Evidence map›Paper›PMID 34613967›Full record

ArticlePLoS neglected tropical diseases2021

Leishmania infantum xenodiagnosis from vertically infected dogs reveals significant skin tropism.

Breanna M Scorza, Kurayi G Mahachi, Arin C Cox, Angela J Toepp, Adam Leal-Lima, Anurag Kumar Kushwaha, Patrick Kelly, Claudio Meneses, Geneva Wilson, Katherine N Gibson-Corley and 3 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Insights into animal reservoir hosts for the circulation ofOne health (Amsterdam, Netherlands) · 2026
    Article
  3. Article
  4. Morphological aspects of the skin in felines with leishmaniasis: a histopathological study.Revista brasileira de parasitologia veterinaria = Brazilian journal of veterinary parasitology : Orgao Oficial do Colegio Brasileiro de Parasitologia Veterinaria · 2026
    Article
  5. Article
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  7. Tick-borne coinfections modulate CD8Infection and immunity · 2025
    Article
  8. Rare detection of dermalParasite epidemiology and control · 2025
    Article
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  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Anatomical Vascular Differences andPathogens (Basel, Switzerland) · 2024
    Article
  16. Article
  17. Article
  18. Modulation of Macrophage Redox and Apoptotic Processes toPathogens (Basel, Switzerland) · 2023
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Breanna M ScorzaDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-3489-0270
Kurayi G MahachiDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-8642-3797
Arin C CoxDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0003-1841-8512
Angela J ToeppDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-0432-5780
Adam Leal-LimaDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-1926-8037
Anurag Kumar KushwahaDepartment of Medicine, Banaras Hindu University, Varanasi, UP, India.ORCID 0000-0002-5558-0204
Patrick KellyDepartment of Microbiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-5155-6741
Claudio MenesesNational Institute of Allergy and Infectious Disease, NIH, Rockville, Maryland, United States of America.
Geneva WilsonDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-3850-7689
Katherine N Gibson-CorleyDepartment of Pathology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-1846-1580
Lyric BartholomayDepartment of Epidemiology, University of Wisconsin, Madison, Wisconsin, United States of America.
Shaden KamhawiNational Institute of Allergy and Infectious Disease, NIH, Rockville, Maryland, United States of America.ORCID 0000-0003-4304-636X
Christine A PetersenDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-7285-4254
University of Iowa · USNational Institute of Allergy and Infectious Diseases · USBanaras Hindu University · INUniversity of Wisconsin–Madison · US

Funding

INTERDISCIPLINARY IMMUNOLOGY TRAINING PROGRAMT32AI007260 · NIAID · UNIVERSITY OF IOWA · PI BUTLER, NOAH SULLIVAN, WU, LI · 1986 to 2023
$5.7M
Epidemic modeling framework for complex, multi-species disease processesR01TW010500 · FIC · UNIVERSITY OF IOWA · PI OLESON, JACOB, PETERSEN, CHRISTINE A · 2016 to 2020
$2.4M
FIC NIH HHS R01 TW010500NIAID NIH HHS T32 AI007260
6 · The paper itself

Abstract

backgroundDogs are the primary reservoir for human visceral leishmaniasis due to Leishmania infantum. Phlebotomine sand flies maintain zoonotic transmission of parasites between dogs and humans. A subset of dogs is infected transplacentally during gestation, but at what stage of the clinical spectrum vertically infected dogs contribute to the infected sand fly pool is unknown. METHODOLOGY/PRINCIPAL

findingsWe examined infectiousness of dogs vertically infected with L. infantum from multiple clinical states to the vector Lutzomyia longipalpis using xenodiagnosis and found that vertically infected dogs were infectious to sand flies at differing rates. Dogs with mild to moderate disease showed significantly higher transmission to the vector than dogs with subclinical or severe disease. We documented a substantial parasite burden in the skin of vertically infected dogs by RT-qPCR, despite these dogs not having received intradermal parasites via sand flies. There was a highly significant correlation between skin parasite burden at the feeding site and sand fly parasite uptake. This suggests dogs with high skin parasite burden contribute the most to the infected sand fly pool. Although skin parasite load and parasitemia correlated with one another, the average parasite number detected in skin was significantly higher compared to blood in matched subjects. Thus, dermal resident parasites were infectious to sand flies from dogs without detectable parasitemia. CONCLUSIONS/SIGNIFICANCE: Together, our data implicate skin parasite burden and earlier clinical status as stronger indicators of outward transmission potential than blood parasite burden. Our studies of a population of dogs without vector transmission highlights the need to consider canine vertical transmission in surveillance and prevention strategies.

Indexed as

AnimalsDog DiseasesDogsFemaleInfectious Disease Transmission, VerticalInsect VectorsLeishmania infantumLeishmaniasis, VisceralMaleParasite LoadPlacentaPregnancyPsychodidaeSkinTropismXenodiagnosis

Identifiers

PMID34613967
PMCPMC8523039
OpenAlexW3204732605

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.