Abstract
Common vampire bat populations distributed from Mexico to Argentina are important rabies reservoir hosts in Latin America. The aim of this work was to analyse the population structure of the rabies virus (RABV) variants associated with vampire bats in the Americas and to study their phylodynamic pattern within Argentina. The phylogenetic analysis based on all available vampire bat-related N gene sequences showed both a geographical and a temporal structure. The two largest groups of RABV variants from Argentina were isolated from northwestern Argentina and from the central western zone of northeastern Argentina, corresponding to livestock areas with different climatic, topographic and biogeographical conditions, which determined their dissemination and evolutionary patterns. In addition, multiple introductions of the infection into Argentina, possibly from Brazil, were detected. The phylodynamic analysis suggests that RABV transmission dynamics is characterized by initial epizootic waves followed by local enzootic cycles with variable persistence. Anthropogenic interventions in the ecosystem should be assessed taking into account not only the environmental impact but also the potential risk of disease spreading through dissemination of current RABV lineages or the emergence of novel ones associated with vampire bats.
Keywords: Argentina, phylodynamics, phylogeography, rabies virus, vampire bats
Introduction
The rabies virus (RABV), the prototype species of the genus Lyssavirus, family Rhabdoviridae, is the aetiological agent of most fatal infections of the central nervous system of mammals, including humans (Dietzgen et al. 2011). Rabid reservoir hosts transmit disease mainly by bite while other susceptible mammals are most of the times transmission dead ends. RABV circulation is maintained through terrestrial and aerial cycles, associated with different species within the orders Carnivora and Chiroptera. The vampire bat, distributed from Mexico to Argentina, is an important rabies reservoir host in the region.
There are several vampire bat-transmitted RABV antigenic variants and genetic lineages that have been defined by immunological and molecular methods (Diaz et al. 1994; Ito et al. 2001). Because of its higher cost-effectiveness, antigenic typing with a reduced panel of eight monoclonal antibodies has been the tool of choice in Latin American countries for decades (Diaz et al. 1994). This approach identifies more than three antigenic variants (AgV) specifically associated with vampire bats. AgV3 has been the most widely spread throughout the Americas, while AgV5, AgV8 and AgV11 and other RABV presenting novel antigenic patterns, yet associated with vampire bats, have a limited distribution in some countries of the Americas (Velasco-Villa et al. 2006).
In the North of Argentina, rabies associated with the haematophagous bat Desmodus rotundus is enzootic in cattle (paralytic rabies; Delpietro & Russo 1996). Sporadic cases may also occur in humans, with the most recent ones reported in 1997 and 2001 (Larghi & Delpietro 2004). Beyond the important economic impact on the livestock industry attributed to vampire bat attacks and rabies disease, rabies in vampire bats should be considered as a major public health threat for its growing impact on human beings (Schneider et al. 2009).
Although many investigations have studied the molecular epidemiological characteristics of bat-associated rabies, a comprehensive analysis about the population structure and the spatio-temporal dissemination dynamics of the vampire bat-transmitted RABV is still lacking for several countries of the Americas.
The aim of this work was to analyse the population structure of vampire bat-transmitted rabies in America and to study the phylodynamic pattern of the variants found in Argentina.
Methods
Samples
A total of 357 brain samples were collected from different species, mainly from cattle and horses between 1991 and 2009, from the Argentinean National Rabies Network. Sampling included vampire bats (n = 4) and human (n = 2) cases. RABV was detected mainly by direct immunofluorescence and by mouse inoculation test (Koprowski 1996). Later, RABV isolates were sent to two National Reference Laboratories for antigenic characterization (DILACOT, SENASA or Instituto de Zoonosis ‘Dr Luis Pasteur’). Rabies isolates were characterized as antigenic variant 3 (AgV3) using a panel of eight monoclonal antibodies directed against the viral nucleoprotein kindly provided by the Centers for Disease Control and Prevention (Atlanta, GA, USA; Delpietro et al. 1997).
RT–PCR amplification and sequencing of rabies viruses
Viral RNA was extracted from rabies isolates using TRI-zol® (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's instructions. Reverse transcription and PCR amplification of the complete nucleoprotein gene were carried out using 001-921B and 550F and 304 primers as described previously (Streicker et al. 2010). Amplicons were purified using ExoSAP-IT® (USB Corporation). Sequencing was performed using an Applied Biosystems 3730 DNA Analyzer. Successful sequencing was performed on 227 samples (183 complete and 44 partial N gene; Table S1, Table S2, Fig. 2 and ‘SamplingSites.kml’, Supporting information).
Phylogenetic analysis
Complete N sequences introduced in this work (n = 183) were analysed along with all vampire bat-associated N sequences longer than 1250 bp available from GenBank up to 1 May 2013 (n = 607).
Sequences were aligned with clustalX v2.1 (Larkin et al. 2007) and edited with bioedit v7.0 (Hall 1999). Maximum-likelihood (ML) phylogenetic tree and bootstrap analysis (1000 replicates) were obtained using the raxml software with rapid bootstrap algorithm (Stamatakis 2006; Stamatakis et al. 2008) implemented in the CIPRES Science Gateway server (Miller et al. 2010).
In addition, the 5′ end of the nucleoprotein gene (264 bp) was analysed. The data set included sequences introduced in this work (n = 227) and all vampire bat-associated sequences from GenBank up to 1 May 2013 (n = 1005). Analysis was performed as described above.
Spatial and temporal structure
The spatial and temporal structure was studied for the complete N sequences data set and for the NWA and NEA groups, using the Parsimony Score (PS) and the Association Index (AI) statistics, estimated with the bats v0.1 software (Parker et al. 2008).
Two analyses were performed for the complete N sequences data set. On one hand, it was analysed labelling tips according to the country of origin or the year of isolation (n sequences = 790). On the other hand, only sequences with information about the state/province or year of isolation (labelling by state/province or by year) were included (n sequences = 547).
For both analyses, AI and PS statistics were computed for a null distribution with 1000 replicates (expected values) and for the posterior distribution of trees obtained from a Bayesian analysis (observed values). This analysis was performed using an appropriate substitution model (estimated with the jmodeltest v2.1 software (Darriba et al. 2012), according to the Akaike Information Criterion), the uncorrelated lognormal (UCLN) molecular clock model (Drummond et al. 2006) and a constant population size implemented in beast v1.8 (Drummond et al. 2012). Analyses were run using BEAGLE library (Suchard & Rambaut 2009; Ayres et al. 2012) at the CIPRES Science Gateway server (Miller et al. 2010). Convergence was assessed by effective sample size (ESS) values higher than 200 using the tracer v1.5 software (Rambaut et al. 2013), and 10% of the sampling was discarded as burn-in.
In addition, the spatial and temporal structure was also studied for the NWA and NEA groups. Data sets were analysed labelling tips according to the province of origin or the year of isolation. For both analyses, the posterior distribution of trees used as input for bats was obtained from the phylodynamic analyses.
bats analysis for temporal structure allow us to evaluate the association among phylogeny and year of isolation in NWA and NEA data sets (i.e. how samples from different years of isolation are distributed in the phylogeny) but do not allow us to study whether the temporal signal is adequate for phylodynamic studies (i.e. how informative the years of isolation are to calibrate the phylodynamic analysis).
Thus, to study the temporal signal of NWA and NEA data sets, a previously described strategy was used (Faria et al. 2012). Briefly, strict molecular clock models including and excluding temporal information (dated versus contemporaneous tips) were compared through Bayes factor using the marginal-likelihood values estimated by the path sampling and stepping stone methods (Baele et al. 2012).
Phylodynamic analysis
Sequences of Argentinean samples belonging to the two main groups described by the phylogenetic analysis were used in Bayesian coalescent analyses to study the spatio-temporal dynamics along with the substitution rate and the time to the most recent common ancestors (tMRCAs) for the different RABV lineages found in Argentina. Only sequences with complete sampling information (Department-Province and month-year) were included, and sequences from samples associated with documented or presumptive imported cases for each region were excluded (Table S1, Supporting information).
Analyses were carried out using an appropriate substitution model estimated with the jmodeltest v2.1 software, according to the Akaike Information Criterion, the uncorrelated lognormal (UCLN) molecular clock model and the GMRF Bayesian Skyride coalescent model (Minin et al. 2008) implemented in the beast v1.8 software package. A spatial diffusion process was modelled on time-measured genealogies over continuous sampling locations (geographical coordinates). Different diffusion models were tested: Homogenous Brownian, Cauchy and Gamma distributions (Lemey et al. 2010).
Convergence was assessed by effective sample size (ESS) values higher than 200 using the tracer v1.5 software, and 10% of the sampling was discarded as burn-in. The uncertainty in parameter estimates was evaluated in the 95% highest posterior density (HPD95%) interval. The diffusion model that best fits to the data was selected through Bayes factor, using the marginal-likelihood values estimated by the path sampling and stepping stone methods. Visualizations of the selected diffusion processes were generated with the spread v1.0 software (Bielejec et al. 2011).
In addition, to study the relation among the Ne x τ (Ne: effective population size; τ: generation time) as an approximation to the effective number of infections (median values for each year), the mean dispersal rates and rabies cases in cattle, a Pearson correlation test was performed using the graphpad instat software v3.1 (San Diego California USA, www.graphpad.com).
Sensitivity analysis
In spite of no changes in surveillance strategy were documented or epidemiologically linked cases were not processed, the distribution of sequences over the study period was not uniform. Thus, to determine whether results obtained with NEA data set could be influenced by a possible biased sampling, two analyses were performed. On one hand, to study a possible bias related to oversampling in some years, the median number of sequences per year was calculated (resulting 5.5 sequences per year). Based on that, the data set was randomly subsampled to obtain five sequences per year (the final data set contained 54 sequences), and analysis was carried out as previously described for the complete NEA data set.
On the other hand, to study a possible bias related to oversampling for hypothetical linked cases, data set was randomly subsampled to obtain only one sequence per department per year (the final data set contained 77 sequences), and analysis was carried out as previously described for the complete NEA data set.
Rabies cases in cattle
The number of rabies cases was obtained from Departamento de Zoonosis y Vectores. Ministerio de Salud de la Nación and from Dirección Nacional de Sanidad Animal, SENASA Argentina.
Results
Phylogenetic analysis
Phylogenetic and statistical analyses on all available vampire bat-related complete N gene sequences showed both a geographical and a temporal structure (P < 0.001 for the AI and PS statistics; Fig. 1 and Table S3, Supporting information). Basal diversification events separated some sequences from Mexico (described as AgV8) and from Peru and Colombia (with an unavailable AgV pattern) from AgV3 sequences.
Two major groups were observed among AgV3 sequences. One of them comprised sequences from Central America and the north of South America, including sequences described as AgV11 from Mexico (Velasco-Villa et al. 2006). The other group was formed exclusively by South American sequences and presented six main clusters and subclusters named with roman numbers and letters, respectively, for description purposes only (Fig. 1).
Sequences from Argentina were located in four groups with highly supported bootstrap values (Fig. 1). The two largest groups were formed by sequences from northwestern (NWA, group V) and northeastern (NEA, within group VI) Argentina (Figs 2, S1 and S2, Supporting information). It is worth noting that three samples from NWA were found into the NEA group (Fig. S2, Supporting information). Although these samples were detected in NWA, animals presumably acquired RABV infection in the NEA region, considering documented cattle movements from the NEA to the NWA region (DNSA 2013a).
Furthermore, the NWA and NEA groups also showed a geographical and temporal structure when sequences were labelled according to its province of origin or the year of isolation (P < 0.001 for AI and PS statistics for both regions; Table S3, Supporting information).
In addition, some sequences from the Province of Misiones, which is part of the NEA region, bordering Paraguay and Brazil, were located in groups formed by sequences from Brazil [group II, Fig. S3(a), Supporting information], and from Brazil, Peru and Uruguay [group Ib, Fig. S3(b), Supporting information]. It is remarkable that group II included a high number of AgV3 sequences isolated from nonvampire bats.
Equivalent phylogenetic groups of sequences from Argentina were also observed in the analysis of partial N sequences, although lower bootstrap values were obtained (Fig. S4–S7, Supporting information). The lower phylogenetic resolution was also reflected in the loss of monophyly of the NEA group, owing to the introduction of sequences from Colombia and Ecuador. However, this analysis allowed observing crossing patterns of the RABV other than those evidenced in the analysis of the complete N gene finding sequences from NWA in the NEA group but also sequences from NEA in the NWA group.
Phylodynamic analysis
First, to evaluate whether the temporal signal of sequences of the largest groups from Argentina (NWA and NEA) was adequate for calibrating phylodynamic studies, the marginal-likelihood estimates for models including and excluding sampling dates were compared through Bayes factor. For both data sets, BF favoured the model that incorporates sampling dates, suggesting a temporal signal enough for calibrating phylodynamic analysis. For NWA data set, it was obtained a log BF = 7.9 (for Path Sampling method) and a log BF = 8.5 (for Stepping Stone method), indicating a strong evidence against the model that excludes sampling dates (Kass & Raftery 1995). While for the NEA data set, BF resulted in log BF = 159.9 (for Path Sampling method) and log BF = 158.9 (for stepping stone method), strongly favouring the model that incorporates sampling dates.
Thus, the phylodynamic pattern of the NWA and NEA groups from Argentina was studied using complete nucleoprotein gene sequences under a Bayesian approach that considers the phylogenetic dispersion in time and space.
Homogeneous and relaxed diffusion models were tested for the NWA and NEA groups. For both cases, Gamma distribution was selected by the Bayes factor test as the best fitting model (Table S4, Supporting information).
Under this model, both groups showed similar median tMRCA dated in 1987 (HPD95% = 1959–1998) for NWA and in 1992 (HPD95% = 1991–1994) for NEA. Similarly, substitution rates were estimated as 1.9 × 10−4 substitutions/site/year (s/s/y) (HPD95% = 3.1 × 10−5 – 3.9 × 10−4) for NWA, and as 2.6 × 10−4 s/s/y (HPD95% = 1.9 × 10−4 – 3.4 × 10−4) for NEA.
Demographic reconstructions showed that viral diversity in NWA has remained almost constant since the tMRCA (Fig. 3). In contrast, in the NEA region, the effective number of infections has increased slightly since 1992, with a maximum in ~1998–2001, which seems to continue up to the present (Fig. 4). In addition, this increase in NEA was possibly characterized by a strong diversification process occurring soon after the tMRCA, preceded by an increase in the dispersal rate, suggesting that this diversification occurred simultaneously in different sites of NEA (Fig. 4 and ‘NEA_diffusion_process.kml’, Supporting information). The most recent cases would have derived from two main diversification foci located in the north of the NEA region (mainly in the Departments Pirané and Patiño, Province of Formosa) and in the south of the NEA region (mainly in the Department Laishi, Province of Formosa and in the Province of Chaco; Fig. 4, Fig. 5 and ‘NWA_diffusion_process.kml’, Supporting information).
In addition, the NWA group showed a median dispersal rate of 21.0 km/year (HPD95% = 0.9–40.6) with a maximum in 2007 (Fig. 3). Conversely, a median rate of 37.1 km/year (HPD95% = 28.9–44.1) was observed for the NEA group, which showed fluctuating patterns of high and low dispersal rates with marked increases in 1996, 2003 and 2007 (Fig. 4). It is worth noting that the NWA group showed higher uncertainty in all estimations performed, evidenced by wider HPD intervals.
Furthermore, increments in RABV dispersal rates preceded or accompanied the increments in the number of rabies cases in cattle that occurred in ~2008 in NWA, and in ~1996–1997 and ~2006–2008 in NEA. By visual inspection of the rate-through-time plot superimposed to the number of rabies cases in cattle for each region (Figs 3 and 4), a tendency of a positive correlation has been observed between dispersal rates and rabies cases in cattle but not for the effective number of infection and cases, particularly for NEA region.
However, the correlation analysis carried out to study the relation among these estimates and cases showed no significant correlation for neither the dispersal rates and cases nor the effective number of infections and cases for NWA and NEA regions (all P > 0.05).
Finally, to study the influence of a possible biased sampling, sensitivity analyses were performed on the NEA data set, showing consistent results with those obtained with the complete NEA data set, suggesting that results are not biased for an uneven distribution per year o per department (Table S5, Table S6, Fig. S8 and Fig. S9, Supporting information).
Discussion
Understanding the epidemiological characteristics and dissemination trends of vampire bat-transmitted rabies allows evaluating the existing control and prevention strategies as well as proposing alternative measures to block spreading and further impact on human health, and reducing the economic losses in the cattle raising industry.
In this study, a comprehensive phylogenetic analysis was carried out to study the diversification of Argentinean isolates in the context of all available vampire bat sequences and to identify groups for analysing the spatio-temporal diffusion process of the RABV in Argentina. Viral population showed a geographical and a temporal structure that is consistent with the nonmigratory behaviour of the common vampire bat (Desmodus rotundus), suggesting that the dispersion of the RABV lineages would be better explained by the ecology of the bat populations, as previously proposed (Velasco-Villa et al. 2006; Barbosa et al. 2008; Kobayashi et al. 2008; Streicker et al. 2010; Condori-Condori et al. 2013).
The north of Argentina is considered an endemic area for RABV transmitted by vampire bats. This area is located north of parallel 29th S and east of meridian 66th W, encompassing a surface of approximately 550,000 km2, with different climatic, topographic and biogeographical conditions where livestock is raised under different ecosystems (Delpietro & Russo 1996), altogether affecting vampire bats ecology. Traditionally, the central western zone of northeastern Argentina (NEA) is characterized by an extensive plain with densely populated livestock areas (more than three cattle heads per km2) almost not interrupted for hundreds of kilometres. Conversely, the eastern zone of NEA and northwestern Argentina (NWA) present livestock areas with dense population, frequently interrupted for areas with low population (Delpietro & Russo 1996). In highly populated areas, vampire bats feed almost exclusively on cattle; their population reaches higher densities and lives in roosts mainly located in human buildings. Meanwhile, in low populated areas, the natural living conditions of vampire bats are less altered, and bats feed on diverse species and live in natural roosts in significantly smaller colonies (Delpietro et al. 1992).
It has been postulated that the transmission dynamics of RABV associated with vampire bats might be explained by two alternative hypotheses. One considers it as a migrating epizooty and the other as a long-term locally maintained enzootic disease (Fornes et al. 1974; Delpietro & Russo 1996; Streicker et al. 2012). In Argentina, the viral spreading has been more associated with the hypothesis of epizootics, with interepidemic periods with no rabies for at least 4–5 years (during which the vampire population would increase after an initial high mortality; Fornes et al. 1974; Delpietro & Nader 1989; Delpietro & Russo 1996). However, rabies cases in cattle were continuously registered throughout the period here studied, since 1991 to 2009 (with the exception of 1998), demonstrating that enzootic cycles are present in South America (Brazil would also participate in the regional circulation of RABV in Argentina). Nonetheless, the hypotheses of a migrating epizooty and an enzootic disease would not be mutually exclusive, indicating that initial epizootic waves might be followed by local enzootic cycles with variable persistence, as previously suggested (Streicker et al. 2012).
The two main groups of viruses found in this study were associated with rabies foci in NWA and NEA. Even though the first reports of paralytic rabies in Argentina date from 1928 (Quiroga et al. 1931), the currently circulating lineages might be associated with more recent diversification events, according to the median ancestral times estimated for the NWA and NEA groups (1987 and 1992, respectively). Different bottlenecks in transmission related to the epizootic waves with high bat mortality or culling could explain the extinction of the first lineages introduced in the country, probably through the North (López Adaros et al. 1969), which precludes tracing back the disease to its more ancient origin. Recent evidence for this process might be observed in the diversification of sequences from the highly endemic NEA region, where current RABV variants would be related to the diversification of two major lineages in the NEA region, whereas many other lineages detected in older samples might have not been widely transmitted.
The ecosystem characteristics and the livestock density could be some of the most important factors that might influence the RABV dispersal rate. This rate was estimated as ~21 and ~37 km/year for NWA and NEA, respectively. A previous epidemiological study had estimated a 40 km/year rate for the NEA region (Fornes et al. 1974). A slower dispersion in NWA would correlate with the presence of geographical barriers that make livestock raising more difficult and less cost-effective, while a faster dispersion in NEA would occur due to the presence of uninterrupted grasslands favouring denser livestock areas.
Relation among the number of rabies cases in cattle, the dispersal rate and the effective number of infections (inferred from the viral diversity) was also studied. Particularly for NEA region, despite the number of cases tended to correlate better with dispersal rates than with the effective number of infections, none significant correlation was found.
This might indicate that the viral dispersion allowed the infection of new susceptible hosts but maintaining the viral diversity (as equilibrium among the appearance of new variants and elimination of transient lineages). Particularly, the higher number of rabies cases in cattle (DNSA 2013a) and the higher dispersal rates estimated for the recent times in NWA might be traced to the application of novel government policies and economic conditions that have encouraged agricultural production and cattle raising in this region (DNSA 2013b).
In the NEA, increments in RABV dispersal rates preceded or accompanied the high number of rabies cases in cattle occurred in ~1997 and ~2006 (Fig. 4), defined as epidemic periods (Ministerio de Salud de la Nación 2007). However, population dynamics only showed a slight increase in the effective number of infections during ~1995–1997. This pattern was also observed in the terrestrial rabies in North America (Biek et al. 2007; Lemey et al. 2010).
It is worth noting that different factors, such as variation in offspring number, population structure and changing generation times (that can vary over the course of an epidemic), may influence the estimation of Ne x τ and possibly also explain the lack of correlation with cases (Charlesworth 2009; Frost & Volz 2010; Ho & Shapiro 2011).
Fluctuations in RABV dispersal rates agree with earlier observations made by Delpietro & Russo (1996), who described a rabies epizootic in the region as merged rabies outbreaks from several contiguous geographical areas.
Temporal distribution of sampling could influence the inference of population dynamics (Stack et al. 2010); then, it is worth noting that results presented in this study would not be biased for an uneven distribution of samples per year or per department, as suggested by sensitivity analyses performed.
On the other hand, in addition to the main phylogenetic groups described, other sequences from Argentina that belong to the eastern zone of the NEA region grouped with different clusters of foreign samples. This likely reflects the interrupted nature of the ecosystem in this Argentinean region and the potential interconnection between distant outbreaks suggesting multiple rabies introductions in the country, possibly from Brazil. It is worth noting that one of these groups included a high number of AgV3 sequences isolated from Artibeus spp bats and multiple other bat species (Fig. S3, Supporting information), suggesting that they could have been disease spillovers from vampire bats into other bat species (Shoji et al. 2004).
It is remarkable how useful modern phylogenetic/phylogeographic tools are to discern potential sources of disease introduction, given that the predicted imported rabies cases from NWA to NEA (and vice versa) inferred by our study were corroborated in some cases with actual records of the National Health Service and Food Quality (SENASA). These are powerful tools also to define dissemination trends of infectious diseases and even more to further characterize the dynamics of rabies virus in different hosts (Streicker et al. 2010; Faria et al. 2013).
Finally, a continuous surveillance strategy in different reservoir host species, including bats, associated with dissimilar ecosystems along with the implementation of ecological models is needed to better understand the complex evolutionary, transmission and diversification patterns of RABVs.
Supplementary Material
Acknowledgements
We thank Dr. Philippe Lemey for kindly providing a code for the analysis of dispersal rates and Dr. Gustavo Palacios for comments that greatly improved the manuscript. We are very grateful to Bernardo Cosentino and Mariano Ramos from Dirección de Epidemiología y Análisis de Riesgo, SENASA, and to the staff of Dirección Nacional de Sanidad Animal (DNSA) for providing valuable information. We also thank three anonymous reviewers for their helpful comments.
This study was supported by INEI-ANLIS ‘Dr. Carlos G. Malbrán, the Centers for Disease Control and Prevention, Atlanta GA, USA; and the American Fellows Program, Partners of the Americas of the USA Government’.
Footnotes
CT, CL, VAM and DMC designed the research. CT and CL performed the experiments. CT, CL, VAM and DMC analysed the data. FGD, FB, LN, SR, MCF, AVV contributed with reagents and analysis tools. CT, CL, AVV, VAM and DMC wrote the study.
Data accessibility
Nucleoprotein gene sequences reported in this work have been deposited in GenBank under the Accession nos.: KF864233-KF864415 (complete N gene), KF864416-KF864459 (partial N gene; Table S1 and Table S2, Supporting information). Input files (XML and alignments), phylogenetic trees and sampling locations are included as online Supporting information.
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