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Background: In June 2008, a waterborne outbreak in Northamptonshire (UK) was caused by the a newly emerging pathogen,
Cryptosporidium rabbit genotype. Twenty-two human cases were confirmed during this outbreak, some with severe
illness. This genotype, previously only identified in five rabbits and a single published human, is closely related to
Cryptosporidium hominis and its taxonomic status is uncertain.
Aims: 1. To study the morphology, genome and experimental host range of the rabbit genotype in comparison with C. hominis.
2. To investigate the taxonomic status of the rabbit genotype.
Method:
Rabbit Genotype
Isolates
Morphology &
Staining
Characteristics
Experimental
Infectivity
Differential Interference
Contrast
Genome Analysis
Commonly investigated
genes:
Small-subunit rRNA,
70kDa Heat Shock Protein,
Actin, COWP
NZW Rabbits
Rabbit (Source)
Modified Ziehl-Neelsen
C. hominis
C. parvum
Human cases
Rabbit genotype
C. hominis
Length
5.98 m ( 0.18)
5.35 m ( 0.17)
Width
5.38 m ( 0.24)
4.79 m ( 0.25)
Shape (L:W)
1.11 ( 0.06)
1.12 ( 0.07)
Oocyst features
and staining
Typical
Typical
Cross-reactivity
with IFA (Cellabs)
& IMS Reagents
(Dynal and TCS)
Genome Analysis
Experimental Infection
Rabbit genotype
Ultrastructure of
life-cycle stages
Subtyping gene:
60kDa Glycoprotein
(microsatellite + downstream
sequence)
HCT-8 cells
DAPI
Morphology
Immunosuppressed
Mongolian gerbils
FITC labelled
immunofluorescence
Results:
Currently under
investigation by
electron microscopy
Currently under
investigation by
electron microscopy
Yes
Yes
Anthroponotic
Auramine Phenol
Drinking water
C. hominis
% Difference
NZW Rabbits
Yes
High shedding
by day 6
Partial Gene
(bp compared)
Baby Mice
No
No
Immunosuppressed Yes
Adult Mice
High shedding
by day 4
Yes
Low shedding from
day 10
Immunosuppressed Yes
Mongolian Gerbils
High shedding
by day 5
Yes
High shedding from
day 11
HCT-8 Cells
Yes* Infection in
clusters
Yes Infection
in clusters
Rabbit genotype
vs. C. hominis
Cf. C. hominis
vs. C. parvum
0.51
1.02
Hsp70 (397bp)
0.25
1.51
Actin (990bp)
0.10
1.51
COWP
0.00
1.38
Multilocus (4469bp)
0.27
1.72
gp60 (822bp)
Conclusions: There are small, but clear, differences in the morphology, genomes and hierarchical cluster analysis of the rabbit
genotype and C. hominis.
The infection/transmission profiles in the host species studied here are very different.
Until there is further evidence (e.g. from sympatric character displacement studies) it is taxonomically useful to
consider closely related cryptosporidia as subspecies of each other, and we propose C. hominis cuniculus and
C. hominis hominis respectively.
Acknowledgements: This study was funded by Defra, administered by the Drinking Water Inspectorate.