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1 2 Clinical Presentation and Pathology of Savannah isolate of Trypanosoma vivax in experimentally infected Yankasa Sheep 3 4 C.I. Ogbaje1*, I. A. Lawal2, J. O. Ajanusi2 5 Department of Veterinary Parasitology and Entomology, College of Veterinary Medicine, 6 University of Agriculture, Makurdi1. 7 Department of Veterinary Parasitology and Entomology, Faculty of Veterinary Medicine, 8 Ahmadu Bello University, Zaria2. 9 10 11 12 13 14 *Corresponding author: C. I. Ogbaje, Federal University of Agriculture, Makurdi, College of Veterinary Medicine, 15 Department of Veterinary Parasitology and Entomology, PMB 2373, Makurdi, Benue State, 16 Tel.: +234 803 529 5570; e-mail address: [email protected]; 17 18 19 20 21 22 23 24 25 26 Key words: Trypanosoma, Infection, Congestion, Parasite, Hyperemia, Necrosis, Pathology 27 28 29 1 30 Abstract 31 A study was conducted to assess the clinical presentation and pathology associated with 32 experimental infection of Yankasa sheep with Trypanosoma vivax strain isolated from the field 33 at Guinea Savanna region of Nigeria. Eighteen adult Yankasa sheep of both sexes were used. 34 They were screened for haemo, endo, and ectoparasites, treated and conditioned for 2 weeks. 35 They were divided into 3 groups (A, B & C) of 6 animals each. Two groups (A and B) were 36 infected with 2 ml of infected blood containing approximately 2.0×106 of T. vivax. Group A were 37 left untreated and monitored for 7 weeks while group B was treated at the peak of parasitaemia 38 with a trypanocide. Group C served as uninfected control. The clinical signs observed were; 39 anorexia, rough hair coat, ocular discharge, pale mucous membrane, diarrhoea, severe weakness, 40 depression, oedema of the eye lids, teeth grinding, emaciation and torticollis-like central nervous 41 system disorder. Pathological lesions seen were serous atrophy of pericardial fat, focal 42 haemorrhages of diaphragmatic lobe of the right lung, hydropericardium (17 ml), diffuse pin 43 point haemorrhages of the liver and kidney surfaces and empty gall bladder. Microscopically, the 44 brain revealed areas of neuronal degeneration, spleen showed areas of haemosiderosis in the red 45 and white pulps. The Kidney revealed necrotic renal tubules and glomerular degeneration, lung 46 was congested with areas of hemorrhages and thickened alveoli wall. There was degeneration of 47 the skeletal muscles with absence of sperm cells in the epididymis. 48 49 50 51 2 52 Introduction 53 Trypanosoma vivax accounts for up to half of total prevalence of African animal trypanosomosis 54 in West Africa especially in Nigeria where it is considered to be the predominant pathogen for 55 domestic animals (Osorio et al., 2008). This could be ascribed to the mechanical transmission or 56 shorter development cycle in the anterior part of the tsetse fly (Sinshaw et al., 2006; Batista et 57 al., 2012). The trypanosome readily persists in areas free of tsetse flies (for example, in Central 58 and South America and in the Caribbean), where it is transmitted mechanically by biting flies or 59 contaminated needles, syringes, and surgical instruments, (Batista et al., 2012). Trypanosoma 60 vivax infects large variety of domestic and wild animals (Fikru et al., 2012). 61 Anaemia which is considered to be the cardinal clinical sign observed in AAT (Cherenet et al., 62 2006; Biryomumaisho et al., 2007) is not specific for only trypanosomosis since anaemia is seen 63 in all the diseases caused by blood parasites and some gastrointestinal helminthes. The individual 64 host, breed susceptibility and the species of trypanosomes have utmost effect on the severity of 65 the clinical response (Fikru et al., 2012). Other factors such as poor nutrition and concurrent 66 infection, plays a role in the disease process. Trypanosoma vivax has been reported to have a 67 variable incubation period and also considered to be less virulent for cattle than Trypanosoma 68 congolense, but mortality rates of over 50 percent can occur (Njiru et al., 2011). 69 Control of African animal trypanosomosis is dependent largely on vector control and use of 70 drugs (chemotherapy and chemoprophylaxis), (Achenef and Birasa, 2013). In sub-Saharan 71 Africa, sheep provide almost 30% of the meat consumed and around 16% of the milk produced 72 (McClintock, 1983). 73 In Nigeria, Sheep contributes about 50% of the total domestic meat production with a population 74 of about 22.1 million (Opasina and David-West, 1984). They thrive in a wide variety of 75 environments in the tropics and sub-tropics and they require little capital since they can be 76 completely maintained on pastures and agricultural waste products (Francis, 1987). 77 Trypanosomosis is becoming of increasing clinical importance in small ruminants in Nigeria 78 because of the heavy economic loss from the effect of the disease (Omotainse and Anosa, 2009). 79 This work was designed to carefully study the clinical manifestation and pathology produced by 80 experimental infections of Trypanosoma vivax strain of Southern Guinea Savannah of Nigeria in 81 Yankasa Sheep, since it has been reported that clinical response to the disease is dependent on 82 the species and strain of the trypanosome and the breed of the affected animal. The outcome of 3 83 this study will assist field Veterinarians to carry out effective treatment in areas where laboratory 84 facilities are not available. 85 86 Materials and Methods 87 88 Ethical permission and Study Area 89 Ethical approval was obtained from the Institutional Ethical Unit of the College of Veterinary 90 Medicine of the Federal University of Agricultural, Makurdi, Nigeria. The Trypanosoma vivax 91 used in the study was isolated from white Fulani cattle in Makurdi, Benue State, Nigeria. 92 Makurdi, the administrative headquarter of Benue state, lies approximately between latitude 93 7°441N and longitude 8°541E. The town is located along the coast of the River Benue (the 94 second biggest River in Nigeria). The climatic condition in Makurdi is influenced by two air 95 masses: the warm, moist south westerly air mass, and the warm, dry northeasterly air mass. The 96 southwesterly air mass is a rain – bearing wind that brings about rainfall from the months of May 97 to October. The dry northeasterly air mass blows over the region from November to April, 98 thereby bringing about seasonal drought. The mean annual rainfall in Makurdi is about 1,290 99 mm (Akintola, 1986). Temperature in Makurdi is however, generally high throughout the year, 100 with February and March as the hottest months. Temperature in Makurdi varies from a daily 101 maximum of 40°C and an annual mean minimum of 22.3°C (NBS, 2010). 102 103 Parasite Identification 104 The Trypanosoma vivax was confirmed in the laboratory by wet mount and thin blood smear 105 examinations and molecular test. 106 The molecular test was conducted through the used of multiplex and Trypanosoma vivax species- 107 specific 108 5’GCGTTCAAAGATTGGGCAATG-3’ R: 5’-CGCCCGAAAGTTCACC-3’) and Trypanosoma 109 vivax species-specific (TVW A- d: 5’-GTG CTC CAT GTG CCA CGT TG-3’ TVW B- d: 5’- 110 CAT ATG GTC TGG GAG CGG GT-3’) PCR were supplied by Inqaba Biotechnical Industries 111 LTD, Hatfield- Pretoria, South Africa. PCR. The primers for the 4 multiplex Trypanosoma (F: 112 The multiplex Trypanosoma PCR was performed as described by Desquesenes et al. (2001) and 113 Trypanosoma vivax species-specific PCR was conducted as described by Masiga et al. (1996). 114 The multiplex Trypanosoma PCR was conducted to rule out the possibility of mixed infections in 115 the sample whereas the Trypanosoma vivax species-specific PCR was performed on the isolate 116 for species identification (i.e. confirmatory test). 117 Source and Management of Experimental sheep 118 Eighteen Yankasa sheep, aged between 2-3 years and of both sexes were purchased from an 119 open market at Karfur in Kastina State (Northern Nigeria). On arrival, the animals were 120 screened for ecto, endo and haemo-parasites as described by Soulsby (1986) and Woo (1971) 121 respectively. 122 All the experimental sheep were dewormed using Albendazole® at the dose rate of 7.5 mg/kg. 123 Ecto-parasites infestations were treated and controlled with cypermecthrin pour-on preparation 124 and asuntol® spray (coumaphos). Those found with Anaplasma infections were treated with 125 oxytetracycline long acting at the dose rate of 20 mg/kg body weight. Those infected with 126 coccidia were treated with Amprolium for 5 days according to the manufacturer 127 recommendation. All the sheep were also vaccinated each with 1 ml subcutaneous injection of 128 monoclonal pestes de petit ruminantes (PPR) vaccine against PPR because of the endemicity of 129 the disease in the experimental site. They were then introduced into arthropod-free pens of the 130 Department of Veterinary Parasitology and Entomology, Faculty of Veterinary Medicine, 131 Ahmadu Bello University, Zaria and pre-conditioned for two weeks before the commencement 132 of the experiment. 133 The animals were fed on cotton seed cake mixed with maize offal, ground nut husk, Digiteria 134 hay, then salt lick and clean drinking water were provided ad libitum. The feed were sourced 135 from National Agricultural Research Institute (NAPRI), Shika, Zaria. 136 137 138 5 139 Animal Identification and Grouping 140 The experimental animals were ear tagged and randomly divided into 3 groups (A, B and C) of 6 141 animals per group. Base line data were obtained from each of the animals in all the groups for a 142 period of 1 week prior to infection. Each of the sheep in groups A and B was infected through 143 intravenous inoculation of 2 ml containing approximately 2.0×106 Trypanosoma vivax as 144 quantified using the improved Naubauer haemocytometer (Petana, 1963). Group C served as 145 uninfected control. Group A animals were treated with trypanocide (Diminazene aceturate at the 146 dose rate of 3.5 mg/kg body weight) when the parasitaemia was massive (++++). 147 Gross and Histopathological Examination 148 At day 56 post- infection (pi), some of the sheep in the groups (A, B, and C) were picked at 149 random, sacrificed and necropsied. Samples of the spleen, lungs, brain, liver, heart, kidney, 150 testicle, ovary, uterus, adrenal gland and pancreas were taken immersed in phosphate buffered 151 formol saline, dehydrated in graded concentration of absolute alcohol and xylene, and embedded 152 in paraffin. Thin sections (5μ) mounted on a clean glass slides were stained routinely for 153 histopathological examination by light microscopy using haematoxylin and eosin (H&E). 154 Results 155 The results of the multiplex PCR and Trypanosoma vivax species-specific PCR revealed that the 156 sample was pure Trypanosoma vivax isolates since it was negative to multiplex primers PCR for 157 other trypanosomes, but positive for Trypanosoma vivax which yielded an expected amplicon of 158 175 bp. These two tests confirmed that the isolate used in the study was Trypanosoma vivax. 159 Prepatent Period of six (6) days was recorded for all the infected sheep but with different levels 160 of parasitaemia. 161 The following clinical manifestations were observed following the experimental infection of the 162 sheep with Trypanosoma vivax; anorexia, rough hair coat, ocular discharge, pale mucous 163 membrane, diarrhoea, severe weakness, depression, oedema of the eye lids, teeth grinding, 164 emaciation and torticollis- like central nervous system (CNS) disorder. 165 The gross pathological lesions observed in the infected untreated animals were serous atrophy of 166 pericardial fat, foci haemorrhages on the diaphragmatic lobe of the right lung, hydropericardium 6 167 (17 ml), diffuse pin point haemorrages of the liver (Plate I), kidney and empty gall bladder. 168 Those infected and treated 10 days post infection revealed serous atrophy of pericardial fat, 169 congestion of the entire right apical lobe and parts of the diaphragmatic lobe and focal areas of 170 haemorrhages. There were no pathological changes seen in the uninfected control sheep. 171 Histopathology section of the brain of the infected untreated Yankasa sheep revealed areas of 172 neuronal degeneration (Plate II), whereas the spleen showed areas of haemosiderosis in the red 173 and white pulps. The Kidney of the same animal revealed necrotic renal tubules and glomerular 174 degeneration (Plate III). The Lung was congested with areas of haemorrhages and thickened 175 alveoli membranes (pneumonia), (Plate IV). There was atrophy and degeneration of the skeletal 176 muscles with absence of sperm cells in the epididymis (Plate V). 177 Photomicrograph of the lungs of the infected-treated sheep revealed thickened alveolar 178 membranes (Pneumonia) and uterine necrosis. There were focal areas of tubular and glomerular 179 necrosis in the kidneys. The spleen revealed haemosiderosis of the red and white pulps. 180 Discussion 181 In this study, gross pathological changes were observed in infected untreated sheep with severe 182 clinical manifestations. This observation is a confirmation of previous report by other authors 183 (Taylor and Authie, 2007; Osorio et al., 2008) that pathology in tissues is associated with the 184 relative ability of Trypanosoma vivax to invade extravascular spaces and organs. The more 185 pathogenic the strain of parasite used, the severe the clinical manifestations and the pathological 186 lesions presented and verse versa. This explains why the observed lesions were more severe in 187 organs of the infected untreated sheep. 188 Viscera organs were variously affected because of the strategic physiological roles. 189 Consequently, liver was more affected grossly because of its important function as the major site 190 of erythrocytes and parasites clearance from the body system (Losos and Ikede, 1972). These 191 were therefore common finding in the infected untreated animals in this study. 192 Histologically also, the liver in the infected untreated animals revealed hepatic necrosis, 193 degeneration and congested sinuses. The hepatic necrosis may have resulted from the insufficient 194 blood supply to the liver due to anaemia and partial blockage of liver vessels by the parasites and 7 195 their products at a certain time. The respiratory involvements were exhibited in all the humane 196 sacrificed infected animals by the thickened alveolar membranes, congested and haemorrhagic 197 lungs. The associated pneumonia may be due to secondary bacterial infections as a result of 198 immunosuppression commonly seen in trypanosomosis (Taylor, 1998). 199 The histological sections of infected female’s uterus revealed uterine necrosis. This may be one 200 of the reasons for abortion that have been widely reported in the disease by other researchers 201 (Maikaje et al., 1991; Bawa et al., 2000; Akinwale et al., 2006; Batista et al,. 2007). Section of 202 the epididymis from infected males revealed normal epithelium that was devoid of spermatozoa. 203 This finding is not in agreement with the earlier report that trypanosomosis causes epididymitis 204 (Batista et al., 2007; Bezerra et al., 2008). 205 In the kidney of the infected untreated animals, there were foci areas of necrosis in the renal 206 tubules and glomeruli, these findings are in good agreement with the early report by Takeet and 207 Fagbemi, (2009). Torticolis-like form of nervous signs were observed in two infected and 208 untreated sheep which had areas of neuronal degeneration in the brain; nervous in coordination 209 have been reported by Batista et al. (2007) from Brazil. This lesion may be due to the direct 210 effect of the parasites on the brain or as a result of hypoxia from anaemia or partial occlusion of 211 the brain vessels by the parasites/or their products. 212 In the pancreas, there were areas of necrosis in the glands; similar inflammatory changes in the 213 glands of the body have been reported by Losos and Ikede, (1972). There was also necrosis of 214 the adrenal glands of the infected, untreated animals. Enlarged adrenal glands, characterized by 215 inflammatory changes have been reported by Ogwu et al. (1992). Such inflammatory reaction if 216 prolonged, can lead to necrosis, so this finding is in agreement with the former report. 217 The haemosiderin and follicular depletion seen in the spleen of the infected animals may have 218 been caused by hemolysis and anaemia which are associated with the disease. Similar 219 observations have been reported by Taiwo et al. (2003), Fatihu et al. (2008), Takeet and 220 Fagbemi, (2009). The mild atrophy of the skeletal and cardiac muscles associated with the 221 infection may be due to anorexia and poor feed utilization by the infected animals. Similar 222 muscle atrophy has been reported by Fatihu et al. (2008) in bovine trypanosomosis. This muscles 223 atrophy may be one of the reasons why the disease is being referred to as wasting disease. 8 224 In conclusion, the study shows that the Trypanosoma vivax strains used has high affinity for 225 both vascular and extravascular organs and is highly pathogenic to the breed of sheep (Yankasa 226 sheep) used. 227 Acknowledgements: We sincerely appreciate TETFUND for the funding of this research and 228 the contributions of Drs.M. Bisalla, J. Sambo; J. Natala, O.O.Okubanjo, R. Ofukwu, Mr. Bale, 229 Professors R. Ezeokonkwo, N. U. 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