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Applied and Environmental Microbiology, February 2004, p. 891-899, Vol. 70, No. 2
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.2.891-899.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
etislav Koudela,5 David Modr
,5 and Altaf A. Lal1
Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341,1 State Agricultural Biotechnology Centre, Division of Veterinary and Biomedical Sciences, Murdoch University, Perth, Western Australia 6150, Australia,2 Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205,3 Saint Louis Zoo, St. Louis, Missouri 63110,4 Department of Parasitology, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic5
Received 9 April 2003/ Accepted 6 August 2003
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Until recently there have been few molecular characterizations of Cryptosporidium spp. from reptiles. Morgan et al. characterized 15 isolates of Cryptosporidium from snakes and lizards and found that the majority of animals were infected with C. serpentis, with the rest of the isolates belonging to oocysts of the Cryptosporidium parvum bovine genotype (two cases) and Cryptosporidium muris (one case), probably from ingested prey or feeder mice (9). Thus, it is difficult to differentiate parasitic Cryptosporidium oocysts from those merely passing through the gastrointestinal tract, and some of the previously observed morphotypes may represent oocysts of C. parvum and C. muris resulting from the ingestion of infected rodents (4). The extent of genetic diversity within C. serpentis organisms is also not clear, but C. serpentis infection in lizards is usually asymptomatic, whereas the infection in snakes frequently causes clinical diseases (1, 3). Minor genetic differences have been observed between isolates from snakes and those from lizards (16). A Cryptosporidium isolate from a desert monitor has recently been shown to be genetically distinct and was related to the intestinal Cryptosporidium group (17). It is unclear, however, whether oocysts from the desert monitor belong to C. saurophilum from lizards.
In this study, we analyzed 123 samples from snakes, lizards, and tortoises and characterized the small subunit (SSU) rRNA gene of Cryptosporidium-positive samples by PCR-restriction fragment length polymorphism (PCR-RFLP) and DNA sequencing. Results of the analysis suggest the existence of extensive genetic diversity and some host adaptations in Cryptosporidium isolates from reptiles.
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TABLE 1. Distribution of Cryptosporidium spp. and genotypes in snakesa
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TABLE 3. Cross-transmission of Cryptosporidium spp. between lizards and snakes
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TABLE 4. Effectiveness of a diagnosis-euthanasia strategy on the occurrence of Cryptosporidium infection in snakes at the Saint Louis Zooa
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Morphometric measurements.
Oocysts of C. serpentis from a desert monitor (sample 806) and of C. saurophilum from a bull snake (sample 815) were measured under a differential interference contrast microscope at a magnification of x1,000. Twenty oocysts were measured for C. saurophilum organisms, and 37 oocysts were measured for C. serpentis organisms. Mean length and width and the shape index were calculated along with the 95% confidence limits (CL) for each species.
DNA extraction.
Purified oocysts or fecal samples containing oocysts were used in DNA extraction. DNA was extracted from stool samples by alkaline digestion and phenol-chloroform extraction, followed by DNA purification with a commercial kit. Briefly, 33.3 µl of 1 M KOH and 9.3 µl of 1 M dithiothreitol were added to a 1.5-ml microcentrifuge tube containing 100 µl of stool or oocyst suspension. After incubation at 65°C for 15 min, the solution was neutralized with 4.3 µl of 25% hydrochloric acid and buffered with 80 µl of 2 M Tris-HCl (pH 8.3). The DNA was extracted with 250 µl of phenol-chloroform-isoamyl alcohol (Invitrogen, Carlsbad, Calif.) after thorough mixing and centrifugation in an Eppendorf (Hamburg, Germany) microcentrifuge at 5,000 x g for 5 min. The supernatant was transferred to a 2.0-ml Eppendorf tube containing 1.0 ml of ASL buffer from the QIAamp DNA Stool Mini Kit (QIAGEN, Valencia, Calif.). The DNA was further purified following the manufacturer-suggested procedures. DNA was stored at -70°C before it was used in molecular analysis.
Species differentiation and genotyping.
Cryptosporidium spp. and C. parvum genotypes present were diagnosed by a PCR-RFLP technique (13, 16, 17). In this method, a segment (
833 bp) of the Cryptosporidium SSU rRNA gene was amplified by nested PCR. Species and genotype diagnosis was made by restriction digestion of the secondary PCR product with SspI (New England BioLabs, Beverly, Mass.) and VspI (Promega, Madison, Wis.). Each sample was examined at least twice by independent PCR-RFLP analyses. To confirm the diagnosis of new Cryptosporidium spp. and to identify genetic heterogeneity within C. serpentis and C. saurophilum, secondary PCR products were sequenced in both directions on an ABI Prism 3100 analyzer (Applied Biosystems, Foster City, Calif.) by using forward and reverse primers, after PCR products had been purified with the Wizard PCR Prep Kit (Promega). Nucleotide sequences obtained from this study were aligned against each other by using the ClustalX (11) program and manual adjustment. A neighbor-joining tree was constructed from the aligned sequences as previously described by using the Treecon program, and genetic distances were calculated with the Kimura 2-parameter model (17).
Because of the presence of mixed Cryptosporidium species in samples from snakes and lizards that were housed together in cross-transmission studies, PCR products from one of the snakes (sample 938) and one of the lizards (sample 944) were cloned into a pGEM-T vector (Promega). Eight (for sample 944) or 15 (for sample 938) clones were sequenced for each PCR product to confirm the diagnosis.
Nucleotide sequence accession numbers.
The nucleotide sequences of the partial SSU rRNA gene have been deposited in the GenBank database under accession numbers AF093499, AF093501, AF112573, AY120913 through AY120915, and AY268581 through AY268584.
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PCR-RFLP analysis of SSU rRNA PCR revealed banding patterns distinctive for C. serpentis and the Cryptosporidium desert monitor genotype (Tables 1 and 2). Cryptosporidium serpentis was found in 28 of 48 positive snake samples and 11 of 25 positive lizard samples, and the Cryptosporidium desert monitor genotype was identified in 3 of 48 positive snake samples and 9 of 24 positive lizard samples. Sequence analyses confirmed the results of RFLP analyses but also revealed genetic diversities within C. serpentis and the Cryptosporidium desert monitor genotype. Most desert monitor genotype isolates had identical SSU rRNA sequences, but isolates 1343 and 1786 had one single nucleotide polymorphism (SNP). Two genotypes (A and B) were seen in C. serpentis isolates, which differed from each other by one SNP (Fig. 1). One isolate from a lizard (sample 1665) had the C. serpentis RFLP banding pattern, was related to the two C. serpentis genotypes, but had significant differences in nucleotide sequence (Fig. 1).
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TABLE 2. Distribution of Cryptosporidium spp. and genotypes in lizards and tortoises
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FIG. 1. Sequence diversity in the SSU rRNA gene among Cryptosporidium in reptiles. Dots denote sequence identity to isolate 18, dashes represent nucleotide deletions. Isolate designations: 18, C. serpentis genotype A; 63, C. serpentis genotype B; 1665, a C. serpentis-like Cryptosporidium in lizard 1665; 1779, C. muris; 750, Cryptosporidium tortoise genotype; 1432, C. parvum bovine genotype; 1444, C. parvum mouse genotype; 2162, another new Cryptosporidium genotype in snake 2162; 815, C. saurophilum; 938, a new Cryptosporidium genotype in snake 938.
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FIG. 2. Genetic relationship between Cryptosporidium spp. in reptiles inferred by a neighbor-joining analysis of the partial SSU rRNA gene sequences by using the Kimura two-parameter model and the Treecon program. Numbers on branches are percentage bootstrap values of 1,000 replicates. Only values above 50% are shown.
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The identification of the desert monitor genotype as C. saurophilum.
Previous characterization of the Cryptosporidium desert monitor genotype showed that the parasite is closely related to intestinal Cryptosporidium spp. Because the only known intestinal Cryptosporidium parasite in reptiles is C. saurophilum, morphometric measurements were done on the desert monitor genotype, and the data obtained were compared with those from C. serpentis and those previously reported for C. saurophilum. Oocysts of the desert monitor genotype were visibly smaller than those of C. serpentis (Fig. 3), with a mean length of 4.94 µm, a mean width of 4.49 µm, and a shape index (the length/width ratio) of 1.14. In comparison, oocysts of C. serpentis were 5.94 µm in length and 5.11 µm in width and had a shape index of 1.17 (Table 5). Thus, the morphometric measurements of the desert monitor genotype were similar to those previously reported for C. saurophilum (mean, 5.0 x 4.7 µm; range, 4.4 to 5.6 x 4.2 to 5.2 µm) (6).
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FIG. 3. Morphology of C. saurophilum (A) and C. serpentis (B) as seen under a differential interference contrast microscope (magnification, x1,000).
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TABLE 5. Morphometric measurements (micrometers) of Cryptosporidium desert monitor genotype (C. saurophilum) in comparison with those of C. serpentisa
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The cross-transmission of Cryptosporidium spp. between snakes and lizards was further assessed by the differentiation of Cryptosporidium spp. in a group of six snakes and four lizards that were housed in the same room. All snakes and lizards were positive for Cryptosporidium. PCR-RFLP analysis indicated that all animals were infected with multiple Cryptosporidium spp.; the six snakes were all infected with C. serpentis, a new Cryptosporidium genotype, and low levels of C. saurophilum, whereas the four lizards were all infected with C. serpentis and C. saurophilum (Fig. 4 and Table 3). Analysis of the cloned PCR products confirmed the diagnosis of C. serpentis and the new Cryptosporidium genotype in snakes and C. serpentis and C. saurophilum in lizards. Among the 15 clones of a PCR product from the snake isolate 938, 4 clones were identified as C. serpentis, and 11 clones were identified as the new Cryptosporidium genotype. Likewise, four of the eight clones of a PCR product from lizard isolate 944 belonged to C. saurophilum, and the remaining four clones belonged to C. serpentis. The new Cryptosporidium genotype was genetically related to the intestinal Cryptosporidium spp. and had a large SspI band (about 800 bp), similar to the tortoise genotype (Fig. 4, filled arrow), but had a VspI upper band (just over 600 bp) similar to that of C. saurophilum (Fig. 4, open arrow).
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FIG. 4. Simultaneous presence of multiple Cryptosporidium spp. in a group of six snakes and four lizards housed together as revealed by PCR-RFLP analyses of the SSU rRNA gene. The upper panel shows the results of SspI digestion; the lower panel shows the results of VspI digestion. Lanes 1 and 14, 100-bp molecular markers; lane 2, positive control for C. serpentis; lane 3, positive control for C. saurophilum; lane 4, sample from pine snake 936; lane 5, sample from pine snake 937; lane 6, sample from a New Guinea viper boa (938); lane 7, sample from a milk snake (939); lane 8, sample from a black rat snake (940); lane 9, sample from a green python (941); lane 10, sample from mountain chameleon 942; lane 11, sample from mountain chameleon 943; lane 12, sample from a bearded dragon (944); lane 13, sample from a gargoyle gecko (945). Filled and open arrows are the SspI and VspI bands, respectively, for the new Cryptosporidium genotype in snakes. Three Cryptosporidium spp. (C. serpentis, a new Cryptosporidium genotype, and a trace of C. saurophilum) are seen in all six snakes (lanes 4 to 9), and two parasites (C. serpentis and C. saurophilum) are seen in all 4 lizards (lanes 10 to 13).
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Molecular and biologic characterizations indicated that the Cryptosporidium desert monitor genotype was probably C. saurophilum. Phylogenetically, the desert monitor genotype belonged to the intestinal Cryptosporidium parasite group, indicating that it was most probably an intestinal Cryptosporidium parasite, which is in agreement with the initial description of C. saurophilum (6). Morphologically, oocysts of the desert monitor genotype were very similar to those of C. saurophilum in shape and size and were significantly smaller than oocysts of C. serpentis (6). Biologically, the desert monitor genotype preferentially infected lizards. Although the desert monitor genotype was found in a few snakes in this study, cross-transmission studies by oocyst inoculation or habitat sharing indicated that the infectivity to lizards was much higher than to snakes, which explains the failure of the establishment of the desert monitor genotype in two corn snakes inoculated with oocysts of this parasite. Infection with C. saurophilum may not be restricted to the intestine as previously suggested (6), because it was also found in gastric washings of several snakes infected with C. saurophilum and in the stomach tissue section of one experimentally infected lizard.
Oocysts of the C. parvum bovine and mouse genotypes and C. muris found in some of the snakes and lizards in this study probably do not represent true parasites of these animals. Instead, the oocysts were probably from rodents ingested by these carnivorous reptiles (4). This possibility was supported by the fact that none of the animals with these oocysts had clinical signs and by the presence of organisms belonging to C. muris and the C. parvum mouse genotype in some of the feeder mice which were fed to snakes and some lizards in the Saint Louis Zoo. C. muris and the C. parvum mouse genotype have previously been reported in captive snakes and lizards (9). Although the C. parvum bovine genotype has not been found in mice in the United States, it has been previously reported in mice in Australia (8). Thus, oocysts of the C. parvum bovine genotype seen in lizards in Switzerland could also be from ingested prey or feeder mice. Previously, it was shown that oocysts of the C. parvum bovine genotype were not infectious to snakes (4). Nevertheless, the possibility of organisms belonging to the C. parvum mouse and bovine genotypes and to C. muris infecting reptiles can only be totally ruled out by careful biologic and genetic studies.
Because the four new Cryptosporidium spp. found in this study have never been reported in other animals before, they probably were true parasites of these captive reptiles. The Cryptosporidium parasite in snake 1665 was clearly phylogenetically related to C. serpentis, even though significant differences between these two Cryptosporidium spp. (Fig. 1) were present. Likewise, the Cryptosporidium genotype found in three tortoises was related to C. serpentis and has also been found recently in a turtle in Portugal (L. Xiao and M. Alves, unpublished data). One of the two new Cryptosporidium spp. identified in snakes in this study was relatively common, because it was found in snake 938 and five other snakes in this study and was previously found in several storm water samples (genotype W11) in New York (13). The other snake genotype had only been found in one animal (snake 2162).
There were intraspecies genetic variations within C. serpentis and C. saurophilum. Two genotypes of C. serpentis were seen in the study, which differed from each other by one SNP. Likewise, most C. saurophilum isolates produced SSU rRNA sequences similar to the one for the desert monitor genotype reported previously (17). Two isolates, however, had one SNP. It is not clear whether the minor sequence difference in C. saurophilum was due to differences between copies of the SSU rRNA gene, as demonstrated in other Cryptosporidium spp. (7, 14). Even though C. serpentis was named for the Cryptosporidium parasite originally identified in snakes by Brownstein et al. (1) and C. saurophilum was named for a Cryptosporidium parasite in lizards (6), both parasites apparently have a host range broader than previously believed. Nevertheless, data from this study suggest the presence of host adaptation; most snakes (except for sample 1172, which was experimentally infected with an isolate from a lizard) had a C. serpentis genotype A sequence, whereas most lizards (except for sample 806) had a C. serpentis genotype B sequence.
Currently, there are no effective control strategies against cryptosporidiosis in reptiles. In a small-scale study, it was demonstrated that snakes with clinical and subclinical cryptosporidiosis could be effectively treated with hyperimmune bovine colostrum raised against C. parvum (5). A common control practice is to euthanize Cryptosporidium-infected snakes, which would prevent the spread of infection to other animals. This diagnosis-euthanasia strategy was apparently effective in the control of Cryptosporidium infection in snakes in the Saint Louis Zoo in this study. The effectiveness of the method was supported by the evident reduction of C. serpentis infection in snakes at the zoo. In addition to the premature death of infected animals, one problem with the control measure is the frequent presence of oocysts of C. muris and the C. parvum mouse genotype in snakes because of the use of feeder mice as part of the diet. Because it is difficult to differentiate oocysts of the pathogenic C. serpentis from those of nonpathogenic Cryptosporidium spp. that merely pass through the gastrointestinal tract, the diagnosis-euthanasia control strategy would lead to the killing of uninfected animals.
This study was supported in part by grant no. 524/00/P015 of the Grant Agency of the Czech Republic
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