First molecular identification of Echinococcus vogeli and Echinococcus granulosus (sensu stricto) G1 revealed in feces of domestic dogs (Canis familiaris) from Acre, Brazil

Background Echinococcus granulosus (sensu lato) (s.l.) and Echinococcus vogeli are causative agents of chronic zoonotic diseases such as cystic and polycystic echinococcosis, respectively. In Brazil, polycystic echinococcosis has a restricted geographical distribution in the North Region, while cystic echinococcosis is observed in the South Region. Domestic dogs (Canis familiaris) fed with raw viscera represent a risk factor for E. granulosus (s.l.) infection in the South Region. Although this practice is frequent, it remains unclear whether domestic dogs are infected with E. vogeli in the state of Acre, located in the Amazon basin in the North Region of Brazil. The aim of this study was to investigate this gap in the polycystic echinococcosis epidemiology. Methods Sixty-five fecal samples were collected from the ground in five municipalities (Sena Madureira, n = 14; Rio Branco, n = 06; Bujari, n = 06; Xapuri, n = 30; and Epitaciolândia, n = 09) located in the state of Acre, northern Brazil. The samples were screened for parasites by copro-PCR using the cox1 gene associated with automated sequencing. Results Echinococcus vogeli was molecularly confirmed in a sample from Sena Madureira and E. granulosus (sensu stricto) (s.s.) (G1) in a sample from Rio Branco. Conclusions These findings indicate that molecular assays are useful in typing Echinococcus taxa from fecal samples of dogs in northern Brazil. The present study is the first molecular record of E. vogeli in domestic dogs found in the state of Acre, reinforcing their role as a source of infection for humans. Because E. granulosus (s.s.) (G1) was detected for the first time in the North Region, from the epidemiological standpoint this finding is highly relevant, because it expands the known geographical distribution, which was previously restricted to the South Region of Brazil.


Background
The domestication of canids has evolved into phenotypic changes, docility and adaptation to human-dominated environments, which has led to a lifestyle integrated into modern human societies [1]. During domestication, successful cooperation was established between humans and dogs, resulting in a variety of practical functions [2]. Thus, domestic dogs (Canis familiaris) fulfill various specialized activities, such as companionship, herding and hunting [3]. Nevertheless, canids have close contact with natural ecosystems and the frequent flow to periurban and urban habitats results in the transmission of wildlife helminthic zoonoses, often through close contact with contaminated fecal environments [4].
For example, echinococcosis is a neglected chronic zoonotic disease caused by Echinococcus spp. often grouped based on morphological similarities of their larval stages (metacestodes), as well as molecularbased analyses (metacestode and adult tapeworms) [5,6]. Echinococcus spp. are trophically transmitted between carnivores that harbor adult tapeworms in the small intestine (definitive hosts) and livestock and rodents, where metacestodes develop in internal organs such as the liver and lungs (intermediate hosts) [7,8]. Wild and domestic canids play a pivotal role in egg transmission to humans [7].
The geographical distribution of Echinococcus spp. is largely dependent on the presence of competent hosts to transmit each of them. Echinococcus granulosus (sensu lato) (s.l.) causes cystic echinococcosis (CE) and has a wide geographical distribution in Southern Cone countries of South America [9], affecting areas where people raise livestock in close contact with domestic/shepherd dogs [8]. In Brazil, E. granulosus (s.l.) is maintained by the dog-sheep, where herding dogs are often fed with raw livestock offal [10] in the South Region [11]. Indeed, E. granulosus (sensu stricto) (s.s.) (G1) (ovine strain) is the most common among canids and humans in South America [12]. Echinococcus vogeli causes polycystic echinococcosis (PE). It is restricted to the Neotropical Region and affects areas where people hunt pacas (Cuniculus paca) and live in close contact with domestic/ hunting dogs [13][14][15][16][17]. The E. vogeli sylvatic cycle is based on a specific predator-prey relationship between the bush dog (Speothos venaticus), an indigenous canid in South America, and pacas [14,18]. Within tropical forests, domestic dogs often accompany their owners during hunting [19] and are fed raw viscera as a reward for their activities [20]. Despite strong indications this practice can give rise to the synantropic cycle [14], it remains unclear whether such canids become infected with E. vogeli in the North Region of Brazil.
This study aimed to investigate Echinococcus sp. DNA in feces of dogs from the state of Acre, using copro-PCR and subsequent sequencing of the mitochondrial gene cytochrome c oxidase subunit 1 (cox1).

Study areas
The epidemiological survey was conducted in the state of Acre (Brazil) in August 2014 and June-July 2015 on rubber plantations and settlements in the municipalities of Rio Branco, Bujari, Xapuri and Epitaciolândia (Fig. 1). The thirty-eight rural properties that were visited in this study were located in Amazon Forest environment.

Sample collections
Fifty-one dog fecal samples were collected in peridomestic habitats, whose residents had at least one dog. Owners were asked whether dogs engaged in hunting and/or were fed raw animal viscera, with free access to livestock viscera (cattle or sheep) and were regularly dewormed. Each fecal sample was transferred to a 50 ml tube containing 70% ethanol. The study also included 14 fecal samples from dogs living within Antimary State

DNA extraction and polymerase chain reaction (PCR)
The macroscopic examination of tapeworm proglottids was performed. Feces were spontaneously sedimented [30] and the sediment obtained was used for molecular analysis. Total DNA extractions using the QIAamp DNA Stool Mini Kit (QIAGEN, Hilden, Germany) were realized following the manufacturer's instructions. DNA was used as template to amplify a fragment within the cytochrome c oxidase subunit 1 (cox1) mitochondrial gene as previously described [31]. The copro-PCR products were analyzed through electrophoresis in 1% agarose gel by staining with GelRed (Biotium, Hayward, USA).

Sequence analysis
The amplicons resulting from PCR were purified using the illustra™GFX™ PCR DNA kit (GE Healthcare, Little Chalfont, United Kingdom), following the manufacturer's instructions. Both DNA strands were sequenced using the same PCR primers and the PrimTM ABI Big-Dye Terminator Cycle sequencing kit (Applied Biosystems, Foster City, USA), according to the manufacturer's instructions. The analysis of the newly-generated sequences was performed with and automated DNA sequencer (ABI 3730 analyzer, Applied Biosystems, Foster City, USA), of the RPT01A subunit for automated sequencing -IOC/Fiocruz Technology Platforms Network. The obtained nucleotide sequences were analyzed, aligned and edited by version 4.9 of the program Sequencher TM (Gene Codes Corporation, USA). The nucleotide sequences obtained were aligned using the Clus-talW method of the MEGA v6.0 software [32].

Results
Sixty-five fecal samples were collected in peridomestic habitats (Xapuri, n = 30; Sena Madureira, n = 14; Epitaciolândia, n = 09; Bujari, n = 6; Rio Branco, n = 6). The pacas hunting for subsistence was a common practice for at least one family member in 33 rural properties, as well as the habits of feeding domestic dogs with raw entrails of pacas. Cattle and sheep coexisted in 7 properties and dogs had access to the carcasses of livestock. The owners of all of the properties visited admitted never having given anthelmintics to their domestic dogs.
There was no finding of dogs having passed Echinococcus proglottids in feces. Two samples were positive in the copro-PCR analysis. The first (DOG SM-AC-BR) was from a settlement in Sena Madureira, where dogs (n = 3) were fed with raw viscera from hunted animals, including pacas. The second (DOG RB-AC-BR) was from a farm in Rio Branco, where dogs (n = 4) had access to the carcasses of livestock (cattle and sheep).
The results of the automated sequencing showed that the DNA detected in the sample from Sena Madureira (DOG SM-AC-BR) indicated 99% similarity with 3 sequences of E. vogeli (M84670, AB208546, JX315616) and the sample from Rio Branco (DOG RB-AC-BR) indicated 100% similarity with 17 sequences of E. granulosus (s.s.) (G1). The nucleotide sequences of E. granulosus (s.s.) (G1) and E. vogeli obtained in this study were deposited in the NCBI database under accession numbers KX527915 and KX527916, respectively.

Discussion
Given that dogs clearly play a critical role as working members of households (herding and hunting) in rural communities, it is important to evaluate the risk of transmission of helminthic zoonoses from dogs to humans [40]. Although humans share their environment with dogs in rural communities, this study demonstrated that owners never dewormed dogs. As a consequence, our results match the typical canine geohelminth spectrum of domestic dogs with zoonotic potential worldwide, in which fecal environmental contamination can be the main source for people in rural areas [41,42].
In northern Brazil, polycystic echinococcosis has been reported in bush dogs [14,18], pacas [43,44] and humans [20,45]. Although dogs play the double function of companion and hunting (mainly pacas) animals in these communities and are often fed raw paca viscera [14], the presence of E. vogeli has not yet been investigated. Over the past decade, the epidemiology of echinococcosis has achieved significant advances based on molecular assays [24,25], including the copro-PCR technique for the detection of E. granulosus (s.l.) in canids [26][27][28][29].
Our parasitological and molecular findings give rise to some important points. First, there was no finding of dogs having passed Echinococcus proglottids in feces. Secondly, copro-PCR associated with automated sequencing allowed the identification of E. vogeli and E. granulosus (s.l.), consistent with epidemiological studies of canids in China [46] and Iran [47]. Thirdly, one E. vogeli-positive sample was collected from the municipality of Sena Madureira, where clinical cases and seroreactivity to polycystic echinococcosis have been described in urban and rural areas [48,49]. Fourthly, dogs fed infected raw viscera were found to be an important risk factor in the epidemiology of echinococcosis [8,14,50]. In tropical forest communities, dog management practices do not include commercial food, which may be related to high poverty levels in rural communities or cultural behavior. Interestingly, owners fed raw paca meat to their dogs in Sena Madureira.
In agreement with previous investigations about E. granulosus (s.l.) [8,12,51], the dog-sheep cycle was confirmed, because fecal samples were collected in a farm for small ruminants, where dogs were fed offal of livestock (cattle and sheep). Historically, the Amazon Basin has been a mobile frontier of economic expansion with the spread of agropastoralism, mainly cattle ranching, from the 1970s onwards [52]. In Acre, livestock production primarily focuses on cattle but also includes sheep raising. This involved a significant migration of cattle production from other regions [50]. From the epidemiological standpoint, it is very likely that livestock movements account for the introduction of E. granulosus (s.s.) (G1) from known endemic areas in southern Brazil [10,11,53,54].
To the best of our knowledge, this article contains the first report of molecularly detected E. vogeli infection, reinforcing the role of domestic dogs as sources of infection for humans in the municipality of Sena Madureira, where human polycystic echinococcosis has been previously reported [20,45]. Given that E. granulosus (s.s.) (G1) was detected for the first time in the North Region, from the epidemiological standpoint this finding is highly relevant because it expands the known geographical distribution, which was previously restricted to the South of Brazil.
The strengths of our findings should be interpreted in light of limitations. In the state of Acre, during the rainy season (from October to May) the condition of unpaved roads is poor. As a consequence, field studies were only carried out in the dry season. In urban areas, sympatric domestic dogs have restricted space and movements, depending on care and food given by their owners. Management of domestic dogs in rural landscapes is difficult because they often are allowed to roam freely and the size of local dog population is unknown. Although the owners reported they owned one or more dogs, we were unable to collect feces directly after being deposited by the dogs because they were absent during our visit or defecated elsewhere.

Conclusions
The environmental contamination with domestic dog feces is a risk factor for the transmission of helminthic zoonoses in Acre. Molecular diagnosis through copro-PCR and automated sequencing were suitable for the identification of Echinococcus species. To the best of our knowledge, this is the first report of E. vogeli and E. granulosus (s.s.) (G1) confirmed in domestic dogs from the North Region of Brazil. Further studies are needed to evaluate the extent of canine infection and the formulation of echinococcosis monitoring, considering the circulation scenario of both etiological agents.