Přenos a epidemiologie viscerálních leishmanióz

Spitzová, Tatiana

Visceral leishmaniasis (VL) is widespread disease caused by protozoa Leishmania donovani and Leishmania infantum. Human visceral leishmaniasis caused by Le. donovani in India is considered an anthroponosis, however in East Africa, the role of animals as reservoirs remains unclear. The first part of this thesis demonstrated natural Leishmania infection in wild rodents and bats in Ethiopia. Overall, 8.2% rodents and 4.9% bats were positive for Leishmania spp. Subsequent sequencing revealed that 10% of Leishmania-positive rodents were infected by parasites from Le. donovani complex, on the other hand, no Le. donovani DNA was detected in bats. All Le. donovani-positive rodents were captured in the localities of southwest Ethiopia where human VL cases have been reported and potential sand fly vectors occur. Our findings indicate that rodents are likely to play a role in VL transmission in Ethiopia. During blood feeding, sand flies inoculate into the host skin immunogenic salivary proteins which elicit species specific antibody response. Anti-saliva antibodies could be used as a marker of host exposure to sand flies and, in leishmaniasis endemic areas, also as risk markers of Leishmania infection. In order to find out if the domestic animals (dog, goat, cow, and donkey) from north and northwest Ethiopia...

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