Please cite this article in press as: Moreno, I., et al., Detection of anti-Leishmania infantum antibodies in sylvatic lago-
morphs from an epidemic area of Madrid using the indirect immunofluorescence antibody test. Vet. Parasitol. (2013),
http://dx.doi.org/10.1016/j.vetpar.2013.10.010
ARTICLE IN PRESS
G Model
VETPAR-7002; No. of Pages 4
Veterinary Parasitology xxx (2013) xxx–xxx
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Veterinary Parasitology
jo u r nal homep age: www.elsevier.com/locate/vetpar
Short Communication
Detection of anti-Leishmania infantum antibodies in sylvatic
lagomorphs from an epidemic area of Madrid using the
indirect immunofluorescence antibody test
Inmaculada Moreno
a
, Julio Álvarez
b
, Nerea García
c
, Santiago de la Fuente
d
,
Irene Martínez
c
, Eloy Marino
d
, Alfredo Tora ˜ no
a,∗
, Joaquin Goyache
e
,
Felipe Vilas
d
, Lucas Domínguez
c,e
, Mercedes Domínguez
a
a
Área de Inmunología, Unidad de Inmunología Microbiana e Inmunogenética, Instituto de Salud Carlos III, Mahadahonda,
28220 Madrid, Spain
b
Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, Spain
c
Centro de Vigilancia Sanitaria Veterinaria (VISAVET), Universidad Complutense Madrid, 28040 Madrid, Spain
d
Dirección General de Ordenación e Inspección, Consejería de Sanidad de la Comunidad de Madrid, 28001 Madrid, Spain
e
Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense Madrid, 28040 Madrid, Spain
a r t i c l e i n f o
Article history:
Received 3 May 2013
Received in revised form 7 October 2013
Accepted 15 October 2013
Keywords:
Leishmaniosis
Immunofluorescence
Incidental reservoirs
Hare
Anti-Leishmania antibodies
Promastigote epitope expression
a b s t r a c t
An outbreak of human leishmaniosis was confirmed in the southwest of the province of
Madrid, Spain, between July 2009 and December 2012. Incidence of Leishmania infection
in dogs was unchanged in this period, prompting a search for alternative sylvatic infec-
tion reservoirs. We evaluated exposure to Leishmania in serum samples from animals in
the area with an indirect immunofluorescence test (IFAT). Using promastigotes from six
culture passages and a 1/25 threshold titer, we found anti-Leishmania infantum seroreac-
tivity in 9.3% of cats (4 of 43), 45.7% of rabbits (16/35) and 74.1% of hares (63/85). Use of
promastigotes from >10 in vitro passages resulted in a notably IFAT lower titer, suggesting
antigenic changes during extended culture. Postmortem inspection of seropositive animals
showed no clinical signs of infection. The results clearly suggest that asymptomatic hares
were the main reservoir in the outbreak, and corroborate IFAT as a sensitive serological
surveillance method to detect such cryptic Leishmania infections.
© 2013 Elsevier B.V. All rights reserved.
The leishmanioses are a group of vector-borne diseases
caused by parasites of the genus Leishmania (Ba˜ nuls et al.,
2007). Infection is transmitted through the bite of infected
phlebotomine sandflies which inoculate promastigotes in
host skin while probing for a blood meal (Bates, 2007). Most
leishmanioses are zoonotic, and in rural areas Leismania
maintains persistent foci by preferentially infecting cer-
tain mammalian hosts as primary, or infection reservoirs
(Ashford, 1996). Depending on environmental condi-
tions, Leishmania can perpetuate their endemic cycle by
∗
Corresponding author. Tel.: +34 91 822 3610; fax: +34 91 822 3423.
E-mail address: atorano@isciii.es (A. Tora ˜ no).
infecting other hosts, termed incidental or secondary reser-
voirs, which act as “liaisons” with the final host in the
transmission chain (Ashford, 2003).
In Mediterranean countries, the Americas, the Mid-
dle East and China, Leishmania infantum is the etiological
agent of visceral and cutaneous leishmaniosis (Boelaert
et al., 2000). In most areas where L. infantum is endemic,
dogs are the main peridomestic reservoir (Baneth et al.,
2008), although mammals other than dogs can be natu-
rally infected and can have a role as secondary reservoirs
(Gramiccia, 2011); in the Iberian peninsula, these include
the black rat (Morillas Márquez et al., 1985), horse (Solano-
Gallego et al., 2003), cat (Martín-Sánchez et al., 2007;
Ayllón et al., 2008, 2012), red fox (Criado-Fornelio et al.,
0304-4017/$ – see front matter © 2013 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.vetpar.2013.10.010