title: New highly divergent rRNA sequence among biodiverse genotypes of Enterocytozoon bieneusi strains isolated from humans in Gabon and Cameroon.
abstract: Intestinal microsporidiosis due to Enterocytozoon bieneusi is a leading cause of chronic diarrhea in severely immunocompromised human immunodeficiency virus (HIV)-positive patients. It may be a public health problem in Africa due to the magnitude of the HIV pandemic and to poor sanitary conditions. We designed two prevalence studies of E. bieneusi in Central Africa, the first with HIV-positive patients from an urban setting in Gabon and the second with a nonselected rural population in Cameroon. Stool samples were analyzed by an immunofluorescence antibody test and PCR. Twenty-five out of 822 HIV-positive patients from Gabon and 22 out of 758 villagers from Cameroon were found to be positive for E. bieneusi. The prevalence rates of the two studies were surprisingly similar (3.0% and 2.9%). Genotypic analysis of the internal transcribed spacer region of the rRNA gene showed a high degree of diversity in samples from both countries. In Gabon, 15 isolates showed seven different genotypes: the previously reported genotypes A, D, and K along with four new genotypes, referred to as CAF1, CAF2, CAF3, and CAF4. In Cameroon, five genotypes were found in 20 isolates: the known genotypes A, B, D, and K and the new genotype CAF4. Genotypes A and CAF4 predominated in Cameroon, whereas K, CAF4, and CAF1 were more frequent in Gabon, suggesting that different genotypes present differing risks of infection associated with immune status and living conditions. Phylogenetic analysis of the new genotype CAF4, identified in both HIV-negative and HIV-positive subjects, indicates that it represents a highly divergent strain.
authors.affiliation: Unité INSERM 511, CHU Pitié-Salpêtrière, 91 Bd de l'Hôpital, 75013 Paris, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Breton
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Bart-Delabesse
authors.forename: Sylvestre
authors.initials: S
authors.lastname: Biligui
authors.forename: Alessandra
authors.initials: A
authors.lastname: Carbone
authors.forename: Xavier
authors.initials: X
authors.lastname: Seiller
authors.forename: Madeleine
authors.initials: M
authors.lastname: Okome-Nkoumou
authors.forename: Chantal
authors.initials: C
authors.lastname: Nzamba
authors.forename: Maryvonne
authors.initials: M
authors.lastname: Kombila
authors.forename: Isabelle
authors.initials: I
authors.lastname: Accoceberry
authors.forename: Marc
authors.initials: M
authors.lastname: Thellier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001483:Base Sequence; D002163:Cameroon / Q000453:epidemiology; D016000:Cluster Analysis; D004271:DNA, Fungal / Q000235:genetics; D021903:DNA, Ribosomal Spacer / Q000737:chemistry / Q000235:genetics; D021862:Enterocytozoon / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D005243:Feces / Q000382:microbiology; D005260:Female; D005455:Fluorescent Antibody Technique; D005681:Gabon / Q000453:epidemiology; D015658:HIV Infections / Q000150:complications; D006801:Humans; D008297:Male; D016881:Microsporidiosis / Q000453:epidemiology / Q000382:microbiology*; D008875:Middle Aged; D008969:Molecular Sequence Data; D010802:Phylogeny; D016133:Polymerase Chain Reaction; D011110:Polymorphism, Genetic; D015995:Prevalence; D012331:RNA, Fungal / Q000235:genetics; D012335:RNA, Ribosomal / Q000235:genetics*; D012424:Rural Population; D012689:Sequence Homology, Nucleic Acid; D014505:Urban Population
chemical_list: D004271:DNA, Fungal; D021903:DNA, Ribosomal Spacer; D012331:RNA, Fungal; D012335:RNA, Ribosomal