Equine Veterinary Journal ISSN 0425-1644 DOI: 10.1111/evj.13123 Genotypic diversity of Salmonella ser. Abortusequi isolates from Argentina C. P. BUSTOS†‡§* , M. MORONI#, M. I. CAFFER#, A. IVANISSEVICH–, M. HERRERAU, A. R. MOREIRA**, N. GUIDA§ and P. CHACANA‡ † cnicas (CONICET), Ciudad Auto noma de Buenos Aires, Buenos Aires, Argentina Consejo Nacional de Investigaciones Cientıficas y Te Instituto Nacional de Tecnologıa Agropecuaria (INTA), CICVyA, Instituto de Patobiologıa, Hurlingham, Buenos Aires, Argentina § noma de Buenos Aires, Universidad de Buenos Aires (UBA), Facultad de Ciencias Veterinarias, C atedra de Enfermedades Infecciosas, Ciudad Auto Buenos Aires, Argentina # n Nacional de Laboratorios e Institutos de Salud (ANLIS) “Dr. Carlos G. Malbran”, Instituto Nacional de Enfermedades Infecciosas (INEI), Administracio noma de Buenos Aires, Buenos Aires, Argentina Departamento de Bacteriologıa, Servicio de Enterobacterias, Ciudad Auto – CRESAL VETERINARIA S.A., Pilar, Buenos Aires, Argentina U Servicio Nacional de Sanidad y Calidad Agroalimentaria (SENASA), DiLab, Departamento de Salmonelosis, Martınez, Buenos Aires, Argentina n Experimental Agropecuaria Balcarce, Buenos Aires, Argentina. **Instituto Nacional de Tecnologıa Agropecuaria (INTA), Estacio ‡ *Correspondence email: [email protected]; Received: 16.07.18; Accepted: 09.04.19 Summary Background: Salmonella enterica subsp. enterica serovar Abortusequi (S. Abortusequi) is a serotype restricted to equines, which produces abortion outbreaks. Nowadays the disease is being reported in different countries including Argentina thus generating an important impact in the equine industry. Molecular characterization of the 95 kb virulence plasmid and the spvC gene of S. Abortusequi demonstrated their importance in the pathogenicity of the serotype. In the last decades, high clonality of S. Abortusequi was identified in Japan, Mongolia and Croatia. Objectives: The aim of this work was to characterize S. Abortusequi isolates obtained in Argentina between 2011 and 2016 by virulence-gene profiling and pulsed-field gel electrophoresis. Study design: Case report. Methods: S. Abortusequi isolates were studied by virulence-gene profiling and pulsed-field gel electrophoresis. Results: Four virulence profiles and nine pulsed-field gel electrophoresis pulsotypes were identified among the 27 isolates included in the study. Different strains were found in the same outbreak and/or farm suggesting the presence of different sources of infection or mutation of isolates. Main limitations: The number of related and nonrelated strains. More isolates may be necessary for a more intensive study. Conclusions: Most strains presented the same virulence profile, being positive for all the studied genes except gipA and sopE1, which are involved in intestinal virulence. Only few isolates showed different results in the same outbreak or farm. Unlike other studies, our results demonstrate a considerable diversity of S. Abortusequi pulsed-field gel electrophoresis pulsotypes, which suggests that different sources of infection may be involved within the same outbreak. Keywords: horse; Salmonella ser. Abortusequi; equine abortion; genotypic diversity; Pulsed-field gel electrophoresis (PFGE); virulence genes Introduction Salmonella enterica subsp. enterica serovar Abortusequi (S. Abortusequi) is a serovar adapted and restricted to equines and associated to abortion in mares, orchitis in stallions and septicaemia and polyarthritis in foals [1,2]. Between the 1950s and 1970s, mares with reproductive pathologies caused by S. Abortusequi were described in Argentina, the United States and several countries from Europe (Albania, Italy and Croatia), Asia (India and Japan) and Africa (Cameroon) [1–5]. The disease has been involved in abortion storms causing large economical loses in Argentina and Japan [3,6–8]. Since 2011, equine paratyphoid abortion has been affecting Argentine equine industry as a re-emerging disease causing abortion storms involving large numbers of infected mares in short periods of time [6–8] and many foals were born infected and manifesting septic arthritis (Ivanissevich, 2016). While the microorganism is considered as an eradicated pathogen in the United States, its isolation in Europe seems to be sporadic. Recently, Stritof et al. [4] reported outbreaks of equine paratyphoid abortion in Croatia and Grandolfo et al. [9] have associated high mortality in foals with S. Abortusequi in Italy. Several virulence factors of Salmonella have been studied, including those which are clustered within Salmonella pathogenicity islands (SPIs) and encoded in plasmids [10–12]. S. Abortusequi is transmitted by the 98 fecal-oral route [2] and consequently genes associated with intestinal epithelial cell interactions (gipA and sopE1) may be involved in its virulence. Virulence-gene profiling is an useful tool that may provide information regarding bacterial virulence and its relationship with pathogenicity. Recently, the sequence of the genome of a representative strain isolated in Japan in 1978 has been determined to be genetically close to host-adapted and host-restricted serotypes [13]. Furthermore, molecular characterization of plasmids containing spv as well as trials conducted in mice showed that these plasmids were homologous and may confer virulence to S. Abortusequi [14]. Epidemiological studies by pulsed-field gel electrophoresis (PFGE) macro-restriction suggest high clonality among strains isolated in Japan, Mongolia and Croatia [3,15]. However, these studies included strains isolated between 1987 and 1995 and only one from 2007 and thus these findings may not be representative for recent outbreaks. Due to the increased prevalence of this serotype involved in reproductive problems in equines during the last years, the aim of this work was to characterize S. Abortusequi isolates from Argentina obtained from 2011 to 2016 to elucidate epidemiological relationships among the strains by PFGE and to compare their virulence-gene profiles. This is the first work that has studied the clonality of S. Abortusequi isolates in South America. Equine Veterinary Journal 52 (2020) 98–103 © 2019 EVJ Ltd Salmonella ser. Abortusequi characterization C. P. Bustos et al. Materials and methods Isolates In this study, 27 isolates of S. Abortusequi obtained between 2011 and 2016 from clinical cases in Argentina were included (Supplementary Item 1). The microorganism was isolated from different samples (organs from aborted equine fetuses; placenta, vagina and uterine of mares and joint fluid of a foal). Twenty-five isolates were obtained from 13 outbreaks that occurred mainly in Buenos Aires province, one isolate from a foal with arthritis and the other one from a single case of abortion. All isolates were identified as Salmonella sp. by standard biochemical test and PCR (detection of invA) [16,17]. All the isolates were serotyped as Salmonella ser. Abortusequi (4,12:–:e,n,x) according to the White-Kauffmann-Le Minor scheme [18]. Farm and animal information and epidemiological data were recorded (Supplementary Item 1). Virulence-gene profiling Isolates were incubated in brain heart infusion at 37°C overnight and then 1 mL was centrifuged at 14,000 g for 10 min, and the cell pellet was resuspended in 300 lL of 19 TE buffer (Tris-HCl 1 mol/L, EDTA 0.5 mol/L, ultra pure water, pH 8). Bacterial suspensions were incubated at 100°C for 10 min and immediately cooled for 5 min. Thereafter, suspensions were centrifuged at 14,000 g for 5 min and supernatant was stored at 20°C until use as DNA template. Overall, 10 virulence genes were amplified by PCR: six targets (avrA, ssaQ, mgtC, siiD and sopB) located on the SPIs 1–5, three targets (gipA, sodC1 and sopE1) on prophages, one (spvC) on the Salmonella virulence plasmid and one (bcfC) on a fimbrial cluster. Forward and reverse primers were used according to Huehn et al. [12]. The PCR was performed in a final volume of 25 lL containing 2.5 lL of 109 Reaction Buffer TASa, 1.5 lL of 25 mmol/L MgCl2a, 2 lL of 10 mmol/L deoxynucleotide triphosphatea, 1 lL of 10 pmol/lL each primerb, 0.25 lL of 5000 U/lL Taq DNA polymerasea, 13.8 lL of DNAse/RNAse free watera and 4 lL of DNA template. PCR was carried out using a first step of 95°C for one minute followed by 30 cycles of 95°C for 30 s, 58°C for 30 s and 72°C for 30 s and finally 72°C for 4 min. Those conditions were used for all targets except bcfC PCR, which annealing temperature was 53°C [12]. After electrophoresis at 90 V for 40 min, amplification products were stained with ethidium bromide and observed in 1.5% agarose gela. PCR products of control strains were purified by alcohol-EDTA method and sequenced by capillary electrophoresis to compare the results with sequences uploaded in GenBank (BLAST-NCBI). Once confirmed the identity of sequences, the strain S. Abortusequi UBA1174/15 was used as positive control for avrA, ssaQ, mgtC, siiD, sopB, sodC1, spvC and bcfC, the strain S. Enteritidis INTA86/360 for sopE1 and the strain S. Typhimurium SENASA64 for gipA. PFGE analysis The isolates were subtyped by PFGE following the standardised laboratory protocol of the International Pulse Net (Center for Disease Control and Prevention, CDC) [19]. The results were analysed using BioNumerics softwarec, and the dendrograms were constructed applying the DICE coefficient and UPGMA (Unweighted Pair Group Method with Arithmetic Mean) with a band position tolerance window of 1.5% as established by PulseNet. The genetic relationship among isolates was evaluated according to the variability in the serotype under study, and the epidemiological context and the frequency of the patterns identified based on information from the national database. Also, Tenover et al. [20] criteria were used to assign relatedness categories based on the number of bands among the isolates. Results Virulence-gene profiling Ten virulence genes previously identified in Salmonella were selected to characterize Argentinian S. Abortusequi isolates. Low variability regarding the presence of the studied genes was found among the strains. The avrA, ssaQ, mgtC, siiD, sopB, sodC1 and bcfC were detected in all the isolates Equine Veterinary Journal 52 (2020) 98–103 © 2019 EVJ Ltd included in this study. Four virulence profiles (named A, B, C and D) were identified among the isolates being A (avrA+/ssaQ+/mgtC+/siiD+/sopB+/ gipA/sodC1+/sopE1/spvC+/bcfC+) the most frequent (Table 1). Most of the isolates were positive for svpC (25/27; 92,59%) and negative for gipA (22/27; 81,481%) or sopE1 (25/27; 92,59%). In our study, spvC was negative in only two strains that were isolated from an aborted fetus and from the vagina of a mare. The gipA, located on a Gifsy-1 bacteriophage and considered as Peyer0 s patch-specific virulence factor, was absent in most of the isolates. Curiously, CRESAL913B/13 strain (gipA negative) was isolated together with CRESAL913A/13 strain (gipA and sopE1 negative). Furthermore, CRESAL21324/14 strain (gipA negative) was isolated from the same abortion storm as two other isolates. One of them gipA positive and sopE1 negative and the other gipA and sopE1 negative. PFGE analysis Nine PFGE pulsotypes (1–9) were identified among the isolates with up to eight bands of difference. Similarity among the pulsotypes is shown in the dendrogram (Fig 1). Two different clusters were found (Fig 1) and except for two stables (farm 5 and 11) isolates obtained in each farm belonged to the same cluster. Farm 5 showed unexpected results. Although the same pulsotype was identified in all the isolates from 2013, isolates from 2014 differed: two of them were identical but the third showed seven bands of difference (78.89% of similarity) (Fig 2a). Similar results were found in farm 6, where different pulsotypes were identified in two isolates although both strains were involved in the same outbreak in 2015. The CRESAL22230/15 strain was isolated in June 2015, whereas the UBA1163/15 strain was isolated 1 month later showing two additional bands. The isolate obtained from a large outbreak in the farm 7 (CRESAL145/15 strain) had three bands less than the pulsotype observed in the INTA-IP80/ 16 strain (pulsotype 7), which was isolated in 2016 from the unique abortion at the farm (Fig 2b). The unique isolate from the farm 9 located in Balcarce presented a pulsotype similar to other isolates from the same location, whereas the unique isolate (CRESAL22472/15) from an outbreak in 2015 situated in Lujan was clustered with other isolates obtained in 2014 and 2015 from different distant locations. Farm 11 showed the most striking results. An abortion storm occurred in 2015 on that farm and thereafter many of the pregnant mares that did not abort gave birth septicaemic newborns. The CRESAL517/15 strain isolated from an aborted fetus during the outbreak and the CRESAL821/16 strain isolated from joint fluid of a foal with arthritis presented two different PFGE pulsotypes (pulsotypes 2 and 7 respectively). The comparison of both showed 91.43% of similarly (Fig 2c) but belonging to two different clusters (Fig 1). Discussion Despite the importance of equine paratyphoid abortion, there is little published information regarding molecular epidemiology and characterization of S. Abortusequi strains isolated from different outbreaks. Most Salmonella virulence genes are located in the SPIs and on virulenceassociated plasmids [10–12,21,22] and virulence profiling is a tool not previously used for S. Abortusequi that may help to understand virulence mechanisms of the bacterium and its pathogenicity. All the isolates carried the targets located on the SPIs 1–5 that are related to intestinal epithelial cell invasion through the type III secretion system (invA and ssaQ) and macropinocytosis (sopB), toxin production by type I secretion system (siiD), intracellular survival at limited Mg++ concentrations (mgtC) and control of Salmonella-induced inflammation (avrA). These results, together with the fact that the fimbrial bcfC located in the chromosome was detected in 100% of the isolates, support previous studies that indicate that virulence determinants located in the SPIs as well as bcfC are highly conserved among serotypes [10–12,22]. The sodC1, located on bacteriophage and encoding superoxide dismutase, was detected in all the isolates included in this study. In previous reports, this gene was found in all S. Typhimurium and S. Dublin isolates [10,12,22] but was not detected in S. Infantis, Virchow, Hadar, Chagoua, Hindmarch or Inganda [12,22]. On the other hand, the presence of the sodC1 was variable in other serotypes, being 99 Salmonella ser. Abortusequi characterization C. P. Bustos et al. TABLE 1: Results of the virulence-gene profiling of the S. Abortusequi isolates mgtC siiD sopB gipA sodC1 sopE1 spvC bcfC Virulence profile + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + A A D B B A B A B A C B C A A A A A A A D A A A A A A 100 ssaQ + + + + + + + + + + + + + + + + + + + + + + + + + + + 95 avrA + + + + + + + + + + + + + + + + + + + + + + + + + + + 90 invA UBA-SABQ1563/11 UBA-SABQ1564/11 CRESAL 622/11 INTA-SABQ1138/12 INTA-SABQ1191/12 INTA-SABQ1192/12 CRESAL 20740 CRESAL 2312/12 SABQ77/15 CRESAL 913 A CRESAL 913 B CRESAL 1134/14 CRESAL 21324 CRESAL 21367 UBA 1163/15 UBA 1166/15 UBA 1168/15 UBA1169/15 UBA 1171/15 UBA 1174/15 CRESAL 22472/15 CRESAL 517/15 INTA-SABQ68/15 CRESAL 145/15 CRESAL 22230/15 CRESAL 821/16 INTA-IP80/16 85 Isolate Isolate CRESAL1134/14 CRESAL145/15 CRESAL22472/15 CRESAL22230/15 CRESAL821/16 INTA-IP80/16 UBA1163/15 UBA1166/15 UBA1169/15 UBA1171/15 UBA1174/15 CRESAL622/11 CRESAL394/11 CRESAL2312/12 CRESAL913A/13 CRESAL913B/13 INTA-SABQ1138/12 INTA-SABQ1191/12 INTA-SABQ1192/12 INTA-SABQ77/12 INTA-SABQ68/15 CRESAL21324/14 CRESAL21367/14 CRESAL20740/12 CRESAL517/15 UBA-SABQ1563/11 UBA-SABQ1564/11 Pulsotype 8 8 8 5 7 7 7 7 7 7 7 3 3 1 1 1 1 1 1 6 4 9 9 2 2 2 2 Farm 5 7 10 6 11 7 6 8 8 8 8 2 2 1 5 5 3 3 3 4 9 5 5 1 11 1 1 Fig 1: Dendrogram constructed applying the DICE coefficient and UPGMA with a band position tolerance window of 1.5%. positive in most S. Enteritidis isolates and negative in most isolates of S. Eppendorf [12,22,23]. The majority of the S. Abortusequi isolates were positive for svpC and negative for gipA and sopE1, which is similar to the findings in other 100 serotypes [10–12,22,23]. Considering that the svpC is relevant for the rapid growth and survival of the microorganism within the host and essential for the virulence of S. Abortusequi in murine models, it is not surprising that most of the isolates carried this gene. Anzai et al. [24] also demonstrated Equine Veterinary Journal 52 (2020) 98–103 © 2019 EVJ Ltd Salmonella ser. Abortusequi characterization C. P. Bustos et al. a) 819.49 672.28 680.22 519.47 375.60 349.76 307.71 287.61 351.08 313.38 289.32 234.34 224.88 241.29 131.24 120.88 98.39 84.68 78.35 69.85 59.24 41.74 38.31 33.39 20.58 133.01 122.57 99.76 79.36 71.25 43.74 35.20 20.36 CRESAL21367/14 CRESAL134/14 Strain Strain b) 681.15 660.54 503.57 509.75 343.81 344.72 303.24 282.97 239.41 299.82 281.27 227.61 220.23 121.98 115.24 95.29 83.29 76.38 67.98 58.15 41.40 34.84 23.00 127.52 120.26 98.47 78.84 69.50 43.93 34.96 21.29 INTA-IP80/16 CRESAL145/15 Strain Strain c) 857.62 679.88 693.96 509.47 374.53 346.78 342.03 299.44 279.31 302.39 280.81 228.33 216.82 229.62 219.37 122.93 116.08 95.49 82.93 74.28 66.25 55.30 39.55 33.77 18.44 124.73 115.60 95.54 83.55 76.60 66.51 56.71 40.75 34.65 22.32 CRESAL821/16 CRESAL517/15 Strain Strain Fig 2: Pulsotypes comparison. a) CRESAL21367/14 and CRESAL134/14 strains. b) CRESAL145/15 and INTAIP80/16 strains. c) CRESAL517/15 and CRESAL821/16 strains. Red arrows indicate variant bands and blue arrows indicate constant bands. The size of each band is indicated in kb. the presence of 95-kb virulence plasmid contained spvC in a high percentage of S. Abortusequi isolates (93.4%). They also observed that isolates without this plasmid were avirulent for mice and horses and therefore the authors highlight the relevance of the plasmid for the equine Equine Veterinary Journal 52 (2020) 98–103 © 2019 EVJ Ltd paratyphoid abortion. Anyhow, Astolfi-Ferreira et al. [25] proposed that other virulence factors may be important since they found that spvCnegative strains were still capable of causing invasive infections in chickens. Unfortunately, in our study it is not possible to assess if any another related isolate was positive for the spvC as reported by other researchers [24]. Also, several authors did not detect this gene in serotypes such as Enteritidis, Typhimurium, Dublin, Chagoua, Hindmarch, Inganda, Infantis or Eppendorf [10,22,23]. However, Huehn et al. [12] identified medium and high percentage of gipA positive isolates of S. Typhimurium and S. Virchow respectively. In our study, a high percentage of the isolates were negative for sopE1 which is associated with intestinal epithelial cell membrane ruffling and disruption of tight junctions. The extremely low prevalence of the gipA and the sopE1 genes found in our study may be related to their function. Even if these genes are mostly involved in the interaction of the microorganism with the gut environment, in S. Abortusequi they may be not essential for the invasion and the reproductive manifestation of abortion, although their hypothetical importance for the fecal-oral route of dissemination. Similarly, Suez et al. [26] reported that the presence of gipA and sopE1 genes in nontyphoidal Salmonella may be irrelevant for invasive manifestations in human salmonellosis. PFGE is a useful subtyping molecular technique to be included in epidemiological studies of serotypes of Salmonella [11,19]. Despite the crucial information that PFGE results and epidemiological data may provide to understand the behaviour of the equine paratyphoid abortion, only a few Japanese, Mongolian and Croatian isolates of S. Abortusequi were analysed by PFGE. Unlike previous studies on S. Abortusequi, XbaI digestion showed genomic heterogeneity among the isolates analysed [3,15]. The diversity among isolates from Argentine equine industry suggests that equine paratyphoid has been endemic in Argentina before 2011. Also elucidating clonal relations among the strains may help to reveal failures in the management of the disease. For instance, all isolates from the same outbreak in farm 3, that produces Criollo horses in Sierra de la Ventana, belong to the same pulsotype (1) and thus they may be considered the same strain. Likewise, the isolate from farm 4 in Balcarce showed a single pulsotype, which was similar to another isolate previously found in the same location. In these farms, it is likely that infections are caused by strains that persist in the environment locally and thus more efforts are needed to control the disease by disinfection, vaccination or other biosecurity strategies. On the other hand, in many of the farms that we studied strains belonging to more than a single pulsotype were isolated from the same outbreak. For example from farm 1, which is in Las Flores and produces Criollo horses, we obtained 2 isolates in 2011 and 2 isolates in 2012. Isolates from 2011 had the same pulsotype, whereas isolates from 2012 belonged to two different pulsotypes, one identical to the previous year (CRESAL20740/12 strain, pulsotype 2) and other with two additional bands (CRESAL2312/12 strain, pulsotype 1) (Fig 1). High similarity between the isolates (94.12%) was observed and according to Tenover et al. criteria (1995), those isolates should be considered closely related since they differ only by a single genetic event, for example a spontaneous mutation that removed a chromosomal restriction site. One of the 2012 isolates from farm 1 was the same pulsotype as the isolates from farm 3 and farm 5 that also produce Criollo horses. However, Farm 3 is in Sierra de la Ventana, more than 350 km from farm 1, and farm 5 is in Lujan, 200 km from farm 1, and therefore the epidemiological relation between the isolates cannot be explained by geographical proximity. Similarly, isolates from farm 6 in 2015 belong to pulsotypes 5 and 7 with two different bands between them, whereas isolates from farm 8 in the same year belonged also to pulsotype 7. Although both farms produce Polo horses, they are separated by 280 km and a likely explanation for the spread of a single PFGE pulsotype in both farms may involve contamination by fomites or movement of mares carrying the pathogen. Isolates from farm 5 in 2014 belonged to two unrelated pulsotypes (Fig 2a) according to Tenover et al. criteria [20]. Future studies should consider origin of the animals, transportation, persistent contamination of the environment and other reservoirs. The isolate INTA-IP80/16 was involved in an abortion storm occurred in 2016 in farm 7 in Cordoba province but belonged to a different pulsotype than the strain CRESAL145/15, isolated from a previous outbreak in the farm 101 Salmonella ser. Abortusequi characterization that also affected mares of 4 months of gestation. Pulsotype of strain INTA-IP80/16 only had three additional bands than the strain CRESAL145/ 15 (Fig 2b) but both isolates had the same virulence profile (A). If a single source of infection is considered, a likely explanation may be that the strain mutated while persisting in the mares or in the farm environment. Interesting results were also found in farm 11. The strain CRESAL517/15, isolated from an aborted fetus during an outbreak, presented the pulsotype 2 and virulence profile A. The CRESAL821/16 strain, isolated from a joint fluid from a foal with arthritis, showed the same virulence profile but a different pulsotype with three different bands respect to the outbreak strain. According to Tenover et al. criteria [20] these strains are closely related so these findings suggest that the strain mutated in the foal or the mother. The fact that INTAIP80/16 strain showed although farms 7 and 8 are dedicated to production of different breeds, suggests that the movement of recipient mares used for embryo transfer may contribute to the dissemination of the pathogen among nonrelated farms, a risk factor which should be considered in the equine industry. In conclusion, most of the studied strains had virulence-gene profiles positive for all genes except gipA and sopE1, involved in the pathogenesis of Salmonella in the gut. However, few isolates showed dissimilar results regarding gipA, sopE1 and spvC, even when they were associated with the same outbreak or farm. Unlike previous studies, our results showed a significant diversity of PFGE pulsotypes for S. Abortusequi strains, which suggests that different sources of infection are involved in the same outbreak. These findings also suggest that equine paratyphoid has been endemic in Argentina for a considerable time and additional studies including genome sequencing of relevant strains are essential for a better understanding of the equine paratyphoid abortion epidemiology in Argentina. Serological surveillance would be informative and also, the dynamics and reservoirs of S. Abortusequi should be investigated in order to develop rational control measures to reduce the impact of the disease on the equine industry. Authors’ declaration of interests No competing interests have been declared. Ethical animal research Research ethics committee oversight not currently required by this journal: the study was performed on material collected previously during clinical procedures. Owner informed consent Explicit owner informed consent for participation in this study was not stated. Sources of funding This research was supported by INTA National Animal Health Program Research Project. Carla Bustos was recipient of a Postdoctoral Grant from the Consejo Nacional de Investigaciones Cientıficas y T ecnicas (CONICET), Argentina. Acknowledgements We thank veterinarian practitioners for providing samples and information. Also, we are grateful to our laboratory co-workers, especially M. Mesplet, ~oz, J. Gallardo, G. Retamar, N. Lanza, A. Alcain and A. Velilla. A. Mun Authorship The study was designed by C.P. Bustos, M. Moroni, P. Chacana, N. Guida and M.I. Caffer. Laboratory work was performed by C.P. Bustos and 102 C. P. Bustos et al. M. Moroni. All authors contributed to data analysis and interpretation. C.P. Bustos prepared the initial manuscript draft and all authors contributed to the manuscript revision and approved the final version. Manufacturers’ addresses a Inbio Highway, Buenos Aires, Argentina. Biodynamics, Buenos Aires, Argentina. c Applied Maths, Texas, USA. b References n equina en 1. Monteverde, J.J. 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