Potential for Early Diagnosis of Leptospirosis in Experimentally Infected Rhesus Macaques Based on Detection of

Reetika Chaurasia1, Caroline J Zeiss2, Marlena Holter2

  • 1Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.

Insights

This study shows that virulence-modifying proteins (VMPs) are produced during Leptospira infection in nonhuman primates. VMP detection in blood and urine suggests their role in subclinical leptospirosis pathogenesis.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Immunology

Background:

  • Leptospirosis pathogenesis mechanisms are poorly understood.
  • The PF07598 gene family encodes virulence-modifying proteins (VMPs), hypothesized to cause leptospirosis symptoms.
  • Understanding VMP production during infection is crucial for elucidating disease mechanisms.

Purpose of the Study:

  • To test if VMPs are produced during Leptospira infection.
  • To investigate the role of VMPs in subclinical leptospirosis.
  • To explore VMP-based biomarkers for leptospirosis diagnosis and prognosis.

Main Methods:

  • Experimental inoculation of rhesus macaques with Leptospira interrogans.
  • ELISA to detect anti-VMP antibodies and VMP antigen in serum, urine, and blood.
  • Histopathological examination of target organs (liver, kidneys, lungs).
  • Cytokine profiling to assess host inflammatory responses.

Main Results:

  • Infection confirmed, but animals remained asymptomatic.
  • Anti-VMP IgM and IgG antibodies detected, confirming VMP production.
  • VMP antigen found in urine and blood of infected monkeys.
  • Mild histopathological changes in liver, kidneys, and lungs.
  • Elevated levels of inflammatory cytokines (TNFα, IL-15, IL-8, etc.) observed.

Conclusions:

  • VMPs are produced during Leptospira infection in a nonhuman primate model.
  • VMPs are detectable in bodily fluids, suggesting potential as diagnostic biomarkers.
  • Subclinical organ involvement and systemic inflammation occur in nonsevere leptospirosis.
  • This research provides insights into leptospirosis pathogenesis and VMP roles.

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