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Comparative comprehensive analysis on natural infections of Hymenolepis diminuta and Hymenolepis nana in commensal rodents


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Introduction

Rats are the most successful and significant mammals as they have high proliferation rate and adaptable capacity to different habitats and environmental conditions (Meerburg et al., 2009; Singla et al., 2016). Nevertheless, rodents cannot legitimately cause diseases in humans, but transmit disease pathogens if they come in contact with rodent excrements such as urine, faeces, hair and saliva (Singla et al., 2008a; Meerburg, 2010).

Over 400 Hymenolepis species are found occurring in higher vertebrates throughout the globe in temperate to tropical areas (Bahadir, 2002). Hymenolepiasis, a global zoonotic disease caused by H. diminuta and H. nana is not uncommon in wild and laboratory rats (Waugh et al., 2006; Singla et al., 2008b; Singla et al., 2016). Both H. diminuta and H. nana have been reported in rats, mice and humans particularly the children (Alvez et al., 2003). The parasitization rates of H. diminuta in humans range from 0.001 – 5.5 % in different parts of the world (Watwe & Dardi, 2008). Since the initial random coprological studies on 10,000 human stool samples revealing 0.23 % samples positive for eggs of H. diminuta in India (Chandler et al., 1923), sporadic cases of hymenolepiasis have been frequently reported from India (Watwe & Dardi, 2008) as well as from other parts of the globe (Marangi et al., 2003).

Hymenolepis nana is the most common human dwarf tapeworm with an estimate of up to 75 million persons infected worldwide. Its prevalence among children is as high as 25 % (Crompton, 1999). Mirdha & Samantary (2002) found 9.9 % prevalence of H. nana among urban slum dwellers in India. Recently, 24 year old pregnant women presented with symptoms of vomiting and abdominal pain was found infected with H. nana on stool examination (Kandi et al., 2019)

Besides causing mortality in humans and animals, the parasites can complicate the health status by inducing alterations in physiological and immunological mechanisms of the host resulting into tissue damages, stimulating abnormal tissue growth, competing with the host for nutrients, decreasing the volume of host’s blood and body fluids and by mechanical interference (Hsu, 1980; Aboel-Hadid & Allam, 2007).

The diagnosis of gastrointestinal parasites has traditionally depended on faecal microscopy which has low diagnostic sensitivity (Stensvold et al., 2007) leading to substantial under reporting of the parasites. The use of molecular tools in research and routine diagnostics play an important role in our understanding of epidemiology and transmission (283). Molecular characterization is being used increasingly to distinguish among morphologically similar parasites (Morgan & Blair, 1998). With the improvement of techniques like polymerase chain reaction (PCR) based assays in stool and tissue samples for pathogenic parasite identification, it is possible that gastrointestinal parasite identification will become more sensitive and objective (Mejia et al., 2013). PCR with DNA sequencing permit the identification of species, strains and populations from a small quantity of tissue from any stage in their life-history (Morgan & Blair, 1998).

Morphological and molecular studies of H. diminuta and H. nana are scarce, especially considering that these parasite species are cosmopolitan and widely distributed in anthropogenic environments (Fitte et al., 2018). As Hymenolepis species are of zoonotic importance, phylogenic study of these parasites is of particular importance. The analyses of the distribution of each hymenolepidid species may be useful for determining the potential health risks for humans, and to locate the highest risk areas. Furthermore, molecular studies for hymenolepidid cestodes are required to confirm their identifications and to analyse the levels of genetic variation and differentiation. The aim of present study was to analyse the prevalence in relation to environmental and host factors, patho-physiological alterations and morpho-molecular characterisation of hymenolepididae species of zoonotic importance in a comprehensive manner for the first time from urban commensal rodents in Punjab state of India.

Material and Methods
Collection and maintenance of rodents

A total of 291commensal rodents of two species (201 R. rattus and 90 B. bengalensis) identified on the basis of characteristic morphological features were live-captured from residences/shops, poultry farms and fish market using single- and multi-catch rat traps in winter (November – February), summer (March – June) and monsoon (July – September) seasons between November 2017 to October 2019 at Ludhiana in Punjab Province of India. The sampling was done in a systematic way. In each season about 50 rodents were captured per year using 10 – 12 single catch live traps (placed for 2 – 3 nights) at monthly intervals. The study areas were not uniformly and largely infested with rodents and approval of maximum 300 rats was granted by Institutional Animal Ethics Committee of Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India. Trapping was carried out by placing traps along the walls and on rodent runways. Chapatti (Indian bread) pieces as lure were used in the single-catch rat traps, whereas, in multi catch rat traps, bait consisting of loose mixture of cracked wheat grains, edible vegetable oil and powdered sugar in 96:2:2 (WSO) was used as lure. After capture, all the animals were brought to the laboratory on the same day, kept individually in laboratory cages for 10 – 15 days with food and water provided ad libitum prior to initiation of the experiment.

Collection and identification of parasites

In the laboratory, faecal samples of all the live rodent specimens were collected and examined microscopically by floatation method for the presence of eggs and proglottids of adult worms of hymenolepidid species (Soulsby, 1982). This was done to compare the results of coproparasitoscopical technique and gastrointestinal examination. Faeces (2 – 4 g) were triturated in pestle and mortar using saturated salt (sodium chloride) solution. The mixture was strained through a tea strainer to collect the fluid in a small glass beaker. The fluid was then poured into small glass vials which were filled upto the brim. A cover slip was placed at the top of the vial. Then waited for 20 – 30 minutes, removed the cover slip from the top and placed on a glass slide for examination under the light microscope.

Eggs of different kinds found on the slide were photographed for later identification. Morphometric measurements of the eggs were also made. Then all the animals were sacrificed using over dose of Thiopentone and dissected via a midventral incision to expose the viscera. To collect parasites, small and large intestines were taken out in large petri dishes containing 0.9 % saline solution and cut longitudinally to release the contents. The contents were examined both with the naked eye as well as under a hand lens and light microscope for morphological characterisation of hymenolepidid species. Collected adult parasites were counted, photographed and preserved in 70 % ethanol for later identification. From the data obtained, percentage of hosts infected, mean intensity and mean abundance of parasites were determined as per the formulae described in Bush et al. (1997) are given below:

 Percentage of hosts infected  =  Number of hosts infected   Number of hosts examined  × 100  Mean intensity=   Number of parasites (particular species)   Number of hosts infected (particular host species)   Mean abundance  =  Number of parasites (particular species)   Number of hosts examined (particular host species)  $$\begin{aligned} &\text { Percentage of hosts infected }=\frac{\text { Number of hosts infected }}{\text { Number of hosts examined }} \times 100 \\ &\text { Mean intensity= } \frac{\text { Number of parasites (particular species) }}{\text { Number of hosts infected (particular host species) }} \\ &\text { Mean abundance }=\frac{\text { Number of parasites (particular species) }}{\text { Number of hosts examined (particular host species) }} \end{aligned}$$
Histopathology of intestine

A small portion of intestine of infected rats was excised, fixed in bouin’s fluid for 48 hours and processed into paraffin wax (Luna, 1968). Sections of 5 μm were routinely cut, stained with hematoxylin and eosin (H&E) and studied under light microscope.

Molecular characterisation

Genomic DNA of the adult parasites preserved in 70 % ethanol was extracted using QIAamp tissue kit (Qiagen, Hilden, Germany) as per the manufacturer’s protocol with slight modifications. The parasites were mechanically disrupted by using sterile pestle-mortar. Final elutions of DNA were made in 20 – 100 μl of elution buffer. For detection of H. diminuta and H. nana, the genomic ribosomal DNA extracted from the adult parasites was used in PCR to amplify the internal transcribed spacer regions (ITS-2). Primers used for detection of both H. diminuta (forward 5′-AGG TAT TAT CAC AGC CAT TGC CA-3′ and reverse 5′- AGG CCA CGG TTA GTG AAC TG-3′) and H. nana (forward 5′-CTG TCT GAG CGT CGG CTT AT-3′ and reverse 5′- CTA GCG CAT AGC GAC TGA CA-3′) were self-designed using Primer-BLAST. A total reaction volume of 25 μl was used for PCR amplification. The PCR profile was as follows: initial denaturation for 5 minutes at 95°C followed by 35 cycles of denaturation for 45 seconds at 95°C, annealing for 45 seconds at 52°C for H. diminuta and at 54°C for H. nana and extension for 45 seconds at 72°C, and after 35 cycles a final extension step for 5 minutes at 72°C.After the PCR cycles, end product was kept on hold at 4°C. During each amplification reaction, a no template control was also included in each plate as negative control for PCR.

Amplification products were analyzed on 1.5 % agarose gel and visualized by ethidium bromide staining. PCR products were purified using QIAquick@ PCR purification kit as per the manufacturer’s protocol. The identity of PCR product was confirmed after sequencing from Xcleris Genomics, Ahmadabad, Gujarat, India and putting sequences obtained to Basic Local Alignment Search Tool (BLAST 2.2.22). Then the sequences were aligned using Clustal Wmultiple alignment tool with the default gap. All positions containing gaps and missing data were eliminated (complete deletion option). The phylogenetic tree was constructed by comparing the ITS sequences of the both the cestode species i.e. H. diminuta and H. nana with other available cyclophyllidean cestode sequences from GenBank using Maximum Likelihood method and Hasegawa-Kishino-Yano modelin MEGA X (Hasegawa et al., 1985; Kumar et al., 2018). Branch support was given using 1000 bootstrap replicates (Malsawmtluangi et al., 2011). The bootstrap consensus tree inferred from 1000 replicates was taken to represent the evolutionary history of the taxa analyzed (Felsenstein, 1985). Evolutionary analyses were conducted in MEGA X (Kumar et al., 2018).

Statistical analysis

Season, location, host species, sex and age wise comparison of data was made using chi-square test at 5 % level of significance.

Ethical approval and/or informed consent

For the purposes of the present study, approval from Institutional Animal Ethics Committee for use of animals was obtained vide memo no. IAEC/2018/1153-1188 under Protocol no. GADVASU/2018/IAEC/46/16 and no informed consent was required from the study participants and no informed consent was required from the study participants.

Results

Out of the total 291 commensal rodents analysed from different study locations during a period of two years, 197 (67.70 %) were found infected with hymenolepidid cestodes of two species, H. diminuta and H. nana. Small intestine of 53.61 and 64.95 % rats was found infected with H. diminuta and H. nana, respectively with a concurrent infection rate of 50.86 %. Overall, mean intensity and mean abundance due to these two cestode parasites were 6.14 and 4.15, respectively (Table 1). Total 813 and 397 parasites of two species were found in R. rattus and B. bengalensis, respectively. Specimen parasites were mostly found in the anterior portion of the small intestine of rodents either as single species or in concurrence with each other (Table 1).

Infection rates of adult parasites of H. diminuta and H. nana in commensal rodents when found alone and in concurrence to each other.

Rodents species Endoparasites Found Number of host infected Percent host infected Number of parasites found Mean intensity Mean abundance
H. diminuta 106 52.73 238 2.24 1.18
Rattus rattus H. nana 128 63.70 575 4.49 2.86
(n=201) Concurrent infection 102 50.74 613 6.01 3.04

H. diminuta 50 55.55 112 2.24 1.24
bengalensis Bandicota H. nana 61 67.78 285 4.67 3.16
(n=90) Concurrent infection 46 51.11 265 5.76 2.94

(n=291) Overall 197 67.70 1210 6.14 4.15
Prevalence in relation to different epidemiological factors

Comparison of seasonal infection and hence the relative risk of both H. diminuta and H. nana in rodents revealed highest infection rate in summer followed by monsoon and winter seasons, respectively. Statistically seasons had no significant effect (P>0.05) on H. diminuta and H. nana infections in rodents (Tables 2, 3).

There was apparently higher infection of H. diminuta and H. nana in rodents captured from residences/shops followed by fish market and poultry farms, respectively but statistically there was found no significant effect (P>0.05) of location on incidence of H. diminuta and H. nana infections (Tables 2, 3) and hence the relative risk.

Fig. 1

Eggs of H. diminuta in an unstained wet mount of the faecalsample showing presence of hooks in the oncosphere and no polar filaments at 40x (a & b); Eggs of H. nana in an unstained wet mount of the faecal sample showinghooks in the oncosphere and polar filaments within the space between the oncosphere and outer shell at 40x (c & d)

Infection of H. diminuta and H. nana in B. bengalensis was 55.55 and 67.78 %, while in R. rattus it was 52.73 and 63.70 %, indicating no significant effect of rodent species on H. diminuta and H. nana infections (Tables 2, 3). The relative risk of infection was almost similar in B. bengalensis and R. rattus (Table 2, 3).

The present study also indicate that the infection of H. diminuta and H. nana in males and their female counterparts is almost similar indicating no association between host sex and H. diminuta and H. nana infections (Tables 2, 3).

Higher infection of H. diminuta and H. nana was recorded in mature rats as compared to young rats. Statistically the age had significant effect on infection rate of H. diminuta (P<0.0001) and H. nana (P=0.007) (Table 2, 3). Relatively higher risk of infection of H. diminuta and H. nana was observed in mature rats than in young rats (Tables 2, 3).

Comparative study of H. diminuta in two commensal rodents from different locations of Ludhiana with relation to season, age and sex of the host.

Epidemiological factors Host examined Infected Un-infected Percentage of hosts Parasite number x2 value P value (d.f.) Odd ratio Relative risk 95% Confidence interval
infected Lower limit Upper limit
Seasons Winter 96 46 50 47.91 102 2.42 0.29 0.92 1.00 0.74 1.35
Summer 97 58 39 59.79 130 (2) 1.48 1.26 0.96 1.65
Monsoon 98 52 46 53.06 118 1.13 1.13 0.85 1.50
Location Residences/shops 111 67 44 60.36 160 3.46 0.17 1.52 1.15 0.90 1.47
Poultry farms 120 58 62 48.33 119 (2) 0.93 1.00 0.76 1.29
Fish market 60 31 29 51.67 71 1.06 1.06 0.78 1.45
Species R. rattus 201 106 95 52.74 238 0.68 0.40 1.11 1.00 0.83 1.20
B. bengalensis 90 50 40 55.55 112 (1) 1.25 1.05 0.84 1.32
Sex Male 126 69 57 54.76 144 0.016 0.89 1.21 1.03 0.83 1.29
Female 165 87 78 52.72 206 (1) 1.11 1.00 0.81 1.23
Age Mature 238 145 93 60.92 326 28.12 <0.0001* 1.56 2.82 1.65 4.83
Young 53 11 42 20.75 24 (1) 0.26 1.00 0.47 2.10

Overall 291 156 135 53.60 350 -- -- -- -- -- --

*Significant difference

Comparative study of H. nana in two commensal rodents from different locations of Ludhiana with relation to season, age and sex of the host.

Epidemiological factors Host examined Infected Un-infected Percentage of hosts Parasite number x2 value P value (d.f.) Odd ratio Relative risk 95% Confidence interval
infected Lower limit Upper limit
Seasons Winter 96 56 40 58.33 265 0.61 0.73 (2) 1.40 1.00 0.78 1.27
Summer 97 70 27 72.16 306 2.59 1.25 1.00 1.55
Monsoon 98 63 35 64.28 289 1.80 1.12 0.89 1.41
Location Residences/shops 111 81 30 72.97 368 0.28 0.86 (2) 2.70 1.15 0.95 1.40
Poultry farms 120 70 50 58.33 314 1.40 1.00 0.80 1.23
Fish market 60 38 22 63.33 178 1.72 1.08 0.85 1.38
Species R. rattus 201 128 73 63.68 575 0.14 0.69 (1) 1.75 1.00 0.86 1.15
B. bengalensis 90 61 29 67.78 285 2.10 1.06 0.89 1.26
Sex Male 126 82 44 65.07 370 0.08 0.77 (1) 1.86 1.01 0.84 1.19
Female 165 107 58 64.84 490 1.84 1.00 0.84 1.17
Age Mature 238 163 75 68.49 792 7.18 0.007* 2.17 1.34 1.00 1.79
Young 53 26 27 49.06 68 (1) 0.96 1.00 0.67 1.47

Overall 291 189 102 64.94 860 -- -- -- -- -- --

*Significant difference

Cestode species Egg dimensions (Mean±SD)
Standard size of
Length (μm) Breadth (μm) Average
eggs (μm)
(Range) (Range) Length (μm) Breadth (μm) (Wharyet al., 2015)
H. diminuta 72.75 – 80.25 64.75 – 70.50 76.50±3.01 67.62±2.42 70 – 85 x 60 – 80

H. nana 45.75 – 50.00 32.00 – 40.25 47.87±1.95 36.12±3.05 40 – 60 x 30 – 50
Eggs of cestode parasites and morphometery

Examination of the faecal samples of captured rodents revealed the presence of numerous eggs of H. diminuta and H. nana. Under microscope, globular shaped eggs of H. diminuta were seen (Table 4). Hexanth embryo present within the oncosphere was without any polar filaments (Fig. 1a, b).

Fig. 2

Tapeworm of H. nana showing four suckers (two visible in the view), an armed rostellum and gravid proglottids filled with eggs at 10x (a) and 40x (b); Tapeworm of H. diminuta showing four suckers, but only two visible in this view, an unarmed rostellum, mature proglottids and gravid proglottids containing a large number of eggs at 40x (c and d)

The eggs of H. nana were oval and smaller than those of H. diminuta (Table 4). Hexacanth embryo within the oncosphere was contained 4 – 8 polar filaments extending into the space between the oncosphere and the outer shell (Fig.1c, d). Eggs of both H. diminuta and H. nana were found in different development stages alone as well as in concurrence with each other in the faecal samples.

Morphometric analysis of adult parasites

Morphological and morphometric characters of adult parasites of both the species were compared to support their identification. Examination of H. nana revealed 2 – 4 cm long tapeworms (Fig. 2a) having scolex (length between 0.90 – 1.60 mm) with four suckers (diameter ranged of 0.20 – 0.50 mm) and a rostellum (length varied from 0.60 – 1.10 mm) armed with a crown of 20 – 30 hooks (Fig. 2b).The tapeworm showed typical reproductive organs and gravid proglottids (length between 0.68 – 2.41 mm and breath ranged from 2.24 – 4.35 mm) containing a large number of eggs (Fig. 2b). Adults tapeworms of H. diminuta were 10 – 35 cm long with mature and gravid proglottids (length between 3.40 – 6.80 mm and breadth between 10.4 – 38.2 mm) filled with eggs (Fig. 2c) and scolex (length varying from 0.6 – 1.80 mm) having four suckers (diameter between 0.30 – 0.80 mm) and an unarmed rostellum (length ranged of 0.20 – 0.12 mm) (Fig. 2d).

Fig. 3

Section of intestine showing parasitic enteritis (p), scolex of H. nana embedded in the mucosa (arrows), sloughing of intestinal mucosa with infiltration of mononuclear cells (mnc) and necrosis (nc) of villi at 20x (a)&40x (b); Section of intestine infected with H. nana showing severe mucous degeneration with lymphoid cell proliferation (lcp) andnecrosis in the submucosa (arrow) at 4x (c); Section of intestine infected with H. diminuta showing lymphoid cell proliferation (lcp) and eosinophilic cellular infiltration (ecf) in the submucosa at 10x (d)

Histopathological analysis

Histopathologically, the sections of small intestine showed the scolex of H. nana embedded in the intestinal mucosa (Fig. 3a). It also showed serrated borders of the tapeworm. Parasitic enteritis, sloughing of intestinal mucosa, necrosis of villi, with infiltration of mononuclear cells in the submucosa were also seen (Fig. 3b). The adjacent parenchyma revealed congestion, necrosis and micro-granulomas (Fig. 3c). In present study, the inflammatory reaction recorded around the adult parasites of H. diminuta consisted of macrophages and limited eosinophilic cellular infiltration (Fig. 3d). Mild degeneration with lymphoid cell proliferation in the submucosa of small intestine and necrosis of villi was also seen in the rats infected with both the parasites (Fig. 3c & d).

Molecular analysis

The parasites identified by morphological characterisation were confirmed by molecular analysis using bioinformatic tools. On the basis of molecular study, the two cestode species were identified

as H. diminuta and H. nana. The internal transcribed spacer-2 (ITS-2) regions of the H. diminuta and H. nana were successfully amplified. The PCR amplification of these regions showed a single band of approximate size of 269 bp for H. diminuta and 242 bp for H. nana (Fig. 4). The BLAST hits result showed that the sequences of these cestodes are closer to those of genus, Hymenolepis with 99.46 % similarity to H. diminuta from USA (Accession number KC990410) and 100 % similarity to H. nana from Slovakia, Kosice (Accession number MK874337). Multiple alignment of ITS region of query sequence (H. diminuta) with three different geographical isolates (Accession number KC990410, AF461125 and AB494475) showed 98.40 – 99.50 % similarity (Fig. 5). The multiple alignment of ITS region of query sequences (H. nana) with three different geographical isolates (Accession number MK874337, LC389873 and KU748350) showed 100 % similarity (Fig. 6). The Nucleotide sequence data of ITS-2 regions of H. diminuta and H. nana reported in this paper have been submitted to the GenBank with the accession number LC582812 and LC582846, respectively.

Fig. 4

The PCR amplification of ITS-2 regions of the adult cestodes showing single band of H. diminuta (269 Bp) and H. nana (242 bp)

Fig. 5

Multiple alignment of H. diminuta (Punjab, India) with different geographical isolates.

Fig. 6

Multiple alignment of H. nana (Punjab, India) with different geographical isolates.

In the phylogenetic tree constructed (Fig. 7), the query sequence of H. diminuta was found placed in the same clade as of H. diminuta isolates from USA (KC990410 and KC990405) showing bootstrap value of 100 %. The query sequence of H. nana was found placed in the same clade as of H. nana isolates from Kosice (MK874337) showing bootstrap value of 100 % (Fig. 8).

Fig. 7

Phylogenetic tree of H. diminuta (Punjab, India) constructed using Maximum Likelihood method in MEGA X software.

Fig. 8

Phylogenetic tree of H. nana (Punjab, India) constructed using Maximum Likelihood method in MEGA X software.

Discussion

Hymenolepiasis caused by both the cestodes species (H. nana and H. diminuta) having wide range of prevalence values, is more common in areas of poor structural and socio-environmental conditions and where there is close contact between rodents and humans. Dispersal of the eggs of H. diminuta in the environment via beetle faeces (Pappas & Barley, 1999, Zhong et al., 2013, Makki et al., 2017) represents an additional source of infection. More than 21 million people worldwide, especially from tropical and subtropical regions have been reported to suffer from Hymenolepiasis infection. The prevalence of Hymenolepis spp. in urban rodents is of particular interest due to auto-infection. The ovum of Hymenolepis spp. hatches in the intestine of the host without being passed outside and grows into an adult worm. This increases the number of adult worms in the hosts’ intestine, thereby increasing the chances of environmental contamination with parasite eggs/ova in the stool (Tijjani et al., 2020). Affected populations have been largely under reported due to poor diagnosis of gastrointestinal parasites which is traditionally based on faecal microscopy (Stensvold et al., 2007), but in our study, it was found that the number of positive animals were same when evaluated by both the coproparasitoscopical technique and gastrointestinal examination. Animals with faecal samples positive for eggs, were also found infected with adults. So, our study also records that, the coproparasitoscopical technique has good diagnostic sensitivity and specificity for cestodes.

In the unusual life cycle of H. nana, where no intermediate host is essential, man is probably at the main risk of infection. Hymenolepiasis due to H. nana has been reported to affect about 36 million people worldwide (Peters &Pasvol, 2002). Although young children can be infected with H. nana eggs from rodent sources, this type of infection is probably less common in them (Faust et al., 1962).

These species have been recorded in R. rattus, R. norvegicus and B. bengalensis in different environmental conditions mostly in urban areas (Battersbyet al., 2002; Abu-Madi et al., 2005, Easterbrook et al., 2007; Kataranovski et al., 2011; Zain et al.,2012; Ahmad et al., 2014; Singla et al., 2016). The present study showed single as well as concurrent infection of H. nana and H. diminuta thus representing a higher risk to public health (Stojcevic et al., 2004; Waugh et al., 2006; Easterbrook et al., 2007; Hancke et al., 2011).

The infection rate (66.95 %) of H. nana (including both single and concurrent infection) during the present investigation is very close to that reported in earlier studies conducted by Gilioli et al. (2000) and Tanideh et al. (2010) i.e. 53.3 % and 50 – 66 %, respectively in different laboratory rodents. Rasti et al. (2000) found 56.7 % of the rodents, live trapped from the semi-desert, urban and rural areas of Kashan (Iran) infected with helminthes including H. nana. In contrast to our study, much lower incidence had been reported by many researchers i.e. 12.5 % in rodents of South West Iran (Kia et al., 2001) and 11.0 % in rats at U.K. (Webster & MacDonald, 1995).

A higher infection rate of 53.61 % for H. diminuta (including both single and concurrent infection) was seen in the present study in contrast to lower infection rates of 30.7, 36.9, 35.8, 38.0 and 33.33 % observed by Kassan & Assefa (2000) from Addis Ababa (Ethiopia), Stojcevic et al. (2004) at Croatia, Abu-Madiet al. (2005) at Doha Qatar, Kumarasinghe et al. (2006) in Sri Lanka and Paramasvaran et al. (2009) at Kuala Lumpur, respectively in different species of rodents. Much lower infection rates of H. diminuta (11.1 and 3.8 %) were reported by Kia et al. (2001) and Waugh et al. (2006), respectively. In a similar study conducted at Faisalabad (Pakistan), the incidence of H. diminuta observed by Rafique et al. (2009) ranged between 20 – 60 % and is comparable with our findings.

Overall investigation on the effect of these parasitic infections on pathophysiology of the host revealed that these parasites cause pathogenic and degenerative effects on the intestinal tissue of the rodents. Histopathological observations of small intestine infected with Hymenolepis spp. found in the present study are similar to those reported by Goswami et al. (2011). They also observed similar degenerative changes in the mucosa and submucosa of small intestine infected with adult worms of Hymenolepis spp. along with scolex of tapeworm attached with intestinal mucosa (Goswami et al., 2011). Investigations on the effect of parasitic infections on pathophysiology of the host have revealed that rodents may serve as reservoirs of these parasitic infections without having much pathogenic effect (Singla et al., 2016).

The observations of the present study related to comparatively higher incidence of cestodes in summer season and in residences/shops etc. are similar to those of other workers (Hildebrand 2008, Kataranovski et al., 2011). Fichet et al. (2003), however, have reported higher occurrence of helminthes in monsoon as compared to other two seasons. The temperature and the relative humidity during summer and monsoon seasons may be favourable for developmental stages of the parasites (Kreppel et al., 2016) and hence more chances of infection. Similarly, the populations of arthropod intermediate hosts could also be affected by the degree of urbanization (Hancke & Suarej, 2015).

Similar to present study, Sinniah et al. (1999) and Kia et al. (2010) also reported slightly higher infection rate in male rats. In contrast, some workers observed significant influence of sex on prevalence rate and reported higher prevalence of H. diminuta and H. nana in males than in female rats (Yen et al., 1996, Goswami et al., 2009, Onyenwe et al., 2009, Ahmad et al., 2014). This may be due to the fact that males have larger territories (Brown et al., 1994) and overlapping home ranges (Ims, 1987) than females thereby increasing their exposure time to infection.

The worm burdens of H. diminuta and H. nana in adult rats were almost three times than in juveniles in the present investigation which is in accordance with the studies conducted by Stojcevic et al. (2004), Abu-Madi et al. (2005) and Gomez et al. (2008). Similar to present study, Ahmad et al. (2014) observed significant differences in prevalence of H. nana between adult (66.5 %) and juvenile (6.8 %) rats and mice. Maintenance of higher infection in adults than young rats may be due to more exploratory behaviour of adults in search of food and shelter thus having longer exposure time of encountering the infection (Easterbrook et al., 2007, Ahmad et al., 2014).

Similar to present study, Tresnani et al. (2016) detected Hymenolepis spp. through ITS gene PCR analysis. Yang et al. (2017) conducted both morphological and molecular study (of mitochondrial cytochrome-c oxidase subunit 1 gene (cox1) and the internal transcribed spacer 2 (ITS-2) region) to identify Hymenolepis spp. from black rats in China. Sharma et al. (2016) did differential molecular diagnosis of H. diminuta and H. nana based on ITS2 gene and reported that the two species are distantly related and have diverged independently from the ancestral lineage.

Conclusions

Based on this comprehensive study it is concluded that rodent populations at different localities as well as structures are infected by both of these zoonotic cestodes as confirmed by combination of morphometric followed by molecular characterisation for the first time in the region. Hence these synanthropes may serve as rich and active reservoir threat of Hymenolepis species infection dissemination to human beings living in close association with them in a polluted, un-hygienic environment. Because of the close association with human habitations, R. rattus and B. bengalensis may act as an important source of zoonotic infections and thus education about proper hygiene, clean environment and good food eating and storage habits are important in avoiding direct or indirect contact with excrements and carcasses of these pest and vector species.

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