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Global prevalence and genotype distribution of Microsporidia spp. in various consumables: a systematic review and
Sanaz Rezaeian1, Ali Taghipour2, Saeed Bahadory3
1Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran; Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran; These authors contributed equally to this work.
Abstract:
Water and food sources play a major role in the distribution and transfer of microsporidia infection to animals and humans. So, this systematic review and meta-analysis aimed to assess the status and genetic diversity of microsporidia infection in water, vegetables, fruits, milk, cheese, and meat. The standard protocol of Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines was followed. Scopus, PubMed, Web of Science, and Google Scholar were searched from 1 January 2000 and 1 February 2023. The point estimates and 95% confidence intervals (CIs) were calculated using a random-effects model. Of the 1,308 retrieved studies, 35 articles were included in the final meta-analysis. The pooled prevalence of microsporidia infection in mixed water, mixed fruits, mixed vegetables, and milk was 43.3% (95% CI, 33-54.2%; I2, 94.86%), 35.8% (95% CI, 5.3-84.8%; I2, 0), 12% (95% CI, 4.9-26.6%; I2, 96.43%), and 5.8% (95% CI, 2.7-12%; I2, 83.72%), respectively. Considering the genotypes, microsporidia with genotype D in water sources and genotype CD6 in vegetables/fruits were the highest reported genotypes. Given the relatively high prevalence of microsporidiosis (especially in water sources), designing strategies for control, and prevention of microsporidia infection in these sources should be recommended.
Insights
Microsporidia infections are prevalent in water and food sources, posing risks to animals and humans. This review highlights the need for control strategies to prevent microsporidiosis transmission.
Area of Science:
- Environmental microbiology
- Parasitology
- Food safety
Background:
- Microsporidia are opportunistic intracellular protozoan parasites with a significant impact on animal and human health.
- Contaminated water and food sources are primary routes for microsporidia transmission, necessitating a comprehensive assessment of their prevalence and genetic diversity.
Approach:
- A systematic review and meta-analysis were conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
- Extensive literature searches were performed across Scopus, PubMed, Web of Science, and Google Scholar from January 2000 to February 2023.
- Prevalence data were pooled using a random-effects model to estimate the infection status of microsporidia in various food and water sources.
Key Points:
- The pooled prevalence of microsporidia infection was 43.3% in water, 35.8% in fruits, 12% in vegetables, and 5.8% in milk.
- Genotype D was most prevalent in water sources, while genotype CD6 dominated in vegetables and fruits.
- Significant heterogeneity (I² > 50%) was observed in most pooled prevalence estimates, indicating variability across studies.
Conclusions:
- Microsporidiosis presents a considerable public health concern due to its high prevalence in water and food supplies.
- Effective control and prevention strategies targeting these sources are crucial to mitigate the spread of microsporidia.
- Further research into the genetic diversity and transmission dynamics of microsporidia is warranted.
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