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Tropical Animal Health and Production

https://doi.org/10.1007/s11250-020-02203-y

REGULAR ARTICLES

High frequency of seropositive and carriers of Leptospira spp. in pigs


in the semiarid region of northeastern Brazil
Juciê Jales Fernandes 1 & João Pessoa Araújo Júnior 2 & Camila Dantas Malossi 2 & Leila Sabrina Ullmann 2 &
Diego Figueiredo da Costa 1 & Maria Luana Cristiny Rodrigues Silva 1 & Clebert José Alves 1 & Sergio Santos de Azevedo 1 &
Severino Silvano dos Santos Higino 1

Received: 16 April 2019 / Accepted: 11 January 2020


# Springer Nature B.V. 2020

Abstract
Carrier animals are considered key in the transmission cycle of leptospirosis. Although investigations have been carried out on
several species, the role of pigs in the epidemiology of the disease is still poorly studied in the semi-arid region. Thus, the
objective of this study was to determine the presence of Leptospira spp. in the genitourinary tract of pigs intended for slaughter.
Fifty pigs were used: adults and unvaccinated. Samples of the kidney, urine, and vaginal fluid were collected for the molecular
detection of Leptospira spp. and blood samples for the serological test. The molecular test was performed using the polymerase
chain reaction (PCR), and the serological test was performed with the microscopic agglutination test (MAT). Samples with DNA
amplification were submitted to genetic sequencing. Twenty (40%) animals were found with anti-Leptospira spp. antibodies, and
the majority of the reactions (50%) occurred for the serogroup Tarassovi. Leptospiral DNA was found in the tissue of 11 (22%)
pigs. The gene from a urine sample was sequenced and showed similarity to L. borgpetersenii. The results evidenced a high rate
of porcine carriers; therefore, they appear to be important sources of agent infection, being potential transmitters of the disease to
other animal species and man.

Keywords Leptospirosis . Genital carriers . Slaughterhouses . Pigs

Introduction genitals during the chronic phase of the disease (Figueiredo


et al. 2013b). Pigs are considered maintenance hosts for the
Leptospirosis is one of the most widespread zoonoses in the Pomona, Bratislava, and Tarassovi serovars, as well as acci-
world (Loffler et al. 2014), being considered endemic in Latin dental hosts of the serovars Icterohaemorrhagiae, Canicola,
America and responsible for broad losses in livestock (Adler Autumnalis, Hardjo, and Grippotyphosa (Gonçalves and
2015). Several domestic and wild animals are reservoirs of Costa 2011).
leptospirosis, which can also infect humans (Millán et al. The microscopic agglutination test (MAT) is the technique
2009). Its occurrence is directly related to environmental fac- most used for the diagnosis (Soto et al. 2007), as it is recom-
tors and the presence of reservoirs, such as rodents and wild mended by the World Organization for Animal Health (OIE
animals (Adler and Moctezuma 2010). 2014). Surveys in pigs in Brazil showed frequencies ranging
In pigs the infection is most often subclinical, leading to from 4.7% in Maranhão (Gonçalves et al. 2011), 16.5% in São
large losses due to reproductive failures, which may be due to Paulo (Azevedo et al. 2006) to 78.6% in Rio Grande do Norte
fetal infection during the acute phase and also to lesions in the (Leite et al. 2018). In Paraíba state, northeastern Brazil, there
are epidemiological surveys in sheep (Costa et al. 2017;
Higino et al. 2010; Silva and Alves 2015), goats (Higino
et al. 2012), and cattle (Pimenta et al. 2014). In swine, the
* Severino Silvano dos Santos Higino
higinosss@gmail.com disease is still poorly studied in the region, especially the role
of carrier in these animals, but serological surveys have al-
1
Federal University of Campina Grande (UFCG), Av. Universitária, ready been carried out, in which Azevedo et al. (2008) and
no number, Santa Cecília, Patos, Paraíba, Brazil Figueiredo et al. (2013a) found frequencies of 33.6% and
2
Paulista State University (Unesp), Botucatu, Brazil 14.6%, respectively.
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Indirect tests with MAT may become less sensitive due to Vaginal fluid was collected by sterile swabs and both samples
the absence of detectable levels of serum antibodies, so that were frozen at − 20 °C until processing.
direct diagnostic techniques like PCR that detect the DNA of
the microorganism are being increasingly used because of the Serological test
sensitivity and practicality that other techniques not present
(Hamond et al. 2014). PCR can identify the leptospiral DNA The presence of anti-Leptospira spp. antibodies was determined
even if these microorganisms are already lysed (Lilenbaum by the microscopic agglutination test (MAT), as recommended
et al. 2008a, b), so this is an important tool for the diagnosis by the World Organization for Animal Health (OIE 2014). A
of the disease and epidemiological investigations (Soto et al. collection of live antigens containing 20 serovars: Castellonis,
2007; Lilenbaum et al. 2008a, b). Most of the investigations of Tarassovi, Australis, Bataviae, Bratislava, Guaricura, Panama,
swine carriers using the PCR technique were carried out in Hebdomadis, Canicola, Grippotyphosa, Copenhageni, Hardjo,
other regions of Brazil, such as Shimabukuro et al. (2003) in Pomona, Icterohaemorrhagiae, Pomona From, Djasiman,
São Paulo, Oliveira et al. (2007) in Rio Grande do Sul, Wolffi, Shermani, Sejroe, and Autumnalis. All samples with
Miraglia et al. (2008) in São Paulo, and Gonçalves et al. binder activity at the 1:100 dilution were considered positive
(2014) in Rio de Janeiro; therefore, the carrier role of this and then serially titrated for a ratio of two. The highest titer
species in semiarid conditions is still little studied, which in obtained was used to identify the infecting serogroup.
fact limits the understanding of the epidemiology of the
disease. Molecular detection and phylogenetic analysis
Carrier animals are considered key in the transmission cy-
cle of leptospirosis (Lilenbaum et al. 2008a, b). Some studies DNA in urine, vaginal fluid, and renal tissue was extracted
have pointed out other species that carry the agent in the semi- using the Dneasy Blood and Tissue Kit (Qiagen, Hilden,
arid region, such as cattle (Oliveira et al. 2016) and sheep Germany), following the manufacturer’s recommendations.
(Director et al. 2014; Silva et al. 2019), but data on the disease The polymerase chain reaction (PCR) was performed as previ-
in pigs are still scarce. Thus, the objective of the present study ously described by Hamond et al. (2014). The LipL 32-45F (5′-
was to detect the presence of antibodies against Leptospira AAG CAT TAC CGC TGG TG-3′) and Lip L 32-286R (5′-
spp. and the DNA of the agent in slaughtered pigs in the GAA CTC CCA TTT CAG CGA TT-3 ′) primers, designed by
Brazilian semiarid region. Stoddard et al. (2009), were used to amplify the gene LipL32,
which is specific for pathogenic leptospires. The L. interrogans
serogroup Pomona and serovar Kennewicki was used as posi-
Material and methods tive control, and ultrapure water as negative control.
A phylogenetic tree was generated using the o software
Study area and sample collection Seaview4 (Gouy et al. 2010). Phylogenetic trees were con-
structed based on the maximum-likelihood (ML) method with
The study was carried out in the public slaughterhouse of the 1000 bootstraps, model General Time Reversal GTR, using
municipality of Brejo do Cruz, state of Paraíba, an area inserted PhyML. Trees were visualized in FigTree v1.4.3 (http://tree.
in the Brazilian semiarid. According to the climatic classifica- bio.ed.ac.uk/). The phylogenetic reconstruction program
tion of Köppen and Geiger (1928), the region is characterized included sequences from Leptospira spp. for comparison.
by the climate of the type (BSh). The collections were carried
out between November 2016 and March 2017. The period is
corresponding to the end of the dry season and beginning of the Results
rainy season, but in this occasion the region was undergoing
extensive drought. The production system in the region is char- MAT has detected anti-Leptospira spp. antibodies in the se-
acterized by family subsistence creations where there is no rum of 20 (40%) pigs, and PCR identified the leptospiral DNA
effective sanitary control. Samples were collected from 50 un- in 11 (22%) animals. Only three (6%) animals were positive
vaccinated adult pigs, 22 males and 28 females. Blood, urine, for the two techniques, 17 (34%) positive animals in MAT and
kidney, and vaginal fluid samples were collected. Blood was negative PCR, and 8 (16%) positive in PCR and negative in
collected at the time of bleeding in 10-mL tubes without anti- MAT (Table 1).
coagulant, and after centrifugation the serum was stored at − The most frequent serogroup was Tarassovi (50%), follow-
20 °C until the serological test was performed. The urine was ed by Australis (25%), Pomona (15%), Bataviae (5%), and
collected by direct puncture of the bladder using sterile syrin- Icterohaemorrhagiae (5%), with titers varying between 100
ges, then deposited in microtubes and stored at − 20 °C. and 400, as shown in Chart 1.
Samples of renal tissue, approximately 1 g, were collected The DNA of Leptospira spp. was found in eight (29.6%)
using surgical scissors and sterile anatomical tweezers. urine samples, two (5.1%) kidneys, and three (12%) vaginal
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Table 1 Relationship of positive animals according to the diagnostic 2011), 16.1% (Valença et al. 2013), and 4.7% (Gonçalves
technique, for swine slaughtered in the semi-arid region, Brazil
et al. 2011). In the state of Paraíba, 33.6% (Azevedo et al.
MAT PCR Total 2008) and 14.6% (Figueiredo et al. 2013a) of pigs tested pos-
itive. Thus, it is evidenced that even with several years of rain
Positive Negative scarcity in the State, which prevented the formation of ade-
Positive 3 (6%) 17 (34%) 20 (40%)
quate environments for the presence of bacteria, it remains
being maintained among the animals of the region. Other fac-
Negative 8 (16%) 22 (44%) 30 (60%)
tors may be contributing to this reality, such as the fact that
Total 11 (22%) 29 (58%) 50 (100%)
swine breeding in the region is characterized mainly by clan-
destine creations, absent from adequate management and san-
fluid samples (Table 2). PCR positive samples of kidney were itary conditions, where the animals are fed with all type of
also positive in urine, so of the eight positive animals in the organic material and have greater possibility of contact with
urine, five were negative in the kidney PCR and one of them other reservoirs. The conditions of the extensive creations lead
could not be verified. Positive animals in vaginal fluid PCR to greater predisposition (Campos et al. 2011), because man-
did not present positive reactions in the kidney or urine. agement failure and contact with other animals are important
A positive sample from urine was sequenced, and a 260- risk factors (Leite et al. 2018).
nucleotide fragment in phylogenetic analysis showed identity The pigs are adapted to the main serogroups found
with Leptospira borgpetersenii sequences (Fig. 1). (Tarassovi, Australis, and Pomona) (Gonçalves and Costa
2011; Strutzberg-Minder and Kreienbrock 2011; Leite et al.
2018), and thus, even if they do not develop clinical signs,
they are disseminating the agent, making it possible to infect
Discussion the pigs themselves and other animal species. Favero et al.
(2002) already indicated an evolution in the change of the
The frequency of anti-Leptospira spp. antibodies of 40% was serological profile in swine, in which the reactions by the
elevated in comparison with other studies, 25.6% (Cavalcanti serogroup Icterohaemorrhagiae would exceed the Pomona,

Chart 1 The serogroups found


and their respective titers of anti-
Leptospira sp. antibodies in swine
slaughtered in semi-arid region,
Brazil
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Table 2 Frequency of positive samples by PCR according to the organ used, for swine slaughtered in the semi-arid region, Brazil

Organ used for PCR Total number of samples Number of positive reactions Frequency (%) CI (95%) Sequencing

Urine 27 8 29.6 12.4–46.9 1


Vaginal fluid 25 3 12 4.2–30.0 –
Kidney 39 2 5.1 1.4–16.9 –

which has been verified in recent studies (Hashimoto et al. (2017), emphasizing the importance of associating the two
2008; Osava et al. 2010; Gonçalves et al. 2011; Leite et al. techniques for reliable diagnosis (Otaka et al. 2013).
2018), corroborating with Pinto et al. (2017) who in a system- The presence of PCR-pos/MAT-neg can be explained by
atic review found this serogroup as the most frequently report- the pathogenesis of the disease itself, where a gradual reduc-
ed in swine, thus allowing the possible participation of tion of antibodies occurs until the levels are low or undetect-
synanthropic rodents, which fosters the importance of control able (Latosinski et al. 2018). This fact can be well observed
of these hosts, since representatives of this serogroup are as- for serogroups adapted to the host, where the titers remain low
sociated with large reproductive losses in pigs in Brazil but with the agent present in the organism (Sakoda et al.
(Ramos et al. 2006), possibly because the creations in the 2012). The cut-off point used (1:100) may have been an im-
semi-arid are not technified, which would make intraspecific portant factor, in which animals with a lower concentration of
transmission difficult. There is great environmental depen- antibodies could not be detected; in addition the leptospiric
dence for the presence of the agent in the pigs (Figueiredo DNA detected in the PCR of some samples could belong to a
et al. 2013b), but in the present work a higher frequency of serogroup not included in the MAT. The most notable were
serogroups adapted to the species was observed, possibly be- MAT-pos/PCR-neg animals (17 animals) corroborating with
ing facilitated by means of direct contact, such as venereal other studies (Fornazari et al. 2012; Koizumi et al. 2013;
transmission and close contact with urine (Neibergs and Hamond et al. 2014).
Zanella 2010). For Benacer et al. (2017) the renal tissue can be limited to
The detection of (22%) positive animals by PCR is similar to conventional PCR if this material has high concentration of
the study of Santos et al. (2011) who diagnosed 19.44% using DNA from the host, which may explain the fact that, in this
the same technique. Some studies such as the ones from More paper, there were positive animals in urine PCR and negative
et al. (2017) and Oliveira et al. (2007) verified higher positivity in the kidney test. Another thing that can be considered is the
by molecular diagnosis and confirmed the higher sensitivity of fact that only a small fragment of the organ is collected; thus,
this technique compared with the MAT; however, in the current there is the possibility that the bacterium is not present in
study the highest positivity was through MAT, a fact that is sufficient concentration in this sample for its molecular
justified because just contact with the agent is enough for the detection, even though it is colonizing the kidney of the
production of antibodies to be induced, not specifically the animal. Vitale et al. (2005) found a greater number of positives
characterization of the carrier state or the infection itself. The through the urine, as well as in the present study, where eight
difference of reactive animals in serology and PCR has been (29.6%) urine samples were reagent.
followed in different studies independent of the animal species, The little positivity reaction in the kidney 2/39 (5.1%) was
as in Costa et al. (2017), Silva et al. (2019) and Sant’ana et al. also seen by Gonçalves et al. (2014), unlike studies in which

Fig. 1 The phylogenetic tree was Percentage and anbody ter


constructed by the Phy test, using
the GTR method. The analysis 7
included 260 nucleotides 6
sequences with the 1000
replicates in the bootstrap test. 5 Tarasssovi
(Black up-pointing triangle)
Reacons

Sequenced sample 4 Australis


Pomona
3
Bataviae
2 Icterohaemorrhagiae
1

0
100 (20%) 200 (55%) 400 (25%)
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Detection of pathogenic Leptospira spp. through TaqMan polymer-
tional claims in published maps and institutional affiliations.
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