Difference between revisions of "Toxoplasmosis - Sheep"

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Apart from ingestion of oocysts in the environment, the only other method of transmission of toxoplasmosis to sheep is vertical spread from mother to foetus during pregnancy. This is because sheep are herbivorous, and do not consume animal tissues containing cysts. The outcome of transplacental infection depends on the stage of pregnancy. Infection in early gestation usually causes foetal death, as the foetal immune system is immature at this stage. In mid-gestation, infection may cause the birth of weak or stillborn lambs, sometimes accompanied by a mummified sibling. Ewes infected in the third trimester normally give birth to infected but clinically normal lambs.
 
Apart from ingestion of oocysts in the environment, the only other method of transmission of toxoplasmosis to sheep is vertical spread from mother to foetus during pregnancy. This is because sheep are herbivorous, and do not consume animal tissues containing cysts. The outcome of transplacental infection depends on the stage of pregnancy. Infection in early gestation usually causes foetal death, as the foetal immune system is immature at this stage. In mid-gestation, infection may cause the birth of weak or stillborn lambs, sometimes accompanied by a mummified sibling. Ewes infected in the third trimester normally give birth to infected but clinically normal lambs.
 
As well as in acute infection of the damn, transplacental transmission may occur as a result of recrudescence of an endogenous infection.
 
 
 
While recrudescence
 
of a persistent endogenous infection is
 
a very common route of congenital infection with
 
the closely related parasiteNeospora caninum in cattle
 
(Innes et al. 2005; Williams et al. 2009 – this special
 
issue), it is not thought to be a significant route of
 
transmission for T. gondii infection in sheep (Dubey
 
and Beattie, 1988; Buxton and Rodger, 2008).
 
However, recent studies, (Duncanson et al. 2001;
 
Williams et al. 2005, Morley et al. 2005, 2008), have
 
suggested that endogenous transplacental transmission
 
of T. gondii may be more important than
 
was previously thought and that this route of transmission
 
may be an important cause of lamb mortality.
 
Data reported by Williams et al. (2005) stated
 
that 53.7% of lambs in their test flocks had evidence
 
of congenital T. gondii infection at birth with 46%
 
of live lambs and 90% of dead lambs being positive
 
for T. gondii by PCR analysis. Further work that
 
followed ewes over successive pregnancies reported
 
a frequency of 21% for successive T. gondii positive
 
abortions, suggesting that complete protective immunity
 
has not been acquired following a previous
 
infection (Morley et al. 2008).
 
These studies are very interesting although difficult
 
to interpret with confidence as they rely heavily
 
on PCR-based techniques and the methodology is
 
not validated using supporting pathology, serological
 
evidence or isolation of live parasites to show that
 
the live lambs in the study were indeed congenitally
 
infected with T. gondii as a result of endogenous
 
transmission. In addition, the authors did not rule
 
out other causes of abortion due to different pathogens
 
on their study farm. These studies also raise
 
the importance of the language we use to describe
 
vertical transmission. To aid our understanding of
 
this area it is important to define the difference
 
between endogenous transplacental transmission and
 
exogenous transplacental transmission as described
 
by Trees and Williams (2005).
 
A recent relevant study in this area using a full
 
range of different diagnostic techniques found that,
 
in contrast to the studies described above, there was
 
no significant transmission from persistently infected
 
sheep to their offspring (Rodger et al. 2006). In this
 
study, a group of sheep previously infected with
 
Elisabeth A. Innes and others 1888
 
T. gondii and a group of naı¨ve control sheep were
 
mated and followed through pregnancy to lambing.
 
A full post-mortem was conducted on any dead lambs
 
and placentas were examined using histopathological
 
techniques and by T. gondii-specific PCR for evidence
 
of infection. In addition, pre-colostral blood
 
samples were collected from all the lambs to look
 
for antibodies to T. gondii. The presence of T. gondii
 
antibodies in pre-colostral blood samples is a good
 
indicator that congenital transmission has occurred.
 
The results showed that the group of 31 T. gondiiinfected
 
sheep gave birth to 43 live healthy lambs
 
and 6 stillborn lambs. There was no evidence of
 
T. gondii infection in any of the tissues examined
 
using T. gondii-specific PCR and histopathological
 
techniques, in addition all the foetal fluid samples
 
from the dead lambs and the pre-colostral serum
 
samples from the live lambs were sero-negative with
 
the exception of one set of twin lambs born to one
 
of the infected ewes. All the T. gondii-negative ewes
 
produced live T. gondii-negative lambs. Therefore
 
this more complete study using a variety of scientific
 
techniques to confirm transmission and infection
 
showed that the rate of congenital transmission from
 
persistently infected ewes was very infrequent,
 
around 3.2% (Rodger et al. 2006).
 
Data from previous published papers in this area
 
also agree with the results of Rodger et al. that
 
although endogenous transplacental transmission of
 
T. gondii may occur it is very infrequent and does not
 
pose a significant clinical risk. A study by Watson
 
and Beverley in the UK showed that in a group of 26
 
ewes that were infected in a previous pregnancy with
 
T. gondii and then retained and followed through a
 
subsequent pregnancy gave birth to 24 live uninfected
 
lambs with only one ewe aborting a pair
 
of twins (Watson and Beverley, 1971). A larger study
 
in Australia examined what proportion of lambs may
 
be infected as a result of a re-activation of a previous
 
infection and found that a group of 135 persistently
 
infected ewes produced 178 live lambs all being precolostral
 
antibody negative with evidence of only one
 
of the ewes having an infected placenta. In addition,
 
there was no evidence of T. gondii being isolated from
 
their tissues using mouse inoculation. Therefore they
 
concluded that congenital transmission of T. gondii
 
from ewes persistently infected with the parasite is
 
very infrequent (Munday, 1972)..
 
  
 
==Signalment==
 
==Signalment==

Revision as of 15:26, 13 August 2010



Description

Toxoplasmosis is the disease caused by Toxoplasma gondii, an intracelluler protozoan parasite. Although the definitive host is the cat, T. gondii can infect all mammals including man and is a significant cause of abortion in sheep and goats. Toxoplasmosis does not seem to cause disease in cattle.

Life cycle of Toxoplasma gondii. Source: Wikimedia Commons; Author: LadyofHats (2010)

Life Cycle

There are three infectious stages of Toxoplasma gondii: 1) sporozoites; 2) actively reproducing tachyzoites; and 3) slowly multiplying bradyzoites. Tachyzoites and bradyzoites are found in tissue cysts, whereas sporozoites are containted within oocysts, which are excreted in the faeces. This means that the protozoa can be transmitted by ingestion of oocyst-contaminated food or water, or by consumption of infected tissue.

In naive cats, Toxoplasma gondii undergoes an enteroepithelial life cycle. Cats ingests intermediate hosts containing tissue cysts, which release bradyzoites in the gastrointestinal tract. The bradyzoites penetrate the small intestinal epithelium and sexual reproductio ensues, eventually resulting the production of oocysts. Oocysts are passed in the cat's faeces and sporulate to become infectious once in the environment. These can then be ingested by other mammals, including sheep.

When sheep ingest oocysts, T.gondii intiates extraintestinal replication. This process is the same for all hosts, and also occurs when carnivores ingest tissue cysts in other animals. Sporozoites (or bradyzoites, if cysts are consumed) are released in the intestine to infect the intestinal epithelium where they replicate. This produces tachyzoites, which reproduce asexually within the infected cell. When the infected cell ruptures, tachyzoites are released and disseminate via blood and lymph to infect other tissues. Tachyzoites then replicate intracellularly again and the process continues until the host becomes immune or dies. If the infected cell does not burst, tachyzoites eventually encyst as bradyzoites and persist for the life of the host. Cyst are most commonly found in the brain or skeletal muscle, and are a source of infection for carnivorous hosts.

Transmission to Sheep

Oocysts in the Environment

Infected cats shed oocysts continuously between days 3 and 14 post-infection. During this time, hundreds of millions of oocysts may be shed. The main sources of feline toxoplasma infection are chronically infected birds and rodents. Rodents are particularly important since they can pass T. gondii infection to their offspring without causing clinical disease. This means that a farm may develop a reservoir of T. gondii tissue cysts with the potential to cause feline infection and massive oocyst excretion. In turn, environments may easily become contaminated with a high oocyst burden when a cat is introduced.

Sheep are often kept in an environment that is significantly contaminated with oocysts, and infection follows ingestion of infected food, primarily contaminated pasture. Fields treated with manure or bedding from buildings to which cats have access result in high levels of ovine toxoplasmosis, and insecure storage of supplementary feeds also poses a risk.

Members of the cat family are the definitive hosts of the parasite and tend to become infected for the first time when they start hunting and eating wild rodents and birds already infected with T. gondii. Following consumption of T. gondii cysts, the parasites excyst in the gut of the cat and invade and infect host cells. Sexual development of the parasite takes place in the gut of the cat resulting in the production of oocysts which are shed in the faeces. Shedding usually occurs around 3–10 days after initial infection and may continue for 2–3 weeks (Dubey and Beattie, 1988). During this period a cat may shed over 100 million oocysts and experimental studies in sheep have shown that a dose of only 200 oocysts may cause abortion in previously naı¨ve pregnant sheep (McColgan, Buxton and Blewett, 1988). The importance of oocysts as a source of infection for sheep, has been supported by studies showing an association with infection and contamination of feed or grazing land with sporulated oocysts (Plant, Richardson and Moyle, 1974; Faull, Clarkson and Winter, 1986) and also work showing an association with cats on farms and prevalence of T. gondii in sheep (Skjerve et al. 1998). Further studies looking at development of specific antibodies in sheep, as an indicator of exposure to T. gondii, have shown that there is an increase in seroprevalence associated with age. This indicates that there is extensive environmental contamination with T. gondii oocysts and that most infections in sheep occur following exposure to the parasite after birth (Waldeland, 1977; Blewett, 1983; Lunden,Nasholm and Uggla, 1994). Recent studies have indicated that there is widespread environmental contamination with T. gondii oocysts (Dabritz et al. 2007).

Congenital Transmission

Apart from ingestion of oocysts in the environment, the only other method of transmission of toxoplasmosis to sheep is vertical spread from mother to foetus during pregnancy. This is because sheep are herbivorous, and do not consume animal tissues containing cysts. The outcome of transplacental infection depends on the stage of pregnancy. Infection in early gestation usually causes foetal death, as the foetal immune system is immature at this stage. In mid-gestation, infection may cause the birth of weak or stillborn lambs, sometimes accompanied by a mummified sibling. Ewes infected in the third trimester normally give birth to infected but clinically normal lambs.

Signalment

Diagnosis

Clinical Signs

  • Clinical outbreaks of toxoplasmosis are sporadic
    • Immunity is acquired before tupping
    • Significant ill-effects are unlikely if immune ewes are infected during pregnancy
    • Not shed from sheep to sheep so predicting outbreaks is difficult

Laboratory Tests

Pathology

Aborted ewes show focal necrotic placentitis with white lesions in the cotyledons and foetal tissue

Treatment

  • Toxovax vaccine
      • Live, avirulent strain of Toxoplasma
      • Does not form bradyzoites or tissue cysts
      • Killed by host immune system
      • Single dose given 6 weeks before tupping
      • Protects for 2 years
      • Immunity boosted by natural challenge
    • Medicated feed can be given daily during the main risk period
      • 14 weeks before lambing
    • The best method of protection is to prevent cats from contaminating the pasture, lambing sheds and feed stores

The extent of environmental contamination with T. gondii oocysts is thus related to the distribution and behaviour of cats. Measures to reduce environmental contamination by oocysts should be aimed at reducing the number of cats capable of shedding oocysts. This would include attempts to limit their breeding. If male cats are caught, neutered and returned to their colonies the stability ofthe colony is maintained; fertile male cats do not challenge the neutered males12 and breeding is controlled. Thus the maintenance ofa small healthy population of mature cats will reduce oocyst excretion as well as help to control rodents. Sheep feed should be kept covered at all times to prevent its contamination by cat faeces.

Prognosis

Links

References

  1. Buxton, D (1990) Ovine toxoplasmosis: a review. Journal of the Royal Society of Medicine, 83, 509-511.
  2. Innes, E A et al (2009) Ovine toxoplasmosis. Parastiology, 136, 1887–1894.
  3. Buxton, D et all (2007) Toxoplasma gondii and ovine toxoplasmosis: New aspects of an old story. Veterinary Parasitology, 147, 25-28.
  4. Dubey, J P (2009) Toxoplasmosis in sheep — The last 20 years. Veterinary Parasitology, 163, 1-14.