Molecular Prevalence of Cryptosporidium spp. in Breeding Kennel Dogs

Cryptosporidium is a common intestinal protozoan in many mammals, including humans and dogs, with a recognized potential to cause pathogen digestive tract obstruction in hosts [1–3]. The genus Cryptosporidium comprises more than 20 different species and at least 30 genotypes [3–5]. It was previously thought that each Cryptosporidium spp. had a narrow host range and was adapted to a specific animal or group of closely related animals [5]. For example, C. hominis and C. canis are apparently adapted to humans and dogs, respectively [3,4]. However, recently, it was demonstrated that some Cryptosporidium spp., such as C. parvum and C. muris, possess a broad range of hosts beyond the known animal species; therefore, they are zoonotic species [4,5]. Although there is no doubt that C. hominis and C. parvum predominantly infect humans and that C. canis predominantly infects dogs, C. canis and C. parvum have been isolated from both hosts [4,5]. Thus, C. canis can infect humans and dogs. Considering the close contact dogs have with humans, dogs have the potential to be reservoirs for human cryptosporidiosis. Immunocompromised individuals, such as those infected with HIV, are at especially high risk for C. canis infection [2,5]. In Japan, the population of suspected immunocompromised individuals is growing because of an increasing elderly population and the increasing incidence of cancer.

The authors have previously determined the molecular prevalence and characteristics of the Cryptosporidium spp. in private household dogs and pet shop puppies and have demonstrated that pet shop puppies have a high-level prevalence of C. canis infection without exhibiting clinical signs [6]. Therefore, the present hypothesis that Cryptosporidium spp. will be detected at high-level prevalence in puppies/young dogs living in breeding kennel is logical, because the breeding kennels are the major source of puppies supplied to pet shops. Nevertheless, there is insufficient available data regarding the prevalence of Cryptosporidium spp. infection in breeding kennel dogs (young and adult); no such data exist in Japan [7–9].

The aim of the present study is to determine the molecular prevalence and characteristics of Cryptosporidium spp. in breeding kennel dogs, including an analysis of some factors such as dog age, so as to evaluate the risk of zoonotic transmission from breeding kennel dogs to humans.

Between August 2014 and July 2017, a total of 314 fresh voided fecal samples were randomly collected on a single occasion from dogs (aged 2 month-11 years, 85 males and 229 females) kept in 5 breeding kennels (A-E), located in the prefectures of Miyagi (A; n=25), Niigata (B; n=48), Gunma (C; n=87), Shizuoka (D; n=31), and Aichi (E; n=123), in east Japan. All breeding kennel managers granted permission to include their dogs in the examination and donated fecal samples. The samples were collected immediately after natural defecation and were stored at 4°C prior to DNA extraction, which occurred within 3 days of collection.

The oocysts of Cryptosporidium spp. were separated using a sucrose gradient concentration method with a specific gravity of 1.26, and DNA extraction from oocysts was performed using a QIAamp DNA Mini Kit (QIAGEN GmbH, Hilden, Germany) according to the manufacturer’s instructions. The DNA samples were stored at −20°C prior to analysis.

Two-step nested polymerase chain reaction (PCR) targeting the small subunit (SSU) rRNA gene was employed for the detection of Cryptosporidium spp. For the first step reaction, the forward primer (5′-TTCTAGAGCTAATACATGCG-3′) and the reverse primer (5′-CCCATTTCCTTCGAAACAGGA-3′) were used to amplify a DNA fragment of approximately 1,325 bp. For the second step reaction, the forward primer (5′-GGAAGG GTTGTATTTATTAGATAAAG-3′) and the reverse primer (5′-AA GGAGTAAGGAACAACCTCCA-3′) were used to amplify a fragment of approximately 826 bp [10].

For the first step reaction, the PCR mixture comprised 1×buffer containing 1.5 mM MgCl₂, 200 μM of each dNTP, 0.5 μM of each primer, 1.25 units of GoTaq DNA polymerase (Promega Corporation, Madison, Wisconsin, USA), and 2.0 μl of template DNA in a total reaction volume of 25 μl. For the second step reaction, the PCR mixture was the same as for the first step reaction, except the amplicons from the primary PCR were used as templates. The first-step PCR was performed as follows: after an initial denaturation step of 3 min at 95°C, 35 cycles, which each consist of 45 sec at 95°C, 45 sec at 59°C and 1 min at 72°C, were performed, followed by a final extension of 5 min at 72°C. The second-step PCR condition was performed as follows: after an initial denaturation step of 3 min at 95°C, 35 cycles, which each consist of 30 sec at 95°C, 1 min at 58°C and 1 min at 72°C, were performed, followed by a final extension of 5 min at 72°C.

All second-step PCR products were identified by electrophoresis on 1.5% agarose gels. The specific DNA fragments (approximately 826 bp) were confirmed by alternative ethidium bromide staining and visualization under UV light using a transilluminator.

Second-step PCR amplicons of the predicted size were purified using a QIAquick Gel Extraction kit (QIAGEN GmbH, Hilden, Germany) and were sequenced with the second-step primer set. Sequences were analyzed by a commercial laboratory (FASMAC Co., Ltd., Kanagawa, Japan).

Sequence alignment and compilation were performed using the MEGA 6.06 program (www.megasoftware.net). To determine the species of Cryptosporidium, the DNA sequences were compared to GenBank sequences of Cryptosporidium spp. by BLAST searches (http://www.ncbi.nlm.nih.gov/). The similarity between the isolated and reference sequences was determined based on the degree of sequence identity.

The data were stratified according to age group (<1-year-old vs ≥1-year-old), fecal condition (normal vs soft/diarrhea) and the breeding kennel. Data were analyzed statistically using Fisher’s exact probability test, with values of P<0.05 considered significant.

Overall, of the 314 breeding kennel dogs, 66 animals (21.0%) were positive for Cryptosporidium spp. infection. According to age group, the prevalence of Cryptosporidium spp. in <1-year-old dogs (45.0%) was significantly (P<0.001) higher than that in ≥1-year-old dogs (17.5%) (Table 1). No significant difference was observed in fecal condition (normal: 20.7% vs soft/diarrhea: 23.3%). Cryptosporidium spp. infection was determined in all breeding kennel facilities, ranging from 8.0% to 26.0% prevalence, with no significant differences observed between kennels.

Table 1

Prevalence of Cryptosporidium species infection in breeding kennel dogs

A sequencing analysis of the SSU rRNA gene fragments demonstrated that all 66 PCR-positive amplicons shared 99–100% similarity with the sequences of C. canis (accession numbers: KR999987, KR999984, JN543380, MF589918, KF516542 and EU754826) retrieved from the GenBank database.

The present study is the first report describing the molecular prevalence of Cryptosporidium spp. infection in breeding kennel dogs in Japan. The results of the study support the authors’ hypothesis because Cryptosporidium spp. infection was detected at markedly high prevalence (45.0%) in young dogs in breeding kennels. In addition, the prevalence of infection was also high in adult dogs (17.5%). In contrast, previous recent studies have reported low prevalences of Cryptosporidium spp. infection in breeding kennel dogs, such as 5.0% in Italy [7], 0% in Belgium [8] and 7.0% in China [9]. The cause of low infection prevalence in those previous cases is not known. A significantly high-level detection of intestinal protozoans, such as Giardia and Cystoisospora, has been reported in breeding kennel dogs [8,11]. Additionally, a high prevalence of Cryptosporidium spp. infection has been detected in pet shop puppies [6], most of which were likely derived from breeding kennels. However, the authors cannot simply compare the results of the present study to those of previous studies due to differences in dog’s ages, study regions, and examination methods. Therefore, the most important highlight here is the suggestion of high-level Cryptosporidium spp. infection in not only young dogs, but also adult animals kept in breeding kennels.

A high-level of Cryptosporidium spp. infection in younger dogs, including puppies, has previously been documented [6,12,13]. Although the role of immune responses against Cryptosporidium spp. infections is unknown in dogs, the immature immune system of young dogs is suspected to be a major factor for high-level infection. Because it is commonly accepted that both innate and adaptive immune responses are important for controlling Cryptosporidium spp. infections [2,14, 15], an immature immune system is indicated in young dogs [16,17]. Additionally, the stressful situations presented in breeding kennels, such as frequent contact with other animals in a limited space, is also a significant factor for high prevalence due to the induction of immunosuppressive status [18]. Simultaneously, the stressful situations in breeding kennels are likely to be factors in the high prevalence of infection in adult dogs. In the present study, the prevalence of infection in ≥1-year-old male dogs (15.4%; 12/78 dogs) was roughly the same as that in females in the same age group (18.4%; 36/196 dogs). Lastly, sanitary management and environmental conditions were not evaluated here, but environmental contamination via Cryptosporidium oocysts is considered the most important factor for high prevalence in breeding kennel dogs. It has been demonstrated that the Cryptosporidium oocyst is resistant against common disinfectants and can survive in environments for duration of at least several months [2,19]; thus, it is very difficult to eliminate Cryptosporidium oocysts in breeding kennel facilities. In all breeding kennels, the above factors contribute to maintain a high-level of Cryptosporidium spp. infection, and frequent reinfection is suspected. As with results from related previous studies, there was no correlation between the detection of Cryptosporidium spp. in dogs and the fecal conditions [6,20]. The coinfection with other intestinal protozoa such as Giardia spp. is suggested as a factor of inducing clinical signs [1].

The sequencing data demonstrates the dominancy of C. canis in breeding kennel dogs in Japan. It is easy to understand this result, because C. canis is a dog-adapted species [3,4]. Therefore, the importance of breeding kennel dogs as reservoirs for Cryptosporidium spp. transmission to humans is likely to be low in Japan, since the predominant species for human cryptosporidiosis are C. hominis and C. parvum. However, we should remember that immunocompromised humans have a potential risk for infection of C. canis [2,5].