ecogeographic
areas; the intensity of the infection ( the number of species/ individual)
-Statistical analysis: Chi-Square test /Minitab program version to compare
infection rates.
6
3.4.2 Identification method
3.4.2.1 Identification method of trematode by morphology based on
documents written by David and Erasmus (1972), Soulsby (1980), Nguyen
Thi Le (2000).
3.4.2.2 Identification method of live flukes by molecular techniques
(PCR-RFLP) and sequence genes
Collecting and storing DNA extraction samples
Totally, 180 liver flukes were randomly collected from the liver and bile
ducts in slaughter cattle from 6 surveyed provinces. Specimens was stored
in physiological saline and brought to DNA laboratory.
DNA extraction
DNA concentration measurement.
PCR-RFPL techniques
PCR reaction:
Table 3.1 Primer sequence corresponding to the target gene
Gene Primer
Primer sequence
(5’ – 3’)
Annealing
temperature
-Tm (
o
C)
Reference
ITS1
ITS1-
F/ITS1-
R
ITS1-F: TTG CGC
TGA TTA CGT
CCC TG
ITS1-R: TTG GCT
GCG CTC TTC ATC
56 Itagaki T (2005)
PCR products were incubated with restriction enzymes RsaI (5 IU)
overnight at 37
o
C. Then the products were run on 1.5% agarose gel with
Ethidium bromides in 80 votage in 30 minutes. The gels were visualized
under camera (Geldoc).
Table 3.2 Prediction the restriction patterns of the enzyme RsaI Enzyme
restriction patterns in the region of ITS1 Fasciola sp.
Species
Restriction
enzyme
Temperature,
incubation
time
Location
cuting
Predicted
length of
cutting
(bp)
Reference
Fasciola
hepatica
RsaI
37
0
C,
overnight
incubation
5’..GT↓AC...3'
3'..CA↑TG...5'
367, 104
(68, 59,
54, 28)
(Ichikawa
et al,
2010) Fasciola
gigantica
367, 172
(59, 54,
28)
7
Sequencing positive samples
- Totally 12 liver fluke samples (Fasciola sp.) were collected from 6
provinces in Mekong Delta, specifically 2 samples/one province.
PCR products were purified and sent to Macrogen (Korea) to
sequence (using Sanger sequence method)
Observation targets :
- Identification of Fasciola sp. were done by morphological and
molecular biology chacteristic.
- Comparasion the nucleotide sequence of target gene ITS-1 of
Fasciola sp among surveyed provinces and Fasciola sp. collected
worldwide in Genbank
Analyzing data :
- BLAST the ITS-1 sequence (in NCBI) was used to identify the
specific species, and comparing the level of similarity among
multisequence by CLUSTAL OMEGA, analyzing Pairwise
alignment/Calculate identity/Similarity for sequences (Bioedit).
3.4.3 Studies of life cycle of Fasciola gigantica.
3.4.3.1 Identification of freshwater snails
Basing on the classification system of the freshwater snails was
described by John (1982), Dang Ngoc Thanh and his colleagues (1980).
From this backgound knowledge, the snails Lymnaea were carefully
collected and feeded in the laboratory environment to produce the clean
snail generation. Miracidium from embronated eggs (Fasciola gigantica)
were infected to clean snail generation.
3.4.3.2 Observe the development of Fasciola gigantica egg in in vitro
a. Reseach objects:
Fasciola gigantica eggs, Lymnaea swinhoei and Lymnaea viridis snails is
"clean snail".
b. Experimental design
Table 3.3 Experiment designing for Fasciola gigantica eggs development
Experiment 1: Fasciola sp. egg in petri disk with water levels of 0, 5 cm, no
illumination, pH from 6-8, the temperature from 26-29
0
C. Experiment 2: Fasciola
sp. egg in petri disk above 0, 5 cm, lighting 4 hours/day, pH from 6-8, the
temperature from 26-29
0
C. Experiment 3: Fasciola sp. egg in petri without water
Experiment
Number of
eggs/petri
Number of petri / trial
Negative control 0 5
Experiment 1 60 10
Experiment 2 60 10
Experiment 3 60 10
8
c. Observation targets
- The length of time from eggs to develope to miracidium.
- The length of time from the eggs hatching into miracidium to 50% eggs
were hachted and miracidia liberating from the egg shells.
3.4.3.3 Observing the length of time of alive miracidia in water
a. Research objects
Fresh miracidia have just liberated from the egg shells. Those miracidia
were observed to identify the their longevity in water.
b. Experimental design
After miracidium infected to the snails, infected snails were collected and
necropsied at time points: 6, 10, 14, 18, 22, 26, 30, 34, 38, 42 PI days in
order to detect cercaria- free swimming stage in water and transforming to
Adolescaria. For each time points, 10 of Lymnaea swinhoei and 10
Lymnaea viridis snails were surgery to the stage of development of the
larva (redia and cercaria, sporocyst) in 2 species of snail Lymnaea.
Table 3.4 Identifying the longevity of miracidia in water
3.4.3.4 Observing the development of larva stage of Fasciola in
intermediate host Lymnaea spp snails.
In this experiment, 960 miracidia were collected and infected to 240
Lymnaea swinhoei, and 240 Lymnaea viridis.
Table 3.5 The invasion of Fasciola micracidia to Lymnaea snails
Experiment
Number of
miracidia/petri
Number of petri disk/
experiment
1 15 10
2 15 10
3 15 10
Experiment
Infection dose
(micracidium /snail)
Number snail of
experiment
Lymnaea swinhoei
Negative control
0 80
Lymnaea viridis
Negative control
0 80
Lymnaea swinhoei 3 160
Lymnaea viridis 3 160
9
3.4.3.5 Cattle infected by Fasciola larvae
a. Research objects
In this experiment, 8 cattle at the age of 7 months-12 months old were
bought from the local farmers in the surveyed areas. Before infecting,
cattle were dewormed by albendazole and carefully tested the presence of
liver fluke eggs as well as other helminths.
b. The cercaria infection causing lab layout for experimental cattle.
Six cattle were divided into 3 different groups which were received 3 doses
100, 150, and 200 cercaria. Those cattle were infected by ceraria through
oral adminstration. Non-infected group was considered as negative control.
Observing the presence of liver fluke eggs in feces of infected cattle
The feces examination were conducted after 11weeks post infection and
then feces samples were collect and check everyday until detecting the eggs
of Fasciola sp. The sedimentation methods was applied to diagnose. The
results were futher confirmed by necropsy method.
Observation targets
- Identification the timepoint of the presence of liver fluke eggs in
cattle feces
- The numember of liver flukes in experiment cattle as well as
species identification by morphological and molecular biological
features.
3.4.4 Clinical symptoms and gross and histopathological changes on
cattle infected with Fasciola
3.4.4.1 Symptoms of cattle infected with Fasciola
- Physical and clinical examination were done in 60 infected cattle with
Fasciola and 6 infected cattle in infection experiment (3.4.3.5 )
3.4.4.2 Researching about the gross lesions and histopathology in liver
tissue causing by Fasciola gigantica infection
-Objects: livers from Fasciola gigantica infected cattle in this experiment
and 45 livers from Fasciola gigantica infected cattle in slaughter houses in
Mekong Delta.
3.4.5. Studying the prevention and treatment Fasciolosis in cattle
105 crossbred Sind cattle having in high infectious intensity from 2+ to 3+
were collected to test the efficacy of albendazole, mebendazole,
triclabendazol. The number of cattle were divided into 2 experiments and 5
cattles in control group.
Experiment 1: treatment dosage- following the manufacturer's instructions
Experiment 2: increasing the treatment dosage (higher dose the
manufacturer’s recommendation)
Control group: not use any treatment
10
Table 3.7 The efficiency of albendazole, mebendazole and triclabendazole
on Fasciola sp. infected cattle
Experiment Doses
(mg/kg body weight)
Number
of cattle
treatment
Adminstration
Route
Control group 0 5 -
1
albendazole: 10 mg/KgP 15 oral
triclabendazole: 15 mg/KgP 15 oral
mebendazole:10 mg/KgP 15 oral
2
albendazole:15 mg/KgP 15 oral
triclabendazole: 20 mg/KgP 15 oral
mebendazole:15 mg/KgP 15 oral
c. Observing targets
The efficacy of drugs afer 5, 10, 15 days post-treatment were tested and
observed the adverse effects of those drugs in treated cattle.
CHAPTER IV RESULTS AND DISCUSION
4.1 The prevalence of liver flukes infected cattle in Mekong Delta
4.1.1 The results of fecal examination of Fasciola sp. infected cattle in
Mekong Delta
Table 4.1 The prevalence of liver flukes infected cattle in Mekong Delta
Province
Examined
cattle
Infected
cattle
Prevalence
(%)
Intensity of infection
+ ++ +++
(%)
(%)
(%)
An Giang 1036 268 25.87
a
73.13 20.15
a
6.72
a
Dong Thap 987 249 25.23
a
70.28 20.88
a
8.84
a
Vinh Long 993 244 24.57
a
71.31 19.67
a
9.02
a
Ben Tre 933 149 15.97
b
81.21 14.77
b
4.03
b
Tra Vinh 900 142 15.78
b
83.80 11.97
b
4.23
b
Soc Trang 935 134 14.33
b
85.07 11.94
b
2.99
b
Total 5784 1186 20.50 75.80 17.62 8.68
a,b in the same row showed the statistically significant difference at P< 0.05
Table 4.1 showed that the overall infected cattle by Fasciola sp. 20.50%. In
particular, cattle in An Giang province had the highest infectious rate of
Fasciola sp. 25.87%, following by cattle in Dong Thap (25.23%) and Vinh
Long with 24.57%. The infectious rate of Fasciola sp. in cattle in Ben Tre,
Tra Vinh and Soc Trang was 15.97%, 15.78% and 14.33%; respectively.
Most of infected cattle had the low intensity of infection (1+) which
oocupied of 78.80%, following by the (2+) intensity with 17.62%, and (3+)
11
with 8.68%. The infectious rate of Fasciola sp. in cattle in An Giang, Dong
Thap and Vinh Long had statistically significant higher than those in Tra
Vinh, Ben Tre and Soc Trang (p<0.05). The above results were explained
that An Giang and Dong Thap province is located at the upstream of the
Tien and the Hau River, Vinh Long is by the sides of the rivers. Due to the
geographic features such as innumerale canals and waterways, it is the
appropriate conditions for the development of intermediate hosts (snail) of
Fasciolosis. Therefore, the infectious rate of Fasciolosis in cattle in An
Giang, Dong Thap ang Vinh Long had the higher than those in Tra Vinh,
Ben Tre and Soc Trang (the latter provinces locate near the sea and have
the saltwater and blrackish water areas – not appropriate for intermediate
hosts (snails) development. This result confirmed that the geographic
climate and the ecological conditions had great influence on the growth of
intermediate hosts of Fasciolosis and by the way influence on the infectious
rate of Fasciolosis in cattle. This studying results is compatible with the
researches of Pham Van Khue and Phan Luc1996); Phan Dich Lan et al.
(2002); Nguyen Thi Kim Lan et al. (2008).
Table 4.2 The infection rate of liver fluke egg in cattle according to the
breed
Provinces
Gender
Dairycow
Prevalence (%)
Crossbred Sind
Prevalence (%)
Local cattle
Prevalence (%)
An Giang - 24.91b 26.99b
Dong Thap - 23.48b 24.53b
Vinh Long 12.31a 25.58b 27.25b
Ben Tre - 14.99b 17.04b
Tra Vinh - 15.43b 16.16b
Soc Trang 7.07a 17.07b 15.47b
Total 9