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PLOS Neglected Tropical Diseases logoLink to PLOS Neglected Tropical Diseases
. 2024 Feb 20;18(2):e0011981. doi: 10.1371/journal.pntd.0011981

Transmission ecology of Trypanosoma cruzi by Rhodnius prolixus (Reduviidae: Triatominae) infesting palm-tree species in the Colombian Orinoco, indicates risks to human populations

Plutarco Urbano 1,2,3, Carolina Hernández 3,4,5, Natalia Velásquez-Ortiz 3, Nathalia Ballesteros 3, Luisa Páez-Triana 3, Laura Vega 3, Vanessa Urrea 3, Angie Ramírez 3, Marina Muñoz 3, Carlos N Ibarra-Cerdeña 6, Camila González 1, Juan David Ramírez 3,4,*
Editor: Helton C Santiago7
PMCID: PMC10906903  PMID: 38377140

Abstract

Background

Chagas disease, affecting approximately eight million individuals in tropical regions, is primarily transmitted by vectors. Rhodnius prolixus, a triatomine vector, commonly inhabits in ecotopes with diverse palm tree species, creating optimal conditions for vector proliferation. This study aims to explore the transmission ecology of Trypanosoma cruzi, the causative parasite of Chagas disease, by investigating the feeding patterns and natural infection rates of R. prolixus specimens collected from various wild palm species in the Colombian Orinoco region.

Materials and methods

To achieve this objective, we sampled 35 individuals from three palm species (Attalea butyracea, Acrocomia aculeata, and Mauritia flexuosa) in a riparian forest in the Casanare department of eastern Colombia, totaling 105 sampled palm trees. DNA was extracted and analyzed from 115 R. prolixus specimens at different developmental stages using quantitative PCR (qPCR) for T. cruzi detection and identification of discrete typing units. Feeding preferences were determined by sequencing the 12S rRNA gene amplicon through next-generation sequencing.

Results

A total of 676 R. prolixus specimens were collected from the sampled palms. The study revealed variation in population densities and developmental stages of R. prolixus among palm tree species, with higher densities observed in A. butyracea and lower densities in M. flexuosa. TcI was the exclusive T. cruzi discrete typing unit (DTU) found, with infection frequency positively correlated with R. prolixus abundance. Insects captured in A. butyracea exhibited higher abundance and infection rates than those from other palm species. The feeding sources comprised 13 mammal species, showing no significant differences between palm species in terms of blood sources. However, Didelphis marsupialis and Homo sapiens were present in all examined R. prolixus, and Dasypus novemcinctus was found in 89.47% of the insects.

Conclusion

This study highlights the significance of wild palms, particularly A. butyracea, as a substantial risk factor for T. cruzi transmission to humans in these environments. High population densities and infection rates of R. prolixus were observed in each examined palm tree species.

Author summary

Previous studies on Chagas disease in the Orinoco region primarily focused on domestic and peri-domestic areas of rural residences. However, to fully grasp the dynamics of T. cruzi transmission from natural, preserved areas to humans, it is crucial to comprehend the habitats and food resources that kissing bugs encounter in their natural distribution zones. In this study, we delved into both the habitat conditions and the food sources available on wild palms in the eastern plains region of Colombia, with the aim of understanding the establishment of the Chagas disease vector. Notably, our findings revealed that the studied kissing bugs fed on both wild and domestic animals, as well as humans, across all stages of their development. Furthermore, this research identified differences in the structural physiognomy of wild palms directly linked to the establishment of bug colonies. This knowledge enhances our understanding of the role of wild habitats in the dynamics of T. cruzi transmission in endemic areas.

Introduction

Chagas disease, a significant global health concern, affects approximately 8 million people worldwide, resulting in an annual mortality of 10,000 in Latin America, with 65 million individuals at risk of infection [1,2]. Over the past four decades, Colombia has reported a consistent prevalence of 2%, accompanied by a mortality rate of 0.211 individuals per 100,000 inhabitants [3]. Notably, the Orinoco region in eastern Colombia stands out as an endemic area with the highest Chagas disease mortality rate [3,4].

This disease is caused by the protozoan Trypanosoma cruzi, an intracellular parasite that infects various mammals, including humans [5]. The life cycle of T. cruzi encompasses various stages, starting from the infective form found in the feces of vectors to intracellular replication and transmission through the bloodstream [6]. Despite numerous described infection mechanisms, vector transmission by triatomine insects remains widespread in endemic regions such as the Orinoco [7,8]. Triatomine insects have undergone physiological and behavioral adaptations to survive and thrive in diverse environments, ensuring increased interaction with vectors and parasite reservoirs [911]. While, on a larger scale, vectors are associated with different ecotopes and display a degree of tolerance for ecotope degradation [12], on a more detailed level, their presence hinges on specific ecological conditions that foster persistence and biological success [1316].

Palm trees play a crucial role in shaping the distribution of triatomine insects throughout the Americas [17]. There are around 27 triatomine species belonging to five tribes that have been identified as colonizing palm trees, with a particular preference for the Attalea genus [13,17]. The importance of wild palms as natural habitats for sustaining triatomine colonies is highlighted by the favorable habitat and microclimatic conditions they offer [1415,1822]. This is attributed to the regular reproductive events and leaf abscission of palm trees, leading to the accumulation of biomass at the base of the crown [2325].

The stability of microclimates provided by palms is essential for understanding triatomine population dynamics, distribution, and colonization, given their sensitivity to fluctuations in temperature and humidity [14,26,27]. Ecotopes formed by palms play a pivotal role in shaping the distribution of the Rhodnius genus [13]. The associations between triatomines and palms may be attributed to the structural and reproductive characteristics of the palms themselves [14,23,28,29]. An examination of palm distribution in the Casanare department of the eastern plains of Colombia reveals the presence of 26 wild palm species. Among them, Mauritia flexuosa, Acrocomia aculeata, and A. butyracea stand out in terms of density and distribution. These palm species are identified as sources of triatomines in this endemic area [13].

Wild palms function as habitats for a diverse array of vertebrates, serving as nesting sites or occasional hosts for T. cruzi. This includes reservoir species (mammals) and non-reservoir species (birds) [14,16,24,26,30,31]. The presence of vertebrates within palm crowns is influenced by changes in response to the structural physiognomy of palms [28,32], thereby maintaining conditions favorable for vector reproductive success and parasite transmission [14,31]. In the Colombian Orinoco and Brazilian Amazonia, various vertebrates have been identified as primary feeding sources for triatomines associated with palms [3337]. The interaction between reservoirs and triatomines within palm crowns categorizes wild palms as a risk factor for parasite transmission from sylvatic environments to human dwellings [15,3739]. This positions them as dispersion centers for infected triatomines carrying T. cruzi [32,39].

Extensive investigations in the Colombian Orinoco, with a specific focus on R. prolixus associated with A. butyracea, indicate that this palm serves as a key indicator of T. cruzi transmission risk [13,23,37,3941]. A. butyracea creates optimal conditions for the biological success of R. prolixus, establishing itself as the predominant vector of T. cruzi in the plains of Colombia and Venezuela [13,39]. However, a comprehensive understanding of palm infestation, T. cruzi infection, transmission dynamics, and potential reservoirs requires further exploration, especially for palm species belonging to genera such as Acrocomia, Mauritia, Euterpe, Oenocarpus, and Cocos.

These palm species have been identified as risk factors for T. cruzi transmission in Colombia, Brazil, and Venezuela [20,24,26,34,39,4245]. In this broader context, we hypothesize that each palm species presents a unique risk, with its structural physiognomy directly correlated with insect establishment, population densities, infection rates, and food supply. To test this hypothesis, our study aims to investigate the variation in the transmission ecology of T. cruzi among different wild palm species in the Colombian Orinoco, specifically characterizing feeding sources and natural infection of R. prolixus collected from M. flexuosa, A. aculeata, and A. butyracea.

Materials and methods

Ethics statement

The insects were collected from public land in Colombia through diverse entomological surveillance techniques. The authorization from ANLA (Autoridad Nacional de Licencias Ambientales) 1177–2014 (IDB0359) was provided by UNIVERSIDAD DE LOS ANDES, allowing for the lawful and regulated undertaking of the collection activities.

Study area

Sampling was conducted in Aguazul, a municipality situated in the Casanare department near the floodplains of the Cusiana River, at an average altitude of 190 meters. The landscape comprised natural and gallery forests exhibiting varying degrees of human impact. Aguazul experiences a rainy season spanning from April to October, with an average rainfall of 305 mm, followed by a dry season for the remaining months, characterized by an average rainfall of 68.9 mm. The annual temperature in the region is 27°C, and the monthly precipitation averages 204.9 mm [46].

Specifically, we selected a 43-hectare fragmented secondary forest located at coordinates N: 4.524129, W: -72.241668 (Fig 1), featuring the presence of A. butyracea, A. aculeata, and M. flexuosa palms. This forest is adjacent to a highly fragmented area designated for pasture and livestock establishments, which includes 17 human dwellings with documented previous instances of triatomine presence. Sampling activities were carried out in January 2020, chosen deliberately during the low rainfall period for enhanced accessibility to the study site. This timeframe also aligns with a period of increased triatomine abundance, as indicated by previous research [38].

Fig 1. Aguazul municipality map in Casanare department.

Fig 1

Shows the geographical location of the sample site. Red circle indicate the midpoint of the samples area. The Orinoco region is marked in orange on the map of Colombia. The map was constructed using QGIS version 2.18.7. Basemap: Elevation/World_Hillshade https://bit.ly/3vVQ1lL; Sources: Esri, Airbus DS, USGS, NGA, NASA, CGIAR, N Robinson, NCEAS, NLS, OS, NMA, Geodatastyrelsen, Rijkswaterstaat, GSA, Geoland, FEMA.

Triatomine sampling

We conducted a comprehensive sampling effort, targeting 35 palms of each species (A. butyracea, A. aculeata, and M. flexuosa), resulting in a total of 105 individuals. The capture of R. prolixus was accomplished through a live bait trap, following the methodology outlined by Angulo and Esteban [47]. Each trap was strategically placed in the crown of every palm, spanning a 12-hour period from 18:00 to 6:00 the following day.

Upon capture, individuals from each palm were categorized based on their developmental stage, including first instar nymph (N1), second instar nymph (N2), third instar nymph (N3), fourth instar nymph (N4), fifth instar nymph (N5), and adults. Subsequently, the collected specimens were meticulously preserved in Eppendorf tubes containing absolute ethanol, appropriately labeled, and then transported to the Microbiology and Biotechnology Research Center at Universidad del Rosario (CIMBIUR) for subsequent molecular analysis.

To evaluate the prevalence of R. prolixus, we computed four entomological indices: infestation (calculated as the number of positive palms divided by the total number of palms sampled, multiplied by 100), clustering (determined by the number of recollected individuals divided by the number of infested palms), colonization (expressed as the number of palms with nymph presence divided by the total number of positive palms, multiplied by 100), and density (calculated as the number of individuals collected divided by the total number of palms sampled). These indices were derived from the criteria established by Suarez-Dávalos et al. [48] and Urbano et al. [41]. A palm was deemed positive when at least one individual from any developmental stage was collected. Taxonomic identification was carried out using a stereoscope, adhering to morphological guidelines from the Lent and Wygodzinsky [49] taxonomic key.

Microclimate and physiognomy of the palms

For each individual palm per species, we installed a Data Logger (iButton) in the crown to continuously record relative humidity and temperature at one-hour intervals throughout the sampling days (24 hours a day). As a control measure, an additional Data Logger was placed in the sampling area during the same period. Average values per hour for both relative humidity and temperature were calculated for each palm species and the external environment [23,34]. This approach facilitated the comparison of variations in these variables recorded in the palms with those in the external forest environment. In addition to climatic data, we recorded physiognomic variables such as palm height, diameter at breast height (DBH), number of leaves, and palm top size for each sampled individual of the three palm species [23,50,51]. These recorded variables contribute to a comprehensive understanding of the ecological context and conditions associated with the sampled palms.

Detection and genotyping of T. cruzi

The DNA extraction process involved obtaining genetic material from the abdominal section of 115 triatomines, distributed among different palm species (18 from M. flexuosa, 56 from A. aculeata, and 41 from A. butyracea). This extraction was carried out using automated procedures on the Hamilton Microlab STAR robot with The Quick-DNA/RNA MagBead kit from Zymo Research. Here, we included 5 extraction controls (RT-PCR Grade Water from Invitrogen was utilized, undergoing comprehensive testing for both prokaryotic and eukaryotic genomic DNA contamination, assessed through 16S rRNA and 18S rRNA evaluations) that were all negative suggesting very low levels of laboratory contamination. For the detection and quantification of satellite DNA of T. cruzi, we employed quantitative PCR (qPCR). Parasitic loads were measured as parasite equivalents per mL, following the established protocol by Velásquez-Ortiz et al. [52]. A TcI strain (MHOM/CO/04/MG) served as the standard curve for qPCR [52]. qPCR-positive samples underwent genotyping using conventional PCR to amplify the spliced leader intergenic region of the miniexon gene (SL-IR). The resulting PCR products were subjected to electrophoresis, and genotypes were verified by visualizing a 300 bp product for TcII and a 350 bp product for TcI [53]. In our study, positive controls included T. cruzi DNA obtained from culture, while negative extraction controls utilized DNA from R. prolixus specimens sourced from a colony free of T. cruzi infection. Furthermore, qPCR negative controls were executed using PCR Grade Water. It is essential to highlight that all results were deemed valid only if the positive and negative controls performed as expected, ensuring the reliability of the outcomes.

Feeding sources molecular characterization

Positive DNA samples were categorized into 18 pools based on palm species, life stages (I-V instar nymphs and adults), and sex (S1 Table). The pooled DNA was subjected to sequencing, targeting a 215 bp fragment of the 12S rRNA gene, using Illumina NovaSeq 6000 (Novogene Co., Ltd). To ensure the reliability of our Amplicon-based Next Generation Sequencing for the 12S rRNA gene, we incorporated Genomic DNA-Rat Male Biochain [54] as the positive control. For negative control purposes, RT-PCR Grade Water from Invitrogen was utilized, undergoing comprehensive testing for both prokaryotic and eukaryotic genomic DNA contamination, assessed through 16S rRNA and 18S rRNA evaluations [55]. It is crucial to note that negative controls were void of amplicons or reads from human DNA. Additionally, DNA from the R. prolixus colony (only fed with Gallus gallus blood) was utilized to identify reads associated with Gallus gallus, confirming it as the feeding source for these insects.

Quality control of the sequencing products was diligently executed using FastQC and MultiQC. Following this, QIIME was employed to eliminate barcodes, and all sequences underwent BLASTn analysis, comparing them against a reference dataset consisting of 137 vertebrate sequences, as outlined by Arias-Giraldo et al. [33]. The estimation of vertebrates present in the triatomine diet was determined based on the number of reads per vertebrate, serving as a reliable proxy [56]. The DADA2 pipeline was instrumental in determining the frequency of each amplicon sequence variant (ASV) in every sample. The resulting ASV table, including the number of reads, was transformed into relative values using RStudio, enabling the approximation of relative abundance per sample.

Statistical analysis

To assess variations in population density and developmental stages across palm species, a series of statistical tests were performed. Normality was examined using the Shapiro-Wilk test, and homoscedasticity was evaluated through Levene tests. Population density differences based on the sampling palm were observed using Kruskal-Wallis tests. Multiple comparison tests, including post hoc Dunn analysis with Bonferroni correction, were conducted to identify any variations in the density of R. prolixus developmental stages per palm species. The same statistical tests were applied to compare parasite loads, considering both palm species and the age structure of R. prolixus. For the analysis of structural physiognomy variation by palm species, a non-parametric analysis was conducted, comparing palm height, diameter at breast height (DBH), number of leaves, and palm top size. This comparative analysis utilized data from the 35 individuals sampled for each species, following methodological parameters outlined by Urbano et al. [23]. Additionally, a Kruskal-Wallis (KW) analysis was performed to compare temperature and humidity behavior per day for each palm species and the external environment. This analysis used hourly averages recorded during the 24 hours of the sampling days. To explore similarities among palm species based on measured variables and the abundance of infected vs. non-infected R. prolixus, a linear discriminant analysis (LDA) was executed. Finally, RCircos [57] and ggplot packages [58] of R software version 4.2.2 were employed to visually represent the feeding sources found in R. prolixus specimens collected in each palm species. All statistical analyses were conducted with a 95% confidence level (p < 0.05).

Results

Microclimate and physiognomy of the palms

In our findings, A. butyracea exhibited significantly higher DBH values compared to the other species (Dunn, p < 0.0001) (Fig 2A). Mauritia flexuosa displayed significantly lower crown volume and a reduced number of leaves compared to the other two species (Dunn, p < 0.0001) (Fig 2B and 2D). Acrocomia aculeata demonstrated significantly lower heights than M. flexuosa and A. butyracea (Dunn, p < 0.0001) (Fig 2C). Despite variations in some physiognomic variables among the three palm species, the Linear Discriminant Analysis (LDA) did not indicate structural differentiation among the species.

Fig 2. Comparison of habitat conditions and microclimates of the studied palms.

Fig 2

(A-D) Phenotypic characteristics of the palm species, daily temperature (E) and humidity (F) for the three palm species and the external environment. Top and bottom lines represent the maximum and minimum values, respectively. The middle line in the boxes represent the median of each data groups. The asterisks (***) indicate the significative differences (Dunn test p<0.0001) for 35 palms per species.

Regarding environmental variables, A. butyracea and A. aculeata exhibited significantly higher temperatures than M. flexuosa and the control placed in surrounding areas (Kruskal-Wallis, p = 0.009; Dunn, p < 0.0001) (Fig 2E). Additionally, relative humidity was higher at night for A. butyracea (Kruskal-Wallis, p = 0.0061; Dunn, p < 0.001) (Fig 2F). The temperature of A. butyracea varied on average by 2.25°C from day to night, 3.32°C in A. aculeata, 4.24°C in M. flexuosa, and 5.03°C in the surrounding area. The same pattern held for relative humidity, indicating that A. butyracea exhibits higher microclimate stability (Fig 2E and 2F).

Population density of R. prolixus per palm species

In total, 676 R. prolixus specimens were collected, consisting of 609 nymphs (90.10%) and 67 adults (9.9%). The distribution across palm species was as follows: 379 individuals (56.1%) in A. butyracea, 264 (39%) in A. aculeata, and 33 (4.9%) in M. flexuosa. Significant variations were observed in the number of individuals per palm species (Kruskal-Wallis, p < 0.0001). Both A. butyracea and A. aculeata exhibited similar, higher numbers of insects compared to M. flexuosa (Dunn, p < 0.0001) (Fig 3A). Similar patterns were noted for developmental stages, with significantly lower densities in M. flexuosa, except for the N5 instar (Kruskal-Wallis, p = 0.005; Dunn, p < 0.0001). Bugs collected in A. butyracea showed higher densities of N1 and N2 instars compared to A. aculeata, while the remaining developmental stages were similar in these two palm species (Fig 3B). In summary, the results indicate that R. prolixus exhibited higher densities in A. butyracea compared to the other palm species (S2 Table).

Fig 3. Density of R. prolixus and its developmental stages according to the sampled palm.

Fig 3

(A) R. prolixus density according to the sampled palm. (B) R. prolixus developmental stages density according to the palm species. Top and bottom lines represent the maximum and minimum values, respectively. The middle line in the boxes represent the median of each data groups. The asterisks (***) indicate the significative differences (Dunn test p<0.0001) for 35 palms per species.

Entomological indices of R. prolixus

The infestation index ranked highest in A. butyracea, followed by A. aculeata and M. flexuosa. Colonization index values were lower for M. flexuosa (87.5%) compared to the other species, which exhibited a 100% colonization rate. The clustering index showed the highest values for A. butyracea, followed by A. aculeata and M. flexuosa. Notably, the density index, representing the number of individuals per sampled palm, was markedly lower in M. flexuosa—11.5 times less than A. butyracea and 8.02 times less than A. aculeata (Table 1).

Table 1. Entomological indices and T. cruzi infection of triatomines collected in wild palms in the Colombian Orinoco.

Palm species Vector species Infestation (%) Colonization (%) Clustering (%) Density (%) T. cruzi infection
A. butyracea R. prolixus 94.29 100 11.48 10.82 100% (41/41)
A. aculeata R. prolixus 80 100 9.42 7.54 96.42% (54/56)
M. flexuosa R. prolixus 22.86 87.5 4.71 0.94 88.88% (16/18)

Infection index and quantification of T. cruzi

We selected individuals for T. cruzi detection, ensuring representation from all stages of R. prolixus across various palm species. Our approach involved choosing a minimum of 10% and up to 100% of insects from each stage within every palm species. This selection process was based on estimating the sample size using the most recent T. cruzi positivity rate in R. prolixus individuals from palms in Casanare, which was 85.6%. With a 90% confidence level and an accepted error of 5.5%, we determined that a sample size of 115 individuals would be sufficient. Specifically, the distribution of individuals was as follows: 54% (18/33) for M. flexuosa, 21.2% (56/264) for A. aculeata, and 11% (41/379) for A. butyracea.

In our analysis of 115 examined R. prolixus individuals, 96.52% (111/115) tested positive for T. cruzi infection. The infection rates by palm species were as follows: A. butyracea 100% (41/41 insects), A. aculeata 96.42% (54/56 insects), and M. flexuosa 88.88% (16/18). While the prevalence was higher in R. prolixus captured in A. butyracea (1; 95% CI: 0.91–1) than in A. aculeata (0.96; 95% CI: 0.89–0.99) and M. flexuosa (0.89; 95% CI: 0.67–0.97), no significant differences were found among them. All positive samples were identified as the TcI DTU. The comparative analysis of total parasite loads in R. prolixus captured in the three palm species did not show significant differences (Kruskal-Wallis; p = 0.07) (Fig 4A). Similar results were observed for parasite loads by developmental stages of the entire population (Kruskal-Wallis; p = 0.30). However, in A. aculeata, N1 and N2 nymphs exhibited significantly lower parasite loads than the other instars, including adults (Kruskal-Wallis; p = 0.02) (Fig 4C). In both A. butyracea (p = 0.72) and M. flexuosa (p = 0.98), similar parasite loads were found across all developmental stages (Fig 4B and 4D). When comparing parasite loads of each stage by palm species, N4 captured in A. aculeata had a higher parasite load than in the other palm species (Kruskal-Wallis; p = 0.006).

Fig 4. Comparative analysis of the parasite loads of R. prolixus.

Fig 4

(A) Shows the behavior of the parasite loads of all the samples processed in the three species of palms. (B-D) Show the parasite load by developmental stage in (B) A. butyracea, (C) A. aculeata and (D) M. flexuosa.

Feeding sources

Our investigation unveiled that R. prolixus, spanning both nymphs and adults, displayed a diverse diet by feeding on various species of arboreal and terrestrial vertebrates, including domestic animals (Fig 5). Arboreal species identified encompassed Cebus albifrons (Primates: Cebidae), Tamandua tetradactyla (Pilosa: Myrmecophagidae), Vampyrum spectrum (Chiroptera: Phyllostomidae), Didelphis marsupialis, and Micoureus demerarae (Didelphimorphia: Didelphidae). Terrestrial species included Dasypus novemcinctus (Cingulata: Dasypodidae) and Mus musculus (Rodentia: Muridae). Bugs were also found to feed on humans (Homo sapiens; Primates: Hominidae) and domestic animals such as dogs (Canis lupus familiaris; Carnivora: Canidae), cats (Felis catus; Carnivora: Felidae), donkeys (Equus asinus; Perissodactyla: Equidae), cattle (Bos taurus; Artiodactyla: Bovidae), and pigs (Sus scrofa domestica; Artiodactyla: Suidae).

Fig 5. CIRCOS transmission network.

Fig 5

(A) Shows the food sources found in individuals of R. prolixus collected from each palm species and by age structure. The age structure of R. prolixus is differentiated by color according to the palm species where it was captured; A. butyracea (red), A. aculeata (green) and M. flexuosa (blue). (B) Relative abundances of food sources of the age structure of R. prolixus sampled in each of the palm species. N1-N5, represent the nymphal stages.

Most feeding sources were shared among insects captured in all three palm species. However, Mus musculus was exclusively found as a blood source for R. prolixus adults captured in A. aculeata and A. butyracea. Additionally, Cebus albifrons was only found in nymphs of insects captured in A. butyracea (Fig 5). Tamandua tetradactyla was identified as a food source in N1 for A. butyracea and M. flexuosa, and in N3 for A. aculeata. Furthermore, horses (Equus asinus) were identified as a food source for N2 captured in A. butyracea, in all nymphal stages of M. flexuosa insects, and in females and N4 of A. aculeata.

Didelphis marsupialis emerged as the most abundant and frequently identified feeding source, followed by humans (H. sapiens) and Dasypus novemcinctus. The least abundant food sources were Tamandua tetradactyla and Vampyrum spectrum (Fig 5B). The inverse Simpson alpha diversity analysis (D-1) for vertebrates showed no significant differences per palm species (D1 = 0.90–0.92). The Shannon diversity index indicated a low diversity of food sources for the three palm species, with values of H´ = 0.82 for M. flexuosa, 1.16 for A. aculeata, and 0.82 for A. butyracea, without significant differences (X2 = 0.12; p = 0.93).

Discussion

Rhodnius prolixus is well-established as a species closely associated with palm trees, with the palm ecotope providing favorable conditions for its populations. The structural analysis of palms in this study reveals that, while all palm species are susceptible to infestation by R. prolixus, A. butyracea stands out by offering superior microhabitat conditions for the colonization and establishment of triatomines. Factors such as leaf number and crown volume contribute to A. butyracea’s suitability for R. prolixus. Additionally, the recorded temperature and humidity levels for the three studied palm species suggest that A. butyracea provides a more stable climatic environment, contributing to the observed population densities, in contrast to the other assessed palm species. Therefore, variations in habitat availability and microclimatic conditions are proposed as key factors influencing the differing population densities of R. prolixus. These findings align with previous observations by Abad-Franch et al. [14], which suggested that palms with higher biomass composition tend to exhibit increased population densities [14,15,22,5961].

The infestation, colonization, and density indices suggest a preference of R. prolixus for A. butyracea and A. aculeata, showcasing its ability to colonize all three palm species. Notably, A. butyracea emerges as a significant ecotope for this triatomine in the Eastern plains, likely due to superior habitat conditions. This association is evident in the presence of all developmental stages and higher insect densities observed (Fig 3B). The presence of all three palm species, especially A. butyracea, poses a risk factor as a source of insect population foci for R. prolixus, potentially leading to the transmission of T. cruzi to inhabitants in these palm-rich environments. This risk is accentuated by the consistently high population densities of the vector across all examined palm species. Importantly, these findings align with earlier studies in the Colombian Orinoco [23,37,38,41,62] and Brazilian Amazonia, highlighting an established association between A. butyracea and R. prolixus [15,17,27].

Variations in developmental stages among palm species may reflect differences in food availability, intricately tied to habitat accessibility within palm crowns [14,31]. Our investigation uncovered lower microhabitat availability in M. flexuosa and reduced microclimatic stability in A. aculeata, which could potentially clarify the observed population behavior and developmental stages. Although R. prolixus has demonstrated the capability to infest all three palm species, it tends to achieve larger populations in A. butyracea. These findings align with similar studies conducted in the Colombian and Venezuelan plains [38,41,59,61,63], consistently revealing higher population densities of R. prolixus in A. butyracea. This underscores the significance of A. butyracea as a critical habitat for R. prolixus, emphasizing its importance as a resident of this specific palm species.

Concerning T. cruzi infection, R. prolixus collected in M. flexuosa exhibited a slightly lower percentage, while A. butyracea hosted insects with the maximum parasite infection rate. This aligns with previous reports for the region by Urbano et al. (85.2%) [23], Calderón et al. (28%) [34], Rendón et al. (60.2%) [37], and Velásquez-Ortiz et al. (84%) [52]. The presence of these wild palms in the zone [29] poses a direct threat to T. cruzi transmission in rural areas. This is exacerbated by most human settlements being established on fragmented patches resulting from palm felling in the peridomicile, facilitating triatomine intrusion and increasing the likelihood of parasite transmission [38,6466]. Furthermore, the identification of all positive samples as TcI indicates continuous circulation of the parasite in all three palm species, underscoring their role as ecotopes for infected insects. Despite population-level parasite burden values and developmental stages being higher than previously reported in the zone [52], no significant differences were noted.

Regarding feeding sources, there is evidence that ecosystem transformations lead to changes in the composition of animal communities in a given area [35]. In human-modified landscapes, few species prove resilient to environmental changes [67]. For vertebrates associated with forests, the alteration of their habitats directly impacts species composition, given that most are specialists [31]. This could elucidate the observed low vertebrate composition as feeding sources for the insects captured in the three palm species. Our results diverge from those reported by Arias-Giraldo et al. [33] and Calderón et al. [34], where the diversity of triatomine food sources was higher. However, the fact that insects captured in the three palm species, at all developmental stages, shared their feeding sources suggests that the vector could establish itself in any of the wild palms studied. Additionally, food availability tends to be lower in transformed ecosystems, considering fauna migration as a consequence of anthropogenic action [67]. Consequently, insects established in areas under anthropogenic interference consistently face limiting factors in food supply [68,69]. Under starvation conditions, they may extend their range towards locations such as human dwellings and peridomiciliary environments where they can satisfy their needs. This could explain why the main sources were humans and domestic animals.

Our results align with other studies conducted in the Orinoco and Amazonia [3335,37]. However, it is crucial to highlight that the sampling was conducted in palms far from houses. In this context, it has been determined that distances greater than 110 m are hardly viable for the directional flight of vectors such as R. prolixus [70]. Therefore, the question of how nymphal stages, especially N1-N3, approach humans and domestic animals for feeding remains unanswered. However, various studies have identified human blood in wild nymphs of other Rhodnius species, such as R. pallescens in Panama [71] and Colombia [72], R. ecuadoriensis in Ecuador [73], and R. stali and R. montenegrensis in Bolivia [74]. These findings suggest that feeding behaviors, like kleptohematophagy, could shed light on the presence of food sources from domestic environments in nymphal stages with limited mobility [70]. Additionally, the intriguing relationship between R. prolixus and humans in Casanare deserves attention. The coexistence of R. prolixus with other species, known for their tendency to feed on human blood, is particularly noteworthy [72,75]. This phenomenon may be explained by human activities, such as agriculture, at the collection sites. Palms located near homes create favorable conditions for vectors to come into contact with human hosts. Principio del formulario.

Given the high sensitivity of Next-Generation Sequencing (NGS) techniques and prior reports of human DNA contaminants in mosquitoes [76], we acknowledge the growing significance of addressing potential sources of contamination. Throughout our entire procedure, we have implemented stringent controls to forestall contamination, ensuring the reliability of our results. To mitigate this risk, we adhere to rigorous laboratory protocols aligned with those employed in the molecular diagnosis of infectious agents, coupled with the implementation of comprehensive sample handling procedures. In addition, researchers involved in insect processing and handling use all protective barriers, such as gowns, gloves, caps, and masks. Additionally, samples, prior to extraction, are manipulated in a type A2 biosafety cabinet and subsequently extracted by an automated extraction system. In our study, we implemented rigorous measures, including the use of 5 controls during DNA extraction (which automated for decrease the risk of contamination) and 10 controls (Eukaryotic DNA-free water) during PCR for the assessment of food sources (12S). Furthermore, we incorporated 10 controls from colony-fed individuals with Gallus gallus, where no traces of human DNA were detected, ensuring the likely absence of contamination in the laboratory. Nevertheless, it is crucial to acknowledge that the identification of human-origin food sources in nymphal stages with limited mobility could potentially result from contamination during field collection. Therefore, the incorporation of negative controls during the collection of triatomines in future studies will be essential [76].

On the other hand, species like D. marsupialis have consistently been reported as triatomine feeding sources [27,40], corroborating our own findings. However, the noteworthy revelation that humans rank as the second most abundant and frequent source underscores the imperative to delve deeper into the mechanisms by which these insects, located in extra-peridomiciliary palms and feed on humans. Furthermore, the inclusion of species such as D. novemcinctus as the third most abundant implies that adults and other life stages may engage in migration to the basal layers of the ecosystem. This behavior suggests a predominant feeding pattern on terrestrial mammals, with sporadic feeding on species like V. spectrum, which is exclusively arboreal.

The population density of R. prolixus observed in A. butyracea exceeded that found in A. aculeata and M. flexuosa. Additionally, the representativity of developmental stages varied depending on the sampled palm, with lower insect densities recorded in M. flexuosa. This pattern may be linked to the structural physiognomy of the palms, as A. butyracea likely offers a more favorable microhabitat and microclimatic stability compared to the other two palm species. Remarkably, the insects collected exhibited almost identical blood sources, suggesting a lack of differentiation in the population diet within the study zone. The diets encompassed animals such as C. albifrons, D. novemcinctus, V. spectrum, E. asinus, C. lupus familiaris, and humans.

Our findings, coupled with the elevated values of entomological indicators, underscore a substantial risk of Chagas disease transmission through human interactions with triatomine ecotopes. These ecotopes result from transformation processes in the natural ecosystem. Despite the inherently wild nature of these triatomine species, the frequent utilization of their leaves in home construction and their fruits as feed for domestic animals heightens the risk of parasite transmission to humans. However, this risk could be ameliorated if M. flexuosa is favored against A. butyracea. Increasing the density of the palm tree with less bug infestation rate and density and bug parasite prevalence could lead to a reduction in vector density and T. cruzi transmission. Since M. flexuosa is an important microhabitat for several wildlife species, this measure could also provide a conservation value for the region.

Conclusion

This study revealed significant variations in the microclimate and physiognomy of three palm species. While A. butyracea exhibited higher DBH values and microclimate stability, A. aculeata and M. flexuosa displayed distinct characteristics. Rhodnius prolixus demonstrated higher densities in A. butyracea, impacting entomological indices and T. cruzi infection rates. The feeding sources analysis unveiled diverse vertebrates, emphasizing the relevance of these palms in the ecology of T. cruzi vectors. These findings contribute valuable insights into the complex interactions between palm characteristics and the epidemiology of Chagas disease. Furthermore, they suggest the presence of species such as A. butyracea and A. aculeata as a risk factor for the transmission of T. cruzi to people who settle in rural areas where the plant composition of the landscapes is dominated by these species of palms. For this reason, it is urgent to design strategies to control the intrusion of triatomines into homes in these anthropogenic areas.

Supporting information

S1 Table. List of pools selected for further molecular analysis.

(XLSX)

pntd.0011981.s001.xlsx (11.6KB, xlsx)
S2 Table. Statistical analysis comparing palm species and R. prolixus developmental stages.

(XLSX)

pntd.0011981.s002.xlsx (10.6KB, xlsx)

Data Availability

All the data is available in the manuscript and the supplementary files.

Funding Statement

We thank the Direccion de Investigacion e Innovación from Universidad del Rosario (JDR) for funding the study. We thank the CEIBA foundation for funding the PhD studies of PU. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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PLoS Negl Trop Dis. doi: 10.1371/journal.pntd.0011981.r001

Decision Letter 0

Helton C Santiago, Esther Schnettler

27 Nov 2023

Dear Dr. Ramírez,

Thank you very much for submitting your manuscript "Variation in the transmission ecology of Trypanosoma cruzi in Rhodnius prolixus (Reduviidae: Triatominae) among palm-tree species in the Colombian Orinoco" for consideration at PLOS Neglected Tropical Diseases. As with all papers reviewed by the journal, your manuscript was reviewed by members of the editorial board and by several independent reviewers. In light of the reviews (below this email), we would like to invite the resubmission of a significantly-revised version that takes into account the reviewers' comments.

The manuscript was evaluated by three specialists in the area which acknowledged the importance of the paper. However, all the reviewers raised concerns about the English. Therefore, the authors must submit the manuscript to a professional English reviewer before resubmission. In addition, another important concern is the possibility of contamination of NSG samples, raised by reviewers #2 and #3. Please, address this concern carefully and state any limitations that may impact the interpretation of results. Address other suggestion and concerns in a point-by-point response.

We cannot make any decision about publication until we have seen the revised manuscript and your response to the reviewers' comments. Your revised manuscript is also likely to be sent to reviewers for further evaluation.

When you are ready to resubmit, please upload the following:

[1] A letter containing a detailed list of your responses to the review comments and a description of the changes you have made in the manuscript. Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out.

[2] Two versions of the revised manuscript: one with either highlights or tracked changes denoting where the text has been changed; the other a clean version (uploaded as the manuscript file).

Important additional instructions are given below your reviewer comments.

Please prepare and submit your revised manuscript within 60 days. If you anticipate any delay, please let us know the expected resubmission date by replying to this email. Please note that revised manuscripts received after the 60-day due date may require evaluation and peer review similar to newly submitted manuscripts.

Thank you again for your submission. We hope that our editorial process has been constructive so far, and we welcome your feedback at any time. Please don't hesitate to contact us if you have any questions or comments.

Sincerely,

Helton C. Santiago, M.D., Ph.D

Academic Editor

PLOS Neglected Tropical Diseases

Esther Schnettler

Section Editor

PLOS Neglected Tropical Diseases

***********************

The manuscript was evaluated by three specialists in the area which acknowledged the importance of the paper. However, all the reviewers raised concerns about the English. Therefore, the authors must submit the manuscript to a professional English reviewer before resubmission. In addition, another important concern is the possibility of contamination of NSG samples, raised by reviewers #2 and #3. Please, address this concern carefully and state any limitations that may impact the interpretation of results. Address other suggestion and concerns in a point-by-point response.

Reviewer's Responses to Questions

Key Review Criteria Required for Acceptance?

As you describe the new analyses required for acceptance, please consider the following:

Methods

-Are the objectives of the study clearly articulated with a clear testable hypothesis stated?

-Is the study design appropriate to address the stated objectives?

-Is the population clearly described and appropriate for the hypothesis being tested?

-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested?

-Were correct statistical analysis used to support conclusions?

-Are there concerns about ethical or regulatory requirements being met?

Reviewer #1: The hypothesis is not stated in the manuscript;

The materials and methods are in accordance with the objectives and obtained results;

The samples are robust and the obtained results where statistically analyzed giving support to the conclusions;

There are no concerns about ethical requirements.

Reviewer #2: -Are the objectives of the study clearly articulated with a clear testable hypothesis stated? yes, they are

-Is the study design appropriate to address the stated objectives? yes, it is

-Is the population clearly described and appropriate for the hypothesis being tested? yes, it is

-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested? see comments

-Were correct statistical analysis used to support conclusions? yes, they were

-Are there concerns about ethical or regulatory requirements being met? As far as I understand, I have no concern in this sense (I do not belong to their country)

Reviewer #3: Please describe methods taken to ensure there was no contamination during extraction and PCR - e.g. were negative controls used, were assays run in duplicate/triplicate, were results confirmed with second molecular target, etc. Additionally, what measures were taken during bug processing/extraction to prevent contamination with human DNA that would be detected during vertebrate host analysis?

Some additional specific comments:

Line 151-142: It would be helpful here to briefly elaborate on the entomological indices, infestation, clustering, colonization, and density so the reader doesn't have to look up the citation just to follow your results. For example, later in the manuscript you describe density index as "number of individuals per sampled palm" - this type of detail could be included here perhaps in parentheses for all of the different indices.

Line 180: Please clarify if bugs selected for feeding sources analysis were only the T.cruzi-positive bugs? Why? And specify whether each of the pools were formed from bugs all from the same tree, or from multiple trees of the same species.

Line 193: State what statistical program was used for these analyses - later you mention R but not until specifically talking about creating the graphs.

--------------------

Results

-Does the analysis presented match the analysis plan?

-Are the results clearly and completely presented?

-Are the figures (Tables, Images) of sufficient quality for clarity?

Reviewer #1: The results are clear, well presented and the statistical analysis gives support to the conclusion

The tables and figs are clear and in good quality

Reviewer #2: I have only concerns about the way molecular material was processed.

Reviewer #3: Very nice data visualization! It may be helpful to add the Orinoco region to the map (Fig 1), as this region is mentioned several times but it was unclear to this reader exactly how that region relates to the Casanare district.

--------------------

Conclusions

-Are the conclusions supported by the data presented?

-Are the limitations of analysis clearly described?

-Do the authors discuss how these data can be helpful to advance our understanding of the topic under study?

-Is public health relevance addressed?

Reviewer #1: There is no specific topic for the conclusion. We recommend a specific topic listing the main results.

The discussion is well contextualized based in the literature

A few suggestions were listed in the comments bellow for the conclusions

Reviewer #2: My primary concern pertains to the potential for the conclusions to inadequately represent the scientific reality.

Reviewer #3: Please add some discussion about the possibility of contamination and whether you think this is likely or unlikely to explain the high frequency of apparent human blood meals.

Please add the details of the prevalences previously reported among R. prolixus collected from palm trees in this zone, this is needed to see how your results compare (line 352).

--------------------

Editorial and Data Presentation Modifications?

Use this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. If the only modifications needed are minor and/or editorial, you may wish to recommend “Minor Revision” or “Accept”.

Reviewer #1: Please check comments bellow

Reviewer #2: The text must be dramatically improved. See below:

Ln 322: higher [..insect] densities.

Ln 333-334: “that the [the presence of all] three palm species studied”.

Ln 334: “…as source of insect population foci of R. prolixus to transmit CD to people living …” [rewrite]

Ln 334: delete “larger”.

Ln 337-338: replace “host” by “inhabitant of A. butyracea”. The word “host” is often used for food sources.

Ln 357-358: The verb "represent" agrees with which subject?

Ln 361-363: I do not see a connection between the parasite genotype and the epidemiological importance.

Ln 377: Delete the “the”

Ln 378: “perturbation” can be replaced by “anthropogenic action”.

Ln 379: “perturbed” = areas under anthropogenic interference".

Ln 381: “This could explain that the main” = “This could explain why the main”.

Ln 392: delete “about”.

Ln 397: replace “those” by “that”.

Ln 399: “lower [insect] densities”.

Ln 40-401: A. butyracea must be in italics.

Ln 406: “indices” may be replaced by “indicators”.

Ln 407: delete the “the” before “humans”.

Reviewer #3: Line 37-38: This sentence doesn't make sense as written - Insects... had higher abundances of R. prolixus.

Line 41-42: The us of both "all examined insects" and "R. prolixus" in this sentence makes it sound like multiple species of insects were studied, but I don't think that is correct.

Line 78: I'm not sure what is meant by "frequent reproductive events and leaves abscission", please clarify, especially whether reproductive events refers to the plant or the bugs?

Line 86-90: This sentence is confusing, please revise for clarity.

Line 291: I believe Equus asinus would more commonly be referred to as donkeys, not horses (Equus caballus).

Line 333-334: I don't think that the term 'significant risk factor' is appropriate here, as you have not conducted an epidemiological study looking at transmission in humans relative to the presence of palms. Could be revised as "potentially pose a significant risk for the transmission".

Additionally, the manuscript would benefit from some additional editing for grammar.

--------------------

Summary and General Comments

Use this section to provide overall comments, discuss strengths/weaknesses of the study, novelty, significance, general execution and scholarship. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. If requesting major revision, please articulate the new experiments that are needed.

Reviewer #1: Review Plos NTD

Manuscript number: PNTD-D-23-00601

General Comments:

The manuscript entitled “Variation in the transmission ecology of Trypanosoma cruzi in Rhodnius prolixus (Reduviidae: Triatominae) among palm-tree species in the Colombian Orinoco” is well presented, written, discussed. The M & M are in accordance with the objectives and obtained results. The English language is nice however, a few mistakes could be found in the text therefore, a review is suggested. In the introduction a few references are missing. There is no contextualization neither on the triatomine vectors nor in the T. cruzi. Minor comments are listed bellow. Despite the fact the association of R. prolixus with distinct palm species has been studied by several authors, this manuscript presents relevant and original information and therefore, it has merits to be recommended for publication in the PNTD

Specific comments:

Title: I would suggest changing it for: “ Transmission ecology of Trypanosoma cruzi in (or by?) Rhodnius prolixus (Reduviidae: Triatominae) infesting palm-tree species in the Colombian Orinoco, indicates risks to human populations”

Background- We suggest writing the scientific names in full, because it is the first time of the species citation

Author summary- Please revise the verb in the sentence “Remarkably, it was found that the 56 kissing bugs studied, feeds on wild and domestics animal…” I think the correct is “feed”

Introduction- In the first paragraph, the authors briefly contextualize the Chagas disease however, very little is mentioned presenting either the etiologic agent or the triatomine vectors. We recommend including some general comments and references for both:

A review of the taxonomy and biology of Triatominae subspecies (Hemiptera: Reduviidae) – Parasitology Research

Do the new triatomine species pose new challenges or strategies for monitoring Chagas disease? An overview from 1979-2021 – Memórias do Instituto Oswaldo Cruz

Evolution, Systematics, and Biogeography of the Triatominae, Vectors of Chagas Disease - Chapter

Ecology and diversity of Trypanosoma cruzi – Acta Tropica

Trypanosoma Cruzi: An Ancient and Successful Enzootic Parasite - Infectious Tropical Diseases and One Health in Latin America

Also, after contextualizing the importance of the palms for the distribution, ecology and so on we suggest including some words on the importance of R, prolixus. This would improve the introducrion

Materials and methods

I would suggest including the total range of the studied area and how the humans occupy the region, also the approximate number of humans living in the area, and the number of domiciliary unities. This kind of information is highly relevant for the study carried out.

I would suggest “Triatomine sampling” instead of “Triatominae sampling”. In this topic it would be important to mention the season on which the captures were carried out. The dry and the wet seasons have relevant influences on the field work results.

Results

Line 272- “development stages” please change for “developmental stages”

Line 278- In the sentence “…than in the other palm species” I think the preposition “in” should be crossed out

Line 280- “sampled processed” or “samples processed”?

Line 314- “Represents the nymph ages” please change for “represent the nymphal stages”

Discussion

Line 343- In the sentence “Therefore, although R. prolixus is able to infest all three palm 344 species, in A. butyracea they reach bigger larger populations…” I would suggest “Therefore, although R. prolixus is able to infest all three palm species, in A. butyracea it reaches larger populations”

Line 347- In the sentence “R. prolixus achieves large population densities” please consider changing “R. prolixus achieves higher population densities “

Line 281- “peridomicile environments “ please change for “ peridomiciliary environments”

Conclusion

I would suggest including a conclusion topic. The last paragraph of the discussion could be extended listing and highlighting the most relevant findings, for instance: the numerous feeding sources including human blood as one of the most important; the obtained results in a silvatic area near human dwellings distinct from previous studies; and the importance of educational programs for people living in the area with high risk of transmission, among other relevant results

Legends

Suggestion for changes: Table 1- It would be important including the vector species name

Reviewer #2: Major concerns

The study design is commendable as the author conducted a comprehensive R. prolixius sampling of each of the three species of palm trees. Abiotic data has been intricately linked with biotic factors of eco-epidemiological significance. Molecular and statistical techniques were effectively employed in R. prolixius molecular ecology. While I appreciate the study and believe its results are worthy of publication, I do have a significant concern about the unexpectedly high frequency of first to third-stage nymph blood feedings on terrestrial animals - particularly humans. Although the recent NGS-based techniques have enhanced resolution in current studies, their heightened sensitivity increases susceptibility to contaminations. Various authors had already warned about the potential for contamination at any stage of the study involving NGS, from the field to the laboratory (see https://doi.org/10.1371/journal.pntd.0004512). I believe that this issue should not be treated as a taboo. I would consider excluding human feedings. This could be done by simply adding a statement in the Materials and Methods section, indicating that “Unexpected feedings, such as those in humans at nymphal developmental stages, were excluded from the analyses.”. Unfortunately, this would require rerunning all the analyses, but this would present a more realistic perspective. The authors are required to undertake a thorough revision of the manuscript, with a particular focus on the abstract and discussion sections. In the latter, issues were identified in nearly every line. Despite these criticisms, I reiterate that this study provides valuable information within the scope of PlosNTD.

Minor comments or concerns

Title:

Although frequently used in other studies, the term “transmission ecology” does not reflect the content of the study.

When first mentioning the genera of palm trees, “Attalea”, “Mauritia”, and “Acrocomia” in the Abstract (ln 28 on), please use the full name, and then provide the abbreviation for brevity.

Ln. 29 M&M: “resulting in 105 samples” of?

Ln 32-34: “ …analyzed using qPCR for T. cruzi detection and discrete typing units' identification. The 33 feeding preferences were determined by sequencing the 12S rRNA gene amplicon using 34 next-generation sequencing.”. This part belongs to the M&M”.

Ln.112-115: The objective statement appears to be rather vague.

Ln 235-246 “Population density of R. prolixus per palm species”: The initial number of 676 R. prolixus individuals collected may seem substantial; however, when these data are stratified by palm species and insect instar, they may prove to be insufficient for robust comparisons. On the other hand, the chosen statistical tests are suitable for handling non-normally distributed data. To enhance clarity, I suggest placing the stratification details in a supplementary file (consider insertirng X, SD, Max., Min) and discussing this in the “Discussion” section.

Ln 262-278: “Infection index and quantification of T. cruzi”: the same for “Population density of R. prolixus per palm species”.

Ln 290: there is double parenthesis “((“.

Discussion

Although it's a matter of writing style, I recommend avoiding referencing figures and tables in the discussion. Thus, the discussion flows more smoothly when referring to the literature.

Ln 406-413: Are any of these palm trees planted by humans? This discussion only makes sense if any of the three species are used for human activities of interest. This paragraph would make much more sense in the context of anthropogenic actions if any one of them is favored by the residents.

Reviewer #3: This is a very nice and interesting paper reporting systematic sampling of three species of palm trees for Rhodnius prolixus, an important vector of Trypanosoma cruzi, with parasite detection and vertebrate host meal analysis. It is certainly of value to the T. cruzi transmission ecology literature. My major concern is that the T.cruzi infection prevalence and human bloodmeal prevalence are very high, so there should be some more details and discussion about how the authors ensured this was not the result of contamination.

--------------------

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Reviewer #1: No

Reviewer #2: Yes: CEA

Reviewer #3: No

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PLoS Negl Trop Dis. doi: 10.1371/journal.pntd.0011981.r003

Decision Letter 1

Helton C Santiago, Esther Schnettler

19 Jan 2024

Dear Dr. Ramírez,

Thank you very much for submitting your manuscript "Transmission ecology of Trypanosoma cruzi by Rhodnius prolixus (Reduviidae: Triatominae) infesting palm-tree species in the Colombian Orinoco, indicates risks to human populations" for consideration at PLOS Neglected Tropical Diseases. As with all papers reviewed by the journal, your manuscript was reviewed by members of the editorial board and by several independent reviewers. The reviewers appreciated the attention to an important topic. Based on the reviews, we are likely to accept this manuscript for publication, providing that you modify the manuscript according to the review recommendations.

The improvement and importance of the manuscript were acknowledged by all the reviewers. However, all the reviewers still requested minor revision. While few punctuation suggestions were made, reviewers 2 and 3 still show concerns about sample contamination, especially during field capture. The authors should at least mention such possibility as a limitation with the opportunity to strengthen the reasons why the contamination is unlikely.

Please prepare and submit your revised manuscript within 30 days. If you anticipate any delay, please let us know the expected resubmission date by replying to this email.

When you are ready to resubmit, please upload the following:

[1] A letter containing a detailed list of your responses to all review comments, and a description of the changes you have made in the manuscript.

Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out

[2] Two versions of the revised manuscript: one with either highlights or tracked changes denoting where the text has been changed; the other a clean version (uploaded as the manuscript file).

Important additional instructions are given below your reviewer comments.

Thank you again for your submission to our journal. We hope that our editorial process has been constructive so far, and we welcome your feedback at any time. Please don't hesitate to contact us if you have any questions or comments.

Sincerely,

Helton C. Santiago, M.D., Ph.D

Academic Editor

PLOS Neglected Tropical Diseases

Esther Schnettler

Section Editor

PLOS Neglected Tropical Diseases

***********************

The improvement and importance of the manuscript were acknowledged by all the reviewers. However, all the reviewers still requested minor revision. While few punctuation suggestions were made, reviewers 2 and 3 still show concerns about sample contamination, especially during field capture. The authors should at least mention such possibility as a limitation with the opportunity to strengthen the reasons why the contamination is unlikely.

Reviewer's Responses to Questions

Key Review Criteria Required for Acceptance?

As you describe the new analyses required for acceptance, please consider the following:

Methods

-Are the objectives of the study clearly articulated with a clear testable hypothesis stated?

-Is the study design appropriate to address the stated objectives?

-Is the population clearly described and appropriate for the hypothesis being tested?

-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested?

-Were correct statistical analysis used to support conclusions?

-Are there concerns about ethical or regulatory requirements being met?

Reviewer #1: The manuscript was greatly improved. Minor issues were detected and must be corrected;

THe objectives of the study are clearly articulated with a clear testable hypothesis stated;

There are no concerns about ethical requirements;

Population is clearly described and the sample size is sufficient;

Reviewer #2: The authors presented compelling arguments to refute the possibility of contamination in the laboratory. However, they failed to acknowledge the information I provided (See https: Logue et al. 2016), indicating that contamination could also occur in the field, during insect captures. This poses a significant challenge, particularly in studies involving highly sensitive methods to detect food sources. This potential source of contamination cannot be dismissed and warrants further discussion. This is especially crucial since nymphs in their early developmental stages exhibit extremely limited mobility. This is challenging to conceive that N1 can descend from a palm tree to feed on humans and then return to the tree - considering the observed high prevalence of feeding on humans during these sessile stages. In the discussion, it is important to acknowledge and consider the possibility of contamination in the field, as highlighted, to ensure an accurate evaluation of the research findings.

See: Logue K, Keven JB, Cannon MV, Reimer L, Siba P, Walker ED, et al. (2016) Unbiased Characterization of Anopheles Mosquito Blood Meals by Targeted High-Throughput Sequencing. PLoS Negl Trop Dis 10(3): e0004512. https://doi.org/10.1371/journal.pntd.0004512.

Reviewer #3: The additions to the methods to describe positive and negative controls and the additional information provided to reviewers on the separate stations for processing are encouraging. However, I would still like to see some details on the precautions taken to prevent human contamination of samples prior to extraction - what PPE was used (gloves, sleeves, lab coat, hair net?), were extractions conducted in biosafety cabinet or benchtop, etc.

How were the 115 triatomines subjected to DNA extraction selected from the 676 total collected? Was this a systematic process? Random? Stratified? It does not appear that the number of bugs tested from each tree species was representative of the overall distribution of number of bugs collected. Was a power calculation or any other stats done to determine the sample size that would be tested?

--------------------

Results

-Does the analysis presented match the analysis plan?

-Are the results clearly and completely presented?

-Are the figures (Tables, Images) of sufficient quality for clarity?

Reviewer #1: M&M are in accordance with the results and tables and figs are ok.

Reviewer #2: The authors present the results they have obtained, but it's important to acknowledge that these findings may be biased.

Reviewer #3: (No Response)

--------------------

Conclusions

-Are the conclusions supported by the data presented?

-Are the limitations of analysis clearly described?

-Do the authors discuss how these data can be helpful to advance our understanding of the topic under study?

-Is public health relevance addressed?

Reviewer #1: The discussion is pertinent

Conclusions were clearly included

Reviewer #2: Logue et al. (2016) mentioned "Here, we included 30 extraction (water) controls that were all negative suggesting very low levels of laboratory contamination (if any). An interesting complementary control, which would also control for field contamination, would be to analyze male mosquitoes collected at the same time."

For mosquitoes, only females feed on humans. The authors could insert a similar statment, such as:

Here, we incorporated [...insert your cautions...] controls, all of which yielded negative results, indicating minimal to no laboratory contamination. A complementary control, which could additionally address potential field contamination, would involve analyzing non-hematophagous insects collected simultaneously [modify for your convenience]

Reviewer #3: It's not clear that there is good statistical support for the statement in lines 395-396 and 398-401 regarding differences in triatomine infection prevalence between tree species given the sample size tested was a subset of the total insects collected and details are missing on how that subset was selected.

--------------------

Editorial and Data Presentation Modifications?

Use this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. If the only modifications needed are minor and/or editorial, you may wish to recommend “Minor Revision” or “Accept”.

Reviewer #1: Background

A coma is missing… Chagas disease, affecting approximately eight million individuals in tropical regions, is primarily transmitted by vectors.

I would suggest changing “resides” by inhabits or infests or colonizes

Conclusion

The term “individuals” is a bit vague. I would suggest using a more precise term

High population densities and infection rates were observed in each examined palm tree species. I would suggest including: High population densities and infection rates of R. prolixus were observed in each examined palm tree species.

M&M

In the line 170 the species name is written in full. Please change it to R. prolixus and revise all manuscript.

Discussion

Line 363- Please correct Attalea butyracea “A. butyracea”

Line 477- Please correct R. prolixus ; after a period or to initiate a paragraph please write the scientific name in full.

Reviewer #2: The manuscript is well presented

Reviewer #3: (No Response)

--------------------

Summary and General Comments

Use this section to provide overall comments, discuss strengths/weaknesses of the study, novelty, significance, general execution and scholarship. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. If requesting major revision, please articulate the new experiments that are needed.

Reviewer #1: (No Response)

Reviewer #2: See the comments for Methods

Reviewer #3: The manuscript has been improved by the revisions conducted. There are just a few additional issues needing clarification.

--------------------

PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: Yes: CEA

Reviewer #3: No

Figure Files:

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PLoS Negl Trop Dis. doi: 10.1371/journal.pntd.0011981.r005

Decision Letter 2

Helton C Santiago, Esther Schnettler

8 Feb 2024

Dear Dr. Ramírez,

We are pleased to inform you that your manuscript 'Transmission ecology of Trypanosoma cruzi by Rhodnius prolixus (Reduviidae: Triatominae) infesting palm-tree species in the Colombian Orinoco, indicates risks to human populations' has been provisionally accepted for publication in PLOS Neglected Tropical Diseases.

Before your manuscript can be formally accepted you will need to complete some formatting changes, which you will receive in a follow up email. A member of our team will be in touch with a set of requests.

Please note that your manuscript will not be scheduled for publication until you have made the required changes, so a swift response is appreciated.

IMPORTANT: The editorial review process is now complete. PLOS will only permit corrections to spelling, formatting or significant scientific errors from this point onwards. Requests for major changes, or any which affect the scientific understanding of your work, will cause delays to the publication date of your manuscript.

Should you, your institution's press office or the journal office choose to press release your paper, you will automatically be opted out of early publication. We ask that you notify us now if you or your institution is planning to press release the article. All press must be co-ordinated with PLOS.

Thank you again for supporting Open Access publishing; we are looking forward to publishing your work in PLOS Neglected Tropical Diseases.

Best regards,

Helton C. Santiago, M.D., Ph.D

Academic Editor

PLOS Neglected Tropical Diseases

Esther Schnettler

Section Editor

PLOS Neglected Tropical Diseases

***********************************************************

Reviewer #1 still made few suggestions, which we consider may be addressed by the authors, if they consider appropriate, during the production phase.

Reviewer's Responses to Questions

Key Review Criteria Required for Acceptance?

As you describe the new analyses required for acceptance, please consider the following:

Methods

-Are the objectives of the study clearly articulated with a clear testable hypothesis stated?

-Is the study design appropriate to address the stated objectives?

-Is the population clearly described and appropriate for the hypothesis being tested?

-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested?

-Were correct statistical analysis used to support conclusions?

-Are there concerns about ethical or regulatory requirements being met?

Reviewer #1: Objectives, methodology, results, discussion and conclusion are in accordance wiht the hypothesis being tested

Reviewer #2: In this version, the authors acknowledge the possibility of field contamination. I support the publication of this manuscript.

Reviewer #3: (No Response)

**********

Results

-Does the analysis presented match the analysis plan?

-Are the results clearly and completely presented?

-Are the figures (Tables, Images) of sufficient quality for clarity?

Reviewer #1: Results are well presented and discussed

Reviewer #2: yes

Reviewer #3: (No Response)

**********

Conclusions

-Are the conclusions supported by the data presented?

-Are the limitations of analysis clearly described?

-Do the authors discuss how these data can be helpful to advance our understanding of the topic under study?

-Is public health relevance addressed?

Reviewer #1: Conclusions are in accordance with the results

Reviewer #2: Yes, they are.

Reviewer #3: (No Response)

**********

Editorial and Data Presentation Modifications?

Use this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. If the only modifications needed are minor and/or editorial, you may wish to recommend “Minor Revision” or “Accept”.

Reviewer #1: Minor revision

Reviewer #2: needless

Reviewer #3: (No Response)

**********

Summary and General Comments

Use this section to provide overall comments, discuss strengths/weaknesses of the study, novelty, significance, general execution and scholarship. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. If requesting major revision, please articulate the new experiments that are needed.

Reviewer #1: The manuscript was greatly improved.

Unfortunately, I did not detect in the very first round the manuscript is not related to Chagas disease (Epidemiology, symptoms, mortality, and morbidity) but to the T. cruzi transmission ecology. Sorry for that!

Chagas disease is a very complex disease in several aspects therefore, in order to get the manuscript more technically precise, I suggest replacing the several expressions like “Chagas disease vectors” Chagas disease transmission” “risk of Chagas disease” by “T. cruzi vectors”, “T. cruzi transmission”, “risk of T. cruzi…” Please check all manuscript

Examples:

Author summary- several sentences to be modified mainly the first and last ones

Introduction line 6;

page 3 line3; page 4 line 1;

page 10 line 40; page 12 line 487; page 13 line 502

Results- page 9- Feeding sources: In order to be more clear please number the total species functioning as food sources (13 species in total?)

Reviewer #2: In this version, the authors acknowledge the possibility of field contamination. I support the publication of this manuscript.

Reviewer #3: My previous comments have been satisfactorily addressed and I have no further comments.

**********

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Reviewer #1: No

Reviewer #2: Yes: CEA

Reviewer #3: No

PLoS Negl Trop Dis. doi: 10.1371/journal.pntd.0011981.r006

Acceptance letter

Helton C Santiago, Esther Schnettler

13 Feb 2024

Dear Dr. Ramírez,

We are delighted to inform you that your manuscript, "Transmission ecology of Trypanosoma cruzi by Rhodnius prolixus (Reduviidae: Triatominae) infesting palm-tree species in the Colombian Orinoco, indicates risks to human populations," has been formally accepted for publication in PLOS Neglected Tropical Diseases.

We have now passed your article onto the PLOS Production Department who will complete the rest of the publication process. All authors will receive a confirmation email upon publication.

The corresponding author will soon be receiving a typeset proof for review, to ensure errors have not been introduced during production. Please review the PDF proof of your manuscript carefully, as this is the last chance to correct any scientific or type-setting errors. Please note that major changes, or those which affect the scientific understanding of the work, will likely cause delays to the publication date of your manuscript. Note: Proofs for Front Matter articles (Editorial, Viewpoint, Symposium, Review, etc...) are generated on a different schedule and may not be made available as quickly.

Soon after your final files are uploaded, the early version of your manuscript will be published online unless you opted out of this process. The date of the early version will be your article's publication date. The final article will be published to the same URL, and all versions of the paper will be accessible to readers.

Thank you again for supporting open-access publishing; we are looking forward to publishing your work in PLOS Neglected Tropical Diseases.

Best regards,

Shaden Kamhawi

co-Editor-in-Chief

PLOS Neglected Tropical Diseases

Paul Brindley

co-Editor-in-Chief

PLOS Neglected Tropical Diseases

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 Table. List of pools selected for further molecular analysis.

    (XLSX)

    pntd.0011981.s001.xlsx (11.6KB, xlsx)
    S2 Table. Statistical analysis comparing palm species and R. prolixus developmental stages.

    (XLSX)

    pntd.0011981.s002.xlsx (10.6KB, xlsx)
    Attachment

    Submitted filename: Responses to reviewers 261223.docx

    pntd.0011981.s003.docx (37.8KB, docx)
    Attachment

    Submitted filename: Responses to reviewers 220124.docx

    pntd.0011981.s004.docx (32.9KB, docx)

    Data Availability Statement

    All the data is available in the manuscript and the supplementary files.


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