Trypanosomatid infections among vertebrates of Chile: a systematic review

We present a review on the natural infection by trypanosomatids of nonhuman vertebrates in Chile, aiming to synthesize and update the knowledge on the diversity of trypanosomatids infecting native and alien vertebrate species. To this end, we conducted a systematic review of literature records published from 1900 to April 2020 on four databases, focusing on the 21 genera of trypanosomatids and Chile. The methods and findings of our review have been based on the preferred reporting items for systematic reviews and meta-analysis (prisma) checklist. We found 29,756 records but only 71 presented relevant information for this review. Overall, there are only two reported trypanosomatid genera infecting vertebrate species in Chile, the genera Trypanosoma and Leishmania. The former is mostly represented by Trypanosoma cruzi (90% of the total records) and to a much lesser extent by Trypanosoma avium, Trypanosoma humboldti, Trypanosoma lewisi, and a couple of unidentified trypanosomatids. A total of 25 mammals have been reported as being infected by T. cruzi, including 14 native and 11 alien species from Orders Artiodactyla, Carnivora, Chiroptera, Didelphimorphia, Lagomorpha, Perissodactyla, and Rodentia. Extensive screening studies using new analytical tools are necessary to grasp the whole potential diversity of trypanosomatid species infecting vertebrates in Chile

Potential impact of climate change on the geographical distribution of two wild vectors of Chagas disease in Chile: Mepraia spinolai and Mepraia gajardoi

Background: Mepraia gajardoi and Mepraia spinolai are endemic triatomine vector species of Trypanosoma cruzi, a parasite that causes Chagas disease. These vectors inhabit arid, semiarid and Mediterranean areas of Chile. Mepraia gajardoi occurs from 18° to 25°S, and M. spinolai from 26° to 34°S. Even though both species are involved in T. cruzi transmission in the Pacific side of the Southern Cone of South America, no study has modelled their distributions at a regional scale. Therefore, the aim of this study is to estimate the potential geographical distribution of M. spinolai and M. gajardoi under current and future climate scenarios. Methods: We used the Maxent algorithm to model the ecological niche of M. spinolai and M. gajardoi, estimating their potential distributions from current climate information and projecting their distributions to future climatic conditions under representative concentration pathways (RCP) 2.6, 4.5, 6.0 and 8.5 scenarios. Future predictions of suitability were constructed considering both higher and lower public health risk situations. Results: The current potential distributions of both species were broader than their known ranges. For both species, climate change projections for 2070 in RCP 2.6, 4.5, 6.0 and 8.5 scenarios showed different results depending on the methodology used. The higher risk situation showed new suitable areas, but the lower risk situation modelled a net reduction in the future potential distribution areas of M. spinolai and M. gajardoi. Conclusions: The suitable areas for both species may be greater than currently known, generating new challenges in terms of vector control and prevention. Under future climate conditions, these species could modify their potential geographical range. Preventive measures to avoid accidental human vectorial transmission by wild vectors of T. cruzi become critical considering the uncertainty of future suitable areas projected in this study.Fil: Garrido Sanchis, Rubén. Universidad de Chile; Chile. Universidad Católica del Maule; ChileFil: Bacigalupo, Antonella. Universidad de Chile; ChileFil: Peña Gómez, Francisco. Universidad de Chile; ChileFil: Bustamante, Ramiro O.. Universidad de Chile; ChileFil: Cattan, Pedro E.. Universidad de Chile; ChileFil: Gorla, David Eladio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Diversidad y Ecología Animal. Universidad Nacional de Córdoba. Facultad de Ciencias Exactas Físicas y Naturales. Instituto de Diversidad y Ecología Animal; ArgentinaFil: Botto Mahan, Carezza. Universidad de Chile; Chil

Primer registro de Litomosoides pardinasi (Nematoda: Onchocercidae) en roedores nativos y exóticos de Chile

Litomosoides pardinasi es registrada por primera vez en roedores nativos y exóticos de Chile. La especie Litomosoides pardinasi, parásita de Phyllotis xanthopygus y Oligoryzomys longicaudatus en la Patagonia Argentina, fue encontrada en Chile parasitando la cavidad torácica y abdominal de O. longicaudatus (prevalencia (P)= 18.9%, intensidad media (MI)= 57.3) y de Phyllotis darwini (P= 4.2%, MI= 10), y la cavidad abdominal del roedor exótico Rattus rattus (P= 1.24%; MI= 22.5). La P total en roedores nativos de Chile fue significativamente menor que la P de Argentina, en tanto la MI total fue significativamente mayor. La P y MI de L. pardinasi en O. longicaudatus de Chile y Argentina no mostraron diferencias significativas; la P en P. darwini de Chile fue significativamente menor que la de P. xanthopygus de Argentina y que la de O. longicaudatus de Chile. Considerando la distribución de las especies de Litomosoides entre los sigmodontinos, estos resultados apoyan la hipótesis que L. pardinasi está bien establecida en O. longicaudatus y que posiblemente haya sido recientemente adquirida por P. darwini y R. rattus. Así, L. pardinasi colonizó primero a la Tribu Oryzomyini y posteriormente por un fenómeno de cambio de hospedero a la Tribu Phyllotini y a R. rattus.We report the first record of Litomosoides pardinasi in native and exotic rodents from Chile. Litomosoides pardinasi, described in the Argentine Patagonia parasitizing Phyllotis xanthopygus and Oligoryzomys longicaudatus, was found in Chile parasitizing the peritoneal and thoracic cavities of O. longicaudatus (prevalence (P)= 18.9%, mean intensity (MI)= 57.3) and Phyllotis darwini (P= 4.2%, MI= 10), and in the peritoneal cavity of Rattus rattus (P= 1.24%; MI= 22.5). Total P in native rodents from Chile was significantly lower than in Argentina, while the total MI was higher. Prevalence and MI of L. pardinasi in O. longicaudatus from Chile and Argentina showed non-significant differences; prevalence in P. darwini from Chile was significantly lower than in P. xanthopygus from Argentina and than in Chilean O. longicaudatus. Our results, together with those from Argentina, support the hypothesis that L. pardinasi is well established in O. longicaudatus, but seems to be recently acquired by P. darwini and the exotic R. rattus. Considering the known host distribution of Litomosoides species among the sigmodontines, our results also support the hypothesis that L. pardinasi first colonized the Oryzomyini tribe and later, by different phenomena of host-switching, colonized the Phyllotini tribe and the exotic R. rattus.Fil: Landaeta Aqueveque, Carlos. Universidad de Concepción; ChileFil: Notarnicola, Juliana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Estudios Parasitológicos y de Vectores. Universidad Nacional de La Plata. Facultad de Ciencias Naturales y Museo. Centro de Estudios Parasitológicos y de Vectores; ArgentinaFil: Correa, Juana P.. Universidad de Chile; ChileFil: Yánez Mesa, Andrea. Universidad de Chile; ChileFil: Henriquez, AnaLía. Universidad Santo Tomás; ChileFil: Cattan, Pedro E.. Universidad de Chile; ChileFil: Botto Mahan, Carezza. Universidad de Chile; ChileFil: Torres Pérez, Fernando. Pontificia Universidad Catolica de Valparaiso; Chil

Primer registro de Litomosoides pardinasi (Nematoda: Onchocercidae) en roedores nativos y exóticos de Chile

We report the first record of Litomosoides pardinasi in native and exotic rodents from Chile. Litomosoides pardinasi, described in the Argentine Patagonia parasitizing Phyllotis xanthopygus and Oligoryzomys longicaudatus, was found in Chile parasitizing the peritoneal and thoracic cavities of O. longicaudatus (prevalence (P)= 18.9%, mean intensity (MI)= 57.3) and Phyllotis darwini (P= 4.2%, MI= 10), and in the peritoneal cavity of Rattus rattus (P= 1.24%; MI= 22.5). Total P in native rodents from Chile was significantly lower than in Argentina, while the total MI was higher. Prevalence and MI of L. pardinasi in O. longicaudatus from Chile and Argentina showed non-significant differences; prevalence in P. darwini from Chile was significantly lower than in P. xanthopygus from Argentina and than in Chilean O. longicaudatus. Our results, together with those from Argentina, support the hypothesis that L. pardinasi is well established in O. longicaudatus, but seems to be recently acquired by P. darwini and the exotic R. rattus. Considering the known host distribution of Litomosoides species among the sigmodontines, our results also support the hypothesis that L. pardinasi first colonized the Oryzomyini tribe and later, by different phenomena of host-switching, colonized the Phyllotini tribe and the exotic R. rattus.Litomosoides pardinasi es registrada por primera vez en roedores nativos y exóticos de Chile. La especie Litomosoides pardinasi, parásita de Phyllotis xanthopygus y Oligoryzomys longicaudatus en la Patagonia Argentina, fue encontrada en Chile parasitando la cavidad torácica y abdominal de O. longicaudatus (prevalencia (P)= 18.9%, intensidad media (MI)= 57.3) y de Phyllotis darwini (P= 4.2%, MI= 10), y la cavidad abdominal del roedor exótico Rattus rattus (P= 1.24%; MI= 22.5). La P total en roedores nativos de Chile fue significativamente menor que la P de Argentina, en tanto la MI total fue significativamente mayor. La P y MI de L. pardinasi en O. longicaudatus de Chile y Argentina no mostraron diferencias significativas; la P en P. darwini de Chile fue significativamente menor que la de P. xanthopygus de Argentina y que la de O. longicaudatus de Chile. Considerando la distribución de las especies de Litomosoides entre los sigmodontinos, estos resultados apoyan la hipótesis que L. pardinasi está bien establecida en O. longicaudatus y que posiblemente haya sido recientemente adquirida por P. darwini y R. rattus. Así, L. pardinasi colonizó primero a la Tribu Oryzomyini y posteriormente por un fenómeno de cambio de hospedero a la Tribu Phyllotini y a R. rattus.Facultad de Ciencias Naturales y Muse

Primer registro de Litomosoides pardinasi (Nematoda: Onchocercidae) en roedores nativos y exóticos de Chile

We report the first record of Litomosoides pardinasi in native and exotic rodents from Chile. Litomosoides pardinasi, described in the Argentine Patagonia parasitizing Phyllotis xanthopygus and Oligoryzomys longicaudatus, was found in Chile parasitizing the peritoneal and thoracic cavities of O. longicaudatus (prevalence (P)= 18.9%, mean intensity (MI)= 57.3) and Phyllotis darwini (P= 4.2%, MI= 10), and in the peritoneal cavity of Rattus rattus (P= 1.24%; MI= 22.5). Total P in native rodents from Chile was significantly lower than in Argentina, while the total MI was higher. Prevalence and MI of L. pardinasi in O. longicaudatus from Chile and Argentina showed non-significant differences; prevalence in P. darwini from Chile was significantly lower than in P. xanthopygus from Argentina and than in Chilean O. longicaudatus. Our results, together with those from Argentina, support the hypothesis that L. pardinasi is well established in O. longicaudatus, but seems to be recently acquired by P. darwini and the exotic R. rattus. Considering the known host distribution of Litomosoides species among the sigmodontines, our results also support the hypothesis that L. pardinasi first colonized the Oryzomyini tribe and later, by different phenomena of host-switching, colonized the Phyllotini tribe and the exotic R. rattus.Litomosoides pardinasi es registrada por primera vez en roedores nativos y exóticos de Chile. La especie Litomosoides pardinasi, parásita de Phyllotis xanthopygus y Oligoryzomys longicaudatus en la Patagonia Argentina, fue encontrada en Chile parasitando la cavidad torácica y abdominal de O. longicaudatus (prevalencia (P)= 18.9%, intensidad media (MI)= 57.3) y de Phyllotis darwini (P= 4.2%, MI= 10), y la cavidad abdominal del roedor exótico Rattus rattus (P= 1.24%; MI= 22.5). La P total en roedores nativos de Chile fue significativamente menor que la P de Argentina, en tanto la MI total fue significativamente mayor. La P y MI de L. pardinasi en O. longicaudatus de Chile y Argentina no mostraron diferencias significativas; la P en P. darwini de Chile fue significativamente menor que la de P. xanthopygus de Argentina y que la de O. longicaudatus de Chile. Considerando la distribución de las especies de Litomosoides entre los sigmodontinos, estos resultados apoyan la hipótesis que L. pardinasi está bien establecida en O. longicaudatus y que posiblemente haya sido recientemente adquirida por P. darwini y R. rattus. Así, L. pardinasi colonizó primero a la Tribu Oryzomyini y posteriormente por un fenómeno de cambio de hospedero a la Tribu Phyllotini y a R. rattus.Facultad de Ciencias Naturales y Muse

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701