Literature DB >> 26588229

Shaking the Tree: Multi-locus Sequence Typing Usurps Current Onchocercid (Filarial Nematode) Phylogeny.

Emilie Lefoulon1, Odile Bain1, Jérôme Bourret1, Kerstin Junker2, Ricardo Guerrero3, Israel Cañizales3, Yuriy Kuzmin4, Tri Baskoro T Satoto5, Jorge Manuel Cardenas-Callirgos6, Sueli de Souza Lima7, Christian Raccurt8, Yasen Mutafchiev9, Laurent Gavotte10, Coralie Martin1.   

Abstract

During the past twenty years, a number of molecular analyses have been performed to determine the evolutionary relationships of Onchocercidae, a family of filarial nematodes encompassing several species of medical or veterinary importance. However, opportunities for broad taxonomic sampling have been scarce, and analyses were based mainly on 12S rDNA and coxI gene sequences. While being suitable for species differentiation, these mitochondrial genes cannot be used to infer phylogenetic hypotheses at higher taxonomic levels. In the present study, 48 species, representing seven of eight subfamilies within the Onchocercidae, were sampled and sequences of seven gene loci (nuclear and mitochondrial) analysed, resulting in the hitherto largest molecular phylogenetic investigation into this family. Although our data support the current hypothesis that the Oswaldofilariinae, Waltonellinae and Icosiellinae subfamilies separated early from the remaining onchocercids, Setariinae was recovered as a well separated clade. Dirofilaria, Loxodontofilaria and Onchocerca constituted a strongly supported clade despite belonging to different subfamilies (Onchocercinae and Dirofilariinae). Finally, the separation between Splendidofilariinae, Dirofilariinae and Onchocercinae will have to be reconsidered.

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Year:  2015        PMID: 26588229      PMCID: PMC4654488          DOI: 10.1371/journal.pntd.0004233

Source DB:  PubMed          Journal:  PLoS Negl Trop Dis        ISSN: 1935-2727


Introduction

The Onchocercidae (Spirurida), commonly referred to as filariae, are a family of parasitic nematodes characterised by a wide host-range in squamates, crocodilians, amphibians, mammals and birds [1]. As several filarial species are agents of human and veterinary diseases [2-4], the Onchocercidae have been the subject of numerous studies. Presently, the family is divided into eight subfamilies, including 88 genera [5-8]. They are nematodes with an evolved life cycle, involving blood- or skin-inhabiting first-stage larvae transmitted by haematophagous arthropods vectors [1,9]. A pronounced regression of morphological features and a number of convergences resulting from a parasitic life style, as well as the absence of fossilised material, make it difficult to produce phylogenetic hypotheses for this family [10]. Thus, major questions regarding the classification of the Onchocercidae, their origin and evolution remain as yet unresolved. In numerous morphological and biological studies an attempt has been made to elucidate the evolution of the Onchocercidae [1,10]. First drawn up by Wehr in 1935 [11], the classification of the family has been reconstructed several times [12,13], with the most comprehensive analysis being that of Anderson and Bain in 1976 [6]. In 1994 [14], the development of molecular techniques made the construction of the first molecular phylogeny of the Onchocercidae, based on the 5S rDNA sequences, possible. This pioneering study focused on ten species from six genera, representing two subfamilies (Dirofilariinae and Onchocercinae). With the rise of the DNA barcoding approach to distinguish between species, studies on filarial nematode phylogeny have been predominantly based on 12S rDNA and coxI gene analyses [15-18], and phylogenies for selected onchocercid species have been proposed. However, biological material has been scarce, impeding broad taxonomic sampling, and the markers used were not suitable to resolve the internal nodes which describe the evolution of the Onchocercidae [19]. Finally, a few studies have been conducted using alternative genes, but were either focused on nematodes in general [20-22], a specific genus [23,24] or based on the mitochondrial genome [25], all including a limited number of species. The aim of the present study was to propose a robust phylogenetic hypothesis of the relationships within the Onchocercidae based on the concatenation of seven loci (two mitochondrial and five nuclear genes) of 48 belonging to seven subfamilies. This hitherto most comprehensive sampling of the Onchocercidae casts doubt on the biological validity of some of the classically defined subfamilies.

Materials and Methods

Material

Sixty-two specimens comprising 48 species belonging to 25 genera and representing seven of eight onchocercid subfamilies were analysed (Table 1 and S1 Table) [8,9,26-59]. Due to a lack of material, the Lemdaninae could not be included in this study. All procedures were conducted in compliance with the rules and regulations of the respective competent national ethical bodies (S2 Table). Nematode specimens and DNA samples were deposited in the National Nematode collection of the Muséum National d’Histoire Naturelle (MNHN), Paris, France; accession numbers are recorded in Tables 1 and S1. Below we briefly list the specimens used in this study, followed by the source/collector in parentheses. For the author(s) and year of parasite and host (authors only) species, the reader is referred to Table 1 and S1 Appendix.
Table 1

List of filarial species used in phylogenetic analyses in this study.

The onchocercid subfamilies are indicated in the first column. The name of the species as well as the author(s) and date are given in the second column. Columns 3 to 5 contain sample information, i.e. host species, MNHN accession number and collection locality.

SubfamiliesSpeciesHostN° MNHNCollection locality
Outgroups Filaria latala Chabaud and Mohammad, 1989 Panthera leo 62YTSouth Africa
  Protospirura muricola* Gedoelst, 1916 Gorilla gorilla 97YUCentral African Republic
Oswaldofilariinae Oswaldofilaria chabaudi Pereira, Souza and Bain, 2010 Tropidurus torquatus 191YUBrasil
  Oswaldofilaria petersi Bain and Sulahian 1974 Crocodilurus amazonicus 34PFPeru
Waltonellinae Ochoterenella sp.1 Guerrero et al. work in progress Rhinella granulosa 200YUVenezuela
  Ochoterenella sp.2 Guerrero et al. work in progress Rhinella marina 47YTVenezuela
  Ochoterenella sp.3 Kuzmin et al. work in progress Phyllomedusa bicolor 194JWFrench Guyana
Icosiellinae Icosiella neglecta (Diesing, 1851) Pelophylax ridibunda 44YTUkraine
    Pelophylax kl. esculeta 45YTFrance
Setariinae Setaria labiatopapillosa (Alessandrini, 1848) Bos taurus 413YUCameroon
  Setaria tundra Bain, 1974 Rangifer tarandus 71YTFinlande
Dirofilariinae Dirofilaria (Dirofilaria) immitis (Leidy, 1856) Canis familiaris 79YTBayer strain
  Dirofilaria (Nochtiella) repens Railliet and Henry, 1911 Canis familiaris 297YUItaly
  Foleyella candezei (Fraipont, 1882) Agama agama 68CETogo
  Loa loa (Cobbold, 1864) Homo sapiens 80YTFrance
  Pelecitus fulicaeatrae (Diesing, 1861) Podiceps nigricollis 49YTSpain
Splendidofilariinae Aproctella alessandroi Bain, Petit, Kosek and Chabaud, 1981 Saltator similis 117YUBrasil
  Cardiofilaria pavlovskyi Storm, 1937 Oriolus oriolus 180YUBulgaria
  Madathamugadia hiepei Hering-Hagenbeck, Boomker, Petit, Killick-Kendrick and Bain, 2000 Pachycactylus turneri 81YUSouth Africa
  Rumenfilaria andersoni Lankester and Snider, 1982 Rangifer tarandus 94YUFinlande
Onchocercinea Acanthocheilonema odendhali (Perry, 1967) Callorhinus ursinus 401YUAlaska
  Acanthocheilonema viteae (Krepkogorskaya, 1933) Meriones unguiculatus 7YTFR3 strain
  Breinlia (Breinlia) jittapalapongi Veciana, Bain, Morand, Chaisiri, Douanghoupha, Miquel and Ribas, 2015 Rattus tanezumi 78YTLaos
  Brugia malayi (Brug, 1927) Meriones unguiculatus 8YTFR3 strain
  Brugia pahangi (Buckley and Edeson, 1956) Meriones unguiculatus 46YTFR3 strain
  Brugia timori Partono, 1977 Homo sapiens 6YTIndonesia
  Cercopithifilaria bainae Almeida and Vicente, 1984 Canis familiaris 9YTexperimental
  Cercopithifilaria rugosicauda (Böhm and Supperer, 1953) Capreolus capreolus 350YUFrance
  Cruorifilaria tuberocauda Eberhard, Morales and Orihel, 1976 Hydrochoerus hydrochaeris 55YTVenezuela
  Dipetalonema caudispina (Molin, 1858) Ateles paniscus 362YUGuyana
   Ateles sp.64YTGuyana
  Dipetalonema gracile (Rudolphi, 1809) Cebus olivaceus 124CVVenezuela
    Cebus apella 215YUPeru
    Ateles sp.63YTGuyana
  Dipetalonema graciliformis (Freitas, 1964) Saimiri scuireus 220YUPeru
  Dipetalonema robini Petit, Bain and Roussilhon, 1985 Lagothrix poeppigii 216YUPeru
  Litomosoides brasiliensis Lins de Almeida, 1936 Carollia perspicillata 35/37PFPeru
  Litomosoides hamletti Sandground, 1934 glossophaga soricina 36PF1Peru
  Litomosoides sigmodontis Chandler, 1931 Meriones unguiculatus 186MSMNHN strain
  Litomosoides solarii Guerrero, Martin, Gardner and Bain, 2002 Trachops cirrhosus 213YUVenezuela
 Loxodontofilaria caprini Uni and Bain, 2006 Naemorhedus crispus YG2-58Japan
 Mansonella (Cutifilaria) perforata Uni, Bain and Takaoka, 2004 Cervus nippon 216JWJapan
  Mansonella (Mansonella) ozzardi (Manson, 1897) Homo sapiens 77YTHaiti
 Monanema martini Bain, Bartlett and Petit, 1986 Arvicanthis niloticus 31NCSenegal
  Onchocerca armillata Railliet and Henry, 1909 Bos taurus 54FKCameroon
  Onchocerca dewittei japonica Uni, Bain and Takaoka, 2001 Sus scrofa leucomystax OB9Japan
  Onchocerca eberhardi Uni and Bain, 2007 Cervus nippon S63-5Japan
  Onchocerca gutturosa Neumann, 1910 Bos taurus 54FKCameroon
  Onchocerca ochengi Bwangamoi, 1969 Bos taurus 54FKCameroon
  Onchocerca skrjabini Ruklyadev, 1964 Cervus nippon S63-6Japan
  Yatesia hydrochoerus (Yates, 1980) Hydrochoerus hydrochaeris 52YTVenezuela

*Protospirura muricola is typically a parasite of rodents, but has been reported from primates [78].

DNA, L3, microfilariae.

List of filarial species used in phylogenetic analyses in this study.

The onchocercid subfamilies are indicated in the first column. The name of the species as well as the author(s) and date are given in the second column. Columns 3 to 5 contain sample information, i.e. host species, MNHN accession number and collection locality. *Protospirura muricola is typically a parasite of rodents, but has been reported from primates [78]. From the following species, DNA had been extracted from adult worms for previous [18,19,41] and deposited in the MNHN collection (Table 1): Madathamugadia hiepei, Rumenfilaria andersoni, Cercopithifilaria rugosicauda, Aproctella alessandroi, Loxodontofilaria caprini, Mansonella (Cutifilaria) perforata, Onchocerca dewittei japonica, Onchocerca eberhardi, Onchocerca skrjabini and Ochoterenella sp. 1. DNA of adult Setaria labiatopapillosa (Dr Ben Makepeace, UK) was given to us. DNA of Cercopithifilaria bainae had been extracted from infective larvae from Ixodes ricinus (Prof Domenico Otranto, Italy). From the following species, DNA had been extracted from microfilaria: Brugia timori (Dr Tri Baskoro, Indonesia);. Mansonella (Mansonella) ozzardi (Prof. Christian Raccurt, Haiti); Dirofilaria (Dirofilaria) immitis (Bayer Animal Health GmbH, Germany).

Adults

From the following species, DNA had been extracted from adult females: Acanthocheilonema viteae, Brugia malayi and Brugia pahangi (NIAID/NIH Filariasis Research Reagent Resource Center (MTA University of Wisconsin Oshkosh—SJ 770–12); Loa loa (Prof Jean Dupouy Camet, Hopital Cochin, France); Litomosoides sigmodontis (experimentally infected jirds, Meriones unguiculatus; MNHN). Additional specimens of adult filariae were recovered during dissections of their vertebrate hosts captured in the wild from different geographic areas (Table 1). They were mainly recovered from body cavities and lymphatic vessels or extracted from the dermis, subcutaneous or connective tissue, or tendons of limbs. Identification were made by several experts (OB, KJ, RG, YM, YK, SL, and AR), based on morphological studies. A few species have not yet been named, as their description is still in progress. Samples were fixed and stored in 70% ethanol. The anterior and posterior parts of worms were used for morphological studies, whereas the median part was processed for molecular analysis.

Ethical statement

Jirds are maintained in the animal facilities of UMR7245, MNHN, as hosts of L. sigmodontis; they are inoculated intraperitoneally with 70 infective larvae and sacrificed 60 days post infection, upon which adult worms are recovered from the peritoneal cavity. All experimental procedures were carried out in strict accordance with the EU Directive 2010/63/UE and the relevant national legislation, namely the French “Décret no 2013–118, 1er février 2013, Ministère de l’Agriculture, de l’Agroalimentaire et de la Forêt”,National licence number 75–1415 approved animal experiments: protocols were approved by the ethical committee of the Museum National d’Histoire Naturelle (Comité Cuvier, Licence: 68–002) and by the “Direction départementale de la cohésion sociale et de la protection des populations” (DDCSPP) (No. C75-05-15). Some non-human vertebrates were captured for experimental procedures, subject to the ethics approval of the relevant national bodies (S2 Table), while others were obtained at abattoirs or donated to the MNHN by hunters or veterinarians (S2 Table). The MNHN does neither solicit nor compensate for these donations. Human samples were not collected specifically for this study. They were provided by third parties. Human blood samples were collected with the ethics approval of the relevant national bodies (S2 Table). The adult female of Loa loa had been surgically removed from a male patient in Hospital Cochin, France. The adult subject had given oral consent to Prof J. Dupouy Camet, head of parasitology department at Hospital Cochin, to donate the worm to the MNHN (S2 Table). The MNHN did not and will not compensate for the donation.

Molecular screening

DNA was extracted using a commercial kit, following manufacturer’s instructions (QIAamp micro kit, Qiagen, Germany). A preliminary step of disruption for two cycles of 30 seconds at 30 Hz using a TissueLyser II (Qiagen, Germany) was added. PCR screening of filarial nematodes was based on seven partial sequences of seven different genes: two mitochondrial genes, 12S rDNA (approximately 450 base-pair (bp) sequence) and cytochrome oxidase subunit I (coxI; approximately 600 bp); five nuclear genes, 18S rDNA (approximately 740 bp), 28S rDNA (approximately 900 bp), the myosin heavy chain (MyoHC; approximately 785 bp), RNA polymerase II large subunit (rbp1; approximately 640 bp), 70 kilodalton heat shock proteins (hsp70; approximately 610 bp). Amplification of the 12S rDNA and coxI sequences was conducted according to Casiraghi et al. [15]. For the remaining five genes, primer pairs were designed (S3 Table) based on regions that had been found conserved among nine species for which drafts of or complete genome were accessible: from NCBI database Brugia malayi (PRJNA27801), Loa loa (PRJNA37757), Onchocerca flexuosa (Weld, 1856) (PRJEB512), Dirofilaria immitis (PRJEB1797) Onchocerca ochengi (PRJEB1809); from Nematode Genomes from the Blaxter lab, University of Edinburg (www.nematode.org) Acanthocheilonema viteae (nAv.1.0), Litomosoides sigmodontis (nLs.2.1); and from Filarial worms Sequencing Project, Broad Institute of Harvard and MIT (http://www.broadinstitute.org/) Onchocerca volvulus (Leuckart, 1893) and Wuchereria bancrofti (Cobbold, 1877). For each gene, primer pairs adapted to nested PCR were designed (S3 Table). PCRs were processed in a final volume of 20 μl under the conditions summarised in S3 Table. Obtained PCR products were purified using the SV Wizard PCR Purification Kit (Promega, USA) and sequenced directly. A total of 345 sequences were deposited in the GenBank Data Library: KP760116 to KP760460 (S4 Table)

Phylogenetic analyses

Sequences generated during the current study and previously published sequences from draft/complete genomes were aligned using MAFFT [60]. To check for the absence of stop codons, the alignment of coding genes was translated using EMBOSS Transeq [61], and a comparison with available transcript sequences made. Using the corrected version of the Akaike Information Criterion (AICc), JModelTest analysis [62] was performed to establish the evolution model best adapted to the sequences alignment for each individual gene and for the concatenation of all genes. The General time-reversible plus Invariant sites plus Gamma distributed model (GTR+I+Γ) offered the best fit for coxI, hsp70, 12S rRNA and 28S rRNA sequences as well as the concatenated alignment; the General Time-Reversible plus Gamma distributed model (GTR+Γ) for MyoHC and rbp1 sequences alignment; and the Kimura 2-parameter Invariant sites plus Gamma distributed model (K80+I+Γ) for 18S rRNA sequences alignment. To root the trees, two species were included as outgroups: Filaria latala (Spirurida: Filariidae) and Protospirura muricola (Spirurida: Spiruridae). Phylogenetic relationships between onchocercid taxa, based on the concatenated dataset, were performed by Bayesian inference using MrBayes [63]. A partitioned model was implemented to estimate evolution parameters separately for each gene. Two runs were performed using five millions steps with four chains, with tree sampling every 1,000 generations; the first 1,250 points were discarded as burn-in and Posterior Probabilities were calculated from these post-burning trees. In addition, Maximum Likelihood (ML) was used to infer a phylogenetic tree based on the partitioned concatenated dataset, and was executed with 1000 slow bootstrap replicates using RaxML [64]; presented in Supplementary data (S1 Fig).

Accession numbers

All new sequences generated in this study were deposited in GenBank (http://www.ncbi.nlm.nih.gov/genbank) under the accession numbers: KP760168 to KP760211 for coxI, KP760314 to KP760357 for 12S rDNA, KP760116 to KP760167 for 18S rRNA, KP760212 to KP760262 for MyoHC, KP760410 to KP760460 for hsp70, KP760263 to KP760313 for rbp1, KP760358 to KP760409 for 28S rRNA.

Results/Discussion

Choosing an outgroup

An important consideration when proposing a comprehensive phylogeny for any taxonomic group is the suitable rooting of the tree and, thus, the choice of appropriate outgroups. Previous studies of the Onchocercidae, based on coxI and 12S rRNA gene analyses, have used spirurid representatives of the Thelaziidae [15,16] and Filariidae [16] as outgroups. Furthermore, some phylogenetic analyses of nematodes based on SSU rDNA [21] or complete mitochondrial genome sequences [22] suggested other spirurids as the Physalopteroidea or Diplotriaenoidea to be appropriate outgroups for the Onchocercidae. In the present study, P. muricola (Spiruridae) and F. latala (Filariidae) were investigated as potential outgroups. Our multi-gene analyses indicate that this choice is reasonable (Fig 1 and S1 Fig). To support this result, the average genetic divergence between the outgroup and ingroup taxa was about 20% (21% for P. muricola; 25% for F. latala), and only about 14% between onchocercid specimens themselves. It was, therefore, concluded that both P. muricola and F. latala are appropriate outgroups for the present multi-gene dataset. In congruence with previous systematic analyses [5,6], the chosen rooting clearly supported the monophyly of the Onchocercidae.
Fig 1

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The onchocercid subfamilies are indicated by colour: blue for Onchocercinae, dark green for Dirofilariinae, purple for Splendidofilariinae, pale green for Setariinae, yellow for Waltonellinae, orange for Icosiellinae and red for Oswaldofilariinae.

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The onchocercid subfamilies are indicated by colour: blue for Onchocercinae, dark green for Dirofilariinae, purple for Splendidofilariinae, pale green for Setariinae, yellow for Waltonellinae, orange for Icosiellinae and red for Oswaldofilariinae.

Monophyly of the Onchocercidae

All onchocercid taxa examined in the present study formed a monophyletic group and five strongly supported clades within the family were identified (Fig 1). Based on their monophyly and to facilitate the description of tree topology, these clades will be referred to as ONC1 to ONC5 (Fig 2).
Fig 2

Onchocercid clades based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. Bayesian posterior probabilities support five clades named ONC1 to ONC5. Dotted areas represented species of the same genus. The topology was inferred using Bayesian (B) inference on one run of 5 million generations. The onchocercid subfamilies are indicated by colour: blue for Onchocercinae, dark green for Dirofilariinae, purple for Splendidofilariinae, pale green for Setariinae, yellow for Waltonellinae, orange for Icosiellinae and red for Oswaldofilariinae.

Onchocercid clades based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. Bayesian posterior probabilities support five clades named ONC1 to ONC5. Dotted areas represented species of the same genus. The topology was inferred using Bayesian (B) inference on one run of 5 million generations. The onchocercid subfamilies are indicated by colour: blue for Onchocercinae, dark green for Dirofilariinae, purple for Splendidofilariinae, pale green for Setariinae, yellow for Waltonellinae, orange for Icosiellinae and red for Oswaldofilariinae.

The ancestrally derived subfamilies are comforted

In the present phylogenetic analysis, the Oswaldofilariinae, Icosiellinae and Waltonellinae occupied a commun position as a highly supported clade (ONC1) and sister group of all other taxa studied within the Onchocercidae (Fig 1.). The three subfamilies appeared to be closely related, with ONC1 having evolved independently from the remaining onchocercid representatives (Fig 2., S1 Fig). Previous morphological studies revealed a number of ancestral characters in the Icosiellinae and Oswaldofilariinae, such as infective larvae possessing cephalic spines (Icosiellinae), and a vulva that is positioned posterior to the oesophagus (Oswaldofilariinae) [10,65]. Therefore, these subfamilies have traditionally been considered “ancient” [1,10,65]. In addition, it has been suggested that their Gondwanian distribution is an indication of an ancient evolution which occurred prior to the supercontinent’s break-up [1,10]. Interestingly, the Oswaldofilariinae appear to have evolved independently from the remaining two subfamilies of clade ONC1 and were placed as sister group to a clade that consists of Ochoterenella spp. (Waltonellinae) and Icosiella neglecta (Icosiellinae) (S1 Fig). Indeed, previous studies emphasised the presence of numerous plesiomorphic characters (long oesophagus, large buccal capsule and the presence of deirids) within Oswaldofilaria spp. [10]. Moreover, the host spectrum of these subfamilies differs: oswaldofilariines are parasites of squamates, whereas members of Icosiellinae and Waltonellinae are exclusively parasites of anurans [5].

Setariinae are unusual Onchocercidae with an intermediate position

The systematic position of the Setariinae among the Filarioidea superfamily has long been questioned. Initially the Setariinae had been placed into Filariidae because they share certain morphological similarities with representatives of this family (spines on anterior end of first stage larva and adult cuticular elevation) [11,13]. Nevertheless, based on other biological and morphological traits (e.g. viviparous, long microfilaria with pointed spineless tail), it would have been equally possible to consign them to the Onchocercidae. At a later stage, the Setariidae was proposed as a family with the purpose of removing the Setariinae from the Filariidae[12], and current classifications list the Setariinae as a subfamily within the Onchocercidae [6]. Such an affiliation between the Setariinae and Onchocercidae has since been supported by many molecular phylogenies [16,19,25,65]. The same was true for the present study, where the two Setaria species grouped in one clade (ONC2) with good support (Fig 2). Excepting ONC1, the clade consisting of Setaria spp. was sister to all remaining onchocercid taxa sampled in this study. In the past, the Setariinae, Oswaldofilariinae and Waltonellinae were grouped together on the previous phylogenetic trees despite an unresolved topology [16,65]. For some time, morphological studies of infective stages from Setaria spp. (long larvae, presence of deirids) have supported the hypothesis that Setariinae may have emerged early in the evolution of Onchocercidae [10,59]. In contrast, the study of larval development of S. labiotopapillosa suggested that Setariinae, like the remaining Onchocercidae, could have been derived from habronematid ancestors, but that speciation leading to the Setariinae occurred later and independently from the remaining Onchocercidae [1,66]. For example, the development of the glandular cells of the oesophagus in the Setariinae was shown to be closed to the development observed in some potential ancestors of the Onchocercidae, namely the Habronematidae [66,67]. The current phylogeny strongly supported the position of Setariinae as a group derived from an independent speciation to the examined Onchocercidae.

Subfamilies within the Onchocercidae: A need for systematic revision

The remaining taxa of the Onchocercidae analysed in this study grouped in three distinct and well supported clades (ONC3, ONC4 and ONC5) (Fig 2), including representatives of the Dirofilariinae, Onchocercinae and Splendidofilariinae. It is noteworthy that the tree topology demonstrated here is not congruent with classic systematic delineations: The first clade, ONC3 (Fig 2), contained representatives of the genera Dirofilaria (Dirofilariinae), Loxodontofilaria and Onchocerca (Onchocercinae) as suggested by several earlier molecular analyses [14,16,18,25]. Although these genera belong to two different subfamilies when looking at established classifications [13,68], a possible need to merge these subfamilies is reinforced by several biological traits [65]. Firstly, the infective stages of Dirofilaria spp. and Onchocerca spp. possess morphological similarities (normally developed buccal capsule; cylindrical tail with tiny caudal lappets) [59,65]. Secondly, there are shared life history traits: an early first moult in the vertebrate host takes place early, i.e 2–3 days postinfection, in Dirofilaria spp. and Onchocerca spp. [1], as opposed to a late moult, i.e. 6–10 days postinfection, in all other onchocercid species studied thus far [68]. No information is currently available on the infective larvae and development in the final host of representatives of Loxodontofilaria. This clade (ONC3) (Fig 2) constitutes the most ancestrally derived group belonging to modern Onchocercidae. Clade ONC3 was sister group of both clades ONC4 and ONC5 (Fig 2), suggesting an independent evolution. The second clade, ONC4 (Fig 2), was composed of the genera Dipetalonema, Acanthocheilonema, Monanema, Cruorifilaria, Cercopithifilaria, Yatesia and Litomosoides. For a long time, taxonomists used Dipetalonema as a “catch all” genus [69]. In years to follow, numerous subgenera formerly included in this genus were elevated to generic rank, whereas other species were transferred in newly erected genera; together, they were referred to as the “Dipetalonema lineage” [69,70]. This lineage combined those species of the Onchocercinae that present adults with a long tail, a buccal capsule divided into two segments (or three in Skrjabinofilaria spp.), and a caudal extremity with two subterminal lappets [70]. These structures might, however, be more or less atrophied in the more specialised forms, such as seen in the buccal capsule of Monanema and Cercopithifilaria species [69,71]. The present phylogenetic tree supports the accuracy of the Dipetalonema lineage, as all genera included in the clade ONC4, with the exception of Litomosoides, have been assigned to this lineage [69,70]. Prior to this study, molecular analyses had only supported the clustering of Dipetalonema with Acanthocheilonema [16]. A closer look at clade ONC4 revealed its division into two groups (Fig 2): i) Dipetalonema spp. were sister to all remaining taxa within clade ONC4 (Fig 2). This position agrees with earlier hypotheses that, based on ancestral morphological particularities (divided oesophagus, well developed and highly cuticularized buccal capsule) the genus Dipetalonema should be considered distinct from the remaining genera in the Dipetalonema lineage [70]. Moreover, it had been proposed that the genus may have been derived through geographic isolation in the Neotropical region after the Gondwana fragmentation and so would be a paleoendemic South American genus [10,70]. ii)The second subclade group comprised members of Acanthocheilonema, Monanema Cercopithifilaria, Yatesia, Cruorifilaria and Litomosoides seems more derived. However, species of Acanthocheilonema and Monanema seemed to be more closely related and were sister to the remaining taxa in this group. Earlier taxonomic studies described Acanthocheilonema as an ancestral genus due to several plesiomorph characters of its representatives (strongly divided oesophagus, highly cuticularized buccal capsule, shape of right spicule of male) [10,65,70]. In contrast, the morphology of Monanema includes both ancestral (numerous caudal papillae distributed along length of tail) as well as derived characters (undivided oesophagus) [69,71]. Bain et al. (70) considered Monanema as derived from Ethiopian Acanthocheilonema species [70]. The remaining genera formed two sister groups: the one uniting taxa of Cruorifilaria, Yatesia and Cercopithifilaria, the other containing species of Litomosoides. Earlier studies had suggested Cercopithifilaria to be derived from Acanthocheilonema and, as indicated by the derived morphological characters of its members (reduced buccal capsule, undivided oesophagus, shape of right spicule of male, number and repartition of caudal papillae), to represent the most evolved forms of the Dipetalonema lineage [10,70]. Litomosoides had not been included in the Dipetalonema lineage in the 1976 classification by Chabaud and Bain [69]. The latter authors did, however, point out that the reason for this omission was somewhat arbitrary. In fact, Litomosoides species do share morphological similarities with other representatives of the Dipetalonema lineage (long tail, long buccal capsule) [6,14,69]. The third clade (ONC5) united genera belonging to the Dirofilariinae (Loa, Foleyella, Pelecitus), Onchocercinae (Wuchereria, Brugia, Breinlia, Mansonella) and Splendidofilariinae (Aproctella, Cardiofilaria, Madathamugadia, Rumenfilaria) (Fig 2). Most human filariae were included in this clade, with the exception of O. volvulus, which groups in clade ONC3. Three groups could be pinpointed in clade ONC5: i) The first group, including Brugia and Wuchereria, was sister to all remaining representatives of clade ONC5. Previous molecular studies highlighted a close relation between these two genera [14,16,25,65], which is supported by shared morphological similarities (reduced buccal capsule, glandular part of oesophagus, vagina with bends and chamber in adults; infective larvae with a long tail and three lappets) [1,72]. Moreover, their mode of transmission and development is similar (culicid vector, lymphatic location in the host) [9]. ii) The second group comprised species exclusively assigned to the Dirofilariinae: L. loa, P. fulicaeatrae and F. candezei. These parasites did not group together in previous molecular analyses [16,19]. However, they share morphological similarities, based on which this subfamily had originally been introduced (highly developed caudal alae of adult males) [9,12]. Futhermore, L. loa and Pelecitus scapiceps Leidy, 1886 present similar biological traits, such as a late third moult (respectively on day 8 and day 6 postinfection) and a fourth moultprior to day 20 postinfection, both of which are close to the developmental pattern seen in many species of the Onchocercinae and Splendidofilariinae [31,68]. iii) The last group in clade ONC5 was composed of representatives of Splendidofilariinae and Onchocercinae. Up to now, Splendidofilariinae have rarely been studied [19,25]. In the present analysis, species of Madathamugadia and Rumenfilaria (Splendidofilariinae) appeared more closely related to the two species of Mansonella (Onchocercinae), of which they were a sister group, than they were to the remaining splendidofilariine genera, Cardiofilaria and Aproctella species. The close relationship between Cardiofilaria and Aproctella has been underlined by morphological similarities in infective larvae (body length exceeding 1300μm, thick and short tail, ending in two small lateral terminal papillae) [33]. Mansonella is a complex and taxonomically challenging genus and numerous attempts to reorganise its classification, including description of several subgenera, have been made throughout the years [1,69,73]. Its relationship with representatives of the Splendidofilariinae has not been resolved, but it does share similarities with some splendidofilariine genera such as the Madathamugadia (e.g short and thin infective larvae with long tail) [35,59]. Species of Breinlia have been described as Australian representatives of the Dipetalonema lineage which have more recently migrated into Asia, and are morphologically distinct from the remaining species of this lineage [70]. Their somewhat isolated position was upheld by the current phylogeny. It is interesting to note that these various species (e.g. Madathamugadia or Foleyella) have been described as an evolved group [74]. One of the main difficulties in comparing the results of the present study with those of earlier molecular analyses was either the lack of broad taxonomic sampling or incompletely resolved deeper phylogenetic relationships in preceding studies [15,16,18,19]. However, an equivalent to clade ONC5 clade had been identified before,in the first phylogeny including L. loa, B. malayi and W. bancrofti and Mansonella (M.) perstans (Manson, 1891) [14]. A similar clade, including B. malayi, W. bancrofti, L. loa and Chanderella quiscali Linstow, 1904, a Splendidofilariinae, was confirmed by a recent analysis of mitochondrial genomes [25]. To summarise, the present phylogeny did neither support the monophyly of the Dirofilariinae, Onchocercinae nor Splendidofilariinae (see ONC3 and ONC5, Fig 2). Interestingly, however, the relationships exhibited between the various taxa in clades ONC3 and ONC5, although traditionally included in different subfamilies, are supported by morphological as well as biological features (see discussion above). Based on the combined analysis of molecular, structural and developmental characters, we, thus, conclude that a reassessment of the boundaries between these three subfamilies is called for.

Evolution of filariae, their vector and host: Is there a relationship?

The parasitic life style of the Onchocercidae has led to the reduction of certain morphological traits and promoted convergent evolution in others [10], reducing the usefulness of structural characters in developing a phylogenetic framework for this family. One might thus look at the role of vectors and hosts for further clues as to the speciation of the Onchocercidae. Three (ONC1, ONC2 and ONC3) of the five clades exhibited on the current phylogenetic tree use exclusively dipterans as vectors. In addition, dipterans are involved in the transmission of members of clades ONC4 and ONC5, supporting a hypothesis that old evolutionary bonds exist between this order and the Onchocercidae (Fig 3, S1 Table). The diversity of vectors used in clades ONC4 and ONC5 (Fig 3), on the other hand, suggests that the evolution of filarial nematodes is not strictly constrained by their vector but does permit changes to other, more appropriate groups of vectors, to ensure parasite transmission, colonisation of new ecological niches and diversification. Clade ONC4 shows an adaptation to a new group of vectors–ticks and mites. It should, however, be emphasised that some Acanthocheilonema spp. (ONC4) are known to use fleas, hippoboscid flies or sucking lice as vectors [9], and Dipetalonema spp. are transmitted by ceratopogonid biting midges (Fig 3). Considering relationships of the Onchocercidae with their definitive hosts, the present analysis revealed a group of parasites adapted exclusively to cold blooded tetrapods, namely squamates, crocodilians and amphibians (ONC1), while their sister group diversified in various groups of mammals (ONC2-5), as well as birds and squamates (ONC5) (Fig 4). It has been suggested that the parasite-host relationships of M. hiepei (parasite of the gecko Chondrodactylus turneri) and F. candezei (parasite of lizards) may be the result of secondary capture with the narrow geographical localisation of Foleyella and Madathamugadia, i.e. Africa and Madagascar, supporting the hypothesis of capture phenomena [74]. The present phylogenetic analysis does not support a close relationship between parasites of birds, but representation of avian parasites was limited. All three parasites of birds formed part of clade ONC5, which presented the most heterogeneous host range within the Onchocercidae, comprising parasites of three classes of vertebrates, reptiles, birds and mammals. The diverse mammalian hosts represented in clades ONC3-5 indicate multiple events of host-switching and radiation within the evolutionary history of the group. In summary, the overall picture revealed by the current analysis does not suggest a broad pattern of onchocercid parasite-host/vector coevolution and is consistent with earlier studies suggesting that parasitic nematode speciation could be related to a variety of events of host switching and host acquisition and/or geographical and ecological drift [75-77].
Fig 3

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference with indication of vector range.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The vector family for each filariae species is indicated to the right of the tree using the specified symbols.

Fig 4

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference with indication of host vertebrate range.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The host vertebrate order for each filariae species is indicated to the right of the tree using the specified symbols.

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference with indication of vector range.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The vector family for each filariae species is indicated to the right of the tree using the specified symbols.

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Bayesian Inference with indication of host vertebrate range.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Bayesian (B) inference. Nodes are associated with Bayesian posterior probabilities based on one run of 5 million generations. The host vertebrate order for each filariae species is indicated to the right of the tree using the specified symbols.

Concluding remarks

The present study casts doubt on the validity of of the currently eight traditional onchocercid subfamilies. Traditional classifications of the Onchocercidae have been established mainly on the basis of morphological characters of adult worms. However, as suggested by previous authors [10,68], biological features, such as larval biology or the morphology of the third-stage larva, may offer a better phylogenetic resolution. It is hoped that an approach combining broad molecular taxonomic sampling and traditional morphological as well as life history studies, will eventually lead to the development of more comprehensive phylogenetic hypotheses for this fascinating group of nematodes.

Phylogeny of Onchocercidae based on partitioned concatenated datasets of 12S rDNA, coxI, rbp1, hsp70, myoHC, 18S rDNA, and 28S rDNA sequences using Maximum Likelihood Inference.

The total length of datasets is approximately 4950 bp. Sixty onchocercid specimens (representing 48 species) were analysed. Filaria latala and Protospirura muricola were used as outgroups. The topology was inferred using Maximum Likelihood (ML) inference. Nodes are associated with Bootstrap values based on 1000 replicates. The onchocercid subfamilies are indicated by colour: blue for Onchocercinae, dark green for Dirofilariinae, purple for Splendidofilariinae, pale green for Setariinae, yellow for Waltonellinae, orange for Icosiellinae and red for Oswaldofilariinae. (TIF) Click here for additional data file.

Supplementary information of filarial species used in phylogenetic analyses in this study.

The species were classified by subfamilies indicated in the first column. The name of the species as well as the author(s) and date are given in the second column. Columns 3 to 8 present species information, i.e. family host, order host, localisation in the host, genera vector, family vector and geographical distribution. The references of morphological studies on which species identifications were based are listed in the last column. For the most part of the sampling some supplementary information were based on Anderson et al. [9]. (XLSX) Click here for additional data file.

Ethical statement on vertebrate hosts and human samples.

Vertebrate host are indicated in the first column and their collection place is given in the second column. The name of the collected filarial species is given in the third column. Columns 4 and 5 present ethical information on the host collection, i.e. the capture permit number and the ethical committee or legal entity for scientific procedures; Columns 6 to 9 describe non-scientific procedures in which filariae are recovered from vertebrates after hunting, necropsies in slaughter houses, or post-veterinary or post-medical procedures. The number of MNHN collection registration is listed in the last column. (XLS) Click here for additional data file.

Primers and PCR programs used in this study.

Abbreviations: Step 1: denaturation; Step 2: annealing; Step 3: elongation; T: temperature (°C); D: duration (sec); N: number of cycles. * Indicates the primers designed for nested PCR. References: PS means newly design for the present study. (XLS) Click here for additional data file.

Accession number list of filarial species and outgroups used for phylogenetic analyses.

The name of the species are given in the first column. The identification number of samples are given in the second column. Columns 3 to 9 present accession number for each analysed genes, i.e. coxI (cytochrome oxidase subunit I), 12S rRNA, 18S rRNA, MyoHC (myosin heavy chain), hsp70 (70 kilodalton heat shock proteins), rbp1 (RNA polymerase II large subunit) and 28S rRNA. Abbreviations: ext. indicated external samples. (XLSX) Click here for additional data file.

List of author(s) and date associated with name of the vertebrate hosts or vector species.

(DOCX) Click here for additional data file.
  60 in total

1.  A phylogenetic analysis of filarial nematodes: comparison with the phylogeny of Wolbachia endosymbionts.

Authors:  M Casiraghi; T J Anderson; C Bandi; C Bazzocchi; C Genchi
Journal:  Parasitology       Date:  2001-01       Impact factor: 3.234

2.  The Timor filaria on Flores and experimental transmission of the parasite.

Authors:  F Partono; S Oemijati; D T Dennis; S Atmosoedjono; J H Cross
Journal:  Trans R Soc Trop Med Hyg       Date:  1976       Impact factor: 2.184

3.  MrBayes 3: Bayesian phylogenetic inference under mixed models.

Authors:  Fredrik Ronquist; John P Huelsenbeck
Journal:  Bioinformatics       Date:  2003-08-12       Impact factor: 6.937

4.  On the adult morphology of Wuchereria sp. (malayi?) from a monkey (Macaca irus) and from cats in Malaya, and on Wuchereria pahangi n.sp. from a dog and a cat.

Authors:  J J BUCKLEY; J F EDESON
Journal:  J Helminthol       Date:  1956       Impact factor: 2.170

5.  [New attempt of classification of filarias; superfamily of Filarioidea].

Authors:  A G CHABAUD; M T CHOQUET
Journal:  Ann Parasitol Hum Comp       Date:  1953

6.  [Redescription of five species of Onchocerca (author's transl)].

Authors:  O Bain
Journal:  Ann Parasitol Hum Comp       Date:  1975 Nov-Dec

7.  Description of Madathamugadia hiepei n. sp. (nematoda: Splendidofilariinae), a parasite of a South African gecko, and its development in laboratory bred Phlebotomus dubosqi (Diptera: Psychodidae).

Authors:  S Hering-Hagenbeck; J Boomker; G Petit; M Killick-Kendrick; O Bain
Journal:  Syst Parasitol       Date:  2000-11       Impact factor: 1.431

8.  Onchocerca dewittei japonica n. subsp., a common parasite from wild boar in Kyushu Island, Japan.

Authors:  S Uni; O Bain; H Takaoka; M Miyashita; Y Suzuki
Journal:  Parasite       Date:  2001-09       Impact factor: 3.000

9.  Affinities between Cutifilaria (Nematoda: Filarioidea), parasites of deer, and Mansonella as seen in a new onchocercid, M. (C.) perforata n. sp., from Japan.

Authors:  S Uni; O Bain; H Takaoka
Journal:  Parasite       Date:  2004-06       Impact factor: 3.000

10.  Mapping the presence of Wolbachia pipientis on the phylogeny of filarial nematodes: evidence for symbiont loss during evolution.

Authors:  Maurizio Casiraghi; Odile Bain; Ricardo Guerrero; Coralie Martin; Vanessa Pocacqua; Scott L Gardner; Alberto Franceschi; Claudio Bandi
Journal:  Int J Parasitol       Date:  2004-02       Impact factor: 3.981

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  41 in total

1.  Spiroxys ankarafantsika Roca et Garcia, 2008 (Nematoda: Gnathostomatidae) and Other Nematodes Parasitising Pelusios spp. (Testudines: Pelomedusidae) from South Africa and Mozambique.

Authors:  Teneal Nel; Louis du Preez; Edward Netherlands; Yaroslav Syrota; Roman Svitin
Journal:  Acta Parasitol       Date:  2021-03-16       Impact factor: 1.440

2.  Molecular identification and phylogenetic analysis of Dipetalonema evansi (LEWIS, 1882) in camels (Camelus dromedarius) of Iran.

Authors:  Alireza Sazmand; Barbara Eigner; Mohammad Mirzaei; Seyedhossein Hekmatimoghaddam; Josef Harl; Georg Gerhard Duscher; Hans-Peter Fuehrer; Anja Joachim
Journal:  Parasitol Res       Date:  2016-01-11       Impact factor: 2.289

Review 3.  What lies behind the curtain: Cryptic diversity in helminth parasites of human and veterinary importance.

Authors:  Luis Enrique Cháves-González; Fernando Morales-Calvo; Javier Mora; Alberto Solano-Barquero; Guilherme G Verocai; Alicia Rojas
Journal:  Curr Res Parasitol Vector Borne Dis       Date:  2022-06-11

4.  Genetic and morphological identification of filarial worm from Iberian hare in Portugal.

Authors:  F A Abade Dos Santos; M D Duarte; C L Carvalho; M Monteiro; P Carvalho; P Mendonça; P C L G Valente; H Sheikhnejad; H Waap; J Gomes
Journal:  Sci Rep       Date:  2022-06-03       Impact factor: 4.996

5.  New insights into the clinico-histopathological and molecular features of Pelecitus (Filarioidea: Onchocercidae) from a raptor bird.

Authors:  Claudia I Muñoz-García; Osvaldo López-Díaz; David Osorio-Sarabia; Fernando Martínez-Hernández; Guiehdani Villalobos; Ana B Isaak-Delgado; Emilio Rendón-Franco; Angélica Carreño-Cervantes; Daniel R Contreras-Patiño; Eduardo Berriatua; Carlos Martínez-Carrasco Pleite
Journal:  Parasitol Res       Date:  2018-07-13       Impact factor: 2.289

6.  Molecular evidence of infection with air sac nematodes in the great tit (Parus major) and the captive-bred gyrfalcon (Falco rusticolus).

Authors:  Saskia Dolinská; Dávid Drutovič; Patrik Mlynárčik; Alžbeta Königová; Ladislav Molnár; Michaela Urda Dolinská; Gabriela Štrkolcová; Marián Várady
Journal:  Parasitol Res       Date:  2018-09-22       Impact factor: 2.289

Review 7.  Wolbachia: endosymbiont of onchocercid nematodes and their vectors.

Authors:  Ranju Ravindran Santhakumari Manoj; Maria Stefania Latrofa; Sara Epis; Domenico Otranto
Journal:  Parasit Vectors       Date:  2021-05-07       Impact factor: 3.876

8.  Detection of Breinlia sp. (Nematoda) in the Leadbeater's possum (Gymnobelideus leadbeateri).

Authors:  Chloe Steventon; Anson V Koehler; Elizabeth Dobson; Leanne Wicker; Alistair R Legione; Joanne M Devlin; Dan Harley; Robin B Gasser
Journal:  Int J Parasitol Parasites Wildl       Date:  2021-06-24       Impact factor: 2.674

9.  Genetic diversity of vector-borne pathogens in spotted and brown hyenas from Namibia and Tanzania relates to ecological conditions rather than host taxonomy.

Authors:  Marion L East; Bettina Wachter; Jürgen Krücken; Gábor Á Czirják; Sabrina Ramünke; Maria Serocki; Sonja K Heinrich; Jörg Melzheimer; M Carolina Costa; Heribert Hofer; Ortwin H K Aschenborn; Nancy A Barker; Stefano Capodanno; Luís Madeira de Carvalho; Georg von Samson-Himmelstjerna
Journal:  Parasit Vectors       Date:  2021-06-16       Impact factor: 3.876

10.  Duplex Real-Time PCR Assay for Clinical Differentiation of Onchocerca lupi and Onchocerca volvulus.

Authors:  Marcos de Almeida; Fernanda S Nascimento; Blaine A Mathison; Henry Bishop; Richard S Bradbury; Vitaliano A Cama; Alexandre J da Silva
Journal:  Am J Trop Med Hyg       Date:  2020-10       Impact factor: 3.707

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