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Pathogens 2020, 9, 626; doi:10.3390/pathogens9080626 www.mdpi.com/journal/pathogens
Article
New Molecular Data on Filaria and its Wolbachia
from Red Howler Monkeys (Alouatta macconnelli)
in French Guiana—A Preliminary Study
Younes Laidoudi 1,2, Hacène Medkour 1, 2, Anthony Levasseur 1,2,
Bernard Davoust 1,2 and Oleg Mediannikov 1,2,*
1 IRD, AP-HM, Microbes, Evolution, Phylogeny and Infection (MEPHI), IHU Méditerranée Infection,
Aix Marseille Univ, 19–21, Bd Jean Moulin, 13005 Marseille, France; younes.laidoudi@yahoo.com (Y.L.);
hacenevet1990@yahoo.fr (H.M.); anthony.levasseur@univ-amu.fr (A.L.); bernard.davoust@gmail.com (B.D.)
2 IHU Méditerranée Infection, 19–21, Bd Jean Moulin, 13005 Marseille, France
* Correspondence: olegusss1@gmail.com; Tel.: +3304-1373-24-01
Received: 10 June 2020; Accepted: 29 July 2020; Published: 31 July 2020
Abstract: Previous studies have reported filarial parasites of the genus Dipetalonema and Mansonella
from French Guiana monkeys, based on morphological taxonomy. In this study, we screened blood
samples from nine howler monkeys (Alouatta macconnelli) for the presence of filaria and Wolbachia
DNA. The infection rates were 88.9% for filaria and 55.6% for wolbachiae. The molecular
characterization, based on the 18S gene of filariids, revealed that A. macconnelli are infected with at
least three species (Mansonella sp., Brugia sp. and an unidentified Onchocercidae species.). Since the
18S and cox1 generic primers are not very effective at resolving co-infections, we developed ITS
genus-specific PCRs for Mansonella and Brugia genus. The results revealed coinfections in 75% of
positives. The presence of Mansonella sp. and Brugia sp. was also confirmed by the 16S phylogenetic
analysis of their associated Wolbachia. Mansonella sp., which close to the species from the subgenus
Tetrapetalonema encountered in New World Monkeys, while Brugia sp. was identical to the strain
circulating in French Guiana dogs. We propose a novel ITS1 Brugia genus-specific qPCR. We
applied it to screen for Brugia infection in howler monkeys and 66.7% were found to be positive.
Our finding highlights the need for further studies to clarify the species diversity of neotropics
monkeys by combining molecular and morphological features. The novel Brugia genus-specific
qPCR assays could be an effective tool for the surveillance and characterization of this potential
zoonosis.
Keywords: Mansonella sp.; Brugia sp.; Onchocercidae sp.; Wolbachia; neotropic monkeys; reservoir;
zoonosis
1. Introduction
Filariasis unites diseases are caused by arthropod-borne filariids and nematodes belonging to
the Onchocercidae family. Several species can be encountered in human and animals with some
zoonotic aspects. Morphologically, the adult filariids are long, string-like, white-to-cream-colored
worms [1]. They appear to be capable of living inside various tissues and cavities outside the
gastrointestinal tract. Once mature, the adult females produce blood or cutaneous microfilariae,
where they are available to arthropod vectors [2]. Species having a predilection for subcutaneous
tissues are less or completely avirulent in comparison to those found in cavities, such as
Dipetalonema species (D. gracile, D. graciliformis, D. caudispina, D. robini and D. freitasi, D. vanhoofi),
Macacanema formosana where they induce serious disease manifestations such as pleuritis,
Pathogens 2020, 9, 626 2 of 23
fibrinopurulent peritonitis and fibrinous adhesion, resulting in the entrapment of worms [3,4].
Furthermore, species found in the circulatory system (e.g., Dirofilaria immitis and D. pongoi,
Edesonfilaria malayensis), as well as those present in the lymphatic system, such as Brugian filariids
(B. malayi, B. pahangi, B. timori and B. tupaiae) and Wuchereria bancrofti, disrupt blood and lymphatic
drainage, leading to serious and often irreversible vascular damage [4–9]. These filariids, along with
Onchocerca volvulus, the agent of river blindness, constitute the most thread-like filarial worms and
have affected up to 893 million people in 49 countries worldwide [10].
Several filariids of the subfamilies Onchocercinae and Dirofilariinae are associated with an
endosymbiotic intracellular bacterium of the genus Wolbachia [11], which is present in all
developmental stages of filariids that harbor Wolbachia, leading to their long-term survival [12]. The
parasites' endosymbiotic Wolbachia are implicated in severe inflammatory-mediated filarial diseases
[13–16]. Anti-wolbachial therapies, based on the administration of antibiotics, are known to be
effective against the most common filariasis caused by Brugia spp., i.e., W. bancrofti, Mansonella
perstans and D. immitis [17–19]. The Wolbachia-filaria relationship is species-specific, wherein each
filariid has a specific genotype of Wolbachia [11], thus providing an additional target suitable for the
diagnosis of filarial infections [20], especially when occurring in dead-end hosts, as is the case in D.
immitis in human and cats [21,22]. Recently, the simultaneous detection of both filarial and
wolbachial DNAs from infected hosts is used as an improvement tool for the diagnosis of filarial
infections [23–25].
Filariasis is one of the most neglected tropical diseases selected, but it is included in the Mass
Drug Administration (MDA) program to achieve its elimination by 2020 [26–28]. Human filariasis
was almost eliminated from Latin America [29,30]. Thanks to the MDA program, river blindness
(onchocerciasis caused by O. volvulus) transmission is currently limited to the Amazon rainforest on
the Venezuelan–Brazilian border, while the lymphatic filariasis caused by W. bancrofti only occurs in
four countries: Brazil, the Dominican Republic, Guyana, and Haiti [31]. Another human sympatric
filariasis caused by M. ozzardi and M. perstans occurs today in a small foci in South America (Amazon
Basin, Yucatan, Panama and Haiti) [32–34]. In Latin America, domestic and wild animals seem to be
the foci of some neglected filariasis potentially zoonotic such as Brugia guyanensis (Orihel 1964)
from the lymphatic system of the coatimundi (Nasua nasua vittata) in French Guiana [35] and some
unidentified Brugian filariids in dogs and ring-tailed coatis (Nasua nasua) [25,36], and the zoonotic
canine filariasis (e.g., D. immitis and Acanthocheilonema reconditum) from Brazil and French Guiana
[25,37].
New world monkeys are a diverse group of arboreal primates inhabiting the tropical forest
environments of southern Mexico, Central and South America [38]. These primates are the natural
hosts for several filariids belonging to the genus Dipetalonema and Mansonella, where they are often
present as co-infected [3,39]. Howler, monkeys (Alouatta spp., Atelidae, Primata) have a wide
distribution, from Mexico to northern Argentina. Only a few species of this group have been
genetically characterized [40]. The red howler monkey (Alouatta macconnelli, Linnaeus 1766—Elliot
1910) is one of eight species of primates found in the French Guiana forest [41]. They are medium
sized (10 kg) and about 84 cm (head and body) with a prehensile tail [38]. They live in small groups
of four to eight individuals. The primary forest in the canopy high strata is often frequented by these
primates who are mainly found in the north of South America and the Amazonia (Suriname,
Guyana, Trinidad, French Guiana, Venezuela and Brazil). Their diet is low in energy (leaves and
sometimes fruits and seeds) [40]. Population density is estimated to be 13 individuals/km2 along the
Approuague River, which is the location in which we conducted our investigation [42]. Nowadays,
little molecular data are available on filarial parasites in howler monkeys from French Guiana. The
aims of the present study are mainly to determine, at the molecular level, the presence of filarial
parasites and the status of their endosymbiotic Wolbachia in red howler monkeys. To this end, we
examined blood samples obtained from a game that was hunted by the natives of French Guiana
[43].
Pathogens 2020, 9, 626 3 of 23
2. Results
2.1. Host Identification
Folmer’s primers allowed for the amplification of DNA sequences from all blood samples, but
despite several attempts, a high-quality DNA sequence of the vertebrate cox1 gene was only
obtained in one from among the nine samples tested, suggesting the presence of a non-specific
amplification from the latter. The partial nucleotide sequence (558 bp) of the cox1 gene obtained in
this study was deposited in the GenBank under accession number MT193011. Blast analysis showed
that the cox1 sequence of howler monkeys in our study had an identity of 96.06% with Alouatta
seniculus (HQ644333), 95.88% with Alouatta caraya (KC757384) and 95.34% with Alouatta guariba
(KY202428) and a query cover of 100%. Accordingly, the phylogenetic analysis using the Maximum
Likelihood (ML) method showed that the specimen of howler monkeys (Alouatta macconnellii) is
monophyletic with other Alouatta species (Figure 1).
Figure 1. Phylogram generated by maximum likelihood method from 17 partial (521 bp) cox1
sequences showing the position of Alouatta macconnelli through the neotropics monkeys. A discrete
Gamma distribution was used to model evolutionary rate differences among the sites (5 categories
(+G, parameter = 0.4575)). The rate variation model allowed for some sites to be evolutionarily
invariable ([+I], 57.2649% sites). Likelihood was −2676.5239. Numbers above and below the branches
display the nod statistics and branch length, respectively. Geographical location (when available)
and GenBank accession numbers are indicated in each node.
2.2. Molecular Screening for Filarial and Wolbachia DNAs in Howler Monkeys
Filarial and Wolbachia DNAs were detected by qPCR assays in eight out of nine samples tested
and six out of nine samples tested, which correspond to a frequency of infection of 88.9% and 66.7%
for filaria and Wolbachia, respectively. This is the first molecular report of filaria and its Wolbachia
from the howler monkeys of French Guiana.
Pathogens 2020, 9, 626 4 of 23
2.3. Molecular Characterization of Filarial Species
To identify filaria detected by qPCR. we performed standard polymerase chain reaction (PCR)
screening with primers targeting the small subunit rRNA (18S), the internal transcribed spacer 1
(ITS1) and the cytochrome c oxidase subunit I (cox1) genes. A nearly full-length DNA sequence of
the 18S rRNA gene was obtained from all eight samples, was positive in qPCR and was split into
three isolates according to the blast results. (i) Six sequences were obtained from the monkeys B2, B3,
B4, B6, B7 and B8. These amplicon sequences were identical to each other, showing an identity and
query cover of 100% with Dipetalonema sp. (DQ531723) isolated from an owl monkey (Aotus
nancymaae) captured in Peru and 99.6% of identification with the Mansonella species (MN432520,
MN432519). (ii) One 18S sequence obtained from sample B5 was very close to the Onchocercidae
members (Onchocerca cervicalis: DQ094174, and Loa loa: DQ094173), where the identification was
99.9% and 100% of the query cover. Further sequence comparisons showed that the Adenine and
Thymine mutated into Cytosine at the position 304 and 879 with O. cervicalis (DQ094174) and L. loa
(DQ094173), respectively (Figure S1). (iii) One sequence from sample B9 showed an identification of
100% with B. malayi (AF036588) and 99.9% with Brugia sp. (MN795087), isolated from dogs in French
Guiana.
Mansonella genus-specific PCR, based on the amplification of the ITS1, allowed us to obtain ITS
sequences of Mansonella sp. from seven monkeys (B2, B3, B4, B5, B6, B7 and B8). They were almost
identical and displayed an identity ranging from 83.47% to 93.49% and a query cover ranging from
62% to 83% with Mansonella species (M. ozzardi: KR952332, M. perstans: MN432520, M. mariae:
AB362562, M. streptocerca: KR868771, M. dunni: KY434312 and Mansonella sp.: MN821052).
Furthermore, Brugia sp. was identified in five samples (B2, 3, 4, 7 and 9) using the Brugia-specific
qPCR and ITS sequences were obtained for four of them. These sequences were similar and were
close to the Brugia species, wherein the identity ranged from 88.81% to 91.98% with B. malayi
(JQ327147, EU419333) and from 89.10% to 91.19% with B. pahangi (EU373633, EU419348).
Primers targeting the cox1 gene amplified the expected DNA amplicon size from all the
filaria-positive samples. However, only two sample (B8 and B9) sequences provided good quality
electropherograms. Several overlapping peaks (double peaks) within samples B2, B3, B4, B5, B6 and
B7 suggested co-infection with two or more filarial species. Blast analysis showed that the specimen
amplified from monkey B8 had an identity of 88.2% with Mansonella perstans (MN890111). While the
cox1 sequence amplified from monkey B9 was very close to Brugian filariids, with an identity of
99.6% with Brugia sp. (MT193074), isolated from dogs in French Guiana, 95.4% with Brugia timori
(AP017686) and 94.9% with Brugia malayi (MN564741).
Phylogenetic analysis using the maximum likelihood method of the 18S rRNA gene showed
that howler monkeys from French Guiana are infected with at least three filarial species belonging to
the Onchocercidae clade, namely ONC 5. The 18S sequences amplified from monkeys B2, 3, 4, 6, 7
and 8 clustered in a separate branch with Mansonella species, while the sequence obtained from
monkey B5 appeared paraphyletic with respect to L. loa (ADBU02009332) and O. volvulus
(ADBW01003330), suggesting an unknown onchocercid. Finally, the sequence from monkey B5
clustered with the B. pahangi strain (UZAD01013810 and JAAVKF010000006) (Figure 2).
Pathogens 2020, 9, 626 5 of 23
Figure 2. Phylogram generated by Maximum Likelihood (ML) method based on 24 partial (941 bps)
rRNA sequences showing the position of filariids from howler monkeys Onchocercidae clades
(ONC). A discrete Gamma distribution was used to model evolutionary rate differences among the
sites (5 categories (+G, parameter = 0.1000)). The likelihood was −1770.1752. Numbers above and
below the branches display nod statistics and branch lengths, respectively. Geographical location
(when available) and GenBank accession numbers are indicated in each node. (*) indicates sequences
retrieved from the Worm parasites database.
The ML tree, based on the concatenated rRNA sequences (18S and ITS1), showed that the
specimens amplified from monkeys B2, 3, 4, 6, 7 and 8 clustered with other monophyletic species of
the genus Mansonella, while the specimen amplified from monkey B9 clustered with the Brugia
species (Figure 3). Interestingly, the cox1 phylogram replicated the same results, though with a
greater degree of accuracy. The species amplified in this study belong to the clade 5 of the
Onchocercidae family. More precisely, the species amplified from monkey B8 belong to the genus
Mansonella and the subgenus Tetrapetalonema encountered in New World Primates [44], while the
species from monkey B9 clustered with Brugia sp. (MT193074), isolated from dogs in French Guiana
[45] and are monophyletic with other Brugian filariids (Figure 4). Interspecific nucleotide distances
(IND) of the cox1 sequences ranged between 0.08 and 0.13 between Mansonella sp. from the monkey
B8 and most species from the genus Mansonella (MN890075, MN890115, MN890111 and KY434309),
while the IND ranged from 0 to 0.03 between Brugia sp. amplified from monkey B9 and Brugian
filariids (Figure 5, Table S1).
Pathogens 2020, 9, 626 6 of 23
Figure 3. Phylogram generated by ML method based on 24 partitioned concatenated rRNA
sequences (18S ad ITS1) showing the position of Brugia sp. and Mansonella sp. through
Onchocercidae clades (ONC). The total length was 1221 bp, the rate variation model allowed for
some sites to be evolutionarily invariable ([+I], 29.0648% sites). Likelihood was −3034.4989. Numbers
above and below the branches display nod statistics and branch lengths, respectively. Geographical
location (when available) and GenBank accession numbers are indicated in each node. (*) indicates
sequences retrieved from Worm parasites database.
Pathogens 2020, 9, 626 7 of 23
Figure 4. Phylogram generated by ML method based on 36 cox1 partial sequences (266 bp) showing
the position of Brugia sp. and Mansonella sp. through Onchocercidae clades (ONC). A discrete
Gamma distribution was used to model evolutionary rate differences among the sites (five categories
(+G, parameter = 0.4964)). The rate variation model allowed for some sites to be evolutionarily
invariable ([+I], 0.000% sites). The likelihood was −2194.0587. Numbers above and below the
branches display nod statistics and branch lengths, respectively. Host, geographical location (when
available) and GenBank accession numbers are indicated in each node. Mansonella species are
color-coded according to their subgenus.
Pathogens 2020, 9, 626 8 of 23
Figure 5. Scatter chart showing the interspecific pairwise distance between the cox1 sequences of
Brugia sp. (abscissa) and Mansonella sp. (ordinate) from A. macconnellii and the representative
members of Onchocercidae clades. The analyses involved 112 partial (266 bp) cox1 sequences with a
total of 216 positions in the final dataset. All positions containing gaps and missing data were
eliminated.
Importantly, the cox1 DNA sequences were aligned correctly to the reference mitogenome of M.
ozzardi (KX822021) [45], and when translated, there were no stop codons in the amino acid
sequences, suggesting the absence of co-amplified numts. Finally, translated protein sequences of
the cytochrome c oxidase subunit I (COI) showed three amino acid changes between Mansonella sp.
from monkey B8 and the other Mansonella species from GenBank, namely, from threonine to alanine,
threonine to isoleucine and aspartic acid to valine (Figure 6A). While Brugia sp. from monkey B9
showed a deletion of one amino acid instead of tryptophan, in comparison to Brugian filariids from
GenBank (Figure 6B).
Figure 6. Cytochrome c oxidase subunit I protein sequences (COI) alignment showing the
conservation of amino acid within (A) Mansonella spp., (B) Brugia spp. Protein Id and species name
are indicated for each sequence. Selected boxes represent species obtained in this study.
A partial DNA sequence of the Wolbachia 16S gene (295 bps) was obtained from five out of six
samples that tested positive for Wolbachia DNA through the qPCR. Three identical sequences
revealed 99.32% identity with Wolbachia of M. atelensis amazonae (FR827940) and 98.64% with both
Pathogens 2020, 9, 626 9 of 23
Wolbachia of M. perstans (AY278355) and M. ozzardi (AJ279034). These sequences were obtained from
filaria-positive monkeys, including monkey B4, which was co-infected with Mansonella sp. and
Brugia sp., monkey B5 co-infected with an unidentified Onchocercidae species and Mansonella sp.
and monkey B8, which was mono-infected with Mansonella sp. The two remaining sequences were
amplified from two filaria-positive samples, one for Mansonella sp. (B6) and the other for Brugia sp.
(B9). These sequences were identical with each other and were 100% identical with all Wolbachia
genotypes associated to Brugia species (CP050521, CP034333, AJ012646 and MT231956).
Accordingly, the ML inference indicates that the Wolbachia genotype from monkeys B4, 5 and 8
belong to the Clade F of Wolbachia lineage infecting Mansonella species, while the genotype obtained
from monkeys B6 and B9 clustered together with Wolbachia endosymbiont of Brugian filariids within
Clade D of the Wolbachia lineage (Figure 7).
Figure 7. Phylogram generated by the maximum likelihood method based on 29 nucleotide
sequences of the partial (295 bp) 16S gene showing the position of Wolbachia of Brugia sp. and
Mansonella sp. through Wolbachia of filarial nematodes. The likelihood was −777,8125. A discrete
Gamma distribution was used to model evolutionary rate differences among the sites (5 categories
(+G, parameter = 0,2802)). Numbers above and below the branches display nod statistics and branch
lengths, respectively. Filarial host and GenBank accession numbers are indicated in each node.
Finally, by combining all the molecular results for filaria and Wolbachia detection, we concluded
six cases (75%) of co-infections in monkeys, including Mansonella sp.–Brugia sp. co-infection in five
and Mansonella sp.– unidentified Onchocercidae species in one. Two other monkeys (25%) presented
mono-infections, one with Mansonella sp. and the other with Brugia sp. (Table 1).
Pathogens 2020, 9, 626 10 of 23
Table 1. Results of molecular assays used for the identification of filariids and their associated Wolbachia in the blood of red howler monkeys from French Guiana.
Sample
Code
Filarial DNA Wolbachia DNA Decision
Filariids ITS genus-specific PCRs Wolbachia 16S-specific PCRs
28S
qPCR 18S PCR COI PCR Mansonella
spp. PCR Brugia spp. PCR Brugia
spp. qPCR
Wolbachia 16S
qPCR
Wolbachia 16S
PCR Combined Assays
B1 N/A N/A N/A N/A N/A Neg. Neg. N/A Negative.
B2 Pos.
Mansonella
sp.
[MT336169] O/P
Mansonella
sp.
[MT341515] N/A Pos. Neg. N/A Mansonella sp. + Brugia sp.
B3 Pos.
Mansonella
sp.
[MT336170] O/P
Mansonella
sp.
[MT341516]
Brugia
sp.
[MT341511] Pos. Pos. O/P Mansonella sp. + Brugia sp.
B4 Pos.
Mansonella
sp.
[MT336171] O/P
Mansonella
sp.
[MT341517]
Brugia
sp.
[MT341512] Pos. Pos.
W-Mansonella sp.
[MT231961] Mansonella sp. + Brugia sp.
B5 Pos.
unidentified
Onchocercidae species
[MT336175]
O/P Mansonella sp.
[MT341518] N/A Neg. Pos. W-Mansonella sp.
[MT231962]
Mansonella sp. + unidentified
Onchocercidae species
B6 Pos.
Mansonella
sp.
[MT336172] O/P
Mansonella
sp.
[MT341519] N/A Neg. Pos.
W-Brugia
sp.
[MT231964] Mansonella sp. + Brugia sp.
B7 Pos.
Mansonella
sp.
[MT336173] O/P
Mansonella
sp.
[MT341520]
Brugia
sp.
[MT341513] Pos. Neg. N/A Mansonella sp. + Brugia sp.
B8 Pos.
Mansonella
sp.
[MT336174]
Mansonella
sp.
[MT724663]
Mansonella
sp.
[MT341521] N/A Neg. Pos.
W-Mansonella sp.
[MT231963] Mansonella sp.
B9 Pos.
Brugia
sp.
[MT336168]
Brugia
sp.
[MT724693] N/A
Brugia
sp.
[MT341514] Pos. Pos.
W-Brugia
sp
.
[MT231965] Brugia sp.
N/A: no amplification, O/P: overlapping peaks on the electropherograms, Pos: positive reaction, Neg: negative reaction, W-Mansonella sp.: Wolbachia endosymbiont
of Mansonella sp., W-Brugia sp.: Wolbachia endosymbiont of Brugia sp. GenBank accession numbers are given in square brackets.
Pathogens 2020, 9, 626 11 of 23
3. Discussion
This is the first molecular report of filaria and Wolbachia infection from red howler monkeys
(Alouatta macconnelli, Linnaeus 1766—Elliot 1910) in French Guiana. These monkeys were
morphologically considered as a distinct species from A. seniculus and they are not a subspecies [46].
Our data confirmed that, molecularly, both species can be distinguished by their cox1 sequences. The
wide distribution of howler monkeys (from Mexico to northern Argentina) constitutes a
non-negligible reservoir for zoonotic disease [43] and should be monitored. Our study is limited in
the number of species and samples, due to the difficulties encountered in the field. The number of
monkeys tested was much lower than those tested in Reference [47], where 1353 free-ranging
mammals, including 114 howler monkeys (A. seniculus) and 84 red handed tamarins (Saguinus midas)
from the neotropical primary rainforest in French Guiana were studied for haemoparasites and
microfilariae. However, the prevalence of filarial infection we recorded using molecular assays is
close to that reported in tamarins and howler monkeys using blood smear, where the infection rates
were 80% and 92% of filaria infections (Dipetalonema and Mansonella (Tetrapetalonema) species),
respectively [47]. Our data indicate that the prevalence of filarial infection was higher than that of
sloths, anteaters and porcupines in French Guiana, where the infection rate of 40% was reported
using blood smears test [47]. The higher prevalence observed in monkeys may be related to the
lower host specificity of filariids [48] and/or similar biotope of potential vectors [49]. Another
hypothesis is that the lifestyle of these animals increases the risk of vector-borne disease
transmission between infected and non-infected individuals in the monkey colony. Therefore, the
highest mixed-infection detected in our study corroborates previous reports [50], but it is still
unknown whether it is geographical or host-specific. Several species of filariids are reported from a
wide range of neo-tropical primates based on morphological taxonomy (Table 2). Most of them
belong to the genus Dipetalonema and Mansonella (Tetrapetalonema). However, data in DNA
barcoding of these species is lacking.
The use of two (or more) different molecular markers for species delimitation remained
necessary for the accurate identification of nematode species [51]. In the present study, our
molecular approach, based on generic and genus specific primers, permits the detection and
characterization of filarial infections and resolved the co-infections. This is due to the ability of ITS
genus-specific PCR assays to separately amplify DNA amplicons depending on their specificity.
Filarial nematodes could be misclassified when the 18S gene is used alone as a barcode. This gene is
often limited to the genus level and has proven to be inconclusive for the molecular taxonomy of
nematodes [52], while the ITS 1 gene appears to be a satisfactory barcode in resolving taxonomic
relationships among species [53–55]. Furthermore, as suggested by previous authors [56], the use of
partitioned concatenated DNA sequences enables the accurate identification of filarial nematodes.
We used both the 18S and the partitioned concatenated rRNA (18S and ITS1) gene, which confirmed
the presence of at least three potential new species from clade 5 of the Onchocercidae family present
in howler monkeys in French Guiana, including Mansonella sp., Brugia sp. and an unidentified
Onchocercidae species.
The cox1 gene enabled the accurate identification of the Mansonella species from wild
non-human primates from Cameroon and Gabon [57], and has been proven to be a satisfactory
discrimination between filarial species. This gene was described by its low nucleotide distances
(from 0 to 0.02) within filarial species [58] and a larger variation between congeneric species (i.e.,
0.098 to 0.2) [58,59]. In the present study, we used two different phylogenetic methods for the
analysis of cox1, together with the alignment of COI protein sequences, which confirmed that species
from monkeys B8 and B9 clustered, respectively, with Mansonella Tetrapetalonema subgenus and
Brugia species, with the distance ranging between 0.02 and 0.2, suggesting unidentified or potential
new species from these genera.
Wolbachia are host-specific, and each genotype is associated with a specific filarial species
[11,60]. Bacterial genotype-specific identification was previously proposed for the speciation of
Brugia parasites that infect humans [9]. Several studies showed the utility of the specific detection of
Wolbachia in determining the subject as infected or not with filarial species (e.g., D. immitis, D. repens,
Pathogens 2020, 9, 626 12 of 23
B. pahangi and B. malayi) from domestic animals [14,21,23–25,61,62]. Accordingly, the phylogenetic
analysis of the Wolbachia 16S DNA sequences demonstrated the presence of two bacterial genotypes
belonging to the supergroup F and D encountered in Mansonella and Brugia species, thus
corroborating with filaria phylogenies. The inconsistency between the bacterial genotype and filaria
species was observed in monkey B6. The presence of Mansonella sp. and Wolbachia of Brugia sp.
DNAs highlights a co-infection with both filarial species. However, the absence of Wallachia of
Mansonella sp. could be explained by a weaker infection density in this species, while the absence of
Brugia sp. DNA, despite the presence of its Wolbachia, could be result to an amicrofilaremic infection
due to single sex infection, an earlier infection stage or any other causes. Such inconsistencies were
previously reported between Brugia and Dirofilaria species in dogs [63]. Wolbachia-filaria interactions
within co-infected hosts are not well understood. Despite the presence of both parasites in
co-infected dogs with D. immitis and D. repens, the single detection of Wolbachia of D. immitis is
frequent [24] and may result in an unexplained suppression effect on the production of D. immitis
microfilariae induced by the presence of D. repens [64,65].
Our findings extend the presence of Brugia sp. and an unidentified Onchocercidae species to the
New World Monkeys (e.g., Alouatta macconnelli). Several species of filariae have been described from
these primates and they all belong to the genus Dipetalonema or Mansonella subgenus Tetrapetalonema
[4] (Table 2). The genus Dipetalonema (Diesing 1861) is restricted to non-human primates (NHPs) of
the neotropics, according to the phylogenetic study conducted by Lefoulon et al. [56]. Adult worms
are prevalent in the serous cavities of the hosts. A high species diversity of this genus was observed
in a wide range of New World monkeys. D. gracile (Rudolphi 1819), D. graciliformis (Freitas 1964) and
D. caudispina (Molin 1858) are the main species found in Guiana monkeys, using a morphological
taxonomy (Table 2).
The subgenus Mansonella (Tetrapetalonema) is one of the five subgenera derived from the genus
Mansonella. Adult filariids are small, slender and can be found in subcutaneous tissues. The
Tetrapetalonema subgenus comprises 13 species (Table 2), which have been restricted to platyrrhine
(neotropical) primates [66]. Human mansonellensiasis across South America regions are caused by
M. ozzardi type species of Mansonella (Mansonella) subgen. n. [44,45] causing fever, pruritis,
arthralgias, headache, rashes, lymphadenopathy, edema, and pulmonary symptoms and a common
eosinophilia mainly associated with corneal lesions [67–70]. M. perstans type species of Mansonella
(Esslingeria, Chabaud and Bain 1976) subgen. n. [44] is another agent of human mansonellensiasis in
some neotropical regions of Central and South America that causes the bung-eye diseases [71]. These
species have been found in both humans and non-human primates [4,44]. However, the possibility
that the Mansonella sp. we have detected here is one of the 13 Mansonella (Tetrapetalonema) species or
a new species from this subgenus cannot be ruled out in the absence of morphological identification.
Brugia spp. are incidental filariids that parasitize non-human vertebrates [72]. The classical
brugian filariids involved in lymphatic filariasis are found in Asia, while species reported from
North and South America constitute the most zoonotic species of this genus [73]. In Latin America,
Brugia sp. infection was reported from the ring-tailed coatis (Nasua nasua nasua) in Brazil [36], Brugia
guyanensis from the lymphatic system of the coatimundi (Nasua nasua vittata) in British Guiana [35]
and Brugia sp. from domestic dogs in French Guiana [25]. Our findings indicate that Brugia sp.
detected from howler monkeys is the same as that recently detected in domestic dogs [25]. Unlike
Asian primates in which infection with B. malayi and B. pahangi has been reported [74], Brugian
filariid has not been reported in neotropical primates [75]. Cases of human infection by Brugia sp.
have been reported in several localities (Amazon, Peru, Colombia) in South America, but the
reservoir of the parasites is unknown [72,73]. However, the possibility that the Brugia sp. we
detected from howler monkeys and dogs in our previous study [25] is of the same species circulating
in humans cannot be ruled out in the absence of molecular data.
Pathogens 2020, 9, 626 13 of 23
Table 2. Filarial parasites and host diversity from neotropic monkeys.
Genera Species Host References
Mansonella (Faust, 1929), Mansonella (Tetrapetalonema)
comb. n.
(Faust 1935)
Mansonella (T.) marmosetae
(Faust 1935)
Saguinus geoffroyi
,
Saimiri oerstedii oerstedii
,
Ateles paniscus
,
Saimiri boliviensis
,
Saimiri sciureus
and
Alouatta
spp.
[44,66,67,76]
Mansonella (T.) zakii
(Nagaty 1935)
Leontopithecus (= Leontocebus) rosalia
Mansonella (T.) panamensis
(McCoy 1936)
Cebus capucinus
,
Saimiri oerstedii oerstedii
,
Aotus lemurinus zonalis
,
C. apella
and
A. trivirgatus
Mansonella
(T.) atelensis
atelensis
(McCoy 1935) Ateles geoffroyi, A. fusciceps rufiventris
Mansonella (T.) atelensis amazonae
(Bain and Guerrero 2015) Cebus olivaceus
Mansonella (T.) parvum
(McCoy 1936)
Cebus capucinus
,
Saimiri oerstedii oerstedii
Mansonella (T.) obtusa
(McCoy 1936)
Cebus capucinus
,
C. capucinus
,
C. albifrons
,
Saimiri oerstedii oerstedii
Mansonella (T.) tamarinae
(Dunn and Lambrecht 1963) Saguinus (= Tamarinus) nigricollis
Mansonella (T.) barbascalensis
(Esslinger and Gardiner 1974) Aotus trivirgatus
Mansonella (T.) mystaxi
(Eberhard 1978)
Saguinus mystax mystax
Mansonella (T.) saimiri
(Esslinger 1981)
Saimiri sciureus
Mansonella (T.) peruviana
(Bain, Petit and Rosales-Loesener 1986) Saimiri sciureus
Mansonella (T.) colombiensis
(Esslinger 1982)
Saimiri sciureus
,
Cebus apella
Mansonella (T.) mariae
(Petit, Bain and Roussilhon 1985) Saimiri sciureus
Dipetalonema (Diesing 1861)
D. gracile (Rudolphi 1819)
Saimiri sciureus
,
Cebus albifrons
,
A. geoffroyi
,
Aotus lemurinus
,
Ateles chamek
,
Ateles fusciceps
,
Ateles geoffroyi
,
Ateles paniscus, Cebus apella, Cebus capucinus, Cebus spp., Lagothrix lagothricha, Saguinus mystax, Saguinus nigricollis,
Saimiri oerstedii, Saimiri sciureus, Saimiri sciureus, Sapajus macrocephalus, B. arachnoïdes, L. rosalia,
Leontopithecus chrysopygus, Saguinus bicolor, Cebus albifrons
[76–82]
D. graciliformis (Freitas 1964)
Saguinus midas
D. robini
(Petit et al. 1985)
Saimiri sciureus
,
Sapajus nigritus
,
Saimiri boliviensis
,
Cebus
spp.
D. freitasi
(Bain, Diagne and Muller 1987)
Cebus capucinus
D. caudispina (Molin 1858)
Alouatta seniculus
,
Ateles paniscus
,
Brachyteles arachnoides
,
Cebus albifrons
,
Cebus apella
,
Lagothrix lagotricha
,
Leontopithecus rosalia, Saimiri sciureus, Saimiri sciureus, Sapajus macrocephalus
D. obtusa
(McCoy 1936)
Cebus albifron
,
Cebus capucinus
D. yatesi
(Julians 2007)
Ateles chamek
Species in bold are occurring in French Guiana monkeys.
Pathogens 2020, 9, 626 14 of 23
4. Materials and Methods
4.1. Samples and Ethic Statement
In January 2016, we obtained samples from howler monkeys that were legally hunted by two
Amerindian hunters for family consumption of meat. The International Union for Conservation of
Nature conservation status for this species is a "least concern" [83,84]. The hunters applied the
provisions of the prefectural decree regulating the quotas of species that can be taken by a person in
the department of Guiana (No. 583/DEAL of 12 April 2011). The hunt took place in the deep forest
(4°01'39.5"N 52°31'32.5"W), near the Approuague River, 50 km from the village of Regina. We were
able to examine corpses of nine hunted howler monkeys (five females and four males). Blood was
collected by a heart-puncture in sterile tubes containing Ethylene-Diamine-Tetra-Acetic acid (EDTA)
and was kept in a cooler before being frozen at −20°C until further analysis.
4.2. DNA Extraction
Genomic DNA was extracted from 200 µL of each blood samples. The extraction was performed
using QIAGEN DNA tissues kit (QIAGEN, Hilden, Germany) following the manufacturer’s
recommendations. Two lysis steps were applied before the extraction procedure: (i) mechanical lyses
performed on FastPrep-24™ 5G homogenizer using high speed stirring for 40 s in the presence of
glass powder, (ii) enzymatic digestion of proteins with buffer G2 and proteinase K for 12 h at 56 °C.
The extracted DNA was eluted in a total volume of 100 µL and stored at −20 °C.
4.3. Host Identification
The universal cox1 DNA barcoding region of metazoans [85] was targeted using the
degenerated primers of Folmer, as described elsewhere [86]. The PCR products were purified,
sequenced and edited, as described below, and were then aligned against cox1 sequences of Alouatta
spp. (HQ644333, KC757384, KY202428), Ateles spp. (AB016730, KC757386, JF459104, EF658646,
EF568717), Callicebus personatus (MH101707), Chiropotes israelita (KC592392, KC757393), Lagothrix
lagotricha (EF568626, KC757398), Sapajus spp. (KY703885) and Aotus trivirgatus (HQ005481) as
representative New World monkeys [46]. The sequence (MH177805) of human cox1 was used as an
out-group. Finally, the Hasegawa-Kishino-Yano (+G, +I) [87] was selected as a best fit model
according to the Akaike Information Criterion (AIC) option in MEGA6 [88]. The maximum
likelihood (ML) phylogenetic inference was used with 1000 bootstrap replicates to generate the
phylogenetic tree using the same software.
4.4. Molecular Screening for Filaria and Wolbachia
First, all blood samples were screened for the presence of filaria and Wolbachia DNAs using,
respectively, the pan-filarial [Pan-fil 28S] and pan-Wolbachia [All-Wol 16S] qPCRs, as described
elsewhere [24].
4.5. Molecular Characterization of Filariids and their Associated Wolbachia Using Generic Primers
Samples positive for filaria and Wolbachia by qPCR were subjected to amplification and
sequencing analysis using the pan-Nematoda-18S primers [61] and pan-filarial cox1 based PCR
[Pan-fil cox1] [24] to generate 1127–1155 bp and 509 bp from the filarial 18S and cox1 genes,
respectively. The third PCR system [W16S-Spec] PCR [89] was used to amplify 438 bp from the 16S
gene of Wolbachia spp. (Table 3).
Pathogens 2020, 9, 626 15 of 23
4.6. Molecular Characterization of Filariids Using Genus Specific PCR Assays
4.6.1. Design of Oligonucleotides
In order to complete the molecular characterization of filariids detected by the 18S and cox1
genes, we targeted the Internal Transcribed Spacer 1 (ITS1) gene to design genus-specific PCR assays
targeting Brugia and Mansonella species. The choice for this gene was based on the following criteria:
a higher divergence between filarial species especially among Brugia species [90], its tandem repeat
that increases PCR sensitivity [91] and its availability in the GenBank database for these species.
Three PCR assays were designed by the alignment of ITS1 sequences of Brugia sp. (HE856316), B.
malayi (EU419346, JQ327149), B. timori (AF499132), B. pahangi (EU373628), M. ozzardi (MN432519,
LT623912, AF228559), M. perstans (MN432520, KJ631373, EU272184) and M. mariae (KX932484)
against 33 sequences (data not showed) from a representative member of Onchocercidae using the
MUSCLE application within DNAstar software [92]. Three genus specific PCR systems were
proposed (Table 3). This includes two PCRs: one specific for Brugia spp. [Brug-gen-spec] and the
other specific for Mansonella spp. [Manso-gen-spec], and qPCR system [Brug-gen-spec qPCR]
targeting Brugia spp.
Assay specificity was confirmed in silico and in vitro for each system, as described elsewhere
[24]. Briefly, the in silico validation was conducted using Primer-BLAST [93]. Genomic DNA of M.
perstens was used to validate the PCR for Mansonella, while the B. malayi DNA was used to validate
both the qPCR and PCR for Brugia spp. Moreover, all PCR assays were challenged against the
genomic DNA of filariids other than Brugia and Mansonella, as well as several nematodes,
arthropods, vertebrate hosts (e.g., human, monkey, donkey, horse, cattle, mouse and dog) and
laboratory-maintained colonies [24].
4.6.2. Amplification, Sequencing and Run Protocol
All blood samples from howler monkeys were screened for the presence of Mansonella and
Brugia DNA using the genus specific PCR. The PCR reactions were carried out in a total volume of 50
µL, comprising 25 µL of AmpliTaq Gold master mix (Thermo Fisher Scientific, Saint Herblain,
France), 18 µL of ultrapure water free of DNAse-RNAse, 1 µL of each primer and 5 µL of genomic
DNA. PCR reactions were run under the following protocol: the incubation step at 95 °C for 15 min,
40 cycles of one minute at 95 °C, 30 s for the annealing at a different melting temperature for each
PCR assays (Table 3), and 72 °C of elongation step (Table 3) with a final extension step of five
minutes at 72 °C. PCR reactions were performed in a Peltier PTC-200 model thermal cycler (MJ
Research Inc., Watertown, MA, USA).
DNA amplicons generated throughout each PCR reaction were purified using NucleoFast® 96
PCR DNA purification plate (Macherey Nagel EURL, Hoerdt, France). Purified DNAs were
subjected to the second amplification using the BigDye™ Terminator v3.1 Cycle Sequencing Kit
(Perkin Elmer Applied Biosystems, Foster City, CA, USA), then the BigDye PCR products were
purified on the Sephadex G-50 Superfine gel filtration resin prior to sequencing on the ABI Prism
3130XL (Applied Biosystems, Courtaboeuf, France).
4.6.3. Molecular Screening for Brugia
In order to reveal the infection rate of Brugia spp., all the samples were subjected to the
amplification using the genus-specific qPCR. The qPCR reaction was performed in a total volume of
20 µL including 5 µL of DNA template, 10 µL of Master Mix Roche (Eurogentec France, Angers,
France), 3 µL of ultra-purified water DNAse-RNAse free and 0.5 µL of each primer, UDG and each
probe. The TaqMan reaction of both systems was run using the same cycling conditions. This
included two hold steps at 50 °C and 95 °C for 2 and 15 min, respectively, followed by 40 cycles of
two steps each (f 95 °C for 30 s and 60 °C for 30 s). The qPCR reaction was performed in a CFX96
Real-Time system (Bio-Rad Laboratories, Foster City, CA, USA).
Pathogens 2020, 9, 626 16 of 23
Table 3. The primers and probes used in this study.
System Name Target Gene Primer and Probe
Name Sequence (5′–3′) Amplicon
Size (bp)
Tm/Elongation
Time Assay Specificity Ref.
Pan-fil 28S qPCR-based
system LSU rRNA (28S)
qFil-28S-F TTGTTTGAGATTGCAGCCCA
151 60 °C/30" Filariids
[24]
qFil-28S-P 6FAM-CAAGTACCGTGAGGGAAAGT-TAMRA
qFil-28S-R GTTTCCATCTCAGCGGTTTC
All-Wol 16S qPCR-based
system 16S rRNA gene
all.Wol.16S.301-F TGGAACTGAGATACGGTCCAG
177 61 °C/30"
Wolbachia
all.Wol.16S.347-P 6FAM-AATATTGGACAATGGGCGAA-TAMRA
all.Wol.16S.478-R GCACGGAGTTAGCCAGGACT
16S W-Spec W-Specf CATACC TATTCGAAGGGATAG 438 60 °C/1' [89]
W-Specr AGCTTCGAGTGAA ACCAATTC
Brug-gen-spec qPCR
Internal Transcribed
Spacer 1 (ITS1)
Brug.ITS.f.260
AGCGATAGCTTAATTAATTTTACCATTT
161 61 °C/30"
Brugia spp. This
study
Brug.ITS.p.307 6FAM- GCATTTATGCTAGATATGCTACCAA-TAMRA
Brug.ITS.r.421 CCACCGCTAAGAGTTAAAAAAATT
Brug-gen-spec PCR Fil.ITS.f: GAACCTGCGGAAGGATCA 417–441 54 °C/30"
Brug.ITS.r CCACCGCTAAGAGTTAAAAAAATT
Manso-gen-spec PCR Fil.ITS.f: GAACCTGCGGAAGGATCA 333–345 55 °C/30" Mansonella spp.
Manso.ITS.r TGTGTATTTATTTGTTGGTAGCATATT
SSU rRNA (18S) Fwd.18S.631 TCGTCATTGCTGCGGTTAAA 1127–1155 54 °C/1'30" Nematoda [61]
Rwd.18S.1825r GGTTCAAGCCACTGCGATTAA
Pan-fil cox1
PCR Cytochrome c oxidase
subunit 1 gene (cox1)
Fwd.957 ATRGTTTATCAGTCTTTTTTTATTGG 509 52 °C/1' Filariids [24]
Rwd.1465 GCAATYCAAATAGAAGCAAAAGT
dg-Folmer's primers dgLCO-1490 GGTCAACAAATCATAAAGAYATYGG 708 44 °C/40" Metazoans [86]
dgHCO-2198 TAAACTTCAGGGTGACCAAARAAYCA
Pathogens 2020, 9, 626 17 of 23
4.7. Phylogenetic Analysis
First, nucleotide sequences of the filarial cox1, 18S and ITS1 genes, as well as the 16S gene of
Wolbachia, were assembled and edited by Chromas-Pro 2.0.0
(http://technelysium.com.au/wp/chromaspro/). The absence of co-amplification of nuclear
mitochondrial genes (numts) was verified by aligning the obtained cox1 sequences with the
Mansonella ozzardi mitogenome (KX822021) [45]. Furthermore, ambiguities in the sequence
chromatograms, stop codons and indels were visually verified, as recommended in Reference [94].
All the sequences were subjected separately to a preliminary analysis using Basic Local Alignment
Search Tool (BLAST) [95].
Both the nuclear 18S rRNA alone or concatenated with the ITS1 (if amplified) gene from each
filarial species generated through the present study were separately aligned against the previously
published sequences from the complete rRNA sequences or draft/complete genomes from the
Onchocercidae clade ONC2, ONC3, ONC4 and ONC5 [56]. While, the cox1 sequences were aligned
against the representative members of the clade ONC4 and ONC5 encountered in primates [56]. The
Wolbachia 16S DNA sequences were aligned against the representative members of Wolbachia
lineages (C, D, F and J) infecting filarial parasites [11,16]. MAFFT alignment was performed on the
concatenated nuclear (18S rRNA and ITS1) sequences using DNAstar software [92], while the 18S,
the cox1 and the 16S DNA sequences were aligned using ClustalW application within Bioedit v.7.2.5.
[96]. The Akaike Information Criterion (AIC) option in MEGA6 [88] was used to establish the best
nucleotide substitution model adapted to each sequence alignment. The Kimura 2-parameter model
(+G) [97] was used to generate the 18S and the 16S trees, while the Tamura 3-parameter model (+I)
[98] and the General Time Reversible model (+G, +I) [98] were, respectively, used for the
concatenated rRNA (18S and ITS1) and the cox1 alignments. A maximum likelihood (ML)
phylogenetic inference was used with 1000 bootstrap replicates to generate the phylogenetic tree in
MEGA6 [88]. Gongylonema nepalensis (LC278392) rRNA sequence, both Filarioidea species
(KP728088) and Physaloptera amazonica (MK309356) cox1 sequences and the 16S DNA sequence of
Rickettsia sp. (AB795333) were used as out groups to root the trees.
In addition, we generated another cox1 alignment, including the representative members of all
the Onchocercidae clades (ONC1, ONC2, ONC3, ONC4 and ONC5) [56]. Two Filariidae and four
Physalopteridae sequences were included as out-groups. The interspecific nucleotide pairwise
distance (IND) was used to estimate the evolutionary divergence between cox1 sequences among
Onchocercidae. Standard error was obtained by a bootstrap procedure with 1000 replicates.
Analyses were inferred on MEGA6 software [88], based on the Maximum Composite Likelihood
model [99]. A scatter chart based on the IND between Onchocercidae members and the cox1
sequences generated in the present study was drowned using XLSTAT Addinsoft version 4.1
(XLSTAT 2019: Data Analysis and Statistical Solution for Microsoft Excel, Paris, France).
Finally, COI protein sequences of Brugia species (Protein Id: QIL51350, QDE55703, ALR73830,
QDE55700 and ALR73832) and those of Mansonella species (Protein Id: CAO83087, QHA95050,
AVA30206, CAO83074 and SCW25063) were retrieved from the GenBank database and aligned
against the COI sequences obtained from monkeys B9 and B8, respectively. The alignment was
performed using the ClustalW application within Bioedit v.7.2.5. [96]. Amino acids conservation
between the COI sequences from this study comparatively to GenBank sequences was visualized on
the CLC Sequence Viewer 7 (CLC Bio Qiagen, Aarhus, Denmark).
5. Conclusions
In this study, we phylogenetically describe filarial parasites belonging to three distinct genera:
Mansonella sp. Brugia sp. and an unidentified Onchocercidae species. Funding extends the presence
of Brugia sp. and the unidentified Onchocercidae species to Guiana monkeys. In addition,
phylogenetic analyses highlight the necessity of completing the classification of filariasis of
neo-tropical monkeys by combining morphological and molecular-based identification for an
integrative taxonomical perspective. Filaria associated Wolbachia can be used as diagnostic markers
Pathogens 2020, 9, 626 18 of 23
since they are genus specific endosymbionts. Regarding the presence of Brugia sp. in Guiana
monkeys, the same genotype circulates in French Guiana dogs, suggesting host diversity of this
filariids. We therefore developed a novel qPCR assay that could be useful for the surveillance of
brugian filariasis in vectors, animals, and humans. Further studies will be needed to shed light on
the life cycle, epidemiology and circulation of this potentially zoonotic parasite.
Supplementary Materials: The following are available online at www.mdpi.com/2076-0817/9/8/626/s1, Figure
S1: 18S sequences alignment showing the nucleotide conservation of the unidentified Onchocercidae species
obtained from howler monkey against the GenBank sequences of O. volvulus and L. loa, Table S1: Estimates of
the evolutionary divergence between the cytochrome c oxidase subunit I (cox1) sequences of Mansonella sp. and
Brugia sp. obtained in this study comparatively with Onchocercidae members from GenBank database.
Author Contributions: Conceptualization: B.D., Y.L., H.M., O.M.; Formal analysis and investigation: Y.L.,
H.M., B.D., A.L.; Writing—original draft preparation: B.D., Y.L.; Writing-review: O.M.; Supervision: O.M. and
B.D. All authors have read and agreed to the published version of the manuscript.
Funding: This study was supported by the Institut Hospitalo-Universitaire (IHU) Méditerranée Infection, the
National Research Agency under the program “Investissements d’avenir”, reference ANR-10-IAHU-03, the
Région Provence-Alpes-Côte d’Azur and European funding FEDER PRIMI.
Acknowledgments: We especially thank Christophe B., Amélie V., and Coarasi S. for their significant help in
providing samples.
Conflicts of Interest: The authors declare no conflict of interest.
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