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Applied and Environmental Microbiology, February 2000, p. 735-738, Vol. 66, No. 2
0099-2240/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Morphologic, Host Specificity, and Molecular
Characterization of a Hungarian Cryptosporidium
meleagridis Isolate
Tamás
Sréter,1
Gábor
Kovács,2
Alexandre J.
da
Silva,3
Norman J.
Pieniazek,3,*
Zoltán
Széll,1
Mihály
Dobos-Kovács,1
Károly
Márialigeti,2 and
István
Varga1
Departments of Parasitology and Pathology,
Szent István University Faculty of Veterinary
Science,1 and Department of
Microbiology, Faculty of Natural Sciences, Eötvös
Loránd University,2 Budapest, Hungary; and
Division of Parasitic Diseases, National Center for Infectious
Diseases, Centers for Disease Control and Prevention, Public Health
Service, U. S. Department of Health and Human Services, Atlanta,
Georgia 30341-37243
Received 10 September 1999/Accepted 1 November 1999
 |
ABSTRACT |
This study was undertaken in order to characterize
Cryptosporidium meleagridis isolated from a turkey in
Hungary and to compare the morphologies, host specificities, organ
locations, and small-subunit RNA (SSU rRNA) gene sequences of this
organism and other Cryptosporidium species. The phenotypic
differences between C. meleagridis and Cryptosporidium parvum Hungarian calf isolate (zoonotic
genotype) oocysts were small, although they were statistically
significant. Oocysts of C. meleagridis were successfully
passaged in turkeys and were transmitted from turkeys to
immunosuppressed mice and from mice to chickens. The location of
C. meleagridis was the small intestine, like the location
of C. parvum. A comparison of sequence data for the
variable region of the SSU rRNA gene of C. meleagridis
isolated from turkeys with other Cryptosporidium sequence
data in the GenBank database revealed that the Hungarian C. meleagridis sequence is identical to a C. meleagridis
sequence recently described for a North Carolina isolate. Thus,
C. meleagridis is a distinct species that occurs worldwide
and has a broad host range, like the C. parvum zoonotic
strain (also called the calf or bovine strain) and
Cryptosporidium felis. Because birds are susceptible to
C. meleagridis and to some zoonotic strains of C. parvum, these animals may play an active role in contamination of
surface waters not only with Cryptosporidium baileyi but
also with C. parvum-like parasites.
 |
INTRODUCTION |
Cryptosporidium parvum is
a coccidian parasite that was recently recognized as an important
intestinal pathogen of humans. Most C. parvum clinical
infections are associated with a self-limiting diarrheal illness, but
cryptosporidia can cause chronic, life-threatening disease in
immunocompromised patients (7). In recent years there has
been a dramatic increase in recognition of the importance of waterborne
transmission of human cryptosporidiosis worldwide. In 1993, an outbreak
in Milwaukee resulted in infection of more than 400,000 people and
about 50 deaths (16). The lack of effective therapy for this
disease complicates the control of human and animal cryptosporidiosis
(7). In many countries, current drinking water regulations
require that water intended for human consumption should not contain
pathogenic organisms (8). However, little is known about the
major source of oocyst contamination of surface and drinking waters and
the sources of infection of human populations (14).
Currently, PCR-based methods for monitoring water samples for C. parvum oocyst contamination are being developed. The possible existence of many Cryptosporidium species fostered the
development of DNA techniques suitable for typing isolates. The
commonly used techniques are PCR-restriction fragment length
polymorphism analysis (2, 22, 23) and sequence
analysis of taxonomically relevant loci (3, 24, 30, 42).
However, it has been reported that some PCR methods cannot
differentiate among Cryptosporidium meleagridis and various
genotypes of C. parvum-like parasites (4).
Compared to the number of reported cases of infection by the other
avian Cryptosporidium species, Cryptosporidium
baileyi, the number of reported cases of C. meleagridis
infection in birds is low (34, 36). To date, only the
morphology of putative C. meleagridis isolates (9, 10,
28, 32) and the morphology and infectious potential of C. meleagridis isolates for birds (20) and mammals
(6) have been described. Because some bovine isolates of
C. parvum are known to infect birds (19, 27, 39) and because C. meleagridis and C. parvum oocysts
cannot be differentiated unequivocally on the basis of size or
morphology, it is not certain that C. meleagridis and
C. parvum were the species analyzed in the studies mentioned
above. It has also been suggested that C. meleagridis might
be identical or very closely related to C. parvum, which
infects more than 100 species of mammals (4, 12). It was
recently demonstrated by Xiao et al. that C. meleagridis
could be distinguished from C. parvum on the basis of the
small-subunit (SSU) rRNA gene sequence (42). However, in
this study the researchers did not characterize the morphology or the
biologic features of the United States isolate studied.
The goal of the present study was to characterize and determine the
taxonomic status of a putative C. meleagridis strain
isolated from a turkey in Hungary by combining the traditional methods of classification with a sequence similarity analysis of a variable region of the SSU rRNA gene by using a recently described fast and
reliable typing method for Cryptosporidium species (3, 30).
 |
MATERIALS AND METHODS |
Parasites.
Oocysts of C. meleagridis CMELH-1 were
isolated from an 8-week-old turkey (strain 44 British United Turkeys
BIG-6) in Hungary and were passaged in 1-week-old turkey poults of the
same strain as described previously (37). Before infection,
fecal samples were collected daily and examined to determine whether
Cryptosporidium oocysts were present by using Sheather's
sugar flotation method (29). Moderate oocyst shedding
started on day 4 postinoculation and lasted for 8 to 10 days. Oocysts
of C. parvum CPARH-1 were isolated from a 2-week-old calf in
Hungary and were passaged in female C57BL/6N specific-pathogen-free
mice (Charles River Laboratories, Wilmington, Mass.) by using the
method of Healey et al. (15). Oocysts were collected and
stored and inocula were prepared by using standard procedures
(29).
Morphologic evaluation of oocysts.
Oocysts of C. meleagridis and C. parvum that were less than 2 weeks
old were purified by using discontinuous sucrose gradient centrifugation (38) and were washed in phosphate-buffered
saline (pH 7.2) to remove potassium dichromate before measurements were obtained. Purified oocysts (40 oocysts of both isolates) were measured
by using a magnification of ×1,250 and Nomarski interference contrast
microscopy. A statistical analysis was performed by using the InStat
2.0 program (GraphPad Software Inc., San Diego, Calif.). Mean values
were compared by performing the Student t test. Differences were considered significant when P was <0.05.
Host specificity and tissue location.
Thirty female C57BL/6N
pathogen-free mice (Charles River Laboratories) weighing 14 to 16 g were immunosuppressed with phosphated dexamethasone (15)
and were divided into the following three groups: uninfected control
mice, mice infected with C. parvum (ICP mice), and mice
infected with C. meleagridis (ICM mice). The animals in the
ICP and ICM mouse groups were inoculated intragastrically with
106 C. parvum oocysts and 106
C. meleagridis oocysts, respectively. Feed (Charles
River Laboratories) and boiled water were available ad libitum. After
inoculation, daily fecal samples were obtained from the mice and
were examined by using Sheather's sugar flotation method. One-half of
the animals were killed on day 10 postinoculation, and the entire
digestive tract of each mouse was fixed in 10% buffered formalin and
used for histopathology studies. Hematoxylin- and eosin-stained
sections were prepared from the stomach, small intestine, and large
intestine and were examined by light microscopy. The oocysts were
collected and purified as described above. The total oocyst output of
mice was determined from the pooled samples by the quantitative method based on the low sedimentation speed of oocysts (41).
Newly hatched Arbor Acres male chickens (Bábolna Co.,
Bábolna, Hungary) were housed in electrically heated wire bottom
batteries with continuous illumination. Feed and boiled water were
available ad libitum. The basal diet (Bábolna Co.) consisted of a
commercial type of finisher ration that contained 16.6% crude protein
and had been specially formulated to exclude anticoccidial agents, antioxidants, and antibiotics. When the birds were 7 days old, they
were assigned to three groups of 10 on the basis of body weight
(uninfected control, ICM, and ICP chickens) and were inoculated orally
with 106 C. meleagridis oocysts or
106 C. parvum oocysts isolated from mice. The
experimental design and method were identical to the experimental
design and method described above.
DNA extraction and PCR amplification.
Purified C. parvum and C. meleagridis oocysts were harvested by
centrifugation, and each pellet was resuspended in 200 µl of saline
EDTA (10 mM Tris-HCl, 10 mM EDTA, 50 mM NaCl; pH 7.5) containing 10 µl of 20% (wt/vol) sodium dodecyl sulfate and 10 µl of a 10-mg/ml
solution of proteinase K. To release total genomic DNA, the samples
were frozen (liquid nitrogen, 5 min) and thawed (75°C, 5 min) three
times and then incubated at 58°C for 1 h. DNA was extracted with
phenol-chloroform and was further purified with a Prep-A-Gene DNA
purification kit as described by the manufacturer (Bio-Rad, Hercules,
Calif.). Cryptosporidium genus-specific primers (CPBDIAGF
and CPBDIAGR) were used to amplify the Cryptosporidium SSU
rRNA variable region as described previously (17). Reactions were performed by using the GeneAmp 2400 PCR system (Perkin-Elmer, Foster City, Calif.). The following conditions were used for PCR: initial denaturation 95°C for 15 min; 35 cycles consisting of denaturation at 94°C for 30 s, annealing at 65°C for 30 s, and extension at 72°C for 1 min; and a final extension step
consisting of 72°C for 9 min. Finally, the samples were cooled and
kept at 4°C. PCR products were detected on ethidium bromide-stained
2% agarose gels (Gibco, Grand Island, N.Y.) by visualizing them with UV light.
DNA sequencing and sequence analysis.
PCR products were
purified by using the Prep-A-Gene DNA purification kit. Sequencing
reactions were carried out with the Perkin-Elmer Big Dye kit, and the
products were analyzed with a model ABI 310 genetic analyzer
(Perkin-Elmer Biosystems, Foster City, Calif.). The partial sequences
of SSU rRNA genes were manually aligned with the sequences of other
cryptosporidia published previously by using the ARB program package
(21).
Nucleotide sequence accession numbers.
The sequences of the
SSU rRNA gene diagnostic fragments of C. parvum CPARH-1 and
C. meleagridis CMELH-1 have been deposited in the GenBank
database under accession no. AJ242471 and AJ242472, respectively.
 |
RESULTS AND DISCUSSION |
Morphology.
While the oocysts of C. baileyi,
Cryptosporidium muris, and Cryptosporidium
serpentis can be clearly distinguished from C. meleagridis oocysts, the oocysts of Cryptosporidium
felis, C. meleagridis, Cryptosporidium
wrairi, and various C. parvum genotypes are similar in
terms of size and morphology (Table 1).
The form and structure of the C. parvum and C. meleagridis oocysts examined in this study were identical to the
form and structure of oocysts described by other workers (20,
40). We were not able to detect any significant morphologic
differences between C. parvum and C. meleagridis
oocysts in terms of oocyst wall morphology, the size or localization of
the oocyst residuum, and the number or morphology of sporozoites. Like
C. felis (31), the differences between the
lengths and widths of the oocysts of C. parvum and the
oocysts of C. meleagridis were slight, but they were
significant (C. parvum oocysts were 5.0 ± 0.05 by
4.4 ± 0.07 µm, while C. meleagridis oocysts were
4.8 ± 0.02 by 4.2 ± 0.03 µm). However, the magnitude of
the intraspecific variation in C. parvum isolates is similar
to the magnitude (3) observed in this study. Thus, morphologic analysis alone cannot be used to differentiate C. meleagridis from the Cryptosporidium species mentioned
above.
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TABLE 1.
Host ranges, locations, and morphometric characteristics
of Cryptosporidium species that infect mammals, birds, and
reptiles
|
|
Host specificity and site of infection.
In some previous
studies, mild to moderate infections have been established in chickens
following inoculation of C. parvum oocysts isolated from
cattle (26). Other attempts to transmit various isolates of
C. parvum to birds were unsuccessful (26, 36);
nevertheless, anticryptosporidial antibodies were detected in the sera
of the birds (25, 35), suggesting that an infection was
established. Moreover, after infection with a Belgian bovine isolate of
C. parvum, the total oocyst output of infected chickens was
only 17% of the oocyst output of previously uninfected birds after
oral challenge with C. baileyi, indicating that the parasite became established and that protective immunity developed
(35). These findings suggest that strains of C. parvum differ with respect to host specificity. Recently, oocysts
of C. meleagridis isolated from chickens proved to be
infectious for several species of mammals, including mice, rats,
rabbits, and cattle (6). In our study, the oocysts of
C. meleagridis isolated from turkeys were successfully passaged in birds and were transmitted to immunosuppressed mice and
vice versa. Similarly, the Hungarian bovine isolate of C. parvum passaged in mice was successfully transmitted to birds. In
ICM and ICP mice, the prepatent periods (3 days), the patencies (until
death between days 10 and 27 postinoculation), and the numbers of
excreted oocysts (1.6 × 108 and 2 × 108 oocysts/animal) were almost identical. Oocyst shedding
by ICM and ICP chickens started 3 days postinoculation and lasted until 16 and 12 days postinoculation, respectively. The total oocyst outputs
of ICM and ICP birds were 7 × 106 and 3 × 106 oocysts/bird. The low oocyst output of ICM birds is
consistent with previously described data (18). As observed
previously (26, 36), we found that C. meleagridis
and C. parvum mainly infected the small intestine.
SSU rRNA-based molecular typing.
The sequence of the
diagnostic fragment of the Hungarian bovine isolate C. parvum isolate CPARH-1 was identical to the sequences described
for the C. parvum zoonotic genotype obtained from other geographic regions (30). After our C. meleagridis
diagnostic SSU rRNA sequence for Hungarian isolate CMELH-1 was
submitted to the GenBank database, another group submitted the complete sequence of the region coding for SSU rRNA for a North Carolina isolate
of C. meleagridis (42) (GenBank accession no.
AF112574). The overlapping regions of these two sequences are
identical, suggesting that there may be very little genetic variation
in the SSU rRNA region among geographically distinct isolates of this
species. The sequence signature of the variable region of the SSU rRNA
gene is unique (Fig. 1). Nevertheless,
the high AT content of this region precludes the use of
mutation-specific PCR and hybridization with specific probes; this
leaves PCR followed by DNA sequencing as the most reliable technique
for identifying species.

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FIG. 1.
Alignment of the Cryptosporidium SSU rRNA
gene diagnostic fragments obtained with primers CPBDIAGF and CPBDIAGR
for C. parvum anthroponotic genotype 1, C. meleagridis, C. parvum zoonotic genotype 2, and
C. wrairi. Only the first 300 columns of the alignments are
shown, as the remaining columns were identical for all of the
genotypes. Dashes indicate gaps, and dots indicate bases that are
identical to the C. parvum genotype 1 bases. The GenBank
accession numbers for the C. parvum genotype 1, C. meleagridis, C. parvum genotype 2, and C. wrairi sequences shown are L16997, AJ242472, AJ242471, and U11440,
respectively. In the complete SSU rRNA coding sequence for the
anthroponotic genotype of C. parvum (GenBank accession no.
L16997), the region shown corresponds to positions 602 to 901.
|
|
It was recently demonstrated that
C. meleagridis could not
be distinguished from
C. parvum by simple diagnostic PCR
assays
(
4). Because there are marked differences in the
cross-transmission
potentials of various
Cryptosporidium
species or genotypes (Table
1) and because morphological methods are
unreliable, it is necessary
to use a standardized molecular technique
for species identification
in this genus. As shown in this study,
sequencing the variable
region of the SSU rRNA (
3,
30) may
be a reliable typing (species
identification) technique. Other genetic
loci, especially those
coding for proteins, may be limited to
identification of only
the zoonotic and anthroponotic
C. parvum genotypes (
30).
The prevalence of cryptosporidiosis and the number of
C. parvum-like oocysts in the feces of some wild bird species can be
high (
14,
33). Our findings indicate that birds may serve
not only as passive carriers, as suggested by others (
11,
13),
but also as active vectors that increase contamination of
water
with some
C. parvum-like parasites and play a role in
waterborne
cryptosporidiosis outbreaks. However, accurate
identification
of bird isolates and studies of the host ranges of these
isolates,
including studies of the susceptibility of humans to
C. meleagridis,
will be necessary in order to estimate the relative
importance
of birds in the epidemiology of cryptosporidiosis in humans
and
other
mammals.
 |
ACKNOWLEDGMENTS |
We thank Zsuzsanna Egyed and Jánosné Haluska for
technical assistance.
The Netherlands Organization for Scientific Research (NWO-OTKA grant
N-28783), the Hungarian Research Fund (OTKA grants F-14646 and
T-26057), a Bolyai János Postdoctoral Research Fellowship (grant
BO/00480/98), and the European Cooperation in the Field of Scientific
and Technical Development (COST Action 820) provided financial support.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Mail Stop F-13,
Biology and Diagnostics Branch, Division of Parasitic Diseases, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA, 30341-3724. Phone: (770) 488-4073. Fax: (770) 488-4108. E-mail: nxp3{at}cdc.gov.
 |
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Applied and Environmental Microbiology, February 2000, p. 735-738, Vol. 66, No. 2
0099-2240/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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