Assessment of Parasitological Behaviour, Clinical Changes and Serology during Experimental Infection of a Calf with a Venezuelan Isolated of Trypanosoma evansi: A Preliminary Study Diagnostic Pathology: Open Access

Background: Trypanosoma evansi is the agent of trypanosomosis that affect domestic and wild animals causing anaemia, degeneration, necrosis and inflammatory processes. This disease is of great concern because it produces growth retardation, loss of body weight, low production of animal proteins and diminished fertility and traction power. On the other hand could be become in an emergent zoonosis affecting human beings as it has been recently described in India and Vietnam. Due in Venezuela experimental infections of cattle with T. evansi have been referred as "benign", the aim of this study was to assess the effect of T. evansi on parasitological, clinical and serological parameters during experimental infection of a bovine. Methods: The evolution of the experimental infection of one bovine with T. evansi EcF1991 was assessed at parasitological, serological and clinical level for 30 days by measuring levels of parasitemia, IgG anti- T. evansi bovine antibodies by ELISA, body temperature, packed cell volume and levels of haemoglobin. Results: Infected bovine developed a fluctuating low-level and often cryptic parasitaemia without fluctuations in body temperature. Parasitaemia was represented by three main peaks at days 1, 10 and 17. Although the two first parasitaemia peaks occurred with only a slight decreasing of haematocrit and increasing of IgG anti- T. evansi levels, beginning of third parasitaemia peak was accompanied by a marked decrease on haematocrit and haemoglobin values reaching levels 60% and 64% below of preinfection values respectively. The most marked diminution of haematocrit was observed after third parasitaemia peak (day 17). This decreasing trend of haematocrit was accompanied by a pronounced increasing on IgG levels against T. evansi during infection. Conclusion: Results herein presented reports for the very first time the evolution of some clinical, parasitological and serological parameters during T. evansi infection of a bovine and confirm molecular studies about role of Venezuelan bovines as susceptible and natural hosts of T. evansi as it has been reported in Africa, Asia and South America. In addition presents an indirect ELISA technique for detection of bovine IgG antibodies to T. evansi suggesting that more research is needed to define the clinical, pathological and immunological profiles of these infections in bovines from Venezuela. acid)-Hydrogen Peroxide; OD: Optical Density; nm: Nanometers.

In Venezuela animal trypanosomosis is mainly caused by T. evansi and Trypanosoma vivax, the former is the aetiological agent of Surra (Derrengadera) in horses, and was first described for Venezuela by Diagnostic Pathology: Open Access Rossi  Rangel [16], while the second one was first described by Tejera as the causative agent of trypanosomosis known as Secadera, Peste Boba or Peste Bonita [17], that affects bovines, ovines, caprines and wild ungulates such as the white tailed deer or caricou (Odoicoileus gymnotis) [18][19][20].
Both trypanosome species are mechanically transmitted by bloodsucking arthropods as horseflies Tabanus importunus and Tabanus nebulosus for South American T. vivax [21][22] and Stomoxys calcitrans for T. evansi [23]; and were brought in America during XVI century by the Spaniards conquerors from infected horses of North Africa and infected bovines from West Africa [14].
Venezuelan savannahs are important zones to breed cattle under an extensive livestock ranching. According to this production system, horses are used for different agricultural activities. Additionally, cattle, dogs, blood-sucking arthropods, capybaras, hemathophagous and nectar-feeding bats, also belonging to Venezuelan savannah fauna, live together with infected horses promoting the transmission and infection maintenance. In these regions, trypanosomosis caused by T. evansi (75.8% seroprevalence by IFAT) is an important factor that wastes health and productivity of horses [24].
Concerning to infections of bovines with T. evansi in Venezuela, there are few works about natural and experimental infections with this trypanosomatid. According to the first report of Tejera [17], inoculation of a heifer with T. evansi results in the appearing trypanosomes in blood few days after inoculation but parasitemia was transient and parasites disappeared quickly from the bloodstream. Despite this parasitaemia pattern was accompanied by not visible clinical alterations, inoculation of guinea pigs with blood from infected heifer suggested the occurrence of an active but cryptic infection. Similar results were obtained by Kubes [17] in a work which demonstrates the development of resistance against T. evansi when self-cured animals were reinoculated with the same strain of trypanosome.
More recently, a PCR based on established primer pairs (21-mer/22mer and ILO1264/ILO1265) indicated that 68 (19.9%) of 342 blood samples investigated including 316 from water buffalo herds, contained T. vivax and that none contained T. evansi or any other member of the subgenus Trypanozoon [5]. On the other hand a PCR using specific ITS1 primers that differentiate T. vivax and T. evansi infections allowed to demonstrate that from 47 cattle evaluated in the ''Laguneta de la Montaña'' sector (Miranda State), 9 animals resulted positive for T. vivax, 3 for T. evansi and 2 with double infections. Whilst in the ''San Casimiro'' sector (Aragua State), out of the 38 cattle evaluated 19 animals were diagnosed as positive by PCR, determining only the presence of T. evansi in this locality [7].
At the time this communication was prepared, there were no studies related to the parasitological behaviour of the infection caused by Venezuelan T. evansi isolates in cattle, as well as the clinical changes that occur and the follow-up of seroconversion by ELISA. On the other hand, due we have used crude antigens of T. evansi for detection of bovine IgG antibodies against Trypanosoma sp in seroepidemiological studies of bovine trypanosomosis [25,26], the aim of this work was to describe the behaviour of bovine infection caused by T. evansi as well as the capability of this trypanosome specie to produce changes in clinical parameters and the applicability of an indirect-ELISA originally standardized for detection of bovine antibodies to Trypanosoma sp, in analysis of seroconversion of bovine infected with T. evansi.

Experimental infection
For reasons of economical scarcity only one male crossbred (Holstein-Cebu) calf was used. It was kept in an animal-isolation unit and fed on hay, concentrate and water ad libitum. Calf was dewormed before use in the experimental infection. Inoculum was derived from a stabilate originally collected in 1991 from an infected horse with Derrengadera, from the Hato El Frío (7°56' North latitude and 68°57' West longitude) in the Apure State of Venezuela.
Typanosomes were characterized as monomorphic trypomastigote forms, and were classified as T. evansi, according to clinical, morphological (T. brucei-like) and biological (susceptibility for experimentation animals) criteria. Furthermore trypanosomes were also recently classified as T. evansi according to its ultrastructure feature [27] and low number of coated vesicles in the flagellar pocket in relation to T. equiperdum a co-endemic specie of trypanosome [3]. A T. evansi EcF1991 stabilate was defrosted and then 0.5 ml injected intraperitoneally into Spragüe-Dawley rats that were daily examined for presence of parasites by making wet smears from the tail blood. When number of parasites was scored as a +4 ( 20 trypanosomes at 40 X) a tail blood aliquot was diluted in phosphate saline glucose buffer pH 8.0 (PSG) [28] and number of viable trypanosomes was counted into a Neubauer haemocytometer. Rats were then anesthetized by chlorophorm inhalation and blood was taken directly by heart puncture with heparin as anticoagulant. Infected blood was diluted in PSG (2 ml final volume) and the inoculum (10 6 trypanosomes/calf) was made intravenously by venipuncture of jugular vein. The infection of calf was followed up for 30 days and after the period of experimentation was treated with diminacene aceturate (Berenil®) at a dose of 3.5 mg of diminacene/Kg of body weight. Calf was maintained under veterinary supervision until the recovery of normal PCV values and no trypanosomes were observed in the buffy coat of microhematocrit tubes.

Clinical and parasitological observations
Clinical observations were daily made at 9:00 a.m., and included loss of appetite, depression, weakness, refusal to walk, body temperature and haematocrit. Body temperature was determined using a rectal thermometer. The percentage of Packed Cell Volume (% PCV) or haematocrit, was estimated with blood samples collected from jugular vein into ethylene-diamine-tetra-acetic acid (EDTA) tubes. For the % PCV estimation, 3 heparinized capillary tubes (75 x 1.5 mm) were filled with blood and spun in a microhaematocrit centrifuge for 5 minutes at 12,000 rpm. The % PCV was measured with a microhematocrit reader. Haemoglobin (Hb) level was estimated from % PCV values using corrected equation of Flores-Torres et al. [29] as follow: Estimated Hb (g/dl) = 0.257 + (%) PCV/ 3.135 Calf parasitemia was daily estimated by the dark ground buffy coat method and the intensity of infection was graded from 0 to 6 as described by Paris et al. [30]. For this purpose filled micro capillaries used for PCV estimation were microscopically analysed and bloodstream trypomastigotes counted in the upper layer of buffy coat using a 40X objective.

Kinetic of bovine IgG anti-T. evansi antibodies
Levels of bovine IgG anti-T. evansi during infection were determined by an indirect-ELISA previously standardized for detection of bovine IgG antibodies against Trypanosoma sp [25,26]. For this purpose a T. evansi crude antigen was prepared from DEAEcellulose purificated trypanosomes by dilution of 6 x 10 8 trypanosomes in 1 ml of phosphate buffered saline (PBS) pH 7.4 and ultrasonic disruption of trypanosomes for 60 seconds at 4°C with an ultrasonic cell disruptor at 50% of maximun allowable amplitude. After centrifugation at 12,000 × g for 5 minutes, supernatant was aliquoted and stored under liquid nitrogen as stock antigen. Protein concentration of antigen stock was 5.00 mg/ml as determined by Folin Phenol Protein assay method [31]. ELISA used to detect serum antibodies to T. evansi was performed according to method described by Luckins [32] and Reyna-Bello et al. [33]. Optimal dilutions of antigen and sera were determined by checkerboard titration using positive and negative control sera. Assays were performed on microplates Immulon N º 1, Dynatech. Table 1 shows the optimal conditions for indirect-ELISA applied for detection of bovine IgG antibodies against T. evansi.

ELISA steps Assay conditions
1. Microplates sensitization with T. evansi crude antigens   Table 2 shows the results of the analysis for hematological, biochemical and serological parameters of the calf used in the trial, in the 30 days prior to infection. As it can be seen results of IgG anti-T. As it can be seen in Panel A, first peak of parasitaemia (day 1) was accompanied by an increase in body temperature (39°C) and a simultaneous transient-decreasing on values of PCV and Hb from day 1 to 4, moment at which they begin to increase, reaching preinfection values (day 0) (Panel B). From day 1 to 6 body temperature experienced a marked decreasing to preinfection value followed by an evolving with slight fluctuations near 38°C during rest of infection. No fluctuations on PCV and Hb values were recorded from day 5 to 15 (Panel B).

Discussion
This study shows values of clinical, parasitological and serological parameters obtained during 30 days from experimental infection of one calf with Venezuelan isolated EcF1991 of T. evansi. The main limitation of our study is due limited number of experimental subjects used as a consequence of economical resources scarcity. For this reason results herein presented constitute a preliminary study and only a descriptive analysis was performed. Despite it was impossible to present a statistical analysis, results about establishment of a bovine experimental infection with Venezuelan isolated used, not only confirm results about molecular detection of this African trypanosome in cattle [7], but also describe the behaviour of experimental infection and application of an indirect-ELISA for detection of IgG antibodies against this strain. Despite increasing of body temperature in infected calf was only described for first three days of infection (parasitemia peak), results herein presented are in agreement with those obtained by Payne et al. [34,35] in their works, which describe a marked reduction in the rate of weight gain and fall in PCV values of Friesian Holstein calves and heifers experimentally infected with an Indonesian isolate of T. evansi.
In our study, body temperature of calf was normal throughout 30 days. This result was not in agreement with the fact that the marked increasing trend in level of antibodies recorded by ELISA, should be followed by fever as a consequence of the effects of antigen-antibody immune complexes formed during infections, that acts as a potent This finding also differs with results obtained by Damayanti et al. [36] in which fluctuating pyrexia of buffaloes experimentally infected with Indonesian isolate of T. evansi commenced 5-8 days after infection and was preceded by a parasitemia wave. On the other hand, differs with results obtained during experimental infections of sheeps [37] and goats [38] with T. evansi, in which no significant changes of body temperature were recorded.
Parasitological behaviour of T. evansi EcF1991 infection was quite similar to those described for Tejera in 1920 [17]. In this regard trypanosomes were observed in blood few days after infection (from day 1 to 17) but parasitemia was transient and parasites disappeared of blood for the next 13 days of infection. This behaviour of T. evansi infection is characteristic of chronic infections and agrees with observations made in rabbits, sheep and goats following experimental and natural infections [37][38][39][40][41], as well as in Indonesian buffaloes (Bubalus bubalis) [36].
Disappearing of T. evansi EcF1991 from bloodstream during infection of calf, should be attributable to antibodies-mediated destruction, but recently published evidences by Rossi et al. [42] about description of intracellular stages of T. evansi in cells of adrenal cortex, hepatocytes, plasma cells and lymphocytes of mice experimentally infected, suggest the possibility that cryptic parasitemias and relapses could be related with T. evansi EcF1991 tissue tropism and its capability of hiding intracellularly.
Despite disease caused by T. evansi in horses is manifested by increased temperature, anaemia and weakness, that may develop over a few months or years, leading to death [43][44][45], the clinical pattern of calves and heifers infections with T. evansi are characterized by marked reduction in the rate of weight gain, increase in body temperatures and fall of PCV values [34,35], and seems to be less severe than described for horses and buffaloes [36].
Intermitent fever and relapsing parasitemia are characteristic of African trypanosomosis and T. evansi infections of cattle, and other domestic animals [43]. Periodical fluctuations of parasitemia seems to be attributable to antigenic variation, the main mechanism of immune evasion in African trypanosomes [46] that plays an important role in causing the relapsing course of disease as it has been described by Perrone and colaborators for the same isolated used in this work.
Despite the low level of parasitemia recorded, there were significant changes in PCV and Hb values reaching levels of 60% and 64% below preinfected values. Due this marked reduction on PCV and Hb values are interpreted as signs of intense infection and anaemia, infection of calf with T. evansi EcF1991 should be interpreted as an infection with serious pathological consequences instead a benign infection of bovines as it has been inferred from Tejera and Kubes works of 1920 and 1939 [17]. In this regard, although reduction of PCV and erythrocyte counts in sheep infected with T. evansi TRUE 2143 cannot be regarded as indicative of severe haematological changes [37], reduction of the PCV and Hb values in calf infected with T. evansi EcF1991 should be considered as severe anemia, as it because PCV reached values between 24-46% below preinfection values and the normal range for healthy cattle [36].
Several Enzyme Linked Immunosorbent Assays (ELISA) using crude antigens of T. evansi has been developed and applied for serological surveys in dairy cattle [47], cattle, buffaloes and horses from Eastern Region of India [48] and buffaloes from Thailand [49], in order to detect antibodies anti-T. evansi with sensitivities and specificities of 92.5% and 94.2%, respectively.
In this study, we have applied an indirect-ELISA test for the detection of bovine IgG anti-T. evansi that allowed the discrimination between seropositive and seronegative bovines to Trypanosoma sp with a sensitivity of 94.87% and specificity of 92.86% [25,26]. Serological results herein presented demonstrated that indirect-ELISA applied, was capable to describe the kinetics of bovine IgG antibodies anti-T. evansi during infection and that calf was capable to develop an IgG antibody response against T. evansi. In this regard, the maximal level of bovine IgG anti-T. evansi reached on day 24 was 200 g/l, a value that was 7 to 12 times higher than normal level of bovine IgG (17-27 g/l) described by Tizard [50] in healthy animals.
These levels of IgG anti-T. evansi during infection were surely responsible for parasitemia control and might be related with PCV reduction as it has been reported in infections with other African trypanosomes [43,51,52]. In fact, maximal decrease on PCV and Hb values was registered at the same time that the maximal increase in OD 405nm was achieved. This result was consistent with an immunologically mediated anemia as it has been described in mice experimentally infected with T. brucei, mice infected with T. evansi [53] and calves infected with T. congolense [54].
During anemia development, calf erythrocytes surface could also experience biochemical modifications by different mechanisms, such as peroxidation of erythrocyte´s lipids [55], remotion of sialic acid residues by proteases or phospholipases extracellularly secreted by live or dead trypanosomes [56,57] or by changes in the surface oligosaccharide profiles as it has been described during adhesion of T. evansi to mice erythrocytes [53]. All these pathogenic mecanisms have the common effect of modify erythrocyte antigenicity, rendering them more prone to phagocytosis by mononuclear phagocitic system (macrophages and Küpffer cells), as it has been demonstrated for periferic-and deep-circulating erythrocytes of adrenal gland cortex [58] and liver from mice experimentally infected [59].

Conclusion
This work not only reports for the very first time the experimental infection of a calf with a Venezuelan isolated of T.evansi, but also changes in some clinical and serological parameters, that suggest its pathogenic effect for bovines in Venezuelan. On the other hand, our work contributes with the development of an indirect ELISA that can be used for screening of Trypanosoma sp seroprevalence in bovines.
The transient and cryptic pattern of T. evansi parasitemia herein presented, together with molecular confirmation of T. evansi infections in bovine exploited under natural conditions and the capability of T.evansi to develop intracellular stages, suggest the need to assess tissue tropism of T. evansi in bovines. In this regard, this peculiarity not only could explain the parasitemia pattern described, but also the capability of bovines to act as autochronic hosts (reservoirs), with the consequences that this could have on the prevalence of T. evansi in horses and other domestic or wild animals.

Funding
This research was supported by Project BTS-53 del Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICIT) of Venezuela Republic and own funds of the Laboratory of Biochemistry and Immunology of Hemoparasites, Cell Biology Department, Universidad Simón Bolívar, Caracas, Venezuela.