Horse: a potential source of Cryptococcus neoformans and Cryptococcus gattii in Egypt.
Abstract: Cryptococcosis is an opportunistic mycozoonosis of global significance in a wide variety of host species. In equines, cryptococcosis is uncommon, and sporadic cases have been reported with rhinitis, sinusitis, pneumonia, and meningitis. Cryptococcus spp. represents a potential risk for immunosuppressed and healthy persons. In Egypt, epidemiological data on cryptococcal infection in horses are limited. The current study was carried out to investigate the occurrence of Cryptococcus spp. in horses and its possible role in the epidemiology of such disease in Egypt. A total of 223 samples was collected from different localities in Egypt included 183 nasal swabs from horses, 28 nasal swabs from humans, and 12 soil samples. Bacteriological examination and the identification of Cryptococcus spp. were performed. Molecular serotyping of Cryptococcus spp. was determined by multiplex PCR using CNa-70S/A-CNb-49S/A. The virulence genes (LAC1, CAP59, and PLB1) of the identified isolates were detected by PCR. Moreover, sequencing and phylogenetic analysis of the C. gattii gene from horses, humans, and soil isolates found nearby were performed. Results: The overall occurrence of Cryptococcus spp. in horses were 9.3, 25, and 10.7% in horses, the soil, and humans, respectively. Molecular serotyping of the Cryptococcus spp. isolates recovered from the nasal passages of horses proved that C. gattii (B), C. neoformans, and two hybrids between C. neoformans (A) and C. gattii (B) were identified. Meanwhile, in case of soil samples, the isolates were identified as C. gattii (B). The human isolates were serotyped as C. gattii in two isolates and C. neoformans in only one isolate. Molecular detection of some virulence genes (LAC1), (CAP59), and (PLB1) were identified in both C. gattii and C. neoformans isolates. The C. gattii gene amplicons of the isolates from horses, humans, and the soil were closely related. Conclusions: This study provides the first insights into the Egyptian horse ecology of Cryptococcus species and highlights the role of horses as asymptomatic carriers in disseminating the potentially pathogenic Cryptococcus spp. It also presents the possible risk of cryptococcosis infection in humans.
© 2022. The Author(s).
Publication Date: 2022-01-04 PubMed ID: 34983525PubMed Central: PMC8725405DOI: 10.1186/s12917-021-03127-xGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article investigates the prevalence of the fungus Cryptococcus in horses in Egypt, its potential as a source of infection for humans, and its role in the spread of cryptococcosis, a disease that affects humans and a variety of animals.
Research Context
- Cryptococcosis is a significant global mycozoonosis (a disease transmitted from animals to humans) caused by the fungus Cryptococcus neoformans and Cryptococcus gattii.
- While it is rare in horses, it can cause severe symptoms such as sinusitis, pneumonia, and even meningitis.
- The research was conducted because Cryptococcus spp. represents a risk for both immunosuppressed and healthy individuals, and previously, there had been limited data on Cryptococcus infections in horses in Egypt.
Methodology
- The researchers collected 223 samples from diverse locations in Egypt, including 183 swabs from horses’ noses, 28 from human noses, and 12 soil samples.
- The samples were then examined bacteriologically to identify any presence of Cryptococcus spp. The fungi were then subjected to molecular serotyping by multiplex PCR using specific primers.
- To better understand the virulence (severity of disease a pathogen causes) of the identified Cryptococcus spp., the researchers also checked for the presence of specific genes (LAC1, CAP59, and PLB1) known to be associated with virulence.
- Additional sequencing and phylogenetic analysis were done on the C. gattii samples from horses, humans, and soil to understand their genetic relationships.
Results
- The research found Cryptococcus spp. present in the samples from horses (9.3%), soil (25%), and humans (10.7%).
- The molecular serotyping indicated the presence of both Cryptococcus gattii and Cryptococcus neoformans, including some hybrids of the two, in the horse samples. Soil and human samples also showed both species, but less diversity.
- The virulence genes were present in both the C. gattii and C. neoformans isolates, indicating the potential for severe disease.
- Phylogenetic analysis showed that the C. gattii found in horses, humans, and soil were closely related, suggesting a common source or transmission route.
Conclusion
- This study provides the first insights into the presence and potential public health risk of Cryptococcus spp. in Egyptian horses.
- The findings highlight horses’ role as asymptomatic carriers of this type of fungi, potentially contributing to its spread to humans.
Cite This Article
APA
Mohammed R, Nader SM, Hamza DA, Sabry MA.
(2022).
Horse: a potential source of Cryptococcus neoformans and Cryptococcus gattii in Egypt.
BMC Vet Res, 18(1), 17.
https://doi.org/10.1186/s12917-021-03127-x Publication
Researcher Affiliations
- Department of Zoonoses, Faculty of Veterinary Medicine, Cairo University, PO Box 12211, Giza, Egypt.
- Department of Zoonoses, Faculty of Veterinary Medicine, Cairo University, PO Box 12211, Giza, Egypt.
- Department of Zoonoses, Faculty of Veterinary Medicine, Cairo University, PO Box 12211, Giza, Egypt. daliahamza@cu.edu.eg.
- Department of Zoonoses, Faculty of Veterinary Medicine, Cairo University, PO Box 12211, Giza, Egypt.
MeSH Terms
- Animals
- Cryptococcosis / epidemiology
- Cryptococcosis / microbiology
- Cryptococcosis / veterinary
- Cryptococcus gattii / isolation & purification
- Cryptococcus neoformans / isolation & purification
- Egypt / epidemiology
- Horse Diseases / epidemiology
- Horse Diseases / microbiology
- Horses
- Soil
Conflict of Interest Statement
The authors declare that they have no competing interests.
References
This article includes 51 references
- Chen SC, Meyer W, Sorrell TC. Cryptococcus gattii infections.. Clin Microbiol Rev 2014;27(4):980–1024.
- Henao-Martínez AF, Chastain DB, Franco-Paredes C. Treatment of cryptococcosis in non-HIV immunocompromised patients.. Curr Opin Infect Dis 2018;31(4):278–285.
- Kwon-Chung KJ, Bennett JE, Wickes BL, Meyer W, Cuomo CA, Wollenburg KR, Bicanic TA, Castañeda E, Chang YC, Chen J, Cogliati M. The case for adopting the “species complex” nomenclature for the etiologic agents of cryptococcosis.. MSphere 2017;2(1):e00357–e00316.
- Aminnejad M, Diaz M, Arabatzis M, Castañeda E, Lazera M, Velegraki A, Marriott D, Sorrell TC, Meyer W. Identification of novel hybrids between Cryptococcusneoformans var. grubii VNI and Cryptococcusgattii VGII.. Mycopathologia 2012;173(5–6):337–346.
- Farrer RA, Chang M, Davis MJ, van Dorp L, Yang DH, Shea T, Sewell TR, Meyer W, Balloux F, Edwards HM, Chanda D. A new lineage of Cryptococcus gattii (VGV) discovered in the Central Zambezian Miombo Woodlands.. MBio 2019;10(6):e02306–e02319.
- Harris JR, Lockhart SR, Debess E, Marsden-Haug N, Goldoft M, Wohrle R, Lee S, Smelser C, Park B, Chiller T. Cryptococcus gattii in the United States: clinical aspects of infection with an emerging pathogen.. Clin Infect Dis 2011;53(12):1188–1195.
- Cogliati M, Zani A, Rickerts V, McCormick I, Desnos-Ollivier M, Velegraki A, Escandon P, Ichikawa T, Ikeda R, Bienvenu AL, Tintelnot K. Multilocus sequence typing analysis reveals that Cryptococcus neoformans var. neoformans is a recombinant population.. Fungal Genet Biol 2016;87:22–29.
- Duncan C, Bartlett KH, Lester S, Bobsien B, Campbell J, Stephen C, Raverty S. Surveillance for Cryptococcus gattii in horses of Vancouver Island, British Columbia, Canada.. Med Mycol 2011;49(7):734–738.
- Alves GS, Freire AK, Bentes AD, Pinheiro JF, de Souza JV, Wanke B, Matsuura T, Jackisch-Matsuura AB. Molecular typing of environmental Cryptococcus neoformans/C. gattii species complex isolates from Manaus, Amazonas, Brazil.. Mycoses 2016;59(8):509–515.
- Cogliati M. Soil enables mating and sporulation of Cryptococcus neoformans species complex.. Int J Fungal Genet Biol 2018;1:1–4.
- Alspaugh JA. Virulence mechanisms and Cryptococcus neoformans pathogenesis.. Fungal Genet Biol 2015;78:55–58.
- Bielska E, May RC. What makes Cryptococcus gattii a pathogen?. FEMS Yeast Res 2016;16(1):fov106.
- Price MS, Perfect JR. Host defenses against cryptococcosis.. Immunol Investig 2011;40(7–8):786–808.
- Pal M, Tesfaye S, Dave P. Cryptococcosis, a major life threatening mycosis of immunocompromised patient.. Indian J Soc Nat Sci 2011;1:19–28.
- Mcgill S, Malik R, Saul N, Beetson S, Secombe C, Robertson I, Irwin P. Cryptococcosis in domestic animals in Western Australia: a retrospective study from 1995–2006.. Med Mycol 2009;47(6):625–639.
- Kinne J, Joseph M, Wernery U, Nogradi N, Hagen F. Disseminated Cryptococcus deuterogattii (AFLP6/VGII) infection in an Arabian horse from Dubai, United Arab Emirates.. Rev Iberoam Micol 2017;34(4):229–232.
- Abou-Elmagd S, Kotb H, Abdalla K, Refai M. Prevalence of Candida albicans and Cryptococcus neoformans in animals from Quena Governorate with special reference to RAPD-PCR patterns.. J Am Sci 2011;7(12):20–31.
- Saleh HA, Moawad AA, El-Hariri M, Refai MK. Prevalence of yeasts in human, animals and soil sample at El-Fayoum Governorate in Egypt.. Int J Microbiol Res 2011;2(3):233–239.
- Elhariri M, Hamza D, Elhelw R, Refai M. Lovebirds and cockatiels risk reservoir of Cryptococcus neoformans, a potential hazard to human health.. J Vet Sci Med Diagn 4 2015;4:2.
- Mahmoud YA. First environmental isolation of Cryptococcus neoformans var. neoformans and var. gatti from the Gharbia Governorate, Egypt.. Mycopathologia 2000;148(2):83–86.
- Abdel-Salam HA. Characterization of Cryptococcus neoformans var. neoformans serotype A and A/D in samples from Egypt.. Folia Microbiol 2003;48(2):261–268.
- Horta JA, Staats CC, Casali AK, Ribeiro AM, Schrank IS, Schrank A, Vainstein MH. Epidemiological aspects of clinical and environmental Cryptococcus neoformans isolates in the Brazilian state Rio Grande do Sul.. Med Mycol 2002;40(6):565–571.
- Silveira-Gomes F, Sarmento DN, Espírito-Santo EP, Souza ND, Pinto TM, Marques-da-Silva SH. Differentiation between Candida albicans and Candida dubliniensis using hypertonic Sabouraud broth and tobacco agar.. Rev Soc Bras Med Trop 2011;44:457–460.
- Soltani M, Bayat M, Hashemi SJ, Zia M, Pestechian N. Isolation of Cryptococcus neoformans and other opportunistic fungi from pigeon droppings.. J Res Med Sci 2013;18(1):56.
- Mohammadi A, Hashemi SM, Abtahi SH, Lajevardi SM, Kianipour S, Mohammadi R. An investigation on non-invasive fungal sinusitis; molecular identification of etiologic agents.. J Res Med Sci 2017;22:67.
- Aoki FH, Imai T, Tanaka R, Mikami Y, Taguchi H, Nishimura NF, Nishimura K, Miyaji M, Schreiber AZ, Branchini ML. New PCR primer pairs specific for Cryptococcus neoformans serotype A or B prepared on the basis of random amplified polymorphic DNA fingerprint pattern analyses.. J Clin Microbiol 1999;37(2):315–320.
- Meyer W, Aanensen DM, Boekhout T, Cogliati M, Diaz MR, Esposto MC, Fisher M, Gilgado F, Hagen F, Kaocharoen S, Litvintseva AP. Consensus multi-locus sequence typing scheme for Cryptococcus neoformans and Cryptococcus gattii.. Med Mycol 2009;47(6):561–570.
- Kita J, Dworecka-Kaszak B. Horses mycoses.. Mikol Lek 2008;15:95–98.
- Cafarchia C, Figueredo LA, Otranto D. Fungal diseases of horses.. Vet Microbiol 2013;167(1–2):215–234.
- El-Baroudy EM. Studies on gram negative non-lactose fermenter bateria in healthy and diseased horses.. 1987.
- Malik R, Wigney DI, Muir DB, Love DN. Asymptomatic carriage of Cryptococcus neoformans in the nasal cavity of dogs and cats.. J Med Vet Mycol 1997;35(1):27–31.
- Connolly JH, Krockenberger MB, Malik R, Canfield PJ, Wigney DI, Muir DB. Asymptomatic carriage of Cryptococcus neoformans in the nasal cavity of the koala (Phascolarctos cinereus). Med Mycol 1999;37(5):331–338.
- Duncan C, Stephen C, Lester S, Bartlett KH. Sub-clinical infection and asymptomatic carriage of Cryptococcus gattii in dogs and cats during an outbreak of cryptococcosis.. Med Mycol 2005;43(6):511–516.
- Mohamed R, Nader S, Hamza D, Sabry MA. Emergence of Cryptococcus spp. in donkeys in Egypt: a potential public health concern.. Pak J Zool 2021;53:1873–1879.
- Bovers M, Hagen F, Kuramae EE, Diaz MR, Spanjaard L, Dromer F, Hoogveld HL, Boekhout T. Unique hybrids between the fungal pathogens Cryptococcus neoformans and Cryptococcus gattii.. FEMS Yeast Res 2006;6(4):599–607.
- Smith IM, Stephan C, Hogardt M, Klawe C, Tintelnot K, Rickerts V. Cryptococcosis due to Cryptococcus gattii in Germany from 2004–2013.. Int J Med Microbiol 2015;305(7):719–723.
- Hagen F, Hare Jensen R, Meis JF, Arendrup MC. Molecular epidemiology and in vitro antifungal susceptibility testing of 108 clinical Cryptococcus neoformans sensu lato and Cryptococcus gattii sensu lato isolates from Denmark.. Mycoses 2016;59(9):576–584.
- Rhodes J, Desjardins CA, Sykes SM, Beale MA, Vanhove M, Sakthikumar S, Chen Y, Gujja S, Saif S, Chowdhary A, Lawson DJ, Ponzio V, Colombo AL, Meyer W, Engelthaler DM, Hagen F, Illnait-Zaragozi MT, Alanio A, Vreulink JM, Heitman J, Perfect JR, Litvintseva AP, Bicanic T, Harrison TS, Fisher MC, Cuomo CA. Tracing Genetic Exchange and Biogeography of Cryptococcus neoformans var. grubii at the Global Population Level.. Genetics 2017(1):327–46.
- Lin X, Patel S, Litvintseva AP, Floyd A, Mitchell TG, Heitman J. Diploids in the Cryptococcus neoformans serotype A population homozygous for the α mating type originate via unisexual mating.. PLoS Pathog 2009;5(1):e1000283.
- Rajasingham R, Smith RM, Park BJ, Jarvis JN, Govender NP, Chiller TM, Denning DW, Loyse A, Boulware DR. Global burden of disease of HIV-associated cryptococcal meningitis: an updated analysis.. Lancet Infect Dis 2017;17(8):873–881.
- Morera N, Juan-Sallés C, Torres JM, Andreu M, Sánchez M, Zamora MÁ, Francisca Colom M. Cryptococcus gattii infection in a Spanish pet ferret (Mustela putorius furo) and asymptomatic carriage in ferrets and humans from its environment.. Med Mycol 2011;49(7):779–784.
- Forthal D, Gordon R, Larsen R. Programs and abstracts of the 8th International Conference on AIDS (Amsterdam) Amsterdam: CON-GREX Holland BV; 1992. Cigarette smoking increases the risk of developing cryptococcal meningitis.. .
- Pourbaix A, Lafont Rapnouil B, Guéry R, Lanternier F, Lortholary O, Cohen JF. Smoking as a risk factor of invasive fungal disease: systematic review and meta-analysis.. Clin Infect Dis 2020;71(4):1106–1119.
- Knottenbelt DC, Pascoe RR, LeBlanc M, Lopate C. Equine stud farm medicine & surgery e-book.. .
- Kwon-Chung KJ, Fraser JA, Doering TL, Wang ZA, Janbon G, Idnurm A, Bahn YS. Cryptococcus neoformans and Cryptococcus gattii, the etiologic agents of cryptococcosis.. Cold Spring Harb Perspect Med 2014;4(7):a019760.
- Pukkila-Worley R, Gerrald QD, Kraus PR, Boily MJ, Davis MJ, Giles SS, Cox GM, Heitman J, Alspaugh JA. Transcriptional network of multiple capsule and melanin genes governed by the Cryptococcus neoformans cyclic AMP cascade.. Eukaryot Cell 2005;4(1):190–201.
- Samarasinghe H, Aceituno-Caicedo D, Cogliati M, Kwon-Chung KJ, Rickerts V, Velegraki A, Akcaglar S, Xu J. Genetic factors and genotype-environment interactions contribute to variation in melanin production in the fungal pathogen Cryptococcus neoformans.. Sci Rep 2018;8(1):1–1.
- Robertson EJ, Najjuka G, Rolfes MA, Akampurira A, Jain N, Anantharanjit J, Von Hohenberg M, Tassieri M, Carlsson A, Meya DB, Harrison TS. Cryptococcus neoformans ex vivo capsule size is associated with intracranial pressure and host immune response in HIV-associated cryptococcal meningitis.. J Infect Dis 2014;209(1):74–82.
- Almeida F, Wolf JM, Casadevall A. Virulence-associated enzymes of Cryptococcus neoformans.. Eukaryot Cell 2015;14(12):1173–1185.
- Firacative C, Roe CC, Malik R, Ferreira-Paim K, Escandón P, Sykes JE, Castañón-Olivares LR, Contreras-Peres C, Samayoa B, Sorrell TC, Castañeda E. MLST and whole-genome-based population analysis of Cryptococcus gattii VGIII links clinical, veterinary and environmental strains, and reveals divergent serotype specific sub-populations and distant ancestors.. PLoS Negl Trop Dis 2016;10(8):e0004861.
- Esher SK, Zaragoza O, Alspaugh JA. Cryptococcal pathogenic mechanisms: a dangerous trip from the environment to the brain.. Mem Inst Oswaldo Cruz 2018;113(7):e180057.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists