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Is there only one species of Hepatozoon infecting Brazilian caimans? Integrative taxonomy unveiling the parasite’s diversity

Há somente uma espécie de Hepatozoon infectando caimans brasileiros? Taxonomia integrativa desvendando essa diversidade parasitária

Abstract

Hepatozoon spp. are the most common haemoparasites reported from reptiles around the world, however, only six species have been described infecting crocodilians. In Brazil, Hepatozoon caimani Carini, 1909 is currently the only recognized species from the caiman hosts. This study provides new data on the diversity of species of Hepatozoon infecting Caiman crocodilus (Linnaeus) using molecular data and phylogenetic analysis, with additional support of morphological data of developmental stages from host blood and tissue. Forty-four individuals were collected and screened for haemogregarines, and blood and tissue samples were analysed by light microscopy with 31 (70.45%) infected. Hepatozoon spp. blood developmental stages included immature and mature gamonts with or without cytoplasmic vacuoles and free gamonts. Additionally, merogonic developmental stages were found in the liver and spleen of infected hosts. Based on the morphological and molecular data, this study identified two possible different species of Hepatozoon, being one of them the H. caimani with intragenotypic divergence.

Keywords:
Hemogregarine; crocodilian; Brazil; diversity; PCR

Resumo

Hepatozoon spp. são os hemoparasitas mais comuns relatados em répteis em todo o mundo, no entanto, apenas seis espécies foram descritas infectando crocodilianos. No Brasil, Hepatozoon caimani Carini, 1909 é atualmente a única espécie reconhecida dos hospedeiros jacarés. Este estudo fornece novos dados sobre a diversidade de espécies de Hepatozoon que infectam Caiman crocodilus (Linnaeus) utilizando dados moleculares e análise filogenética, com suporte adicional fornecido através de dados morfológicos de estágios de desenvolvimento do sangue e tecido do hospedeiro. Quarenta e quatro indivíduos foram coletados e triados para hemogregarinas, e amostras de sangue e tecidos foram analisadas por microscopia óptica com 31 (70,45%) infectados. Os estágios de desenvolvimento do sangue incluíram gamontes imaturos e maduros com ou sem vacúolos citoplasmáticos e gamontes livres. Além disso, foram encontrados estágios de desenvolvimento merogônico no fígado e baço de hospedeiros infectados. Com base nos dados morfológicos e moleculares, este estudo identificou duas possíveis espécies diferentes de Hepatozoon, sendo uma delas, o H. caimani com divergência intragenotípica.

Palavras-chave:
Hemogregarina; crocodilianos; Brasil; diversidade; PCR

1. Introduction

Haemogregarines (Apicomplexa: Adeleiorina) are the most common and widely distributed reptilian haemoparasites (Telford Junior, 2009TELFORD JUNIOR, S.R., 2009. Hemoparasite of the reptilian: color atlas and text. Boca Raton: CRC Press.). These heteroxenous apicomplexan parasites are found infecting the blood cells of a wide range of vertebrate and invertebrate hosts from all orders and are known to parasitize living reptiles (Telford Junior, 1984TELFORD JUNIOR, S.R., 1984. Haemoparasites of reptiles. In: G.L. HUFF, F.L. FRYE and E.R. JACOBSON, eds, Diseases of 506 amphibians and reptiles. New York: Plenum Press, pp. 385-517. http://doi.org/10.1007/978-1-4615-9391-1_20.
http://doi.org/10.1007/978-1-4615-9391-1...
; Smith, 1996SMITH, T.G., 1996. The genus Hepatozoon (Apicomplexa: adeleina). The Journal of Parasitology, vol. 82, no. 4, pp. 565-585. http://doi.org/10.2307/3283781. PMid:8691364.
http://doi.org/10.2307/3283781...
; Telford Junior et al., 2004). Haemogregarines are currently divided into the families Dactylosomatidae Jakowska and Nigrelli, 1955, Haemogregarinidae Léger, 1911, Hepatozoidae Miller, 1908, and Karyolysidae Labbé, 1894 (Netherlands et al., 2018NETHERLANDS, E.C., COOK, C.A., DU PREEZ, L.H., VANHOVE, M.P.M., BRENDONCK, L. and SMIT, N.J., 2018. Monophyly of the species of Hepatozoon (Adeleorina: Hepatozoidae) parasiting (African) anurans, with the description of three new species from hyperoliid frogs in South Africa. Parasitology, vol. 145, no. 8, pp. 1039-1050. http://doi.org/10.1017/S003118201700213X. PMid:29198245.
http://doi.org/10.1017/S003118201700213X...
). Concerning crocodilian hosts, for many years all haemogregarines recorded in Brazil were assigned to the genus Haemogregarina Danilewsky, 1885 (Apicomplexa: Adeleoria). However, Smith (1996)SMITH, T.G., 1996. The genus Hepatozoon (Apicomplexa: adeleina). The Journal of Parasitology, vol. 82, no. 4, pp. 565-585. http://doi.org/10.2307/3283781. PMid:8691364.
http://doi.org/10.2307/3283781...
reassigned these species to the genus Hepatozoon (Miller, 1908), except for Haemogregarina brasiliensis Di Primo, 1925 from Caiman yacare found in Mato Grosso State, Brazil (Smith, 1996SMITH, T.G., 1996. The genus Hepatozoon (Apicomplexa: adeleina). The Journal of Parasitology, vol. 82, no. 4, pp. 565-585. http://doi.org/10.2307/3283781. PMid:8691364.
http://doi.org/10.2307/3283781...
; Duszynski et al., 2020DUSZYNSKI, D.W., MCALLISTER, C.T. and TELLEZ, M., 2020. The coccidian (Apicomplexa) of the Archosauria (Crocodylia: Eusuchia) of the world. The Journal of Parasitology, vol. 106, no. 1, pp. 90-122. http://doi.org/10.1645/19-73. PMid:31999218.
http://doi.org/10.1645/19-73...
).

Currently, the genus Hepatozoon has the highest number of species (Smith, 1996SMITH, T.G., 1996. The genus Hepatozoon (Apicomplexa: adeleina). The Journal of Parasitology, vol. 82, no. 4, pp. 565-585. http://doi.org/10.2307/3283781. PMid:8691364.
http://doi.org/10.2307/3283781...
). However, according to a recent revision on coccidian parasites infecting crocodilians of the world (Duszynski et al., 2020DUSZYNSKI, D.W., MCALLISTER, C.T. and TELLEZ, M., 2020. The coccidian (Apicomplexa) of the Archosauria (Crocodylia: Eusuchia) of the world. The Journal of Parasitology, vol. 106, no. 1, pp. 90-122. http://doi.org/10.1645/19-73. PMid:31999218.
http://doi.org/10.1645/19-73...
), there are currently only six species described in crocodilian hosts, as follows: Hepatozoon hankini Simond, 1901 described from Gavialis gangeticus (Gmelin) in Asia (India); Hepatozoon serrei Phisalix, 1914 reported from Paleosuchus trigonatus (Schneider) in South America; Hepatozoon petiti (Thiroux, 1910) Hoare 1932 infecting Crocodylus niloticus Laurent in Africa; Hepatozoon sheppardi Santos Dias, 1952 found parasitizing C. niloticus in Africa; Hepatozoon crocodilinorum (Borner, 1901) Smith, 1996 infecting Alligator mississippiensis (Daudin) and Osteolaemus tetraspis Cope from Europe and North America; and Hepatozoon caimani Carini, 1909, from Brazilian caimans, Caiman latirostris (Daudin), Caiman yacare (Daudin), and C. crocodilus.

In Brazil, H. caimani is the only valid species of Hepatozoon in Brazilian caimans, with studies mainly focused on morphological descriptions, parasite life history, and occurrence. High prevalence of H. caimani has been reported, for example, 76.7% in C. crocodilus from the Amazon region and 71.4% of C. yacare in from the western were infected, and 76% – 79.5% of caimans from southeastern Pantanal (Viana and Marques, 2005VIANA, L.A. and MARQUES, E.J., 2005. Haemogregarine parasites (Apicomplexa: Hepatozoidae) in Caiman crocodilus yacare (Crocodilia: Alligatoridae) from Pantanal, Corumba, MS, Brazil. Revista Brasileira de Parasitologia Veterinária, vol. 14, no. 4, pp. 173-175. PMid:16445875.; Viana et al., 2010VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
; Soares et al., 2017SOARES, P., BORGHESAN, T.C., TAVARES, L.E.R., FERREIRA, V.L., TEIXEIRA, M.M.G. and PAIVA, F., 2017. Hepatozoon caimani Carini 1909 (Adeleina: Hepatozoidae) in wild population of Caiman yacare Daudin, 1801 (Crocodylia: Alligatoridae), Pantanal, Brazil. Parasitology Research, vol. 116, no. 7, pp. 1907-1916. http://doi.org/10.1007/s00436-017-5467-1. PMid:28512673.
http://doi.org/10.1007/s00436-017-5467-1...
). This high prevalence could be related to the number of transmission routes available for H. caimani to its caiman hosts, via ingestions of infected mosquitoes (vector), infected frog, fish, snakes and small alligators (intermediate hosts (Lainson et al., 2003LAINSON, R., PAPERNA, I. and NAIFF, R.D., 2003. Development of Hepatozoon caimani (Carini, 1909) Pessôa, de Biasi e de Souza, 1972 in the caiman Caiman c. crocodilus, the frog Rana catesbeiana and the mosquito Culex fatigans. Memorias do Instituto Oswaldo Cruz, vol. 98, no. 1, pp. 103-113. http://doi.org/10.1590/S0074-02762003000100014. PMid:12700868.
http://doi.org/10.1590/S0074-02762003000...
; Pereira et al., 2014PEREIRA, G.R., SOARES, P., HOMES, M.Q., VIANA, L.A., ABREU MANSO, P.P., MACHADO, M.P. and LOURENÇO-DE-OLIVEIRA, R., 2014. Are fish paratenic natural hosts of the caiman haemoparasite Hepatozoon caimani? Parasitology Research, vol. 113, no. 1, pp. 39-45. http://doi.org/10.1007/s00436-013-3623-9. PMid:24142284.
http://doi.org/10.1007/s00436-013-3623-9...
).

Telford Junior et al. (2004) proposed the use of molecular tools as the best way to detect species of Hepatozoon and infer taxonomic relationships among the species that infect a wide range of caiman species. To date, only three studies (Clemente et al. 2023CLEMENTE, G.R.C., GUTERREZ-LIBERATO, G.A., ANJOS, C.C., SIMÕES, P.I., MUDERK, J.R., FECCHIO, A., LIMA, J.H.A., OLIVEIRA, P.M.A., PINHO, J.B., MATHIAS, B.S., GUIMARÃES, L.O. and KIRCHGATTER, K., 2023. Occurrence of Hepatozoon in Some Reptiles from Brazilian Biomes with Molecular and Morphological Characterization of Hepatozoon caimani. Diversity (Basel), vol. 15, no. 12, pp. 1192. http://doi.org/10.3390/d15121192.
http://doi.org/10.3390/d15121192...
; Bouer et al. 2017BOUER, A., ANDRÉ, M.R., GOLÇALVES, L.R., LUZZI, M.C., OLIVEIRA, J.P., RODRIGUES, A.C., VARANI, A.M., MIRANDA, V.F.O., PERLES, L., WERTHER, K. and MACHADO, R.Z., 2017. Hepatozoon caimani in Caiman crocodilus yacare (Crocodylia, Alligatoridae) from North Pantanal, Brazil. Revista Brasileira de Parasitologia Veterinária, vol. 26, no. 3, pp. 352-358. http://doi.org/10.1590/s1984-29612017041. PMid:28902260.
http://doi.org/10.1590/s1984-29612017041...
; Soares et al., 2017SOARES, P., BORGHESAN, T.C., TAVARES, L.E.R., FERREIRA, V.L., TEIXEIRA, M.M.G. and PAIVA, F., 2017. Hepatozoon caimani Carini 1909 (Adeleina: Hepatozoidae) in wild population of Caiman yacare Daudin, 1801 (Crocodylia: Alligatoridae), Pantanal, Brazil. Parasitology Research, vol. 116, no. 7, pp. 1907-1916. http://doi.org/10.1007/s00436-017-5467-1. PMid:28512673.
http://doi.org/10.1007/s00436-017-5467-1...
) targeting the 18S rRNA gene, have molecularly identified Hepatozoon from caimans in Brazil. Moreover, the recently published article by Clemente et al. (2023)CLEMENTE, G.R.C., GUTERREZ-LIBERATO, G.A., ANJOS, C.C., SIMÕES, P.I., MUDERK, J.R., FECCHIO, A., LIMA, J.H.A., OLIVEIRA, P.M.A., PINHO, J.B., MATHIAS, B.S., GUIMARÃES, L.O. and KIRCHGATTER, K., 2023. Occurrence of Hepatozoon in Some Reptiles from Brazilian Biomes with Molecular and Morphological Characterization of Hepatozoon caimani. Diversity (Basel), vol. 15, no. 12, pp. 1192. http://doi.org/10.3390/d15121192.
http://doi.org/10.3390/d15121192...
analyzed 111 reptile samples from the state of Mato Grosso, Brazil, with molecular diagnosis targeting the 18S SSU gene. The authors reported isolates of Hepatozoon caimani in Caiman yacare and Paleosuchus palpebrosus.

Therefore, this study aimed to compare literature available data with the new data obtained in present study, to highlight the diversity of species of Hepatozoon in Brazilian caimans, using molecular, phylogenetic, morphological, and morphometric analyses.

2. Material and Methods

2.1. Host collection

During fieldworks conducted from 2017 to 2020, Brazilian caimans were collected from Mato Grosso State, Brazil, in two localities: Boa Esperança Farm (14°46'44.82" S, 51°32'50.86" W) and Sol Vermelho Farm (14°28'39.27" S, 51°36'31.95" W), both in the municipality of Cocalinho, Mato Grosso state, Brazil.

The animals were submitted to physical restraint with the appropriate equipment, following standard procedure for this group of animals. The crocodilians were captured by active sampling using the hands or fishing rods with steel guy wire. Restraint was performed by sealing the eyes and mouth with tape and tying the paws with rope (Santos et al., 2011SANTOS, S.A., STOLL, M.N., PINHEIRO, M.S., CAMPOS, Z., MAGNUSSON, W.E. and MOURÃO, G., 2011 [viewed 20 November 2022]. Diets of Caiman crocodilus yacare from diferente habitats in Brazilian Pantanal. The Herpetological Journal [online], vol. 6, pp. 111-117. Available from: https://repositorio.inpa.gov.br/handle/1/19380
https://repositorio.inpa.gov.br/handle/1...
; Viana et al., 2010VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
). Before the blood collection, the animals were submitted to sexing, measured, and weighed for classification of the crocodilian age group, according to Velasco et al. (2009)VELASCO, A., COLIMINE, G., SOLA, R. and VILLARROEL, G., 2009. Effects of sustained harvests on wild populations of Caiman crocodilus crocodilus in Venezuela. Interciencia, vol. 28, pp. 544-548.: hatchlings (length ≤ 25cm), juveniles (25-50cm), young adults (51-80cm), and adults (≥80cm).

Blood samples were collected by puncture of the cervical paravertebral sinus using sterile and disposable syringes and needles (Zippel et al., 2001ZIPPEL, K.C., LILLYWHITE, H.B. and MLADINICH, C.R., 2001. New vascular system in reptiles: anatomy and postural hemodynamics of the vertebral venous plexus in snakes. Journal of Morphology, vol. 250, no. 2, pp. 173-184. http://doi.org/10.1002/jmor.1063. PMid:11746458.
http://doi.org/10.1002/jmor.1063...
) Three thin blood smears were made and the remaining blood sample was stored in EDTA tubes and frozen at -10ºC for further molecular analysis. The blood smears were fixed with absolute methanol and stained with 10% Giemsa Methylene Blue Eosin Merck® diluted in distilled water (pH 7.0) for 50 min, according to Eisen and Schall (2000)EISEN, R.J. and SCHALL, J.J., 2000. Life history of malaria parasite (Plasmodium mexicanum): independent traits and basis for variation. Proceedings. Biological Sciences, vol. 267, no. 1445, pp. 793-799. http://doi.org/10.1098/rspb.2000.1073. PMid:10819149.
http://doi.org/10.1098/rspb.2000.1073...
. For histological slides, six caimans were euthanized using 50 mg/kg sodium thiopental (Tiopentax®) administered intracerebrally, following the guidelines of Sebben (2007)SEBBEN, A. 2007. Microdissecaçao fisiologica a fresco: uma nova visão sobre a anatomia de anfíbios e répteis, In: L.B. NASCIMENTO, M.E. OLIVEIRA eds. Herpetologia no Brasil II. Belo Horizonte: Sociedade Brasileira de Herpetologia, pp. 311-325. and the Animal Ethics Committee of Veterinary Medicine. The liver, spleen, heart, and kidney were fixed in 4% buffered neutral formalin and stained with hematoxylin-eosin (Eisen and Schall, 2000EISEN, R.J. and SCHALL, J.J., 2000. Life history of malaria parasite (Plasmodium mexicanum): independent traits and basis for variation. Proceedings. Biological Sciences, vol. 267, no. 1445, pp. 793-799. http://doi.org/10.1098/rspb.2000.1073. PMid:10819149.
http://doi.org/10.1098/rspb.2000.1073...
).

All applicable international, national, and institutional guidelines for the ethical handling of animals were followed (SISBIO license 60640-1; CEUA-UNESP 1061).

2.2. Morphological study of the parasites

For morphological analysis of the blood and tissue parasite stages, digital images were captured and measured using a compound microscope at 100x magnification with the Leica software application suite LAS V3.8 (Leica Microsystems). Measurements are in micrometres (µm) comprising the parasite’s length and width, with mean and standard deviation (means ± standard deviation) given. Parasitaemia was calculated with ~104 erythrocytes examined per blood smear following Cook et al. (2009)COOK, C.A., SMIT, N.J. and DAVIES, A.J., 2009. A redescription of Haemogregarina fitzsimonsi Dias, 1953 and some comments on Haemogregarina parvula Dias, 1953 (Adeleorina: Haemogregarinidae) from Southern African tortoises (Cyptodira: Testudinidae) with new host data and distribution records. Folia Parasitologica, vol. 56, no. 3, pp. 173-179. http://doi.org/10.14411/fp.2009.021. PMid:19827360.
http://doi.org/10.14411/fp.2009.021...
.

2.3. Molecular analyses

DNA was extracted from blood samples following the DNeasy Blood & Tissue Kit standard protocol (Qiagen, Valencia, CA, USA). Two PCR assays were performed targeting two different regions of the parasites 18S rDNA using the HepF300 and Hep900 pair of primers, which amplifies 600 bp (Ujvari and Marques, 2005UJVARI, B. and MARQUES, E.J., 2005. High prevalence of Hepatozoon spp. (Apicomplexa: Hepatozoidae) infection in water pythons (Liasis fuscus) from tropical Australia. The Journal of Parasitology, vol. 90, no. 3, pp. 670-672. http://doi.org/10.1645/GE-204R. PMid:15270125.
http://doi.org/10.1645/GE-204R...
) and Hemo1 and Hemo2 pair of primers, which amplifies 900 bp (Perkins and Keller, 2001PERKINS, S.L. and KELLER, A.K., 2001. Phylogeny of nuclear small subunit rRNA genes of hemogregarines amplified with specific oligonucleotídeos. The Journal of Parasitology, vol. 87, no. 4, pp. 870-876. http://doi.org/10.1645/0022-3395(2001)087[0870:PONSSR]2.0.CO;2. PMid:11534653.
http://doi.org/10.1645/0022-3395(2001)08...
) PCR amplification reactions were carried out in a final volume of 25 µL, containing 1 µL each of 10 pmol primers, 12.5 µL of Master Mix MyFiTM Mix Bioline®, and 5 µL of extracted DNA, with nuclease-free water accounting for the remaining volume. PCR amplification was performed on a Peltier 200 Thermocycler (MJ Research, Watertown, MA) (O’Dwyer et al., 2013O’DWYER, L.H., MOÇO, T.C., PADUAN KDOS, S., SPENASSATTOM, C., SA SILVA, R.J. and RIBOLLA, P.E., 2013. Description of three new species of Hepatozoon (Apicomplexa, Hepatozoidae) from Rattlesnakes (Crotalus durissus terrificus) based on molecular, morphometric and morphologic characters. Experimental Parasitology, vol. 135, no. 2, pp. 200-207. http://doi.org/10.1016/j.exppara.2013.06.019. PMid:23867148.
http://doi.org/10.1016/j.exppara.2013.06...
).

PCR products were subjected to gel electrophoresis at 80 V in a 1.5% agarose gel, stained with Gel Red, and observed using an ultraviolet transilluminator. The products of interest were purified by adding 2 µL of ExoSAP-IT® (Affymetrix, Santa Clara, CA, USA) to 5 µL of PCR product according to the manufacturer’s recommendations. Amplicons were then sequenced, using PCR primers on a 3,500 Genetic Analyzer capillary sequencer (Applied Biosystems) and after BigDye Terminator Cycle Sequencing Ready Reaction Kit v.3.1 (Applied Biosystems) according to the manufacturer’s recommendations. A consensus sequence was created from the forward and reverse-assembled electropherograms using Geneious version 7.1.3 (Kearse et al., 2012KEARSE, M., MOIR, R., WILSON, A., STONES-HAVAS, S., CHEUNG, M., STURROCK, S., BUXTON, S., COOPER, A., MARKOWITZ, S., DURAN, C., THIERER, T., ASHTON, B., MEINTJES, P. and DRUMMOND, A., 2012. Geneious Basic: an integrated and extendable desktop software platform for the organization and analysis of sequence data. Journal of Bioinformatics, vol. 28, no. 12, pp. 1647-1649. http://doi.org/10.1093/bioinformatics/bts199. PMid:22543367.
http://doi.org/10.1093/bioinformatics/bt...
). For each positive animal, the newly generated sequences from HepF300/Hep900 and Hemo1/Hemo2 contigs were concatenated using Geneious version 7.1.3, forming a longer sequence of ~1,200 bp.

The sequences from this study were compared with other isolates from haemogregarine parasites available at GenBank. The newly generated sequences of partial 18S rDNA were aligned using Geneious version 7.1.3 with the Muscle algorithm implemented from within Geneious version 7.1.3 (Bomatters, www.geneious.com) and default settings with related sequences that appeared on Blastn search.

Phylogenetic reconstructions were performed using the Bayesian inference (BI) and Maximum Likelihood (ML) methods. The BI analysis was carried out using MrBayes implemented from the computational resource CIPRES (Miller et al., 2010MILLER, M.A., PFEIFFER, W. and SCHWARTZ, T., 2010. Creating the CIPRES Science Gateway for inference of large phylogenetic trees. In: Proceedings of the 2010 Gateway Computing Environments Workshop (GCE), 2010, New Orleans, LA, USA. USA: IEEE. pp. 1-8. http://doi.org/10.1109/GCE.2010.5676129.
http://doi.org/10.1109/GCE.2010.5676129...
), and the analysis was run with the nucleotide substitution model GTR+I+G. The Markov chain Monte Carlo (MCMC) algorithm was run with 10,000,000 generations, saving one tree every 1000 generations. The first 25% of the trees were discarded as burn-in, and the consensus trees were estimated using the remaining trees. Bayesian posterior probabilities (BPP) cut-off was considered > 50%. The trees were visualized and edited using the FigTree v1.4 software program (Rambaut, 2012RAMBAUT, A., 2012 [viewed 20 November 2022]. FigTree v1.4. Molecular evolution, phylogenetics and epidemiology [online]. Edinburgh: University of Edinburgh, Institute of Evolutionary Biology. Available from: http://tree.bio.ed.ac.uk/software/figtree/
http://tree.bio.ed.ac.uk/software/figtre...
). For the ML method, based on the Akaike information criterion (AIC) the Transitional model (Posada, 2003POSADA, D., 2003. Using MODELTEST and PAUP* to select a model of nucleotide substitution. Current Protocols in Bioinformatics, vol. 6, no. 1, pp. 6.5.1-6.5.14. http://doi.org/10.1002/0471250953.bi0605s00. PMid:18428705.
http://doi.org/10.1002/0471250953.bi0605...
), a discrete Gamma distribution (TVM+G) was selected. Phylogenetic analysis was inferred using PhyML (Guindon and Gascuel, 2003GUINDON, S. and GASCUEL, O., 2003. A simple, fast, and accurate algorithm to estimate large phylogenies by maximum likelihood. Systematic Biology, vol. 52, no. 5, pp. 696-704. http://doi.org/10.1080/10635150390235520. PMid:14530136.
http://doi.org/10.1080/10635150390235520...
) with 1,000 bootstrap replicates (>50%).

Isolates from other adeleorinid parasites (Haemogregarinidae, Hepatozoidae, Karyolysidae, and Dactylosomatidae) available from GenBank were used to construct both phylogenetic trees. The obtained phylogenetic trees for the BI and ML analyses were edited in FigTree v1.4 (Rambaut, 2012RAMBAUT, A., 2012 [viewed 20 November 2022]. FigTree v1.4. Molecular evolution, phylogenetics and epidemiology [online]. Edinburgh: University of Edinburgh, Institute of Evolutionary Biology. Available from: http://tree.bio.ed.ac.uk/software/figtree/
http://tree.bio.ed.ac.uk/software/figtre...
). Lankesterella minima (Chaussat 1850) (GenBank: AF080611) and Isospora wiegmanniana Megía-Palma et al., 2015 (GenBank: KU180242) from the Order Eucoccidiorida were selected as out-group. A pair-wise distance (p-distance) matrix was used to compare the interspecific divergence between species of Hepatozoon sequences isolated from caimans hosts.

3. Results

A total of 44 Caiman crocodilus was screened and 31 (70.45%) were infected with species of Hepatozoon, based on morphological screening of the blood smears. The parasitaemia ranged from 0.01% - 6% in the infected caimans. No ectoparasites, such as leeches, were observed infesting the caimans.

With regards to the prevalence and gender of the crocodilians, 75.86% (22/29) of the males and 63.63% (7/11) of the females were positive. The gender of four caimans was undetermined; of these, two were positive.

Regarding age, 70.31% (23/29) of adults, 55.50% (5/9) of young adults, and 50% (3/6) of juvenile crocodilians were found positive.

3.1. Molecular data

All 31 specimens found positive through morphological screening had their Hepatozoon spp. successfully amplified using PCR and sequencing targeting the 18S rRNA gene. The newly generated and concatenated sequences were compared to each other and with other Hepatozoon isolates from crocodilians available on GenBank. The genetic divergence of 98.35% – 100% was obtained for species of Hepatozoon isolated from caiman hosts in the present study and compared with sequences from GenBank (Table 1).

Table 1
The shaded matrix (lower) shows the percentage of similarity of the 18S rDNA nucleotide sequences and the non-shaded matrix (upper) shows the p-distance (pair-wise distance) between the Hepatozoon sequences isolated from caiman hosts and compared to sequences available on GenBank.

In the phylogenetic tree, two main clades were observed (Figure 1). The first comprised species of Dactylosoma Labbé, 1894 and Haemogregarina, and the second comprised Hemolivia Petit, Landau, Beccam and Lainson, 1990, Karyolysus Labbé, 1894 Hepatozoon (mammals), and Hepatozoon (reptiles and amphibians) clades. Regarding the latter clade, two subclades were recovered, one with species of Hepatozoon isolated from reptiles and anurans hosts formed a sister group to the second larger subclade comprising isolates from crocodilian hosts.

Figure 1
Consensus phylogram of hemogregarines based on 18S rDNA sequences. The topology trees were inferred by Bayesian (BI) and Maximum Likelihood (ML) methods (represented by ML tree). The isolates Isospora wiegmanniana (KU180242) and Lankesterella minima (AF080611) were used as an out-group.

The crocodilian clade forms a monophyly that represents a polytomy with two well-supported branches. In the first branch, two subclades were observed. The subclade A (A1 and A2), the A1 were observed comprising 11 isolates from the present study with 100% gene identity, with a polytomy with seven isolates of Hepatozoon sp. from C. yacare (Clemente et al., 2023CLEMENTE, G.R.C., GUTERREZ-LIBERATO, G.A., ANJOS, C.C., SIMÕES, P.I., MUDERK, J.R., FECCHIO, A., LIMA, J.H.A., OLIVEIRA, P.M.A., PINHO, J.B., MATHIAS, B.S., GUIMARÃES, L.O. and KIRCHGATTER, K., 2023. Occurrence of Hepatozoon in Some Reptiles from Brazilian Biomes with Molecular and Morphological Characterization of Hepatozoon caimani. Diversity (Basel), vol. 15, no. 12, pp. 1192. http://doi.org/10.3390/d15121192.
http://doi.org/10.3390/d15121192...
); and A2 consisting of four isolates from the present study with similarities ranging from 99.8% to 100%.

The branch B comprises sequences of two isolates of Hepatozoon sp. (KJ413115 and KJ413113) from C. yacare, and two sequences of Hepatozoon caimani from C. yacare (OR510629 and OR510633) (Clemente et al., 2023CLEMENTE, G.R.C., GUTERREZ-LIBERATO, G.A., ANJOS, C.C., SIMÕES, P.I., MUDERK, J.R., FECCHIO, A., LIMA, J.H.A., OLIVEIRA, P.M.A., PINHO, J.B., MATHIAS, B.S., GUIMARÃES, L.O. and KIRCHGATTER, K., 2023. Occurrence of Hepatozoon in Some Reptiles from Brazilian Biomes with Molecular and Morphological Characterization of Hepatozoon caimani. Diversity (Basel), vol. 15, no. 12, pp. 1192. http://doi.org/10.3390/d15121192.
http://doi.org/10.3390/d15121192...
) with 99.6% similarity (18S rDNA) among them.

In regards to branch C (C1, C2 and C3), the C1 has shown 99.74% similarity among the sequences, being two identical isolates (R66, R117) with another 12 identical isolates, all from the present study. The C2 is composed of two H. caimani isolates (KU495924, KU495925) from C. yacare, with 99% similarity between these isolates. The branch C3 comprises H. caimani (MF322539, MF322538) from Caiman crocodilus yacare Wermuth & Mertens, 1977 obtained from GenBank, one isolate (MW246123) of C. crocodilus from Colombia, one isolate from C. yacare (OR510644) and two isolates from the present study (R46, R71) with 99.8% - 100% of gene similarity.

Thus, the molecular data analysis revealed the presence of H. caimani (Branch C) and one unidentified species of Hepatozoon (Branch A) in Brazilian caimans from the present study, all with intragenotypic divergences. In regards to H. caimani genotypes, the branches C contained intraspecific gene similarity of 99.74% (pair-wise distance of 0.006) and an interspecific gene similarity ranging between 98.35% – 98.96% as compared to the other genotypes from Brazilian crocodilians. In regards to the undescribed species, branch A1 have shown an interspecific gene similarity ranging from 98.45% to 99.30% (pair-wise distance of 0.018 – 0.006) compared to the other isolates from crocodilians. The second genotype from the undescribed species (branch A2) has shown an interspecific gene similarity ranging between 98.70% – 99.30% (pair-wise distance of 0.006 – 0.0014) as compared to the other isolates of Brazilian crocodilians.

3.2. Morphological data

The morphological data obtained from the blood smears of the different collected specimens revealed diverse morphological characteristics (Figures 2-5). Moreover, initial merogonic developmental stages were detected in the histological slides of the spleen and liver, from the five-euthanized caimans (Figures 3 and 4). The morphometric data are reported in Table 2.

Figure 2
A-E. Morphological data on Hepatozoon caimani (genotype C3) in two caimans blood smears from Mato Grosso State, Brazil. A-B) Gamonts with cytoplasmic vacuoles; C-D) Mature gamonts and gamonts with cytoplasmic vacuoles (arrow); D) Gamonts; E) Gamont with whitish cytoplasm and capsule stained in dark-purple. Scale bar: 20µm
Figure 5
A-D. Morphological data on Hepatozoon sp. (genotype A2) in four caimans blood smears from Mato Grosso State, Brazil. A) Free-gamont infecting the erythrocyte; B) Trophozoite; C) Immature gamonts with cytoplasmic granules; D) Mature gamonts. Scale bar 20µm.
Figure 3
A-I. Morphological data on Hepatozoon caimani (genotype C1) in 14 caimans blood smears from Mato Grosso State, Brazil. A) Free-gamonts; B) Stout immature gamonts; C) Immature gamonts with cytoplasmic and nuclei chromatin granules loosely arranged across thee parasites cytoplasm; D) Late immature gamonts with slender and spread chromatin nuclear through the cytoplasm; E-F) Mature gamonts; G) Early-stage meront in the caiman´s spleen; H-I) Meronts with merozoites in the spleen. Scale bar 20µm.
Figure 4
A-H. Morphological data on Hepatozoon sp. (genotype A1) in 11 caimans blood smears from Mato Grosso State, Brazil. A) Free-gamonts; B) Stout immature gamonts with cytoplasmic vacuoles; C) Immature gamont with dispersed nuclear chromatin; D) Mature gamonts; E) Micromeronts in the liver; F) meronts with merozoites in the liver; G) granule-mass structure meront, considered as an early stage of development; H) macromeronts with macromerozoites in the spleen. Scale bar 20µm
Table 2
Hepatozoon spp. measurements (mean ± standard deviation) of blood and tissue stages in crocodilians, Caiman crocodilus, from Brazil.

The morphological characteristics of H. caimani (Branch C3) observed in the present study were immature (small) gamonts with vacuoles, mature (larger) gamonts with vacuoles, mature gamonts, and gamonts with slender nuclear chromatin with a whitish cytoplasm (Figure 2). Parasitaemias were 0.5% and 6% in the two infected individuals.

The morphological characteristics of H. caimani (branch C1) observed in the present study were the presence of free gamonts, immature gamonts, mature gamonts and meronts in the spleen and liver (Figure 3). Free gamonts (Figure 3A) were long and thin parasites with the nuclei with dense purplish chromatin located centrally. In relation to immature gamonts (Figure 3B-E), three different morphological stages were observed.The first one, a stout immature gamont (Figure 3B) presented cytoplasmic vacuoles, always displacing cell nuclei to one side, with rounded and dense nuclei located centrally of the parasite’s body. In the other morphology, the gamonts have cytoplasmic and nuclei chromatin granules loosely arranged across the parasite cytoplasm (Fig, 3C), with the presence or not of vacuoles. The nuclear chromatin is stained in purple, while the granules are dark blue. It is possible to observe that the cell nuclei are always dislocated to one extremity. The third morphology, considered as late immature gamonts (Figure 3D), is characterised by gamonts with slender and spread chromatin nuclear through the cytoplasm, with vacuoles and whitish cytoplasm. A dark purple stain can be observed through the parasite's membrane and nuclei. Two morphotypes of mature gamonts (Figure 3E-F) were evidenced; one with widespread nuclei (Figure 3E), occupying 2/3 of the parasite’s body, with slender nuclear chromatin stained in purple. The parasite’s membrane is stained in dark purple and vacuoles can or cannot be observed. The parasite’s body ends are rounded and always displacing the cell nuclei to one side. A slightly bigger parasite’s body characterizes the second morphotype (Figure 3F), with smaller, rounded, and dense nuclei always dislocated to the curved extremity of the parasite’s body. It is possible to observe a significant displacement of the nuclei cell and damaged structures of the erythrocyte in this case. The parasite’s membrane is stained in the same colour as the cytoplasm. Meronts in different stages of development were detected in the spleen and liver (Figure 3G-I). The earlier stage had only an internal mass (Figure 3G) whereas the mature stage presented formed merozoites (Figure 3H, I). All the meronts had an oval and rounded body, with the capsule stained in dark purple (Figure 3H) or whitish (Figure 3G, I). The total prevalence found was 31.81% (14/44), and parasitaemia ranged from 0.1% to 1%.

The undescribed species of Hepatozoon (Subclade A), through morphological analysis, revealed developmental stages in the peripheral blood and tissue fragment of the liver. The total prevalence found was 36,36% (16/44), and the parasitaemia ranged from 0.01% to 6%. All measurements of the different parasite stages are available in Table 2.

In regards to the morphological data, the trophozoite (Figure 5B) presented a small shape with one side more tapered than the other. The rounded purple nuclei are located at the centre of the parasite. A slight displacement of the nuclei cell could be observed in some cases. The immature gamonts (Figure 4C) were encased in a visible parasitophorous vacuole, with nuclear chromatin loosely spread across the parasite’s cytoplasm, or located to one side of the parasite (probably dependent on the timing of development). Nuclear chromatin staining dark purple. Sometimes, cytoplasmic vacuoles could be observed. The gamonts have both ends rounded with one slightly more curved than the other. Displacement of the cell nuclei is always present. The stout immature gamont (Figure 4B; 5C) were found in two morphologies. The first (Figure 4B) is characterised by lighter-purple nuclear chromatin loosely arranged and located towards one side of the parasite with the presence of cytoplasmic vacuoles. Both ends of the parasite were rounded. The host cell nucleus is always displaced to one side of the erythrocyte. In some cases, it is possible to observe cytoplasmic granules. The second morphology (Figure 5C) is characterised by the presence of cytoplasmic vacuoles, and in some cases, it is possible to observe some granules. The purple and round nuclei are dislocated to one side of the parasite, which has both extremities rounded. The displacement of the nuclei cell to one side of the erythrocyte is also evidenced. The Mature gamonts (Figure 4D; 5D) were found in two morphologies. The first one (Figure 4D) is characterised by shape and size consistent with an evident parasitophorous vacuole. Both sides of the parasite are rounded, with one more arched than the other. The nuclei are always situated on the arched side of the parasite, staining purple with an oblong shape, occupying half of the parasite’s body. The parasite-curved side is always located close to the displaced host cell nucleus. The parasite’s cytoplasm is stained light purple. The second morphology found (Figure 5D) has dense and rectangular nuclei, slightly displaced to one side of the parasite body, stained in dark purple. Sometimes, a small, rounded, stained-in-purple structure located at the opposing side of the parasite’s nuclei was observed. The parasite has both ends rounded with a thin capsule evidenced, and always located close to the cell nuclei. The free-gamonts (Figure 4A; 5A) were characterised by long and thin body with cytoplasmic vacuoles and granules, nuclei staining purple and located centrally to the parasite’s body. The nuclei are oval, centrally positioned,with dark-purple chromatin stained. Sometimes, it was possible to observe this type of gamont inside the erythrocyte. Meronts in different merogonic stages were observed in the liver and spleen tissues (Figure 4E-H) Micromeronts (Figure 4E, F), meronts with granule-mass structure, considered as an early-stage development (Figure 4G), and macromeronts (Figure 4H) were detected. In the micromeronts and macromeronts, merozoites could be observed. Oval to rounded shapes were presented with a capsule not always evidenced.

4. Discussion

Crocodilians are large, long-lived predators, with a generalist predatory behaviour, being able to accumulate various trophically transmitted parasites through the consumption of a variety of prey over an extended period (Tellez, 2013TELLEZ, M., 2013. A checklist of host parasite interactions of the order Crocodylia. Berkeley: University of California Press. http://doi.org/10.1525/california/9780520098893.001.0001.
http://doi.org/10.1525/california/978052...
; Duszynski et al., 2020DUSZYNSKI, D.W., MCALLISTER, C.T. and TELLEZ, M., 2020. The coccidian (Apicomplexa) of the Archosauria (Crocodylia: Eusuchia) of the world. The Journal of Parasitology, vol. 106, no. 1, pp. 90-122. http://doi.org/10.1645/19-73. PMid:31999218.
http://doi.org/10.1645/19-73...
). This ability can be related to the easy habitat transition to aquatic and terrestrial during their lifetime, increasing the variety of pathogens and their vectors’ contact (Tellez, 2013TELLEZ, M., 2013. A checklist of host parasite interactions of the order Crocodylia. Berkeley: University of California Press. http://doi.org/10.1525/california/9780520098893.001.0001.
http://doi.org/10.1525/california/978052...
). Therefore, the understanding of the ecological and host-prey relationship among caimans during their life timing is essential for the parasite’s prevalence and parasitaemia correlation. It is known that young animals, in their first year of life, feed essentially on invertebrates, particularly arthropods (Uetanabaro, 1989UETANABARO, M., 1989. Hábito alimentar de Caiman crocodilus yacare (Crocodilia, Alligatoridae) no Pantanal do Sul Mato-grossense. Rio Claro: UNESP, 79 p. Dissertação de Mestrado.; Viana et al., 2010VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
). From the second year on, juvenile and adult caimans start to feed on anurans and fishes, which form an important transmission phase through predation of intermediate hosts (Uetanabaro, 1989UETANABARO, M., 1989. Hábito alimentar de Caiman crocodilus yacare (Crocodilia, Alligatoridae) no Pantanal do Sul Mato-grossense. Rio Claro: UNESP, 79 p. Dissertação de Mestrado.; Viana et al., 2010VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
). In the present study, the prevalence of Hepatozoon spp. was higher in adults (70.31%), then in young adults (55.50%) and finally in juveniles (50%), corroborating the sentence above. Since adults and young adults feed on intermediate hosts, such as frogs and fish. Furthermore, adults are susceptible to more years of exposure to the vector and parasite, compared to juveniles.

Moreover, the high prevalence of Hepatozoon in caiman populations from Brazil is usually reported. The prevalence of Hepatozoon spp. found in this study based on blood smears screening (70%) among C. crocodilus from Mato Grosso State was similar to C. crocodilus yacare (70%) from North-Pantanal, C. crocodilus (76%) in the Amazon region (Lainson, 1977), and C. yacare in western (71%) and southeastern (76-79%) Pantanal in Brazil (Bouer et al., 2017BOUER, A., ANDRÉ, M.R., GOLÇALVES, L.R., LUZZI, M.C., OLIVEIRA, J.P., RODRIGUES, A.C., VARANI, A.M., MIRANDA, V.F.O., PERLES, L., WERTHER, K. and MACHADO, R.Z., 2017. Hepatozoon caimani in Caiman crocodilus yacare (Crocodylia, Alligatoridae) from North Pantanal, Brazil. Revista Brasileira de Parasitologia Veterinária, vol. 26, no. 3, pp. 352-358. http://doi.org/10.1590/s1984-29612017041. PMid:28902260.
http://doi.org/10.1590/s1984-29612017041...
; Soares et al., 2017SOARES, P., BORGHESAN, T.C., TAVARES, L.E.R., FERREIRA, V.L., TEIXEIRA, M.M.G. and PAIVA, F., 2017. Hepatozoon caimani Carini 1909 (Adeleina: Hepatozoidae) in wild population of Caiman yacare Daudin, 1801 (Crocodylia: Alligatoridae), Pantanal, Brazil. Parasitology Research, vol. 116, no. 7, pp. 1907-1916. http://doi.org/10.1007/s00436-017-5467-1. PMid:28512673.
http://doi.org/10.1007/s00436-017-5467-1...
; Viana et al., 2010VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
; Viana and Marques, 2005VIANA, L.A. and MARQUES, E.J., 2005. Haemogregarine parasites (Apicomplexa: Hepatozoidae) in Caiman crocodilus yacare (Crocodilia: Alligatoridae) from Pantanal, Corumba, MS, Brazil. Revista Brasileira de Parasitologia Veterinária, vol. 14, no. 4, pp. 173-175. PMid:16445875.).

According to Viana et al. (2010)VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
, H. caimani infection can persist in the animal for a long time, more than six months of monitoring. In this study, all animals were collected, inspected for ectoparasites, measured, weighed, and identified (following the Brazilian identification standards for crocodilians imposed by IBAMA). Interestingly, in the present study, an adult male C. crocodilus, measuring 1.8 m, was collected (2017), and blood was extracted and released at the site of capture, one year later (2018), that same individual was randomly collected and blood was extracted. Both sampling events revealed the individual positive with H. caimani, supporting the observations of longevity made by Viana et al. (2010)VIANA, L.A., PAIVA, F., COUTINHO, M.E. and LOURENÇO-DE-OLIVEIRA, R., 2010. Hepatozoon caimani (Apicomplexa: Hepatozoidae) in wild caiman, Caiman yacare, from the Pantanal Region, Brazil. The Journal of Parasitology, vol. 96, no. 1, pp. 83-88. http://doi.org/10.1645/GE-2150.1. PMid:19685936.
http://doi.org/10.1645/GE-2150.1...
although it is not possible to confirm if the infection persisted for the entire year, or if the species had been reinfected in the wild.

The variety of morphological and morphometric forms of blood developmental stages and tissue merogony observed in this study emphasizes the need and effectiveness of molecular confirmation and characterisation of hemogregarines revealing the presence of more than one species of Hepatozoon infecting caimans. In addition, some morphological characters that have never been described before for Hepatozoon in caimans were highlighted. In the literature, there are some reports of these morphological variations. According to Telford Junior et al. (2004), the plasticity of the blood developmental stages might be related to the host species involved. Other explanations were the adaptation of Hepatozoon species to different environments and hosts, or its low host specificity (Smith, 1996SMITH, T.G., 1996. The genus Hepatozoon (Apicomplexa: adeleina). The Journal of Parasitology, vol. 82, no. 4, pp. 565-585. http://doi.org/10.2307/3283781. PMid:8691364.
http://doi.org/10.2307/3283781...
; Telford Junior et al., 2004TELFORD JUNIOR, S.R., ERNST, J.A., CLARCK, A.M. and BUTLER, J.F., 2004. Hepatozoon sauritus: a polytopic hemogregarine of three genera and four species of snakes in northern Florida, with specific identity verified from genome analysis. The Journal of Parasitology, vol. 90, no. 2, pp. 352-358. http://doi.org/10.1645/GE-3258. PMid:15165059.
http://doi.org/10.1645/GE-3258...
). Besides, it was possible to observe significant intragenotipic variation among the isolates of Hepatozoon spp. in the present study, which could be linked to the morphological differences observed. Although amplification with the 18S rRNA gene revealed the separation of the genotypes of Hepatozoon spp. isolated from Brazilian caimans in the present study, more data on other genes (mitochondrial, for example) should be implemented to better understand this diversity of genotypes, and perhaps, identify as new species.

Therefore, This paper brings new insights into the gene and morphology diversity of Hepatozoon infecting Caiman crocodilus from Brazil.

Acknowledgements

We thank the team of the Laboratory for Teaching and Research in Wild Animals (LAPAS) and the Non-governmental organization for the preservation of wild animals in Brazil (ONG PAS). All applicable international, national, and institutional guidelines for the care and use of animals were followed (IBAMA license 60640-1; CEUA-UNESP 1061). R.J.S. is supported by CNPq (311635-2021-0). L.P.U. is supported by FAPESP (2023/07336-6; 2018/00754-9; 2018/09623-4). L.H.O. is supported by FAPESP (2018/09623-4).

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Publication Dates

  • Publication in this collection
    21 June 2024
  • Date of issue
    2024

History

  • Received
    05 Feb 2024
  • Accepted
    24 Apr 2024
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