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Feline immunodeficiency virus, feline leukemia virus and Leishmania spp. prevalence in cats from shelters in Mato Grosso do Sul, Brazil

Vírus da imunodeficiência felina, vírus da leucemia felina e Leishmania spp. em gatos de abrigos de Mato Grosso do Sul, Brasil

Abstract

Diseases such as those caused by feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV) represent health problems for cats. Feline leishmaniasis (FL) has been reported in several cities across the country. The objective was to carry out a clinical-epidemiological and laboratory study of FIV, FeLV and FL in cats from shelters in Dourados, Mato Grosso do Sul, Brazil. Blood samples and swabs from the conjunctival and nasal mucosa were obtained from 75 cats, from four animal shelters. Serology for FIV and FeLV was performed. For Leishmania, polymerase chain reaction (PCR) was performed on blood, conjunctiva and nasal mucosa. In the immunochromatographic serological test, seven cats tested positive for FIV and none for FeLV. No samples was positive in PCR for Leishmania. The study showed that despite the presence of human and canine leishmaniasis in the studied region, Leishmania spp. were absent in the cats studied. To avoid an increase in contagion in shelters, it is essential isolate cats with FIV.

Keywords:
PCR; Leishmaniasis; nasal mucosa; conjunctival mucosa; FIV; FeLV

Resumo

Doenças como as causadas pelos vírus da imunodeficiência felina (FIV) e vírus da leucemia felina (FeLV) representam problemas de saúde para os gatos. A leishmaniose felina (LF) tem sido relatada em diversas cidades do país. O objetivo deste trabalho foi realizar um estudo clínico-epidemiológico e laboratorial de FIV, FeLV e LF em gatos de abrigos em Dourados, Mato Grosso do Sul, Brasil. Amostras de sangue e swabs da mucosa conjuntival e da mucosa nasal foram obtidas de 75 gatos, dos quatro abrigos de animais. Foi feita a sorologia para FIV e FeLV. Para Leishmania foi realizada a reação em cadeia da polimerase (PCR) em sangue, conjuntiva e mucosa nasal. No teste sorológico imunocromatografico, sete gatos apresentaram resultado positivo para FIV e nenhum para FeLV. Nenhuma amostra foi positiva na PCR para Leishmania. O estudo demonstrou que apesar da presença de leishmaniose humana e canina, na região estudada, não foi encontrado Leishmania spp. nos gatos analisados. Para evitar o aumento do contágio em abrigos é fundamental isolar os gatos com FIV.

Palavras-chave:
PCR; Leishmaniose; mucosa nasal; mucosa conjuntival; FIV; FeLV

Introduction

Common retroviral diseases, such as feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV), pose health problems for cats. The most affected animals are adult males with access to the external environment (Gleich & Hartmann, 2009Gleich S, Hartmann K. Hematology and serum biochemistry of feline immunodeficiency virus-infected and feline leukemia virus-infected cats. J Vet Intern Med 2009; 23(3): 552-558. http://doi.org/10.1111/j.1939-1676.2009.0303.x. PMid:19645840.
http://doi.org/10.1111/j.1939-1676.2009....
).

Diseases caused by hemoparasites and retroviruses are emerging challenges that affect cats in many parts of the world. Free-range cats are highly vulnerable to infections because of exposure to a variety of ectoparasites that can transmit pathogens (Otranto & Dantas-Torres, 2010Otranto D, Dantas-Torres F. Canine and feline vector-borne diseases in Italy: current situation and perspectives. Parasit Vectors 2010; 3(1): 2. http://doi.org/10.1186/1756-3305-3-2. PMid:20145730.
http://doi.org/10.1186/1756-3305-3-2...
; Tasker, 2010Tasker S. Haemotropic mycoplasmas: what’s their real significance in cats? J Feline Med Surg 2010; 12(5): 369-381. http://doi.org/10.1016/j.jfms.2010.03.011. PMid:20417898.
http://doi.org/10.1016/j.jfms.2010.03.01...
). Leishmaniasis is endemic in the state of Mato Grosso do Sul (MS) and should be further investigated. Feline leishmaniasis (FL) has been reported in several cities in the Brazil, including Campo Grande/MS (Coelho et al., 2011Coelho WMD, Richini-Pereira VB, Langoni H, Bresciani KDS. Molecular detection of Leishmania sp. in cats (Felis catus) from Andradina Municipality, São Paulo State, Brazil. Vet Parasitol 2011; 176(2-3): 281-282. http://doi.org/10.1016/j.vetpar.2010.10.052. PMid:21130575.
http://doi.org/10.1016/j.vetpar.2010.10....
;Benassi et al., 2017Benassi JC, Benvenga GU, Ferreira HL, Pereira VF, Keid LB, Soares R, et al. Detection of Leishmania infantum DNA in conjunctival swabs of cats by quantitative real-time PCR. Exp Parasitol 2017; 177: 93-97. http://doi.org/10.1016/j.exppara.2017.04.004. PMid:28438522.
http://doi.org/10.1016/j.exppara.2017.04...
;Metzdorf et al., 2017Metzdorf IP, Lima MSC Jr, Matos MFC, Souza AFS Fo, Tsujisaki RAS, Franco KG, et al. Molecular characterization of Leishmania infantum in domestic cats in a region of Brazil endemic for human and canine visceral leishmaniasis. Acta Trop 2017; 166: 121-125. http://doi.org/10.1016/j.actatropica.2016.11.013. PMid:27851895.
http://doi.org/10.1016/j.actatropica.201...
; Asfaram et al., 2019Asfaram S, Fakhar M, Teshnizi SH. Is the cat an important reservoir host for visceral leishmaniasis? A systematic review with meta-analysis. J Venom Anim Toxins Incl Trop Dis 2019; 25: e20190012. http://doi.org/10.1590/1678-9199-jvatitd-2019-0012. PMid:31258555.
http://doi.org/10.1590/1678-9199-jvatitd...
;Mendonça et al., 2020Mendonça IL, Batista JF, Lopes KSPP, Magalhães FCR No, Alcântara DS, Merigueti YFFB, et al. Infection of Lutzomyia longipalpis in cats infected with Leishmania infantum. Vet Parasitol 2020; 280: 109058. http://doi.org/10.1016/j.vetpar.2020.109058. PMid:32200198.
http://doi.org/10.1016/j.vetpar.2020.109...
).

Therefore, owing to the endemic characteristics of leishmaniasis in the state and as the main causes of infectious diseases in cats, this study aimed to conduct a clinical-epidemiological and laboratory study of FIV, FeLV and FL in cats from shelters in Dourados, MS, Brazil.

Material and Methods

Study population

Males and females domestic cats, different ages and mixed breed were examined in all cat shelters in the city of Dourados, Brazil: 25 cats in shelter 1 (22.22680°S, 54.84430ºW) with 95 cats sheltered, 25 cats in shelter 2 (22.27064ºS, 54.75491ºW) with 68 cats, all 15 cats from shelter 3 (22.21412ºS, 54.75907ºW), and 10 cats in shelter 4 (22.20158ºS, 54.87498ºW) with 12 cats sheltered. The sample for the study was calculated based on a total population of 190 cats, considering a confidence level of 95% and a margin of error of 6%, resulting in a sample of 75 individuals. The cats belonged to shelters, according to the owners, but had free access to the street. A cat was collected that did not belong to any shelter but had free access to it and was there at the time of sample collection. The cats were selected for convenience, from less skittish animals, which showed more apparent clinical signs and were in the shelter at the time of collection.

The animals were clinically evaluated by a veterinarian through anamnesis and physical examinations, to analyze body score, mucosal color, oral and nasal cavities, and ophthalmological and dermatological alterations.

This study was approved by the Ethics Committee on the Use of Animals (CEUA) of the Universidade Federal da Grande Dourados (protocol number 29/2020).

Obtaining biological samples

Biological sample collection was conducted from April to May 2021. The animals were catalogued in individual files and identified by name, sex, and age. After performing clinical analysis, the animals were physically restrained to collect peripheral blood, and conjunctival and nasal swab samples.

Peripheral blood (3 mL) was collected by jugular venipuncture and placed in tubes with and without EDTA to obtain whole blood and serum, respectively. The samples were kept at -20°C for subsequent serological and molecular tests. Conjunctival and nasal samples were obtained by swab collection and stored at -20ºC in microtubes for molecular diagnosis.

Serology for FIV and FeLV

Serological analyses were performed in serum using the Alere FIV/FeLVTM Test Kit (BioNote, Abbott Diagnósticos Rápidos, Belo Horizonte, Brazil), which detects FIV IgG antibodies and FeLV antigens, following the manufacturer's protocol.

Obtaining DNA

Genomic DNA extractions from blood, conjunctiva, and nasal samples were performed with 20% sodium dodecyl sulfate, following a previously established protocol (Neitzke-Abreu et al., 2020Neitzke-Abreu HC, Vieira VBD, Silveira APS, Batalini LS, Gnutzmann LV, Castro SO, et al. Diagnosis of canine leishmaniasis using ear blood PCR in region of Brazil. Adv Anim Vet Sci 2020; 8(2): 157-160. http://doi.org/10.17582/journal.aavs/2020/8.2.157.160.
http://doi.org/10.17582/journal.aavs/202...
). For each group of samples, a positive control (blood with 104 Leishmania infantum promastigotes) and a negative control (blood without L. infantum) were included.

Polymerase chain reaction (PCR)

To search for Leishmania, DNA from blood, conjunctiva and nasal samples were subjected to PCR using the primers LITSR (5′-CTG GAT CAT TTT CCG ATG-3′) and L5.8S (5′-TGA TAC CAC TTA TCG GCA CTT-3′) (El Tai et al., 2000El Tai NO, Osmar OF, El Fari M, Presber WH, Schönian G. Genetic heterogeneity of ribosomal internal transcribed spacer in clinical samples of Leishmania donovani spotted on filter paper as revealed by single-strand conformation polymorphisms and sequencing. Trans R Soc Trop Med Hyg 2000; 94(5): 575-579. http://doi.org/10.1016/S0035-9203(00)90093-2. PMid:11132393.
http://doi.org/10.1016/S0035-9203(00)900...
), which amplify a 320 – 350-bp fragment of the ITS1 region of Leishmania spp. The PCR mixture (25 μL) was composed of 0.4 μM of each primer (Exxtend Biotecnologia), 1.5 mM MgCl2, 0.2 mM dNTP (Invitrogen), 1.5 U Taq DNA polymerase (Phoneutria), and 2 μL DNA. Amplification was performed in a thermocycler (T100 Thermal Cycler, Bio-Rad) at 95°C for 5 min, followed by 35 cycles: 95°C for 30 s, 56.1°C for 30 s, 72°C for 1 s, and finally 72°C for 10 min. The products were kept at 4°C until electrophoresis. Amplified products were subjected to 2% agarose gel electrophoresis (KASVI, Ludwig), and stained with ethidium bromide (10 mg/mL). The presence of bands was observed using a transilluminator (Loccus Biotecnologia).

All samples were subjected to a new reaction using the primers ActinF (5’-CGG AAC CGC TCA TTG CC-3’) and ActinV (5’-ACC CAC ACT GTG CCA TCT A-3’) (Du Breuil et al., 1993Du Breuil RM, Patel JM, Mendelow BV. Quantitation of beta-actin-specific mRNA transcripts using xeno-competitive PCR. PCR Methods Appl 1993; 3(1): 57-59. http://doi.org/10.1101/gr.3.1.57. PMid:8220185.
http://doi.org/10.1101/gr.3.1.57...
), which amplify a 289-bp fragment present in the mammalian β-actin gene, as a control for DNA quality. The PCR mixture (15 μL) was composed of 0.4 μM of each primer (Exxtend Biotecnologia), 1.5 mM MgCl2, 0.2 mM dNTP (Invitrogen), 1 U Taq DNA polymerase (Phoneutria), and 1 μL DNA. Amplification was performed in a thermocycler (T100 Thermal Cycler; Bio-Rad) at 95°C for 5 min, followed by 35 cycles: 94°C for 30 s, 57°C for 30 s, 72°C for 1 min, and finally at 72°C for 10 min. The products were kept at 4ºC until subsequent electrophoresis on agarose gel was performed.

Results

Samples were collected from 75 domestic cats (45 males and 30 females), aged between 4 months and 11 years, mixed breed. Of the animals analyzed, 56% (42/75) exhibited some clinical signs, among which the main manifestations observed were: nasal secretion 18%, skin disease 13%, gingivitis-stomatitis complex 12%, weight loss 9.3%, pale mucous membranes 6.6%, ectoparasites 6.6%, ocular discharge 5.3%, lymphadenopathy 4%, jaundice 2.6%, blepharitis 2.6% and keratoconjunctivitis sicca 3%. In some cases, diarrhea (5.3%) was observed at the time of collection and bloody urine characterizing a urinary tract infection (5.3%).

Seven cats tested positive for FIV and no cat tested positive for FeLV. Of the FIV-positive cats, only three had clinical signs and presented oral lesions, alopecia and ear tip lesions. None of the animals tested positive for Leishmania spp. in the analyzed samples. The internal control (PCR actinF/V) showing the presence of mammalian DNA in all samples tested.

Discussion

Cats are common domestic animals in homes, and approximately 27.1 million felines in Brazil are estimated to share the same environment as humans (Instituto Pet Brasil, 2022Instituto Pet Brasil. Censo Pet IPB: com alta recorde de 6% em um ano, gatos lideram crescimento de animais de estimação no Brasil [online]. 2022 [cited 2023 Jan 5]. Available from: https://institutopetbrasil.com/fique-por-dentro/amor-pelos-animais-impulsiona-os-negocios-2-2/
https://institutopetbrasil.com/fique-por...
). It is important to understand and investigate feline pathogens that may be involved in human diseases, owing to this close contact, which can facilitate the sharing of pathogens (Brum et al., 2007Brum LC, Conceição LG, Ribeiro VM, Júnior VH. Principais dermatoses zoonóticas de cães e gatos. Rev Clin Vet 2007; 69: 29-46.). In addition to the overcrowding of animals, shelter environments are usually precarious and favorable for FL and other diseases, because of the accumulation of organic matter (environments with fruit trees and shady places), a worrying fact because leishmaniasis vectors lay eggs in these places (Brasil, 2014Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Manual de vigilância e controle da leishmaniose visceral. Brasília: Ministerio da Saúde; 2014.).

Owing to the role of dog as a primary reservoir and the severe disease that can occur, leishmaniasis in dogs has been well studied. In contrast, cats have been considered, for many years, as less susceptible or resistant animals, and their role in the epidemiology of leishmaniasis is considered insignificant. Despite the initial reluctance, cases of FL have been increasingly reported worldwide.

Most cats with FL are subclinically infected, possibly because of their natural resistance to the development of disease (Solano-Gallego et al., 2007Solano-Gallego L, Rodríguez-Cortés A, Iniesta L, Quintana J, Pastor J, Espada Y, et al. Cross-sectional serosurvey of feline leishmaniasis in ecoregions around the Northwestern Mediterranean. Am J Trop Med Hyg 2007; 76(4): 676-680. http://doi.org/10.4269/ajtmh.2007.76.676. PMid:17426169.
http://doi.org/10.4269/ajtmh.2007.76.676...
). The most common clinical signs include lymphadenomegaly, cutaneous and mucocutaneous lesions (nodular and/or ulcerative dermatitis), with or without visceral signs (Pennisi, 2015Pennisi MG. Leishmaniosis of companion animals in Europe: an update. Vet Parasitol 2015; 208(1-2): 35-47. http://doi.org/10.1016/j.vetpar.2014.12.023. PMid:25573248.
http://doi.org/10.1016/j.vetpar.2014.12....
), generalized weakness, weight loss, anorexia, and ocular and oral lesions (Pennisi & Persichetti, 2018Pennisi MG, Persichetti MF. Feline leishmaniosis: is the cat a small dog? Vet Parasitol 2018; 251: 131-137. http://doi.org/10.1016/j.vetpar.2018.01.012. PMid:29426470.
http://doi.org/10.1016/j.vetpar.2018.01....
). However, not all clinical signs in cats with FL are necessarily due to this disease; some may be caused by comorbidities, such as FIV and FeLV (Marcos et al., 2009Marcos R, Santos M, Malhão F, Pereira R, Fernandes AC, Montenegro L, et al. Pancytopenia in a cat with visceral leishmaniasis. Vet Clin Pathol 2009; 38(2): 201-205. http://doi.org/10.1111/j.1939-165X.2009.00111.x. PMid:19490573.
http://doi.org/10.1111/j.1939-165X.2009....
). Retroviruses are associated with various clinical problems such as anemia, lymphoma, chronic inflammatory disease, oral inflammatory disease such as gingivostomatitis, and secondary and opportunistic infections (Little et al., 2020Little S, Levy J, Hartmann K, Hofmann-Lehmann R, Hosie M, Olah G, et al. 2020 AAFP Feline Retrovirus Testing and Management Guidelines. J Feline Med Surg 2020; 22(1): 5-30. http://doi.org/10.1177/1098612X19895940. PMid:31916872.
http://doi.org/10.1177/1098612X19895940...
).

In the present study, three cats showed clinical signs of FIV (oral lesions, alopecia, and ear tip lesions), and one of them did not live in the shelter but had free access to and contact with the resident cats. This wandering animal, which has free access to the shelter, becomes a source of infection for other cats, demonstrating a health risk. Although none of the cats examined tested positive for Leishmania spp., studies have demonstrated the presence of Leishmania in cats. A study carried out in Israel showed that 75% (50/67) of cats housed in a shelter were seropositive for L. infantum, and 16% (11/67) were positive in the DNA analysis using PCR (Baneth et al., 2020Baneth G, Nachum‑Biala Y, Zuberi A, Zipori‑Barki N, Orshan L, Kleinerman G, et al. Leishmania infection in cats and dogs housed together in an animal shelter reveals a higher parasite load in infected dogs despite a greater seroprevalence among cats. Parasit Vectors 2020; 13(1): 115. http://doi.org/10.1186/s13071-020-3989-3. PMid:32192533.
http://doi.org/10.1186/s13071-020-3989-3...
). Peripheral blood PCR was negative for Leishmania spp., a very low result compared to the rates observed in another region of MS (Metzdorf et al., 2017Metzdorf IP, Lima MSC Jr, Matos MFC, Souza AFS Fo, Tsujisaki RAS, Franco KG, et al. Molecular characterization of Leishmania infantum in domestic cats in a region of Brazil endemic for human and canine visceral leishmaniasis. Acta Trop 2017; 166: 121-125. http://doi.org/10.1016/j.actatropica.2016.11.013. PMid:27851895.
http://doi.org/10.1016/j.actatropica.201...
). Little information is available on the mechanisms responsible for the susceptibility or resistance of felines naturally exposed to infection by L. infantum (Persichetti et al., 2017Persichetti MF, Solano-Gallego L, Vullo A, Masucci M, Marty P, Delaunay P, et al. Diagnostic performance of ELISA, IFAT and Western blot for the detection of anti-Leishmania infantum antibodies in cats using a Bayesian analysis without a gold standard. Parasit Vectors 2017; 10(1): 119. http://doi.org/10.1186/s13071-017-2046-3. PMid:28285598.
http://doi.org/10.1186/s13071-017-2046-3...
). The PCR positivity of peripheral blood samples is generally lower than that of lymph node and bone marrow aspirates or local skin impressions (Alcover et al., 2021Alcover MM, Basurco A, Fernandez A, Riera C, Fisa R, Gonzalez A, et al. A cross-sectional study ofLeishmania infantuminfection in stray cats in the city of Zaragoza (Spain) using serology and PCR.Parasites Vectors2021; 14, 178. https://doi.org/10.1186/s13071-021-04682-w.
https://doi.org/10.1186/s13071-021-04682...
); however, they are less invasive. None of the shelters studied received a complaint from the city’s Zoonosis Control Center regarding precarious conditions, such as accumulation of organic matter and waste. Therefore, although the shelters have agglomerations of animals, there may be sandfly vectors in these locations.

Because retroviral diseases weaken animals and are immunosuppressive diseases, they represent a challenge for the health of felines. However, most cats naturally infected with FIV do not present a serious clinical condition; with proper care, infected cats can live for many years. As observed in the current study, although some animals tested positive for FIV, they did not present characteristic symptoms of the disease. Care must be taken in places with a high density of animals as immunosuppressive diseases favor the development of opportunistic diseases.

Conclusion

Leishmania spp. were not detected in the examined cats. A negative PCR ITS1 for Leishmania, in blood and conjunctival and nasal samples, does not exclude Leishmania infection, and it is important serology, kDNA PCR and PCR of other tissues. Further investigations of FL are necessary owing to the high number of cases of human and canine leishmaniasis in Dourados, in addition to reports of the presence of sand fly vectors. Cats from shelters can have viral diseases, such as FIV and FeLV, and rapid diagnosis and early isolation of felines is important to prevent contagion to other animals. The presence of immunosuppressive diseases in cats from shelters with high animal density requires greater monitoring of the animals' health.

  • How to cite: Barbosa WZ, Magalhães KA, Pussi KF, Lima Junior MSC, Neitzke-Abreu HC. Feline immunodeficiency virus, feline leukemia virus and Leishmania spp. prevalence in cats from shelters in Mato Grosso do Sul, Brazil. Braz J Vet Parasitol 2024; 33(2): e006324. https://doi.org/10.1590/S1984-29612024035
  • Ethics declaration

    All procedures herein reported were approved by the Ethics Committee for Animal Use of the Universidade Federal da Grande Dourados (protocol number 29/2020).

References

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  • Alcover MM, Basurco A, Fernandez A, Riera C, Fisa R, Gonzalez A, et al. A cross-sectional study ofLeishmania infantuminfection in stray cats in the city of Zaragoza (Spain) using serology and PCR.Parasites Vectors2021; 14, 178. https://doi.org/10.1186/s13071-021-04682-w
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    » http://doi.org/10.1016/j.vetpar.2020.109058
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    » http://doi.org/10.17582/journal.aavs/2020/8.2.157.160
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Publication Dates

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

History

  • Received
    27 Mar 2024
  • Accepted
    30 Apr 2024
Colégio Brasileiro de Parasitologia Veterinária FCAV/UNESP - Departamento de Patologia Veterinária, Via de acesso Prof. Paulo Donato Castellane s/n, Zona Rural, , 14884-900 Jaboticabal - SP, Brasil, Fone: (16) 3209-7100 RAMAL 7934 - Jaboticabal - SP - Brazil
E-mail: cbpv_rbpv.fcav@unesp.br