1. Natural resistance to worms exacerbates bovine tuberculosis severity independently of worm coinfection.
- Author
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Ezenwa VO, Budischak SA, Buss P, Seguel M, Luikart G, Jolles AE, and Sakamoto K
- Subjects
- Animals, Antinematodal Agents pharmacology, Buffaloes microbiology, Buffaloes parasitology, Cattle, Coinfection, Disease Progression, Eosinophils drug effects, Eosinophils immunology, Eosinophils microbiology, Eosinophils parasitology, Feces parasitology, Female, Fenbendazole pharmacology, Haemonchiasis drug therapy, Haemonchiasis mortality, Haemonchiasis parasitology, Haemonchus drug effects, Haemonchus genetics, Haemonchus pathogenicity, Immunoglobulin A blood, Lung drug effects, Lung microbiology, Lung parasitology, Lymph Nodes drug effects, Lymph Nodes microbiology, Lymph Nodes parasitology, Mast Cells drug effects, Mast Cells immunology, Mast Cells microbiology, Mast Cells parasitology, Mycobacterium bovis growth & development, Mycobacterium bovis pathogenicity, Severity of Illness Index, Survival Analysis, Trichostrongylosis drug therapy, Trichostrongylosis mortality, Trichostrongylosis parasitology, Trichostrongylus drug effects, Trichostrongylus genetics, Trichostrongylus pathogenicity, Tuberculosis, Bovine drug therapy, Tuberculosis, Bovine mortality, Tuberculosis, Bovine parasitology, Buffaloes immunology, Disease Resistance, Haemonchiasis microbiology, Lung immunology, Lymph Nodes immunology, Trichostrongylosis microbiology, Tuberculosis, Bovine microbiology
- Abstract
Pathogen interactions arising during coinfection can exacerbate disease severity, for example when the immune response mounted against one pathogen negatively affects defense of another. It is also possible that host immune responses to a pathogen, shaped by historical evolutionary interactions between host and pathogen, may modify host immune defenses in ways that have repercussions for other pathogens. In this case, negative interactions between two pathogens could emerge even in the absence of concurrent infection. Parasitic worms and tuberculosis (TB) are involved in one of the most geographically extensive of pathogen interactions, and during coinfection worms can exacerbate TB disease outcomes. Here, we show that in a wild mammal natural resistance to worms affects bovine tuberculosis (BTB) severity independently of active worm infection. We found that worm-resistant individuals were more likely to die of BTB than were nonresistant individuals, and their disease progressed more quickly. Anthelmintic treatment moderated, but did not eliminate, the resistance effect, and the effects of resistance and treatment were opposite and additive, with untreated, resistant individuals experiencing the highest mortality. Furthermore, resistance and anthelmintic treatment had nonoverlapping effects on BTB pathology. The effects of resistance manifested in the lungs (the primary site of BTB infection), while the effects of treatment manifested almost entirely in the lymph nodes (the site of disseminated disease), suggesting that resistance and active worm infection affect BTB progression via distinct mechanisms. Our findings reveal that interactions between pathogens can occur as a consequence of processes arising on very different timescales., Competing Interests: The authors declare no competing interest.
- Published
- 2021
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