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Origin and evolution of the worldwide distributed pathogenic amoeboflagellate Naegleria fowleri
1Research Unit for Tropical Diseases, de Duve Institute, Brussels, Belgium. johan.dejonckheere@uclouvain.be
Abstract:
Naegleria fowleri, a worldwide distributed pathogen, is the causative agent of primary amoebic meningoencephalitis. Because it is such a fulminant disease, most patients do not survive the infection. This pathogen is a free-living amoeboflagellate present in warm water. To date, it is well established that there are several types of N. fowleri, which can be distinguished based on the length of the internal transcribed spacer 1 and a one bp transition in the 5.8S rDNA. Seven of the eight known types have been detected in Europe. Three types are present in the USA, of which one is unique to this country. Only one of the eight types occurs in Oceania (Australia and New Zealand) and Japan. In mainland Asia (India, China and Thailand) the two most common types are found, which are also present in Europe and the USA. There is strong indication that the pathogenic N. fowleri evolved from the nonpathogenic Naegleria lovaniensis on the American continent. There is no evidence of virulence differences between the types of N. fowleri. Two other Naegleria spp. are pathogenic for mice, but human infections due to these two other Naegleria spp. are not known.
Insights
Naegleria fowleri causes deadly primary amoebic meningoencephalitis. This study details the global distribution and genetic types of this warm-water pathogen, aiding in understanding its spread.
Area of Science:
- Microbiology
- Pathogen Research
- Genetics
Background:
- Naegleria fowleri is a globally distributed pathogen responsible for primary amoebic meningoencephalitis (PAM).
- PAM is a rapidly fatal infection caused by this free-living amoeboflagellate found in warm water.
- Distinguishing between N. fowleri types is possible through analysis of the internal transcribed spacer 1 and 5.8S rDNA.
Purpose of the Study:
- To investigate the global distribution and genetic diversity of Naegleria fowleri.
- To identify the prevalence of different N. fowleri types across continents.
- To explore the evolutionary origins of pathogenic N. fowleri.
Main Methods:
- Analysis of genetic markers, specifically the internal transcribed spacer 1 and 5.8S rDNA, to differentiate N. fowleri types.
- Review of existing data on N. fowleri detection in various geographical regions.
Main Results:
- Seven of the eight known N. fowleri types have been identified in Europe.
- The USA has three types, one of which is unique to the region.
- Specific N. fowleri types show distinct geographical distributions in Oceania, Japan, and mainland Asia, with overlap in Europe and the USA.
- Evidence suggests pathogenic N. fowleri evolved from Naegleria lovaniensis in the Americas.
- No differences in virulence have been observed between N. fowleri types.
Conclusions:
- Naegleria fowleri exhibits significant global genetic diversity with distinct regional prevalence.
- Understanding the distribution of N. fowleri types is crucial for public health surveillance.
- The evolutionary origin points to the American continent for the development of pathogenic N. fowleri.
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