Vertical and horizontal disease transmission - Toxoplasma gondii and Neospora caninum Flashcards

1
Q

What are the key aims of reproductive performance in cows?

A

One calf per cow per year
- minimal cost in achieving this aim
- Production of replacement heifers and occasionally bulls
- cows calving with minimal stress and interruption

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1
Q

How is reproductive performance measured?

A

o % of cows pregnant by 100 days after calving (100 day in-calf rate)
o % of cows not pregnant by 200 days after calving (200 day not-in-calf rate)
o % of cows receiving at least one insemination by 80 days after calving (80 day submission rate)
o % of first inseminations resulting in pregnancy by pregnancy test (conception rate)

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2
Q

What are the usual bacterial, parasitic and viral suspects for infection in cows?

A

o Bacterial
 Brucellosis
 Vibriosis (Campylobacter fetus)
 Leptospirosis
 Salmonellosis
o Parasitic
 Trichomonosis
 Neosporosis
o Viral
 BVDV (pestivirus)

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3
Q

What is neospora caninum?

A
  • Single cell protozoal parasite (Apicomplexa) causing neosporosis
  • Cows are the intermediate host; dogs are the definitive host, but they can serve as an intermediate host as well
  • Diagnostically challenging, so both vets as well as animal owners struggle with the understanding of the disease (antibodies do not mean disease)

Distribution
- 1/5 farms in NSW have N. caninum

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4
Q

How is neospora caninum transmitted?

A

Can be transmitted horizontally or vertically

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5
Q

What is the difference between horizontal and vertical transmission?

A
  • Horizontal transmission: Transmission of an infection between hosts that are not in a parent-child relationship
  • Vertical transmission (mother-to-child transmission): Transmission of an infection from mother to child during the perinatal period
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6
Q

What is the lifecycle of neospora caninum?

A
  • Indirect lifecycle -> intermediate host is a cow, dog is the definitive host BUT can also serve as an intermediate host as well
  • Sexual cycle (definitive host)
    o Canine host eats material (infected placenta, raw infected carcasses or aborted foetus) containing N. caninum tissue cysts
    o Sexual multiplication takes place in the intestine of the definitive host (dog, dingo) and unsporulated oocysts are produced (~10-20 days post-infection)
  • Asexual cycle (intermediate and definitive host)
    o Cattle ingest N. caninum oocysts while grazing on pasture or eating food contaminated by infected dog faeces
    o Sporozoites then enter different tissues but are mostly found in the reticulo-endothelial system and differentiate into tachyzoites
    o Tachyzoites reproduce rapidly asexually and invade different tissues and in pregnant animals the foetus via the placenta
    o With the onset of the bovine immune response, tachyzoites revert to dormant bradyzoites within tissue cysts (found mainly in neural tissue)
    o During future pregnancies, in infected animals bradyzoites are reactivated and differentiate into tachyzoites that invade the foetus via the placenta
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7
Q

What are the usual outcomes of infection with Neospora caninum? Does it make a difference if there is maternal immunity?

A
  • Embryonic death
  • Abortion
  • Persistent infection in the calf
  • Normal seronegative calf
  • Calf born with neurological symptoms

Maternal immunity
- o During pregnancy maternal immunity is biased toward a Th type 2 response, however during a parasitic infection host mounts a Th type 1 response
o The balance between Th type 1 and type 2 cytokines will determine the outcome of both the pregnancy and the infection
o Type 2 cytokines will support the development of the foetus, while allowing the infection to continue uninhibited
o Type 1 cytokines will counteract the infection but will not support the development of the foetus

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8
Q

Is an epidemic abortion (abortion storm) horizontal or vertical transmission?

A

Horizontal -> Caused by a point source of exogenous infection by N. caninum oocysts e.g. contamination of feed with dog faeces

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9
Q

Is an endemic abortion horizontal or vertical transmission?

A
  • Vertical transmission -> abortion rate of <5% per year
  • Endogenous transmission
  • self-perpetuating
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10
Q

Is neospora a problem if you have absence of abortion in a neospora seropositive herd?

A

Yes -> seropositive healthy calves will likely abort again (= vicious cycle)
- Seropositive congenitally infected heifers have a 7.4 times increased risk of abortion in their first pregnancy
- o The abortion incidence decreases with subsequent pregnancies, suggesting that maternal immunity matures after the first pregnancy and influences the outcome of subsequent pregnancies. However, a small percentage of cows may have repeated abortions
- no clinical signs in cows that abort

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11
Q

Should neospora seropositive animals be culled?

A

No, the cheapest option is to do nothing

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12
Q

Does the definitive host host sustain the neospora infection?

A

Yes, the dog (definitive host) sustains the infection

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13
Q

Is neospora a public health risk?

A

No, there are no documented human infection of neosporosis

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14
Q

What does Toxoplasma gondii cause?

A

Toxoplasmosis

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15
Q

What is the lifecycle of toxoplasma gondii?

A
  • The lifecycle of toxoplasma gondii is nearly identical to N. caninum
  • The only definitive host is a cat (sexual reproduction in the intestine)
  • Oocysts shed by the cat are environmentally resistant
  • Intermediate hosts include all types of mammals and some birds
  • Antibodies found in 30% of human population >18 years
    o Antibody-mediated lysis of tachyzoites (not cysts) clears infection
    o Recovery yields complete immunity in humans (unusual for protozoan parasite)
    o Immunity can be boosted by tissue cyst breakdown (premunition)
16
Q

What is the epidemiology of T. gondii?

A
  • Domestic and wild cats main transmitters
  • Oocysts must sporulate before becoming infectious
  • Oocysts in cat faeces most likely source e.g. sandpits that become litterboxes (=children, <5 yrs)
    o Sporulation in litterboxes/sandpits takes 305 days
    o Sporulated oocysts remain infectious for up to 2 years in suitable environments
  • Raw or undercooked meat (=adults, >18 yrs) but infectious cysts in meat can be killed by freezing
17
Q

How is T. gondii transmitted in a wild environment?

A
18
Q

How is T. gondii transmitted in a home environment?

A

o Previously unexposed (non-immune) woman acquires toxoplasmosis during pregnancy (congenital infection)
o 40% chance that the foetus will acquire the infection, and in around 10% of these cases, severe neurological or ocular disease is present at birth
o Owning a cat or having direct contact with a cat does not constitute an increased risk of acquiring toxoplasmosis
o Ingestion of infected meat appears to be the major source followed by poor hygiene

19
Q

What is the pathogenesis of T. gondii?

A
  • Acute infection
    o Often asymptomatic in cats (may kill kittens?)
    o Humans have flu-like symptoms, usually full immunity develops
    o Sheep and goats – abortion!!! (tachyzoites in milk)
  • Subacute infection
    o Hosts humoral immunity develops slowly
    o Tachyzoites produce lesions in lung, liver, heart, brain, and eyes
  • Chronic infections
    o Ab immune response depresses tachyzoites but cysts form from bradyzoites
    o Causes intense inflammation
    o Encephalitis
    o Retinal degeneration
    o Myocarditis
  • Congenital toxoplasmosis
    o Infection during pregnancy can infect foetus
    o Can cause still birth, abortion, birth defects
    o Hydrocephaly, microcephaly, blindness