Showing posts with label emerging infectious diseases. Show all posts
Showing posts with label emerging infectious diseases. Show all posts

Tuesday, 1 August 2017

Amber Reveals Prehistoric Parasites Preserved in Blood

Perhaps 20 million years ago, a pair of monkeys in what is today the Dominican Republic sat grooming each other. Somewhere nearby, possibly in the tree where they sat, there was a sticky and probably aromatic collection of plant resin. This wasn’t an unusual jungle scene at the time, but what happened next was.

One of the monkeys discovered a tick feeding and already bloated with its blood meal. The monkey pulled it free. Something punctured the body of the tick – claws perhaps, or teeth - and monkey blood leaked out. Discarded, or dropped by accident (would the monkey not have preferred to eat this tasty morsel?), the tick fell into the resin and stuck there, still oozing blood.

The tick wasn’t the only organism to die in the resin that day. Within the tiny monkey red blood cells, there were piroplasms – parasites that multiply asexually inside blood cells, burst out, and invade new blood cells. Eventually, the process produces male and female forms that can reproduce only after being ingested by a tick, in a blood meal.*

​Fossil Red Blood Cells


The piroplasms ingested by the tick in this story never reproduced. Instead, they became fossilized in amber, along with the blood cells and the tick. All are still identifiable millions of years later. This piece of amber holds the only fossilized red blood cells from a mammal yet found; the parasites within them are an added fascinating treasure.

Like the tick in this article, this mosquito was discovered in amber in the Dominican Republic.
Image by Didier Desouens CC BY-SA 4.0 (not licensed for upload to Facebook)

 

Infection with Piroplasms: Babesia, Theileria, Cytauxzoon


Was the monkey sick? Possibly. The destruction of red blood cells caused by the multiplication of the parasites can lead to severe anemia and even death. Babesia bigemina is a notorious killer of cattle in the United States.  Theileria parva causes East Coast fever and death in African cattle. Cytauxzoon felis kills domestic cats in the United States. Some infections go unnoticed, however, and animals can develop immunity. It’s possible the monkey wasn’t all that bothered by its infection.

Throughout the ensuing millennia, ticks continued to bite mammals and infect them with piroplasms, and no one even knew it was happening until the early 1880s when Theobald Smith and Frank Kilbourne proved that a tick transmitted Babesia bigemina to cattle. Not only did they solve the mystery of what was causing Texas cattle fever, it was the first proof that creatures such as insects and arachnids (spiders, ticks, mites etc.) could spread diseases with their bites.

​It took about another 75 years before anyone documented a case of piroplasms infecting humans, and then only in humans who lacked a spleen. Caused by Babesia divergens, there were very few such cases, and the disease remained a medical rarity until recently. In 1969, Babesia microti began turning up in the United States in the same places where Lyme disease is emerging. Today, it’s a spreading infection in the United States and Canada, striking thousands of people every year, and killing some.

​Evolution of Babesia


Lots of people still haven’t heard of Babesia, much less piroplasms, and for the rest of us, they still seem quite new. So the discovery of organisms resembling Babesia sp. fossilized in amber that might well be more than 20 million years old is delightful.
Amber is fossilized tree resin.
It has unique properties for preserving
organisms that become embedded in it.
Image by Wibowo Djatmiko CC BY-SA 3.0
For all of that time, they’ve been evolving and adapting to their hosts until we finally became aware of them. We might never have known Babesia has been around that long if those two monkeys hadn’t stopped to pick off a few ectoparasites in the jungle so long ago.

​Photographs published in the report of this finding are tantalizing, though not as clear as a modern-day blood film. What they mostly do is make me want to sit down at a microscope and look at that magnificent piece of amber myself!

​*Researcher George Poinar Jr. can’t be absolutely certain that the animal the tick was feeding on was a monkey, or that the parasites in the blood are piroplasms; however, after considering other evidence – red blood cell and parasite characteristics, the fossil record, knowledge of primates, piroplasms, and other organisms alive today etc. – this is most likely the correct interpretation.


Read the paper in the Journal of Medical Entomology:

​Poinar, George, Jr. (2017) “Fossilized Mammalian Erythrocytes Associated with a Tick Reveal Ancient Piroplasms.” J Med Entomol tjw247. doi: 10.1093/jme/tjw247

​Further Reading About Babesia and Other Piroplasms


CDC. Surveillance for Babesiosis - United States, 2014: Annual Summary

 Drisdelle, Rosemary. 2017 "Babesiosis Cases Likely on the Rise." Outbreak News Today

Schmidt, Gerald D. and Larry S. Roberts. Foundations of Parasitology 8th Ed. New York: McGraw Hill, 2009.












Tuesday, 7 February 2017

Reduviid Bug – The Bug That Transmits American Trypanosomiasis



In his Voyages of the Adventure and Beagle Volume III, Charles Darwin wrote “We slept in the village, which is a small place surrounded by gardens, and forms the most southern part, that is cultivated, of the province of Mendoza [Argentina]; it is five leagues south of the capital. At night I experienced an attack (for it deserves no less a name) of the Benchuca (a species of Reduvius) the great black bug of the Pampas. It is most disgusting to feel soft wingless insects, about an inch long, crawling over one's body. Before sucking they are quite thin, but afterwards become round and bloated with blood, and in this state they are easily crushed.”

Rhodnius prolixus is one of the species of kissing bugs that transmits
Chagas disease. It’s an elegant bug that almost looks carved.
Image by Dr. Erwin Heubner, University of Manitoba

Darwin’s attacker was a kissing bug, an insect of many names, that lives close to people in Central and South America and sucks their blood. It transmits Chagas disease (American trypanosomiasis) in the process.

What Is a Kissing Bug?


I’ve met kissing bugs myself, but I didn’t have to endure them crawling over me or feeding on me. I was fortunate enough to visit the London School of Hygiene & Tropical Medicine when it was feeding time in the kissing bug colony. They were well aware that there were people about and they rushed to the top of their glass enclosure, driving their proboscises up through a membrane in a quest for human blood. They are large, impressive, and not altogether unattractive bugs.

Kissing bugs, classified among the reduviid bugs, are also known by many other names, including triatomid bugs, conenose bugs, the benchuca, and assassin bugs (although the name “assassin bug” more specifically refers to reduviids that do not bite humans). Whatever you choose to call it, however, this bug is a serious pest.

Kissing Bugs and Parasites


The kissing bug is so called because of its habit of biting humans on the lips, usually while the victim is sleeping. When the bug bites, it also defecates on the skin – it is the bug’s feces, rather than its saliva that contain the parasite Trypanosoma cruzi, agent of Chagas disease (American sleeping sickness). Like many insect bites, the bite of the triatomid bug itches, and the victim soon scratches, rubbing bug feces and parasites into the wound.

A map of Central and South America showing areas where
Chagas disease is endemic. Image by Tomatoo356 CC BY-SA 3.0

Where Kissing Bugs Live


Conenose bugs live in or near dwellings, particularly in thatched roofs, dirt floors, and walls with many cracks and crevices. They may also be found in considerable numbers in wood piles and tiled roofs, and increase in number with higher densities of people. In addition to biting humans, triatomid bugs also feed on animals and transmit T. cruzi to them as well. Thus, animals such as cats, dogs, and rats are important reservoirs of the infection in areas where Chagas disease occurs.

Triatomid bugs aren’t confined to Central and South America, though that’s where they’ve caused the most trouble. Both the bug and the parasite are found in the United States; however, relatively few cases of trypanosomiasis originate there. This may be due to differences in bug species and parasite strains, but it likely has as much to do with the standard of living, and a lower level of contact between people and animal reservoirs of the disease.   

Raising public awareness and spraying for kissing
 bugs has helped reduce the number of people
 infected with Trypanosoma cruzi. Image by Palp
 CC BY-SA 3.0

Xenodiagnosis


Why would a laboratory keep a colony of kissing bugs? For educational and research purposes, of course, but also sometimes to aid in diagnosis of Chagas disease.

Trypanosoma cruzi parasites may be almost impossible to detect in the blood of an infected person due to low numbers, so the technique of xenodiagnosis is sometimes used. In xenodiagnosis, lab- reared triatomid bugs that are free of the parasite are deliberately allowed to feed on a patient who is thought to be infected. After a suitable time lapse, the feces of the bugs are checked for parasites: the presence of parasites in the bugs confirms infection in the patient.

This is a clever and sensitive way of diagnosing the infection, though most people would rather have a needle or syringe draw their blood than a big bug with a long proboscis!

Further reading about Chagas disease


Charles Darwin. 1839. Voyages of the Adventure and Beagle, Volume III. London: Henry Colburn.  

CDC. American Trypanosomiasis (also known as Chagas Disease). Accessed April 10, 2017; Lat Updated May 24, 2016.

Schmidt, Gerald D. and Larry S. Roberts. Foundations of Parasitology 8th Ed. Boston: McGraw Hill, 2009.