title: Distribution of Fasciola hepatica and F. gigantica in the endemic area of Guilan, Iran: Relationships between zonal overlap and phenotypic traits.
abstract: Fascioliasis is a zoonotic disease emerging in numerous parts of the world. In any endemic area, the characterisation of scenarios and patterns of infection must always be considered the starting point before implementing any control measure. Fascioliasis is a parasitic disease of different epidemiological, pathological and control characteristics depending on the endemic area and the causal agent, Fasciola hepatica and Fasciolagigantica. Classically it has been accepted that F. hepatica is present worldwide, while the distribution of the two species overlaps in many areas of Africa and Asia. Fascioliasis caused by F. hepatica, F. gigantica and intermediate forms is present in Guilan province, a complicated epidemiological situation where the highest human infection rates have been described in Iran. Morphometric tools were used to analyse the possible relationship between liver-fluke metric traits and geographical and altitudinal distribution. This is the first study in which a detailed distribution of both Fasciola species is analysed in a human fascioliasis endemic area with a zonal overlap transmission pattern. An accurate analysis was conducted to phenotypically discriminate between fasciolids from naturally infected livestock (cattle, buffaloes, sheep and goats). The distribution of the % F. hepatica-like (F.h.) and F. gigantica-like (F.g.) flukes detected in each liver versus altitude (m) in each group was analysed. The presence of F.g. specimens mainly in locations below sea level (average: 11.23% F.h., 88.77% F.g.), the presence of both species with similar intensity at 1-99m (average: 56.95% F.h., 43.05% F.g.) and the presence of F.h. specimens mainly from 100 to 999m (average: 71.69% F.h., 28.31% F.g.) as well as in locations with an altitude above 1000m (average: 97.48% F.h., 2.52% F.g.) are noteworthy. A significant positive correlation was obtained between altitude and % F.h., and a significant negative correlation was obtained between altitude and % F.g. The results show that F.g. populations in cattle, buffaloes and sheep share larger size values, but smaller specimens are present mainly in lowland populations located below sea level, independently of the host species (cattle, buffalo). F.g. from lowland cattle presented larger worm size variability. Four different fascioliasis transmission areas may be distinguished in Guilan: (a) lowland coastal areas neighbouring the Caspian Sea shore, below sea level, where basically F. gigantica-like specimens are found; (b) a coastal plain with an altitude between 1 and 100m where both species co-exist; (c) areas with altitude values of 100-999m where mainly F. hepatica-like specimens are found; (d) highland mountainous areas, where basically F. hepatica-like specimens are found. The study of the influence of the host species on the liver fluke was also carried out by a size-out analysis. This is the first report concerning the decisive influence exercised by the host species on the metric traits of F. gigantica adults.
authors.affiliation: Department of Medical Microbiology, School of Medicine, Guilan University of Medical Sciences, Guilan University Complex, km 7 of Rasht-Tehran Highway, 41996-13769 Rasht, Guilan Province, Iran; Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.
authors.forename: Keyhan
authors.initials: K
authors.lastname: Ashrafi
authors.affiliation: Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain. Electronic address: madela.valero@uv.es.
authors.forename: M Adela
authors.initials: MA
authors.lastname: Valero
authors.affiliation: Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.
authors.forename: Raquel V
authors.initials: RV
authors.lastname: Peixoto
authors.affiliation: Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.
authors.forename: Patricio
authors.initials: P
authors.lastname: Artigas
authors.affiliation: Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.
authors.forename: Miroslava
authors.initials: M
authors.lastname: Panova
authors.affiliation: Departamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia, Spain.
authors.forename: Santiago
authors.initials: S
authors.lastname: Mas-Coma
mesh_terms: D000531:Altitude; D000818:Animals; D004777:Environment; D005209:Fasciola / Q000033:anatomy & histology / Q000302:isolation & purification*; D005210:Fasciola hepatica / Q000033:anatomy & histology / Q000302:isolation & purification*; D005211:Fascioliasis / Q000453:epidemiology* / Q000469:parasitology*; D005260:Female; D005843:Geography; D007492:Iran / Q000453:epidemiology; D058751:Livestock / Q000469:parasitology; D008297:Male; D010641:Phenotype
keywords: Altitudinal relationships; Fasciola gigantica; Fasciola hepatica; Host influence; Intermediate forms; Iran