Thomas Romig, Patrick Giraudoux, Renaud Piarroux, Jenny Knapp, Francis Raoul, Marie-Hélène Guislain, Peter Deplazes, Bruno Gottstein, Karel Martinek, Jean-Mathieu Bart, Florence Cliquet, Marie-Louise Glowatzki, Isabelle Breyer, Georg Gerhard Duscher, Pavol Dubinsky, A. Malczewski, Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Institute of Parasitology, University of Bern, University of Zürich [Zürich] ( UZH ), Institute of Parasitology [Vienna], University of Veterinary Medicine, Vienna, Department of Biology [Pilsen], University of West Bohemia [Plzeň ], Slovak Academy of Sciences, Slovak Academy of Science [Bratislava] ( SAS ), Laboratoire d'études et de recherches sur la rage et la pathologie des animaux sauvages, AFSSA, University of Hohenheim, Witold Stefanski Institute of Parasitology, Polska Akademia Nauk ( PAN ), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Vetsuisse Faculty, Universität Zürich [Zürich] = University of Zurich (UZH), Slovak Academy of Sciences (SAS), Centre de Recherche et de Formation en Eco-éthologie (2C2A-CERFE), Université de Reims Champagne-Ardenne (URCA), Polska Akademia Nauk = Polish Academy of Sciences (PAN), Infections Parasitaires : Transmission, Physiopathologie et Thérapeutiques (IP-TPT), Service de Santé des Armées-Assistance Publique - Hôpitaux de Marseille (APHM)-Aix Marseille Université (AMU)-Institut de Recherche pour le Développement (IRD), University of Zurich, Knapp, J, Laboratoire Chrono-environnement (UMR 6249) (LCE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Service de Santé des Armées, Laboratoire Chrono-environnement - CNRS - UFC (UMR 6249) (LCE), University of Zürich [Zürich] (UZH), Agence Française de Sécurité Sanitaire des Aliments (AFSSA), Institut Universitaire de France ( IUF ), Ministère de l'Éducation nationale, de l’Enseignement supérieur et de la Recherche ( M.E.N.E.S.R. ), Centre Marc Bloch ( CMB ), Ministère de l'Europe et des Affaires étrangères ( MEAE ) -Bundesministerium für Bildung und Forschung-Ministère de l'Éducation nationale, de l’Enseignement supérieur et de la Recherche ( M.E.N.E.S.R. ) -Centre National de la Recherche Scientifique ( CNRS ), Centre de Recherche et de Formation en Eco-éthologie ( 2C2A-CERFE ), Université de Reims Champagne-Ardenne ( URCA ), Combi, Laboratoire d'Informatique de Nantes Atlantique ( LINA ), Mines Nantes ( Mines Nantes ) -Université de Nantes ( UN ) -Centre National de la Recherche Scientifique ( CNRS ) -Mines Nantes ( Mines Nantes ) -Université de Nantes ( UN ) -Centre National de la Recherche Scientifique ( CNRS ), Department of Parsitology [Stuttgart], Infections Parasitaires : Transmission, Physiopathologie et Thérapeutiques ( IP-TPT ), and Institut de Recherche pour le Développement ( IRD ) -Aix Marseille Université ( AMU ) -Assistance Publique - Hôpitaux de Marseille ( APHM ) -Service de Santé des Armées-Université de Montpellier ( UM )
Background Alveolar echinococcosis (AE) is a severe helminth disease affecting humans, which is caused by the fox tapeworm Echinococcus multilocularis. AE represents a serious public health issue in larger regions of China, Siberia, and other regions in Asia. In Europe, a significant increase in prevalence since the 1990s is not only affecting the historically documented endemic area north of the Alps but more recently also neighbouring regions previously not known to be endemic. The genetic diversity of the parasite population and respective distribution in Europe have now been investigated in view of generating a fine-tuned map of parasite variants occurring in Europe. This approach may serve as a model to study the parasite at a worldwide level. Methodology/Principal Findings The genetic diversity of E. multilocularis was assessed based upon the tandemly repeated microsatellite marker EmsB in association with matching fox host geographical positions. Our study demonstrated a higher genetic diversity in the endemic areas north of the Alps when compared to other areas. Conclusions/Significance The study of the spatial distribution of E. multilocularis in Europe, based on 32 genetic clusters, suggests that Europe can be considered as a unique global focus of E. multilocularis, which can be schematically drawn as a central core located in Switzerland and Jura Swabe flanked by neighbouring regions where the parasite exhibits a lower genetic diversity. The transmission of the parasite into peripheral regions is governed by a “mainland–island” system. Moreover, the presence of similar genetic profiles in both zones indicated a founder event., Author Summary Echinococcus multilocularis is a tapeworm of the red fox, which represents a considerable health threat to respectively infected humans. Main endemic areas are located in China, Siberia, and central Europe. Alarmed by an emerging or reemerging situation in Europe, the question of how the parasite gets spatially and temporally spread and transmitted becomes essential to prepare appropriate control programs. The question was tackled by using genetic data on a large sample size of E. multilocularis adult stage tapeworms, combined with geographical site location data input. The historically documented endemic area, represented by the northern Alpine arch, was shown to harbour the highest genetic richness and diversity, as compared to surrounding areas in northern and eastern Europe. The spatial and temporal spread of different E. multilocularis genotypes in Europe seems to be ruled by a founder event, linked to exportation of parasites from the central core to newly identified (western and eastern) areas or subregions, where these parasites could subsequently disseminate under geographical separation from the original foci.