Proliferative kidney disease

增殖性肾病
  • 文章类型: Journal Article
    对感染粘液虫寄生虫后虹鳟鱼入口的蛋白质组变化知之甚少,大脑粘菌,和苔藓四肽。旋转病(WD)是一种严重的鲑鱼病,由大脑粘质孢子虫引起的,while,增生性肾病(PKD)是由苔藓沙门氏菌引起的,而是属于Malacosporea类。气候变化为粘液虫寄生虫的生命周期提供了更合适的条件,对鲑鱼水产养殖构成高风险,并导致北美和欧洲野生鳟鱼种群减少。因此,这项研究的目的是提供宿主的第一个蛋白质组学图谱,以寻找与大脑M.和苔藓T.salmonae单次感染和共感染期间的逃避策略。
    一组鱼最初感染了大脑分枝杆菌,另一组感染了苔藓沙门氏菌。30天后,每组中有一半的鱼与其他寄生虫共同感染。使用定量蛋白质组学方法,我们研究了共感染前后虹鳟鱼尾鳍和g的蛋白质组学变化。
    在尾鳍中,16种蛋白质在暴露于脑分枝杆菌后差异调节,而暴露于T.bryosalmonae后,感染的虹鳟鱼的g中的27种蛋白质被差异调节。共感染后,参与寄生虫识别和宿主免疫反应调节的4种蛋白质在尾鳍组之间被差异调节。在the中,11种参与寄生虫识别和宿主免疫的蛋白质,包括4种预测为毒力因子的粘虫蛋白,被差分调制。
    这项研究的结果增加了我们对虹鳟鱼由粘液虫寄生虫和虹鳟鱼在入口入口对粘液虫的免疫反应共同感染的知识,支持对这些宿主-寄生虫相互作用的更好理解。
    UNASSIGNED: Little is known about the proteomic changes at the portals of entry in rainbow trout after infection with the myxozoan parasites, Myxobolus cerebralis, and Tetracapsuloides bryosalmonae. Whirling disease (WD) is a severe disease of salmonids, caused by the myxosporean M. cerebralis, while, proliferative kidney disease (PKD) is caused by T. bryosalmonae, which instead belongs to the class Malacosporea. Climate change is providing more suitable conditions for myxozoan parasites lifecycle, posing a high risk to salmonid aquaculture and contributing to the decline of wild trout populations in North America and Europe. Therefore, the aim of this study was to provide the first proteomic profiles of the host in the search for evasion strategies during single and coinfection with M. cerebralis and T. bryosalmonae.
    UNASSIGNED: One group of fish was initially infected with M. cerebralis and another group with T. bryosalmonae. After 30 days, half of the fish in each group were co-infected with the other parasite. Using a quantitative proteomic approach, we investigated proteomic changes in the caudal fins and gills of rainbow trout before and after co-infection.
    UNASSIGNED: In the caudal fins, 16 proteins were differentially regulated post exposure to M. cerebralis, whereas 27 proteins were differentially modulated in the gills of the infected rainbow trout post exposure to T. bryosalmonae. After co-infection, 4 proteins involved in parasite recognition and the regulation of host immune responses were differentially modulated between the groups in the caudal fin. In the gills, 11 proteins involved in parasite recognition and host immunity, including 4 myxozoan proteins predicted to be virulence factors, were differentially modulated.
    UNASSIGNED: The results of this study increase our knowledge on rainbow trout co-infections by myxozoan parasites and rainbow trout immune responses against myxozoans at the portals of entry, supporting a better understanding of these host-parasite interactions.
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  • 文章类型: Journal Article
    苔藓三叶草是一种内寄生虫,感染多种沙门氏菌并引起增殖性肾脏疾病(PKD)。棕鳟鱼充当载体宿主,而虹鳟鱼代表死胡同宿主。因此,我们询问寄生虫是否通过改变分子机制来适应不同的宿主。我们使用荧光激活细胞分选(FACS)从实验性感染T.bryosalmonae的棕鳟鱼和虹鳟鱼的肾脏中分离出寄生虫。然后对分选的寄生虫细胞进行RNA测序。通过这种方法,我们确定了1120种寄生虫转录本,它们在来自褐鳟鱼和虹鳟鱼的寄生虫中差异表达。我们发现与细胞骨架组织有关的转录水平升高,细胞极性,从鳟鱼中分选的寄生虫中的肽基丝氨酸磷酸化。相比之下,与翻译有关的成绩单,核糖核蛋白复合物的生物发生和亚基组织,非膜结合细胞器组装,在虹鳟鱼来源的寄生虫中,蛋白质分解代谢过程和蛋白质重折叠的调节被上调。这些发现显示了寄生虫的独特分子适应,这可能是他们在两个宿主中不同结果的基础。此外,这些差异表达的转录物的鉴定可以使得能够鉴定新的药物靶标,这些靶标可以用作针对苔藓沙门氏菌的治疗。我们在这里还首次描述了基于FACS的从受感染的鱼类肾脏中分离苔藓沙门氏菌细胞如何促进研究,并允许定义载体和死胡同鱼类宿主中差异表达的寄生虫转录本。
    Tetracapsuloides bryosalmonae is a malacosporean endoparasite that infects a wide range of salmonids and causes proliferative kidney disease (PKD). Brown trout serves as a carrier host whereas rainbow trout represents a dead-end host. We thus asked if the parasite adapts to the different hosts by changing molecular mechanisms. We used fluorescent activated cell sorting (FACS) to isolate parasites from the kidney of brown trout and rainbow trout following experimental infection with T. bryosalmonae. The sorted parasite cells were then subjected to RNA sequencing. By this approach, we identified 1120 parasite transcripts that were expressed differentially in parasites derived from brown trout and rainbow trout. We found elevated levels of transcripts related to cytoskeleton organisation, cell polarity, peptidyl-serine phosphorylation in parasites sorted from brown trout. In contrast, transcripts related to translation, ribonucleoprotein complex biogenesis and subunit organisation, non-membrane bounded organelle assembly, regulation of protein catabolic process and protein refolding were upregulated in rainbow trout-derived parasites. These findings show distinct molecular adaptations of parasites, which may underlie their distinct outcomes in the two hosts. Moreover, the identification of these differentially expressed transcripts may enable the identification of novel drug targets that may be exploited as treatment against T. bryosalmonae. We here also describe for the first time how FACS based isolation of T. bryosalmonae cells from infected kidney of fish fosters research and allows to define differentially expressed parasite transcripts in carrier and dead-end fish hosts.
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  • 文章类型: Journal Article
    免疫的异质性发生在许多疾病系统中,来自同一人群的个体具有不同的疾病结果。苔藓四肽引起的增殖性肾脏疾病(PKD),是一种持续的寄生虫病,对野生和养殖的鲑鱼都产生了负面影响。对PKD如何在野生易感人群中传播或维持知之甚少。我们调查了大部分被忽视的鱼类疾病的一个方面,也就是说,宿主表型异质性在疾病结局中的作用。我们检查了宿主对苔藓沙门氏菌感染的易感性,疾病PKD,不同的感染生活史阶段,以及幼稚之间的差异,重新感染和持续感染的宿主。我们调查了(a)不同年龄和(b)异质性感染生活史的宿主表型对寄生虫暴露的反应。在(a)年龄表型中,是年幼鱼(YOY)和幼鱼1(年龄超过1岁的鱼),对于(b)幼年1+感染的幸存者要么重新暴露于寄生虫,要么不重新暴露于寄生虫,反应表型根据感染状态进行事后分配。在未重新暴露的鱼中,这包括清除感染(CI)或持续感染(PI)的鱼。在重新暴露的鱼类中,这些包括重新感染的鱼类(RI),或重新暴露和未感染(RCI)。我们评估了两种以寄生虫为中心的(感染患病率,寄生虫负担,malacospore传播)和以寄主为中心的参数(生长速率,疾病严重程度,感染耐受性和免疫反应)。在(a)中,YOY鱼,寄生虫成功和疾病严重程度更大,免疫反应发生了差异,表明老年鱼类易感性的个体发育下降。在(b)中,在PI和RI鱼中,寄生虫成功和疾病严重程度相当。然而,几种适应性免疫标记在RI鱼中的表达更高,表明伴随免疫,因为再次暴露并没有加剧感染.我们证明了感染生活史的异质性与疾病结果的相关性,并描述了该模型中先前未报道的免疫个体发育和保护性免疫的几个独特特征。这些主题在人口水平上的相关性需要在许多水生疾病系统中进行更多的研究,以产生更清晰的框架来了解水生病原体的传播和维持。
    Heterogeneity in immunity occurs across numerous disease systems with individuals from the same population having diverse disease outcomes. Proliferative kidney disease (PKD) caused by Tetracapsuloides bryosalmonae, is a persistent parasitic disease negatively impacting both wild and farmed salmonids. Little is known of how PKD is spread or maintained within wild susceptible populations. We investigated an aspect of fish disease that has been largely overlooked, that is, the role of the host phenotypic heterogeneity in disease outcome. We examined how host susceptibility to T. bryosalmonae infection, and the disease PKD, varied across different infection life-history stages and how it differs between naïve, re-infected and persistently infected hosts. We investigated the response to parasite exposure in host phenotypes with (a) different ages and (b) heterogeneous infection life histories. Among (a) the age phenotypes were young-of-the-year (YOY) fish and juvenile 1+ fish (fish older than one) and, for (b) juvenile 1+ infection survivors were either re-exposed or not re- exposed to the parasite and response phenotypes were assigned post-hoc dependant on infection status. In fish not re-exposed this included fish that cleared infection (CI) or had a persistent infection (PI). In fish re-exposed these included fish that were re-infected (RI), or re-exposed and uninfected (RCI). We assessed both parasite-centric (infection prevalence, parasite burden, malacospore transmission) and host-centric parameters (growth rates, disease severity, infection tolerance and the immune response). In (a), YOY fish, parasite success and disease severity were greater and differences in the immune response occurred, demonstrating an ontogenetic decline of susceptibility in older fish. In (b), in PI and RI fish, parasite success and disease severity were comparable. However, expression of several adaptive immunity markers was greater in RI fish, indicating concomitant immunity, as re-exposure did not intensify infection. We demonstrate the relevance of heterogeneity in infection life history on disease outcome and describe several distinctive features of immune ontogeny and protective immunity in this model not previously reported. The relevance of such themes on a population level requires greater research in many aquatic disease systems to generate clearer framework for understanding the spread and maintenance of aquatic pathogens.
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  • 文章类型: Comparative Study
    Diagnostic accuracy of pathogen detection depends upon the selection of suitable tests. Problems can arise when the selected diagnostic test gives false-positive or false-negative results, which can affect control measures, with consequences for the population health. The aim of this study was to compare sensitivity of different diagnostic methods IHC, PCR and qPCR detecting Tetracapsuloides bryosalmonae, the causative agent of proliferative kidney disease in salmonid fish and as a consequence differences in disease prevalence. We analysed tissue from 388 salmonid specimens sampled from a recirculating system and rivers in the Czech Republic. Overall prevalence of T. bryosalmonae was extremely high at 92.0%, based on positive results of at least one of the above-mentioned screening methods. IHC resulted in a much lower detection rate (30.2%) than both PCR methods (qPCR32: 65.4%, PCR: 81.9%). While qPCR32 produced a good match with IHC (60.8%), all other methods differed significantly (p < .001) in the proportion of samples determined positive. Both PCR methods showed similar sensitivity, though specificity (i.e., the proportion of non-diseased fish classified correctly) differed significantly (p < .05). Sample preservation method significantly (p < .05) influenced the results of PCR, with a much lower DNA yield extracted from paraffin-embedded samples. Use of different methods that differ in diagnostic sensitivity and specificity resulted in random and systematic diagnosis errors, illustrating the importance of interpreting the results of each method carefully.
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  • 文章类型: Journal Article
    苔藓四肽,粘液虫体内寄生虫,在鲑鱼中引起增殖性肾脏疾病。苔藓沙门氏菌的生命周期发生在无脊椎动物苔藓虫和脊椎动物鱼类宿主之间。苔藓沙门氏菌在殖民地苔藓虫的体腔中发育,孢子从成熟的孢子囊释放到水中,可能通过前庭孔,并通过附着在鱼的g上感染鱼。然而,对这种重要寄生虫的转录组知之甚少,这阻碍了研究宿主-寄生虫相互作用的分子机制和理解寄生虫生物学。为了规避这一限制,我们在苔藓沙门氏菌的囊上进行了从头转录组组装,从受感染的苔藓虫中收集。总共获得了1.115亿个过滤的配对末端读段,并组装成25,908个重叠群,对应于功能注释的推定转录本。在NCBI非冗余数据库中,超过50%的组装转录本(13,071个重叠群)具有显着的命中。基于基因本体注释,重叠群的分子功能得分最高的类别与苔藓的结合和催化活性有关。本研究提供了苔藓沙门氏菌的转录组的全球概述,这将是鉴定毒力因子的宝贵资源,基因发现,基因组注释,和疫苗开发应用。该数据可通过NCBIBioProject(PRJNA680464)获取。
    Tetracapsuloides bryosalmonae, a myxozoan endoparasite, causes proliferative kidney disease in salmonids. The life cycle of T. bryosalmonae occurs between invertebrate bryozoan and vertebrate fish hosts. T. bryosalmonae develops in the body cavity of colonial bryozoan and spores are released from mature spore sacs into the water likely through the vestibular pore and infect fish by attaching to their gills. However, very little is known about the transcriptome of this important parasite, which hampers studies into the molecular mechanisms of host-parasite interactions and understanding the parasite biology. In order to circumvent this limitation, we performed de novo transcriptome assembly on the sacs of T. bryosalmonae, collected from infected bryozoan Fredericella sultana. A total of 111.5 million filtered paired-end reads was obtained and assembled into 25,908 contigs corresponding to putative transcripts that were functionally annotated. More than 50% of the assembled transcripts (13,071 contigs) had a significant hit in NCBI non-redundant database. Based on Gene ontology annotation, the most highly scored categories of molecular function of the contigs were related to binding and catalytic activities in T. bryosalmonae. This study provides a global overview of the T. bryosalmonae transcriptome that will be a valuable resource for identifying virulence factors, gene discovery, genome annotation, and vaccine development applications. This data is accessible via NCBI BioProject (PRJNA680464).
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  • 文章类型: Journal Article
    增生性肾脏疾病(PKD)是一种新出现的鲑鱼疾病,随着水温的升高而加剧。它的病原体,苔藓虫类寄生虫,利用淡水苔藓虫作为主要宿主,鲑鱼作为中间宿主。我们的实验表明,控制感染性软化孢子的暴露浓度对鱼类宿主的疾病结局的影响相对较小。在这项研究中,褐鳟鱼(Salmotrutta)暴露于三种不同的暴露浓度的苔藓沙门氏菌malacosores:(a)单一的低寄生虫浓度(LC),(b)单个高寄生虫浓度(HC)和(c)低浓度的三倍(重复暴露,RE).定量了鱼宿主中的寄生虫动力学和鱼malacospores的释放,并评估了鱼肾脏的组织病理学以确定PKD的发病机理。在研究过程中,LC组的感染率始终低于其他组。虽然LC组的寄生虫增殖阶段较慢,不同治疗组的最大寄生虫负荷没有显著差异.鱼肉孢子释放的开始(暴露后第45天),通过检测水箱水中的苔藓沙门氏菌DNA表明,发生在所有组的同一时间点。在LC治疗中观察到肾脏病理发展的强度降低,表明疾病严重程度较低。虽然LC治疗导致几个感染参数(感染患病率,寄生虫增殖,释放的总鱼肉孢子),总体差异很小。对于大多数参数,RE和HC治疗结果具有可比性。我们的结果表明,反复暴露,就像夏天在野外可能发生的那样,与孢子的实际浓度相比,在PKD作为一种新出现的传染病的动力学中起着更重要的作用。
    Proliferative kidney disease (PKD) is an emerging disease of salmonids, which is exacerbating with increasing water temperature. Its causative agent, the myxozoan parasite Tetracapsuloides bryosalmonae, exploits freshwater bryozoans as primary hosts and salmonids as intermediate hosts. Our experiments showed that the manipulation of exposure concentrations of infective malacospores had relatively minor impacts for the disease outcomes in the fish host. In this study, brown trout (Salmo trutta) were exposed to three different exposure concentrations of T. bryosalmonae malacospores: (a) a single low parasite concentration (LC), (b) a single high parasite concentration (HC) and (c) three times a low concentration (repeat exposure, RE). Parasite dynamics in the fish host and release of fish malacospores were quantified and fish kidney histopathology was evaluated to determine PKD pathogenesis. Infection prevalence was always lower in the LC group than in the other groups over the course of the study. While the parasite proliferation phase was slower in the LC group, the maximum parasite burden did not differ significantly amongst treatments. The onset of fish malacospore release (day 45 post-exposure), indicated by detection of T. bryosalmonae DNA in the tank water, occurred at the same time point for all groups. Reduced intensity of kidney pathological development was observed in the LC treatment indicating lower disease severity. While the LC treatment resulted in reduced outcomes across several infection parameters (infection prevalence, parasite proliferation, total fish malacospores released), the overall differences were small. The RE and HC treatment outcomes were for most parameters comparable. Our results suggest that repeated exposure, as is likely to occur in the wild during the summer months, might play a more important role in the dynamics of PKD as an emerging infectious disease than the actual concentration of spores.
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  • 文章类型: Journal Article
    背景:沙门氏菌肾杆菌和分枝杆菌。是鱼类的重要细菌病原体。沙门氏菌是细菌性肾脏疾病的病原体,一种革兰氏阳性细菌,主要导致鲑鱼的慢性感染,虽然属于分枝杆菌属的多个物种与鱼类和人类的分枝杆菌病有关。这项研究的目的是确定这两种细菌病原体在四条河流(坎普,Wulka,特劳恩和Ybbs)在奥地利。
    结果:使用巢式和常规PCR以及在KDM-2上的细菌培养,组织学检查和免疫组织化学检查了总共457个肾脏样品的细菌病原体。分子证据显示,2017年沙门氏菌的患病率估计为0.94%,而2018年未检测到该细菌,组织学显示与感染鱼肾脏中低水平慢性炎症一致。同样,2017年未发现分枝杆菌阳性的鱼类,但2018年,在坎普河的患病率为37.03%(所有河流的患病率为4.08%).测序数据证实这些鱼携带分枝杆菌。尽管无法确定分枝杆菌的确切种类。
    结论:这项调查构成了对沙门氏菌和分枝杆菌流行率的首次了解。在奥地利的野生褐鳟鱼(Salmotruttafario)种群中。这两种病原体仅在夏季(6月和7月)检测到,这可能表明,与水温升高相关的压力可能是压力源因素,并导致这些疾病的爆发。鱼的年龄也可能起作用,特别是在分枝杆菌的情况下。因为所有受感染的鱼都在他们的第一个夏天(六月)。
    BACKGROUND: Renibacterium salmoninarum and Mycobacterium sp. are important bacterial pathogens of fish. R. salmoninarum is the causative agent of bacterial kidney disease, a Gram-positive bacterium mostly known for causing chronic infections in salmonid fish, while multiple species belonging to the Mycobacterium genus have been associated with mycobacteriosis in fish as well as in human. The objective of this study was to determine the prevalence of these two bacterial pathogens in populations of wild brown trout (Salmo trutta fario) in four rivers (Kamp, Wulka, Traun and Ybbs) in Austria.
    RESULTS: A total of 457 kidney samples were examined for both bacterial agents using nested and conventional PCR as well as bacterial cultivation on KDM-2, histological examination and immunohistochemistry. Molecular evidence showed an estimated prevalence level of 0.94% for R. salmoninarum in 2017 while the bacterium could not be detected in 2018 and histology showed signs consistent with a low-level chronic inflammation in the kidney of infected fish. Similarly, no fish were found positive for Mycobacterium in 2017 but in 2018, the prevalence was found to be 37.03% in the Kamp river (4.08% across all rivers). The sequencing data confirmed that these fish carried Mycobacterium sp. although the precise species of Mycobacterium could not be ascertained.
    CONCLUSIONS: This survey constitutes the first insight into the prevalence rate of R. salmoninarum and Mycobacterium sp. in wild brown trout (Salmo trutta fario) populations in Austria. Both of these pathogens were only detected in the summer months (June and July), which might suggest that the stress linked to increased water temperature could act as stressor factor and contribute to the outbreak of these diseases. The age of the fish might also play a role, especially in the case of Mycobacterium sp. as all the infected fish were in their first summer (June).
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  • 文章类型: Journal Article
    苔藓三叶草是一种粘液虫寄生虫,可在多种沙门氏菌中引起增殖性肾脏疾病(PKD)。PKD,具有高死亡率和高发病率的特点,以影响欧洲和北美的水产养殖作业和野生鲑鱼种群而闻名。苔藓沙门氏菌的生命周期围绕淡水苔藓虫和鲑鱼宿主。近年来,据报道,欧洲国家的野生沙门氏菌中存在苔藓沙门氏菌。苔藓沙门氏菌被认为是许多欧洲国家自然水体中野生鲑鱼种群减少的可能原因。气候危机驱动的水温升高可以进一步加速苔藓的分布。苔藓沙门氏菌地理分布的扩大可能进一步倡导野生鲑鱼种群的减少,尤其是栖息地的褐鳟鱼(Salmotrutta)。数学模型用于了解自然水体中寄主中苔藓沙门氏菌的格局和分布。本手稿不仅总结了野生沙门氏菌种群中苔藓沙门氏菌的发生率,还讨论了当代对苔藓沙门氏菌在其宿主中的发育以及各种因素在野外传播中的影响的理解。
    Tetracapsuloides bryosalmonae is a myxozoan parasite responsible for proliferative kidney disease (PKD) in a wide range of salmonids. PKD, characterized by high mortality and morbidity, is well known for affecting aquaculture operations and wild salmonid populations across Europe and North America. The life cycle of T. bryosalmonae revolves around freshwater bryozoan and salmonid fish hosts. In recent years, T. bryosalmonae has been reported among wild salmonids from the European countries where it has not been reported previously. T. bryosalmonae is believed to be a possible reason for the diminishing wild salmonid populations in the natural water bodies of many European countries. Climate crisis driven rising water temperature can further accelerate the distribution of T. bryosalmonae. Expansion of the geographical distribution of T. bryosalmonae may further advocate the decline of wild salmonid populations, especially brown trout (Salmo trutta) in their habitats. Mathematical models are used to understand the pattern and distribution of T. bryosalmonae among the host in the natural water bodies. The present manuscript not only summarizes the incidences of T. bryosalmonae among the wild salmonid populations, but also discusses the contemporary understanding about the development of T. bryosalmonae in its hosts and the influences of various factors in the spread of the disease in the wild.
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  • 文章类型: Journal Article
    The number of fish as pets far exceeds the populations of any other companion animal. As our knowledge of aquatic animal species and aquatic animal medicine continues to expand, veterinary expertise is becoming more critical to the client, researcher, fisheries biologist, aquarist, farmer, and fish hobbyist. Similar to other vertebrates, fish are susceptible to infectious and noninfectious renal disease. This article compares vertebrate renal anatomy and physiology and highlights some renal disease examples.
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  • 文章类型: Journal Article
    Proliferative kidney disease (PKD) is an emerging disease of salmonids caused by the myxozoan parasite Tetracapsuloides bryosalmonae, which plays a major role in the decrease of wild brown trout (Salmo trutta) populations in Switzerland. Strong evidence demonstrated that water temperature modulates parasite infection. However, less knowledge exists on how seasonal water temperature fluctuations influence PKD manifestation under field conditions, how further environmental factors such as water quality may modulate the disease, and whether these factors coalesce with temperatures role possibly giving rise to cumulative effects on PKD. The aims of this study were to (1) determine the correlation between seasonal course of water temperature and PKD prevalence and intensity in wild brown trout populations, (2) assess if other factors such as water quality or ecomorphology correlate with the infection, and (3) quantitatively predict the implication of these factors on PKD prevalence with a statistical model. Young-of-the-year brown trout were sampled in 45 sites through the Canton of Vaud (Switzerland). For each site, longitudinal time series of water temperature, water quality (macroinvertebrate community index, presence of wastewater treatment plant effluent) and ecomorphological data were collected and correlated with PKD prevalence and intensity. 251 T. bryosalmonae-infected trout of 1,118 were found (overall prevalence 22.5%) at 19 of 45 study sites (42.2%). Relation between PKD infection and seasonal water temperature underlined that the mean water temperature for June and the number of days with mean temperature ≥15°C were the most significantly correlated parameters with parasite prevalence and intensity. The presence of a wastewater treatment plant effluent was significantly correlated with the prevalence and infection intensity. In contrast, macroinvertebrate diversity and river ecomorphology were shown to have little impact on disease parameters. Linear and logistic regressions highlighted quantitatively the prediction of PKD prevalence depending on environmental parameters at a given site and its possible increase due to rising temperatures. The model developed within this study could serve as a useful tool for identifying and predicting disease hot spots. These results support the importance of temperature for PKD in salmonids and provides evidence for a modulating influence of additional environmental stress factors.
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