O herpesvirus equino tipo 1 (EHV-1) é um importante patógeno que causa doença respiratória, abortamento e desordens neurológicas em equinos. O presente estudo foi realizado visando estabelecer um modelo murino de infecção pelo EHV-1 para investigar a resposta do hospedeiro frente à infecção viral e as alterações neurológicas causadas por esse agente. Camundongos das linhagens BALB/c, BALB/c nude, C3H/HeJ, C57BL/6, C57BL/6 CD4-/- e C57BL/6 CD8-/- foram inoculados por via intranasal com as estirpes brasileiras A4/72, A9/92 e A3/97 do EHV-1. Neste estudo, associou-se a histopatologia, a imunoistoquímica e o método de transcrição reversa seguida pela PCR quantitativa em tempo real para investigar a relação entre a infecção pelo vírus com o desenvolvimento de lesões e a resposta de citocinas pró-inflamatórias no SNC de camundongos das diferentes linhagens. As estirpes brasileiras A4/72 e A9/92 do EHV-1 causaram infecção aguda e letal nas diferentes linhagens de camundongos isogênicos. Os sinais clínicos e neurológicos, tais como perda de peso, pelos arrepiados, postura arqueada, apatia, descarga nasal e ocular, dispnéia, desidratação e sialorréia apareceram entre o 2º e 3º dpi. Essas manifestações foram acompanhadas pelo aumento da sensibilidade a estímulos externos, convulsões, recumbência e morte. O vírus foi consistentemente isolado do SNC, pulmões, fígado, baço e timo de todos os camundongos com sinais neurológicos. As alterações histopatológicas consistiram de leptomeningite, hemorragia focal, ventriculite, degeneração e necrose neuronal, neuronofagia, inflamação não supurativa, gliose multifocal e infiltração perivascular de células polimorfonucleares e mononucleares. A análise imunoistoquímica demonstrou que as estirpes A4/72 e A9/92 do EHV-1 replicaram-se nos neurônicos do bulbo olfatório, cortex cerebral e no hipocampo. Ao contrário, os camundongos inoculados com a estirpe A3/97 do EHV-1 não apresentaram perda de peso ou quaisquer sinais clínicos ou neurológicos; entretanto, o vírus foi isolado dos pulmões no 3º dpi. As estirpes A4/72 e A9/92 do EHV-1 apresentaram tropismo pelo tecido nervoso com capacidade de neuroinvasão e neurovirulência. A estirpe A3/97 do EHV-1 não foi neurovirulenta, apesar de ter sido reisolada do SNC de camundongos BALB/c nude infectados. Detectou-se aumento da expressão de mRNA para TNF-α, IL-6 e CCL2 no SNC dos camundongos infectados pelo EHV-1 com 2 e 3 dpi; entretanto, não houve expressão de mRNA para IFN-γ. Os camundongos com o fundo genético C57BL/6, que apresentam predominantemente resposta do tipo Th1, mostraram níveis mais altos de expressão de mRNA para TNF-α, IL-6 e CCL2, quando comparados com os BALB/c. A gravidade dos sinais observados em camundongos infectados pode ser correlacionada com o pico destas citocinas pró-inflamatórias (TNF-α e IL-6) e da quimiocina CCL2, que são produzidas logo após a infecção viral por células residentes da glia e/ou infiltrativas no SNC. Esses achados indicam que as diferentes linhagens de camundongos isogênicos são susceptíveis a infecção por estirpes neuropatogênicas do EHV-1 e poderiam servir como modelo para o estudo da patogênese e dos mecanismos que contribuem no desenvolvimento da mieloencefalopatia herpética equina. / Equid herpesvirus type 1 (EHV-1) is a major pathogen which causes respiratory disease, abortions and neurological disorders in horses. The present study was carried out to establish a murine model of EHV-1 infection and investigate host response against the virus and neurological disorders caused by this pathogen. BALB/c, BALB/c nude, C3H/HeJ, C57BL/6, C57BL/6 CD4-/- and C57BL/6 CD8-/- mice were intranasally inoculated with EHV-1 A4/72, A9/92 and A3/97 Brazilian strains. In this study, we combined histopathology, immunohistochemistry, and a quantitative real-time RT-PCR method to investigate the relationship between virus infection and the development of lesions and cytokine responses in the CNS of different strains of mice. Intranasal inoculation of EHV-1 A4/72 and A9/92 induced acute and lethal meningoencephalitis in mice. Clinical and neurological signs appeared between the 2nd and 3rd dpi and included weight loss, ruffled fur, a hunched posture, crouching in corners, nasal and ocular discharges, dyspnoea, dehydration and increased salivation. These signs were followed by increased reactivity to external stimulation, seizures, recumbency and death. The virus was consistently recovered from the CNS and visceral organs of all mice with neurological symptoms. Histopathological changes consisted of leptomeningitis, focal hemorrhage, ventriculitis, neuronal degeneration and necrosis, neuronophagia, non-suppurative inflammation, multi-focal gliosis and perivascular infiltration of polymorphonuclear and mononuclear cells. Immunohistochemical examination demonstrated that EHV-1 strains A4/72 and A9/92 replicated in neurons of the olfactory bulb, cortical regions and hippocampus. In contrast, mice inoculated with the EHV-1 strain A3/97 showed neither weight loss nor apparent clinical or neurological signs of the disease; however, the virus was recovered from their lungs at 3 dpi. While EHV-1 strains A4/72 and A9/92 exhibited a high degree of tropism for the CNS with robust neuroinvasiveness and neurovirulence, the EHV-1 strain A3/97 was not neurovirulent despite being detected in the CNS of infected BALB/c nude mice. Increased mRNA levels of TNF-α, IL-6 and CCL2 were detected in the nervous tissue of EHV-1 infected mice at 2 and 3 dpi; however, IFN-γ mRNA was not consistently expressed. Mice with the background C57BL/6, which exhibit predominantly Th1-type responses, showed the highest levels of TNF-α, IL-6 and CCL-2 mRNA in the CNS, when compared to BALB/c mice. The severity of signs observed in infected mice could be correlated with the peak of these proinflammatory cytokines (TNF-α and IL-6) and the chemokine CCL2, which are produced early after viral infection by both cells infiltrating into the CNS from the periphery and/or glial resident cells. These findings indicate that several inbred mouse strains are susceptible to neuopathogenic EHV-1 strains and should be useful models for studying the pathogenesis and mechanisms contributing to equine herpes myeloencephalopathy in horses.

Master of Veterinary Clinical Studies / Summary Canine Neural Angiostrongyliasis (CNA) is caused by the obligatory neural migration of Angiostrongylus cantonensis larvae in dogs. Characteristically, cases are juvenile dogs with progressive CNS dysfunction characterised by hyperaesthesia and often associated with eosinophilic pleocytosis of the CSF. In Australia, most cases occur between March and June. The rat lungworm, A cantonensis was first described by Chen in 1935 in Canton, China. While initially called Pulmonema cantonensis the parasite was later reclassified as A cantonensis. A disease diagnosed as eosinophilic meningoencephalitis was first described in 1944 in Taiwan. The same disease was reported in 1948 in the East Caroline Islands but it was not until 1961 that A cantonensis was confirmed as the aetiological agent when a patient in a Hawaiian mental institution, who had died of eosinophilic meningoencephalitis, had A cantonensis larvae recovered from the brain and spinal cord. The first reports of animals infected with A cantonensis were made by Mason in 1976 when he described a syndrome occurring in puppies in the Brisbane area, characterised by urinary incontinence, hind limb paresis and hyperaesthesia, often associated with eosinophilic pleocytosis of the CSF. Reports of infection in other species followed including macropods, bats, horses, primates and birds. Twenty-two cases of suspected CNA were collected prospectively to compare with those previously described, including 37 cases published by Mason in 1983, and to examine the accuracy of an ELISA used to diagnose human neural angiostrongyliasis in Australia. Samples were collected from two control populations in an attempt to validate the ELISA results. In the prospective series of cases, there was a significantly older subpopulation of dogs in addition to “classical” young dogs, suggesting that this syndrome can occur at any age and should be considered a differential in any dog with progressive neurological disease. The mortality rate in the prospective group was lower than in the published group, which is a reflection of the severity of the disease in younger animals as is the case with human patients. Definitive diagnosis of neural angiostrongyliasis in human patients has been achieved by identifying A cantonensis larvae within the CSF or aqueous humour. In dogs, the only definitive way to diagnose CNA has been via necropsy. While many cases of CNA are characteristic and presumptive diagnosis can be made based on typical history, signalment, clinical signs, CSF analysis and response to glucocorticoids, there appear to be an increasing number of cases occurring in older dogs, that displaying focal, atypical clinical signs or that develop permanent sequelae. Serology has been a useful tool in diagnosing neural angiostrongyliasis in humans. In its current form the ELISA is not sensitive or specific enough to allow a definitive diagnosis of CNA to be made using serum but is useful when applied to CSF specimens. Further refinement of the antigen or using monoclonal rather than polyclonal antibodies may improve the accuracy of the serology. Alternatively, methods such as Western Blot, Immuno-PCR or dot-blot ELISA, which have been successfully used to diagnoses angiostrongyliasis in humans, may be worthy of investigation The major differential diagnosis for CNA is neosporosis. Other differential diagnoses include idiopathic eosinophilic meningoencephalitis, parasitic infections including Toxoplasma gondii, Taenia solium, Gnathostoma spinigerum, visceral larval migrans (Toxocara canis) and schistosomiasis, fungal, bacterial, viral and rickettsial infections as well as neoplasia, trauma, drug reactions and toxicities. Treatment of CNA has been limited to glucocorticoids, however there may be adjunct therapies including anthelmintices, cyclosporine, and matrix metalloproteinase inhibitors. In Mason’s series of cases the use of anthelmintics significantly worsened the clinical outcome for patients. It does not appear, however, that the use of these agents in species other than the dog exacerbates clinical signs. Acquired immunity is short lived in rats and mice, which would suggest the same is true in dogs. Routine heartworm and intestinal parasite prophylaxis appears to have no influence on the occurrence of CNA.

Master of Veterinary Clinical Studies / Summary Canine Neural Angiostrongyliasis (CNA) is caused by the obligatory neural migration of Angiostrongylus cantonensis larvae in dogs. Characteristically, cases are juvenile dogs with progressive CNS dysfunction characterised by hyperaesthesia and often associated with eosinophilic pleocytosis of the CSF. In Australia, most cases occur between March and June. The rat lungworm, A cantonensis was first described by Chen in 1935 in Canton, China. While initially called Pulmonema cantonensis the parasite was later reclassified as A cantonensis. A disease diagnosed as eosinophilic meningoencephalitis was first described in 1944 in Taiwan. The same disease was reported in 1948 in the East Caroline Islands but it was not until 1961 that A cantonensis was confirmed as the aetiological agent when a patient in a Hawaiian mental institution, who had died of eosinophilic meningoencephalitis, had A cantonensis larvae recovered from the brain and spinal cord. The first reports of animals infected with A cantonensis were made by Mason in 1976 when he described a syndrome occurring in puppies in the Brisbane area, characterised by urinary incontinence, hind limb paresis and hyperaesthesia, often associated with eosinophilic pleocytosis of the CSF. Reports of infection in other species followed including macropods, bats, horses, primates and birds. Twenty-two cases of suspected CNA were collected prospectively to compare with those previously described, including 37 cases published by Mason in 1983, and to examine the accuracy of an ELISA used to diagnose human neural angiostrongyliasis in Australia. Samples were collected from two control populations in an attempt to validate the ELISA results. In the prospective series of cases, there was a significantly older subpopulation of dogs in addition to “classical” young dogs, suggesting that this syndrome can occur at any age and should be considered a differential in any dog with progressive neurological disease. The mortality rate in the prospective group was lower than in the published group, which is a reflection of the severity of the disease in younger animals as is the case with human patients. Definitive diagnosis of neural angiostrongyliasis in human patients has been achieved by identifying A cantonensis larvae within the CSF or aqueous humour. In dogs, the only definitive way to diagnose CNA has been via necropsy. While many cases of CNA are characteristic and presumptive diagnosis can be made based on typical history, signalment, clinical signs, CSF analysis and response to glucocorticoids, there appear to be an increasing number of cases occurring in older dogs, that displaying focal, atypical clinical signs or that develop permanent sequelae. Serology has been a useful tool in diagnosing neural angiostrongyliasis in humans. In its current form the ELISA is not sensitive or specific enough to allow a definitive diagnosis of CNA to be made using serum but is useful when applied to CSF specimens. Further refinement of the antigen or using monoclonal rather than polyclonal antibodies may improve the accuracy of the serology. Alternatively, methods such as Western Blot, Immuno-PCR or dot-blot ELISA, which have been successfully used to diagnoses angiostrongyliasis in humans, may be worthy of investigation The major differential diagnosis for CNA is neosporosis. Other differential diagnoses include idiopathic eosinophilic meningoencephalitis, parasitic infections including Toxoplasma gondii, Taenia solium, Gnathostoma spinigerum, visceral larval migrans (Toxocara canis) and schistosomiasis, fungal, bacterial, viral and rickettsial infections as well as neoplasia, trauma, drug reactions and toxicities. Treatment of CNA has been limited to glucocorticoids, however there may be adjunct therapies including anthelmintices, cyclosporine, and matrix metalloproteinase inhibitors. In Mason’s series of cases the use of anthelmintics significantly worsened the clinical outcome for patients. It does not appear, however, that the use of these agents in species other than the dog exacerbates clinical signs. Acquired immunity is short lived in rats and mice, which would suggest the same is true in dogs. Routine heartworm and intestinal parasite prophylaxis appears to have no influence on the occurrence of CNA.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The neurological disorder caused by BoHV-5 replication in the brain of infected animals, in the acute phase, may not be associated with significant histological changes or a significant number of antigen-positive neurons. Thus, other mechanisms, such as oxidants and antioxidants mechanisms and important enzymes of the purinergic system might modulate the immune and inflammatory response in animals infected with bovine herpesvirus type 5 (BoHV-5) and contribute to the development of neurological signs observed during infection. This study aimed to understand the mechanisms of the neuropathogenesis of BoHV-5 during acute infection. For this, in article I, alterations in the hydrolysis of adenine nucleotides in synaptosomes of the cortex and hippocampus of rabbits experimentally infected with BoHV-5 were assessed through the activity of enzymes NTPDase and 5'-nucleotidase; in article II, we evaluated the involvement of oxidants and antioxidants mechanisms during BoHV-5 infection in systemic level and central nervous system of rabbits experimentally infected through the evaluation of catalase (CAT), reduced glutathione (GSH) and non-protein thiols (TSH), and the quantitation of reactive oxygen species (ROS) and thiobarbituric acid reactive species (TBARS). For the experiments, the animals were divided into groups, control groups, with no infected animals, and test groups, animals inoculated with BoHV-5. The animals of the test groups were inoculated with the parental strain SV-507/99 containing approximately 107,5TCID50 or 108TCID50, control animals received only minimal essential medium (MEM). All rabbits were inoculated intranasally and monitored for clinical and virological aspects during the experiment. At 7 and 12 days p.i. the rabbits were anesthetized and euthanized for blood and brain structures collection. Regarding the activity of 5'-nucleotidase and NTPDase (Article I), the results showed a decrease in hydrolysis of ATP and ADP at 7 days pi, and in hydrolysis of ADP and AMP at 12 days pi in synaptosomes of cerebral cortex in the infected animals; and increased ectonucleotidases activity in synaptosomes of hippocampus in the infected group compared to the control group, except for the hydrolysis of AMP at 12 days pi. The reduced hydrolysis of ATP in cerebral cortex can cause accumulation of the nucleotide into the extracellular milieu; it is known that the excess of ATP can be cytotoxic. Furthermore, with the decrease in enzyme activity less adenosine is produced, this nucleoside is an anticonvulsant and neuroprotective molecule. The increased enzyme activity in the hippocampus can occur to produce adenosine and confer neuroprotection; however at 12 days pi, it is not observed an increase in the hydrolysis of AMP to adenosine. In article II, the evaluation of oxidative parameters and antioxidants revealed that the levels of TBARS and ROS were higher in the infected group compared to controls, mainly in the cortex at 7 and 12 days pi, but also in the cerebellum at 7 days pi and hippocampus and striatum at 12 days pi. Moreover, GSH levels were decreased in the striatum and cerebellum of animals infected at 7 days pi. The oxidative stress process may occur in response to viral infection, but this process has a low specificity and eventually results in oxidative damage to the cell. Thereby, was possible to observe that there is a participation of the purinergic system and the oxidative stress process in the pathogenesis of BoHV-5, suggesting that these mechanisms may be involved in immunomodulation, dysfunction and neuronal death, and may contribute to the process of herpetic meningoencephalitis. / A doença neurológica causada pela replicação do BoHV-5 no cérebro de animais infectados, em sua fase inicial, pode não estar associada à alterações histológicas significativas ou à um número significativo de neurônios antígeno-positivos. Assim, outros mecanismos, como os mecanismos oxidantes e antioxidantes e importantes enzimas do sistema purinérgico, poderiam modular a resposta imune e inflamatória em animais infectados pelo herpesvírus bovino tipo 5 (BoHV-5) e contribuir para o desenvolvimento dos sinais neurológicos observados durante a infecção. Com este trabalho buscou-se compreender mecanismos da neuropatogenia do BoHV-5 durante infecção aguda. Para isso, no artigo I, foram avaliadas alterações na hidrólise de nucleotídeos de adenina em sinaptossomas de córtex e hipocampo, de coelhos experimentalmente infectados com BoHV-5, através da atividade das enzimas NTPDase e 5 -nucleotidase; no artigo II, foi avaliada a participação de mecanismos oxidantes e antioxidantes na infecção pelo BoHV-5 em nível sistêmico e de sistema nervoso central de coelhos, através da atividade dos antioxidantes catalase (CAT), glutationa reduzida (GSH) e tióis não-proteicos (TSH) e quantificação de espécies reativas de oxigênio totais (ERO-totais) e as espécies reativas ao ácido tiobarbitúrico (TBARS). Para realização dos experimentos, os animais foram divididos em grupos, grupos controle, não infectados, e grupos teste, inoculados com BoHV-5. Os animais dos grupos teste foram inoculados com a cepa parental SV-507/99 contendo aproximadamente 107,5TCID50 ou 108TCID50, os demais animais receberam apenas meio essencial mínimo (MEM). Todos os coelhos foram inoculados pela via intranasal e monitorados quanto aos aspectos clínicos e virológicos durante todo o experimento. Aos 7 e 12 dias p.i. os coelhos foram anestesiados e submetidos à eutanásia para coleta sanguínea e de estruturas encefálicas. Em relação à atividade da NTPDase e 5 -nucleotidase (artigo I), os resultados revelaram uma diminuição na hidrólise do ATP e ADP aos 7 dias p.i., e na hidrólise do ADP e AMP aos 12 dias p.i. em sinaptossomas de córtex cerebral dos animais infectados; e um aumento da atividade ectonucleotidásica em sinaptossomas de hipocampo no grupo infectado em relação ao grupo controle, com exceção da hidrólise do AMP aos 12 dias p.i. A reduzida hidrólise do ATP no córtex cerebral poderia causar acúmulo deste nucleotídeo no meio extracelular, sabe-se que o excesso de ATP pode ser citotóxico. Além disso, com a diminuição da atividade enzimática menos adenosina é produzida, sendo esta uma molécula neuroprotetora e anticonvulsivante. O aumento da atividade enzimática no hipocampo poderia ocorrer para produzir adenosina e conferir neuroproteção, no entanto, aos 12 dias p.i. não ocorreu aumento na hidrólise do AMP à adenosina. No artigo II, a avaliação dos parâmetros oxidativos e antioxidantes revelou que ocorre um aumento nos níveis de TBARS e de ERO-totais no grupo infectado em relação ao grupo controle, principalmente no córtex aos 7 e 12 dias p.i., mas também no cerebelo aos 7 dias p.i. e no hipocampo e estriado aos 12 dias p.i. Ainda, os níveis de GSH estavam diminuídos no estriado e cerebelo dos animais infectados aos 7 dias p.i. O processo de estresse oxidativo pode ocorrer em resposta à infecção viral, porém por ter baixa especificidade acaba resultando em danos oxidativos à célula. Desta forma, foi possível observar que existe uma participação do sistema purinérgico e do processo de estresse oxidativo na patogênese da infecção pelo BoHV-5, sugerindo que estes mecanismos possam estar envolvidos na imunomodulação, disfunção e morte neuronal, contribuindo, assim, para a processo da meningoencefalite herpética.

O herpesvirus equino tipo 1 (EHV-1) é um importante patógeno que causa doença respiratória, abortamento e desordens neurológicas em equinos. O presente estudo foi realizado visando avaliar a resposta inflamatória causada pelo EHV-1 por meio da análise das manifestações clínicas, alterações histopatológicas e resposta imune do hospedeiro no sistema nervoso central (SNC). Camundongos das linhagens BALB/c (H2d), C57BL/6 (H2b) e C3H/HeJ (H2k) foram inoculados por via intranasal com as estirpes brasileiras A4/72 e A9/92 do EHV-1. Nesse estudo, associou-se a histopatologia, a resposta de citocinas pró-inflamatórias no SNC de camundongos das diferentes linhagens e o método de transcrição reversa seguida pela reação em cadeia da polimerase quantitativa em tempo real (RT-qPCR) para investigar a relação entre a infecção pelo EHV-1 e a resposta inflamatória com o desenvolvimento de lesões. As estirpes brasileiras A4/72 e A9/92 do EHV-1 causaram infecção aguda e letal nas diferentes linhagens de camundongos isogênicos. Os sinais clínicos e neurológicos, tais como perda de peso, pelos arrepiados, postura arqueada, apatia, dispneia, desidratação e sialorreia apareceram entre o 2º e 3º dia pós-infecção (dpi). Essas manifestações foram acompanhadas pelo aumento da sensibilidade a estímulos externos, convulsões, recumbência e morte. As alterações histopatológicas consistiram em necrose neuronal, edema, necrose de liquefação, leptomeningite neutrofílica, manguito perivascular, hemorragia focal, inflamação não supurativa, gliose multifocal e infiltração perivascular de células polimorfonucleares e mononucleares. As características e a extensão das lesões variaram entre as linhagens de camundongos. Animais inoculados com a estirpe A4/72 apresentaram lesões histopatológicas de maior grau de severidade quando comparados com aqueles inoculados com a estirpe A9/92. Observou-se aumento da concentração plasmática de TNF-α, IL-6, CCL2 e IFN-γ nos camundongos infectados pelo EHV-1 no 2º dpi. Detectou-se aumento da concentração plasmática e da expressão de mRNA para TNF-α, IL-6 e CCL2 no SNC dos camundongos infectados pelo EHV-1 no 3º dpi; entretanto, não houve aumento da concentração plasmática nem da expressão de mRNA para IFN-γ no 3º dpi. Evidenciou-se que a estirpe A4/72 do EHV-1 induz uma resposta imune sistêmica mais efetiva, enquanto que o vírus A9/92 culmina em uma resposta imunológica mais efetiva no SNC. Os camundongos com o fundo genético C57BL/6 e BALB/c mostraram níveis mais altos de expressão de mRNA para TNF-α, IL-6 e CCL2, quando comparados com os C3H/HeJ. A gravidade dos sinais clínicos observados em camundongos infectados pode ser correlacionada com o pico dessas citocinas pró-inflamatórias (TNF-α e IL-6) e da quimiocina CCL2, que são produzidas logo após a infecção viral por células residentes da glia e/ou infiltrativas no SNC. Esses achados indicam que as diferentes linhagens de camundongos isogênicos são susceptíveis à infecção por estirpes neuropatogênicas do EHV-1; as diferenças no padrão de alterações histopatológicas mostram que elas dependem do hospedeiro infectado, da estirpe viral e da resposta imunológica; e a supressão do interferon (IFN) tipo 1 sugere ser um mecanismo de escape do EHV-1 frente ao sistema imune. A baixa expressão de IL-6, TNF-α e da quimiocina CCL2 em camundongos C3H/HeJ se explica pela mutação no gene toll-like receptor 4 (TLR-4) existente nessa linhagem de camundongo. Adicionalmente, os camundongos C3H/HeJ apresentaram lesões histopatológicas mais severas no SNC quando comparados com BALB/c e C57BL/6. Sugere-se que o IFN tipo I e o gene TLR-4 apresentam importante papel na patogênese do EHV-1 bem como proteínas do agente viral responsáveis pela supressão do IFN e partículas virais que sejam reconhecidas pelo TLR-4 podem ser alvos para o desenvolvimento de novas abordagens para o tratamento da doença viral e para a eficiência de imunógenos / The equine herpesvirus type 1 (EHV-1) is an important pathogen that causes respiratory disease, abortion and neurological disorders in horses. This study was conducted to evaluate the inflammatory response caused by EHV-1 by the analysis of clinical manifestations, histopathological changes and the host immune response in the central nervous system (CNS). BALB/c (H2d), C57BL/6 (H2b) and C3H/HeJ (H2k) mice were inoculated intranasally with Brazilian EHV-1 strains A4/72 and A9/92. In this study, joined histopathology, the response of proinflammatory cytokines in the CNS of mice of different strains and reverse transcription method followed by quantitative polymerase chain reaction in real time (RT-qPCR) to investigate the relationship between infection by EHV-1 and inflammatory response in the development of lesions. Brazilian strains A4/72 and A9/92 EHV-1 caused acute lethal infection in different strains of inbred mice. Clinical and neurological signs such as weight loss, the bristly hair, hunched posture, apathy, dyspnoea, dehydration and salivary hypersecretion appeared between 2nd and 3rd day after infection (dpi). These events were accompanied by increase in the sensitivity to external stimuli, convulsions, recumbency and death. Histopathological changes were neuronal necrosis, edema, liquefaction necrosis, neutrophilic leptomeningitis, perivascular cuff, focal hemorrhage, non-suppurative inflammation, multifocal gliosis and perivascular infiltration of polymorphonuclear and mononuclear cells. The characteristics and the extent of the injuries varied between strains of mice. Animals inoculated with the A4/72 strain showed histopathological lesions of greater severity when compared with those inoculated with the A9/92 strain. There was an increase in plasma concentrations of TNF-α, IL-6, CCL2 and IFN-γ in mice infected by EHV-1 in 2nd dpi. Plasma concentrations and the expression of mRNA for TNF-α, IL-6 and CCL2 in the CNS of mice infected with EHV-1 at 3rd dpi were increased; however, there was no increase in plasma concentration or expression for the mRNA of IFN-γ at 3rd dpi. It was evident that the EHV-1 strain A4/72 induces a more effective systemic immune response, whereas the A9/92 virus culminates in a more effective immune response in the CNS. The C57BL/6 and BALB/c mice showed higher levels of mRNA expression for TNF-α, IL-6 and CCL2, compared to C3H/HeJ mice. The severity of clinical signs observed in infected mice can be correlated with the peak of these proinflammatory cytokines (TNF-α and IL-6) and CCL2 chemokine, which are then produced after viral infection by resident glial cells and/or infiltrative cells in the CNS. These findings indicate that different strains of inbred mice are susceptible to infection neuropathogenic EHV-1 strains; the differences in the pattern of pathological changes show that they depend on the infected host, the EHV-1 strain and the immune response; and the suppression of interferon (IFN) type I suggested to be an escape mechanism for the EHV-1 against the immune system. The low expression of IL-6, TNF-α and chemokine CCL2 in C3H/HeJ mice can be explained by a mutation in toll-like receptor 4 (TLR-4) gene existing in this mouse strain. Additionally, C3H/HeJ mice exhibited more severe histopathological lesions in the CNS as compared to BALB/c and C57BL/6. It is suggested that type I IFN and TLR-4 gene have important role in the pathogenesis of EHV-1 and viral agent proteins responsible for the suppression of IFN and the viral particles that are recognized by TLR-4 can be targets for the development of new approaches for the treatment of viral disease and the efficiency of immunogens

Enterovírus (HEV), herpesvírus 1 e 2 (HHV-1 e HHV-2) e adenovírus (HAdV) são importantes agentes de infecções do SNC. Neste trabalho, técnicas moleculares foram aplicadas para a detecção destes vírus em quadros de infecção do SNC. Amostras de líquor foram colhidas de pacientes atendidos no HU-USP entre agosto e novembro/2010 e fevereiro/2012 a janeiro/2013. Através da Nested-PCR HEV foram detectados em 9,8% das amostras, HAdV em 2,5% e HHV-1 e 2 em 1,1%, além de 3 casos de coinfecção, 2 entre HEV e HHV, e 1 entre HEV e HAdV. O material genético viral foi extraído através dos métodos Qiaamp DNA Blood (Qiagen®) e MagMAXTM Viral RNA Isolation (Ambiom), e este último pareceu mais adequado à aplicação na rotina clínica. A análise quimiocitológica do líquor mostrou-se importante no direcionamento da conduta clínica, mas a detecção do vírus é fundamental para a conclusão do diagnóstico. A PCR em tempo real, cuja padronização foi iniciada neste trabalho, consiste em importante ferramenta para a utilização futura no diagnóstico complementar das infecções virais do SNC. / Enteroviruses (HEV), herpesviruses 1 and 2 (HHV-1 and HHV-2) and adenoviruses (HAdV) are important causative agents of infections of the CNS. In this study, molecular techniques were applied to the detection of these viruses. CSF samples were collected from patients treated at the University Hospital of USP, between August and November, 2010, and February 2012 and January 2013. By the Nested-PCR reaction, HEV were detected in 9.8% of the samples, HAdV in 2.5% and HHV-1 and 2 in 1.1%. There were 3 cases of coinfection: 2 with HEV and HHV and other with HEV and HAdV. The viral genetic materials were extracted by QIAamp DNA Blood kit (Qiagen®) and MagMAXTM Viral RNA Isolation (Ambiom), and the second one showed to be more suitable for the application in clinical diagnosis. The CSF chemocytologic analysis proved to be important in directing the clinical conduct, but the detection of viruses is essential for the diagnosis. The real time PCR, which standardization was initiated in this work, will be an important tool for complementary diagnosis of viral infections of the CNS.

Enterovírus (HEV), herpesvírus 1 e 2 (HHV-1 e HHV-2) e adenovírus (HAdV) são importantes agentes de infecções do SNC. Neste trabalho, técnicas moleculares foram aplicadas para a detecção destes vírus em quadros de infecção do SNC. Amostras de líquor foram colhidas de pacientes atendidos no HU-USP entre agosto e novembro/2010 e fevereiro/2012 a janeiro/2013. Através da Nested-PCR HEV foram detectados em 9,8% das amostras, HAdV em 2,5% e HHV-1 e 2 em 1,1%, além de 3 casos de coinfecção, 2 entre HEV e HHV, e 1 entre HEV e HAdV. O material genético viral foi extraído através dos métodos Qiaamp DNA Blood (Qiagen®) e MagMAXTM Viral RNA Isolation (Ambiom), e este último pareceu mais adequado à aplicação na rotina clínica. A análise quimiocitológica do líquor mostrou-se importante no direcionamento da conduta clínica, mas a detecção do vírus é fundamental para a conclusão do diagnóstico. A PCR em tempo real, cuja padronização foi iniciada neste trabalho, consiste em importante ferramenta para a utilização futura no diagnóstico complementar das infecções virais do SNC. / Enteroviruses (HEV), herpesviruses 1 and 2 (HHV-1 and HHV-2) and adenoviruses (HAdV) are important causative agents of infections of the CNS. In this study, molecular techniques were applied to the detection of these viruses. CSF samples were collected from patients treated at the University Hospital of USP, between August and November, 2010, and February 2012 and January 2013. By the Nested-PCR reaction, HEV were detected in 9.8% of the samples, HAdV in 2.5% and HHV-1 and 2 in 1.1%. There were 3 cases of coinfection: 2 with HEV and HHV and other with HEV and HAdV. The viral genetic materials were extracted by QIAamp DNA Blood kit (Qiagen®) and MagMAXTM Viral RNA Isolation (Ambiom), and the second one showed to be more suitable for the application in clinical diagnosis. The CSF chemocytologic analysis proved to be important in directing the clinical conduct, but the detection of viruses is essential for the diagnosis. The real time PCR, which standardization was initiated in this work, will be an important tool for complementary diagnosis of viral infections of the CNS.

O herpesvirus equino tipo 1 (EHV-1) é um importante patógeno que causa doença respiratória, abortamento e desordens neurológicas em equinos. O presente estudo foi realizado visando avaliar a resposta inflamatória causada pelo EHV-1 por meio da análise das manifestações clínicas, alterações histopatológicas e resposta imune do hospedeiro no sistema nervoso central (SNC). Camundongos das linhagens BALB/c (H2d), C57BL/6 (H2b) e C3H/HeJ (H2k) foram inoculados por via intranasal com as estirpes brasileiras A4/72 e A9/92 do EHV-1. Nesse estudo, associou-se a histopatologia, a resposta de citocinas pró-inflamatórias no SNC de camundongos das diferentes linhagens e o método de transcrição reversa seguida pela reação em cadeia da polimerase quantitativa em tempo real (RT-qPCR) para investigar a relação entre a infecção pelo EHV-1 e a resposta inflamatória com o desenvolvimento de lesões. As estirpes brasileiras A4/72 e A9/92 do EHV-1 causaram infecção aguda e letal nas diferentes linhagens de camundongos isogênicos. Os sinais clínicos e neurológicos, tais como perda de peso, pelos arrepiados, postura arqueada, apatia, dispneia, desidratação e sialorreia apareceram entre o 2º e 3º dia pós-infecção (dpi). Essas manifestações foram acompanhadas pelo aumento da sensibilidade a estímulos externos, convulsões, recumbência e morte. As alterações histopatológicas consistiram em necrose neuronal, edema, necrose de liquefação, leptomeningite neutrofílica, manguito perivascular, hemorragia focal, inflamação não supurativa, gliose multifocal e infiltração perivascular de células polimorfonucleares e mononucleares. As características e a extensão das lesões variaram entre as linhagens de camundongos. Animais inoculados com a estirpe A4/72 apresentaram lesões histopatológicas de maior grau de severidade quando comparados com aqueles inoculados com a estirpe A9/92. Observou-se aumento da concentração plasmática de TNF-α, IL-6, CCL2 e IFN-γ nos camundongos infectados pelo EHV-1 no 2º dpi. Detectou-se aumento da concentração plasmática e da expressão de mRNA para TNF-α, IL-6 e CCL2 no SNC dos camundongos infectados pelo EHV-1 no 3º dpi; entretanto, não houve aumento da concentração plasmática nem da expressão de mRNA para IFN-γ no 3º dpi. Evidenciou-se que a estirpe A4/72 do EHV-1 induz uma resposta imune sistêmica mais efetiva, enquanto que o vírus A9/92 culmina em uma resposta imunológica mais efetiva no SNC. Os camundongos com o fundo genético C57BL/6 e BALB/c mostraram níveis mais altos de expressão de mRNA para TNF-α, IL-6 e CCL2, quando comparados com os C3H/HeJ. A gravidade dos sinais clínicos observados em camundongos infectados pode ser correlacionada com o pico dessas citocinas pró-inflamatórias (TNF-α e IL-6) e da quimiocina CCL2, que são produzidas logo após a infecção viral por células residentes da glia e/ou infiltrativas no SNC. Esses achados indicam que as diferentes linhagens de camundongos isogênicos são susceptíveis à infecção por estirpes neuropatogênicas do EHV-1; as diferenças no padrão de alterações histopatológicas mostram que elas dependem do hospedeiro infectado, da estirpe viral e da resposta imunológica; e a supressão do interferon (IFN) tipo 1 sugere ser um mecanismo de escape do EHV-1 frente ao sistema imune. A baixa expressão de IL-6, TNF-α e da quimiocina CCL2 em camundongos C3H/HeJ se explica pela mutação no gene toll-like receptor 4 (TLR-4) existente nessa linhagem de camundongo. Adicionalmente, os camundongos C3H/HeJ apresentaram lesões histopatológicas mais severas no SNC quando comparados com BALB/c e C57BL/6. Sugere-se que o IFN tipo I e o gene TLR-4 apresentam importante papel na patogênese do EHV-1 bem como proteínas do agente viral responsáveis pela supressão do IFN e partículas virais que sejam reconhecidas pelo TLR-4 podem ser alvos para o desenvolvimento de novas abordagens para o tratamento da doença viral e para a eficiência de imunógenos / The equine herpesvirus type 1 (EHV-1) is an important pathogen that causes respiratory disease, abortion and neurological disorders in horses. This study was conducted to evaluate the inflammatory response caused by EHV-1 by the analysis of clinical manifestations, histopathological changes and the host immune response in the central nervous system (CNS). BALB/c (H2d), C57BL/6 (H2b) and C3H/HeJ (H2k) mice were inoculated intranasally with Brazilian EHV-1 strains A4/72 and A9/92. In this study, joined histopathology, the response of proinflammatory cytokines in the CNS of mice of different strains and reverse transcription method followed by quantitative polymerase chain reaction in real time (RT-qPCR) to investigate the relationship between infection by EHV-1 and inflammatory response in the development of lesions. Brazilian strains A4/72 and A9/92 EHV-1 caused acute lethal infection in different strains of inbred mice. Clinical and neurological signs such as weight loss, the bristly hair, hunched posture, apathy, dyspnoea, dehydration and salivary hypersecretion appeared between 2nd and 3rd day after infection (dpi). These events were accompanied by increase in the sensitivity to external stimuli, convulsions, recumbency and death. Histopathological changes were neuronal necrosis, edema, liquefaction necrosis, neutrophilic leptomeningitis, perivascular cuff, focal hemorrhage, non-suppurative inflammation, multifocal gliosis and perivascular infiltration of polymorphonuclear and mononuclear cells. The characteristics and the extent of the injuries varied between strains of mice. Animals inoculated with the A4/72 strain showed histopathological lesions of greater severity when compared with those inoculated with the A9/92 strain. There was an increase in plasma concentrations of TNF-α, IL-6, CCL2 and IFN-γ in mice infected by EHV-1 in 2nd dpi. Plasma concentrations and the expression of mRNA for TNF-α, IL-6 and CCL2 in the CNS of mice infected with EHV-1 at 3rd dpi were increased; however, there was no increase in plasma concentration or expression for the mRNA of IFN-γ at 3rd dpi. It was evident that the EHV-1 strain A4/72 induces a more effective systemic immune response, whereas the A9/92 virus culminates in a more effective immune response in the CNS. The C57BL/6 and BALB/c mice showed higher levels of mRNA expression for TNF-α, IL-6 and CCL2, compared to C3H/HeJ mice. The severity of clinical signs observed in infected mice can be correlated with the peak of these proinflammatory cytokines (TNF-α and IL-6) and CCL2 chemokine, which are then produced after viral infection by resident glial cells and/or infiltrative cells in the CNS. These findings indicate that different strains of inbred mice are susceptible to infection neuropathogenic EHV-1 strains; the differences in the pattern of pathological changes show that they depend on the infected host, the EHV-1 strain and the immune response; and the suppression of interferon (IFN) type I suggested to be an escape mechanism for the EHV-1 against the immune system. The low expression of IL-6, TNF-α and chemokine CCL2 in C3H/HeJ mice can be explained by a mutation in toll-like receptor 4 (TLR-4) gene existing in this mouse strain. Additionally, C3H/HeJ mice exhibited more severe histopathological lesions in the CNS as compared to BALB/c and C57BL/6. It is suggested that type I IFN and TLR-4 gene have important role in the pathogenesis of EHV-1 and viral agent proteins responsible for the suppression of IFN and the viral particles that are recognized by TLR-4 can be targets for the development of new approaches for the treatment of viral disease and the efficiency of immunogens

Made available in DSpace on 2015-03-26T13:47:01Z (GMT). No. of bitstreams: 1 texto completo.pdf: 258964 bytes, checksum: 135e6be4766beec15d819dd30575f517 (MD5) Previous issue date: 2006-07-28 / Bovine herpesvirus type 5 (BoHV-5) is the etiological agent of the bovine meningoencephalitis that presents high morbidity in young bovine. Due to the similarity in the morphology of the virion, cytopathic effect in cell culture and antigenic properties, the BoHV-5 was classified erroneously as BoHV-1 in the past. BoHV-1 is responsible for respiratory and genital diseases, however the disease caused by BoHV-5 presents neurological clinical signs. This virus has been considered a variant of the same agent (BoHV-1) with neuropathogenic characteristics. Comparative studies among isolates of BoHV-5 revealed 97% of proteic similarity. However, the amino-terminal region of the most abundant glycoprotein of the viral envelope, the gC, differs substantially. This glycoprotein is involved in the initial interactions of the virus with the cellular surface besides of presenting as target for antibodies with neutralizing activities. This study aimed at to select an isolate of BoHV-5, among 5 isolates collected in outbreaks in different properties in Brazil, presenting higher antigenicity in vaccinated animals. Vaccines were formulated using isolates ISO9898292, SV507, SV163, 1807 and EVI145 and administered to 5 groups of 10 sheeps, which have received two intramuscular doses on days 0 and 21. Collections of blood were accomplished for analysis of production of antibodies by virus-neutralization and attendance of possible clinical signs to the 63rd day after the first vaccination. Antibodies titers averages ranged from 6,85 and 14,92 on the day 0 before the first vaccination. Antibody peak were on day 14, ranged from 4,50 (isolated ISO9898292) to 138,63 (isolated SV163). A second peak was observed 14 days after the booster ranged from 7,77 (ISO9898292) to 1017,54 (1807). In the 42nd day after the booster, it was observed titers variation from 3,84 (ISO9898292) to 305,97 (1807). The discrepancy among titers of antibody of each group of animals suggests a smaller antigenicity of isolated ISO9898292 in relation to the others, demonstrating a possible variation among the isolates, what results in antigenic differences. All isolates, with exception to ISO9898292, were effective in the induction of antibodies. / O herpesvírus bovino tipo 5 (BoHV-5) é o agente etiológico da menigoencefalite bovina que apresenta alta morbidade em bovinos jovens. Devido à similaridade na morfologia do virion, efeito citopático na cultura de células e propriedades antigênicas, o BoHV-5 foi classificado erroneamente como herpesvírus bovino tipo 1 (BoHV-1). Este vírus é responsável por doenças respiratórias e genitais, porém a doença causada pelo BoHV-5 apresenta sinais clínicos neurológicos, com isso o vírus foi considerado uma variante do mesmo agente com características de neuropatogenicidade. Estudos comparativos entre isolados de BoHV-5 revelaram 97% de similaridade protéica. No entanto, a região amino terminal da glicoproteína mais abundante do envelope viral, a gC, difere substancialmente. Esta glicoproteína está envolvida nas interações iniciais do vírus com a superfície celular, além de se apresentar como alvo para anticorpos com atividades neutralizantes. Este estudo objetivou selecionar um isolado do vírus BoHV-5, entre 5 isolados coletados em surtos da doença em diferentes propriedades, que confira maior antigenicidade em animais vacinados. As vacinas foram formuladas com os isolados ISO9898292, SV507, SV163, 1807 e EVI145 e administradas a 5 grupos de 10 ovelhas, as quais receberam duas doses vacinais por via intramuscular nos dias 0 e 21. Foram realizadas coletas de sangue para análise de produção de anticorpos por virusneutralização e acompanhamento de possíveis sinais clínicos até o 63º dia após a primo-vacinação. Foram observados dois picos na curva de anticorpos, o primeiro no dia 14, após a vacinação, onde os títulos de anticorpos variaram entre 4,50 (isolado ISO9898292) a 138,62 (isolado SV163). O segundo pico foi observado 14 dias após a revacinação onde os títulos variaram entre 7,77 (ISO9898292) a 1017,54 (1807). No 42º dia após a revacinação observou-se variação de título entre 3,84 (ISO9898292) a 305,97 (1807). A discrepância entre as médias de título de anticorpo de cada grupo de animais sugere uma menor antigenicidade do isolado ISO9898292 em relação aos demais, demonstrando uma possível variação entre os isolados, o que resulta em diferenças antigênicas. Todos os isolados, com exceção ao ISO9898292, mostraram-se eficazes na indução de anticorpos.

Les amibes sont des organismes unicellulaires eucaryotes, de 10 à 300 µm, pouvant vivre sous forme parasite ou évoluer librement dans les sols et les milieux aquatiques ou encore adopter l’une ou l’autre forme en fonction de l’environnement. Certaines amibes libres sont hautement pathogènes pour les animaux et l’homme, en particulier Naegleria fowleri qui se développe dans les eaux naturellement chaudes à des températures comprises entre 27 et 45°C. Cette espèce est responsable d'une encéphalite généralement mortelle, la méningo-encéphalite amibienne primitive (MEAP), dont un cas a été recensé en Guadeloupe en 2008. Un enfant de 9 ans ayant contracté la maladie est décédé quelques jours après un bain dans les eaux chaudes de Dolé, sur la commune de Gourbeyre. Notre travail de Thèse à l’Institut Pasteur, en collaboration avec l’ARS, a permis d’initier un programme de recherche sur ces amibes pathogènes très peu connues sur notre territoire, afin de mieux évaluer le risque lié aux baignades dans les sources géothermales de la Guadeloupe. Nous avons développé et mis au point une méthode de détection et de dénombrement des amibes faisant appel à la biologie moléculaire qui est aujourd’hui appliquée en routine au sein de notre laboratoire. Depuis Janvier 2011, un suivi mensuel a révélé la présence des amibes thermophiles et de l’amibe pathogène dans presque tous les sites analysés (Ravine Chaude, Bains de La Lise et Bain du Curé à Pigeon, Bains Jaunes, Bain de Dolé, Bain de Capes, Bain des Amours, Bain de la rivière Grosse-Corde, Chute du Carbet, Bain de Morphy et Bain chaud de Matouba), à l’exception des eaux chaudes soufrées et/ou salées de Sofaïa et de l’Anse Thomas à Bouillante. Le séquençage des produits de PCR obtenus et déposés dans Genbank nous a permis de confirmer l’appartenance de cette souche de N. fowleri, au type 3 Euro-américain, identique à celui détecté lors de l’accident de 2008 (Moussa et al. 2013). Le nombre d’amibes pathogènes retrouvées varie de 2 à 30 amibes/litre selon les bains, sans dépasser la limite de 100 amibes/litre recommandée par les autorités sanitaires. En dépit de ces faibles concentrations, une surveillance régulière des bassins est nécessaire. Sur l’ensemble de l’année 2011-2012, l’espèce pathogène N. fowleri a été la plus fréquemment rencontrée par rapport aux espèces non pathogènes N. lovaniensis et Hartmanella sp. Ces données de surveillance ont amené l’ARS et les communes concernées à organiser une campagne de sensibilisation à destination des populations locales et touristiques, reposant sur l’installation de panneaux de prévention à proximité des principaux sites où N. fowleri a été retrouvée.La présence régulière de N. fowleri tout au long de l’année dans la plupart des bains chauds et notamment dans les bains les plus fréquentés, a orienté notre travail sur la recherche de l’origine de leur contamination. Nous avons découvert que les sources géothermales ne sont pas contaminées à leur émergence, mais que les amibes proviennent de la terre en amont des bassins. Ce résultat qui montre que le sol est le réservoir naturel des amibes, nous a permis de proposer aux collectivités un moyen de lutte efficace en canalisant l’eau depuis l’émergence jusqu’au bassin, sans passer par le sol. / Amoebas are eukaryotic unicellular organisms, measuring from 10 to 300 µm, being able to live under a parasite form or to evolve freely in soils and aquatic media. They can even adopt either form depending of the environment. Some free living amoebas are highly pathogenic for animals and humans, especially Naegleria fowleri which develops in naturally hot waters at temperatures between 27 and 45°C. This species is responsible for an encephalitis generally lethal, the primary amoebic meningoencephalitis (PAM), a case of which occured in Guadeloupe in 2008. A 9-year-old child having contracted the disease, died a few days after a bath in the hot waters of Dolé, in Gourbeyre. Our Thesis at the Institut Pasteur of Guadeloupe, in association with the ARS, initiated a research program on these pathogenic amoebas poorly known in our territory, to better estimate the risk to contract the disease while bathing in geothermal recreational waters of Guadeloupe. We developed and worked out a method of detection and enumeration of amoebas using the molecular biology, which is currently applied in routine in our laboratory. Since January, 2011, a monthly monitoring of the baths revealed the presence of thermophilic free living amoebas and pathogenic amoeba in almost all the analyzed sites (Ravine Chaude, La Lise, Bain du Curé à Pigeon, Bains Jaunes, Bain de Dolé, Bain de Capès, Bain des Amours, Bain de la rivière Grosse-Corde, Chutes du Carbet, Morphy and the hot bath of Matouba), with the exception of sulphurated and/or salty hot waters of Sofaïa and the Anse-Thomas in Bouillante. The sequencing of the PCR products obtained were deposited in Genbank and confirmed that the Guadeloupean N. fowleri belonged to the Type-3 Euro-American, identical to that detected in the patient in 2008 (Moussa et al. 2013). The number of pathogenic amoebas varied from 2 to 30 amoebas / liter according to the baths, without exceeding the limit of 100 amoebas / liter recommended by the health authorities. In spite of this rather low concentration the baths require a regular surveillance. On the full year 2011-2012, the pathogenic species N. fowleri was the most frequently encountered species followed by N. lovaniensis and Hartmanella sp. These data of the surveillance led the ARS and the municipalities concerned to organize an awareness campaign destinated to the local and tourist population, based on the installation of prevention panels near the main sites where N. fowleri was found. The regular presence of N. fowleri during the year in most of the hot baths, especially the most frequented ones, leads us to look for the origin of their contamination. We discovered that geothermal springs are not contaminated at their emergence, but that amoebas come from the soil upstream the baths. This result which shows that soil is the natural reservoir of amoebas, allowed us to propose to the authorities effective means of prevention by installing pipes to carry the water from the emergence to the bath, without touching the soil.