Indian Journal of Animal Research

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Indian Journal of Animal Research, volume 54 issue 4 (april 2020) : 468-472

Efficacy of closantel against benzimidazole resistant Haemonchus contortus infection in sheep

Dipali Parmar1,*, Dinesh Chandra1, Arvind Prasad1, Muthu Sankar1, Abdul Nasir1, Bhawana Khuswaha1, Ravi Khare1, Navneet Kaur1
1Division of Parasitology, Indian Veterinary Research Institute, Izatnagar-243 122, Bareilly, Uttar Pradesh, India.
Cite article:- Parmar Dipali, Chandra Dinesh, Prasad Arvind, Sankar Muthu, Nasir Abdul, Khuswaha Bhawana, Khare Ravi, Kaur Navneet (2019). Efficacy of closantel against benzimidazole resistant Haemonchus contortus infection in sheep . Indian Journal of Animal Research. 54(4): 468-472. doi: 10.18805/ijar.B-3799.
Benzimidazoles are widely used and readily available ovine anthelminthics across the country. However, widespread resistance to this drug class has been documented, primarily in Haemonchus spp. The present study was conducted to determine the efficacy of closantel against benzimidazole resistant Haemonchus contortus infection in sheep.  Naturally infected sheep (n=34) were divided into four groups on the basis of fecal egg counts (FEC) using modified McMaster technique with a lower detection limit of 8.3 eggs per gram of faeces (EPG) viz. Group-A (500-10000), Group- B (>10,000-20,000), Group-C (>20,000-30,000) and Group-D (>30,000). Generic differentiation of larvae was carried out by coproculture performed on pooled faeces which showed the presence of Haemonchus, Trichostrongylus, Oesophagostomum and Strongyloides larvae. To ascertain the evidence of benzimidazole resistance, Egg Hatch Assay (EHA) was performed. All animals were treated with Closantel @ 10mg\kg body weight and EPG was determined on 7th and 11th day post treatment.  Animals of different groups had mean EPG range of 400 -760 at 11th day of treatment. In group A, B, C and D mean per cent efficacy of closantel was 91.24±3.49, 95.15±1.72, 97.73±0.72, 98.23±0.86 respectively. Efficacy of closantel against Haemonchus and other gastrointestinal nematodes was further confirmed by performing coproculture 11th day post treatment. Post treatment coproculture revealed presence of Trichostrongylus, Oesophagostomum and Strongyloides larvae and were devoid of Haemonchus larvae. To clear the left out infection of Trichostrongylus, Oesophagostomum and Strongyloides animals were further treated with Fenbendazole @5mg/kg body weight and EPG 14 days post treatment became zero. The results of the study suggested that closantel can be used for Targeted Selective Treatment (TST) in sheep primarily infected with Haemonchus. Since closantel is highly efficacious against Haemonchus its use as an alternative to benzimidazoles group may be helpful to decrease pasture contamination. Overall control of gastrointestinal nematodiasis may therefore be possible by use of closantel along with benzimidazoles. 
In India, sheep and goat farming is the main source of income to small and marginal farmers. Of about 37% of the total world’s sheep population and 56% of the goat population are bred and reared in Asian countries (FAO, 2015). Parasitic gastroenteritis accounts for heavy production loss in the small ruminant industry. Infestation with these endoparasites is a severe threat to veterinary health with helminthiasis at its top (Hotez et al., 2016). Reduction in growth rates of up to 1/3rd is reported due to infestation with helminth parasites (Faizal and Rajapakse, 2001). Among all gastrointestinal nematodes that infect sheep, Family- Trichostrongylidea is predominant with Haemonchus and Trichostrongylus as major contributors to infection in animals (Rey, 1991). Infection with Haemonchus contortus is very severe (Santos et al., 2012) throughout the year with high increase in faecal egg count (FEC) in summer season (Leathwick and Besier, 2014). As a result, control of H. contortus is essential for ensuring both animal welfare and reducing economic losses.
       
Various control measures have been employed against these GI parasites which include grazing/pasture management, chemotherapy, immunoprophylaxis etc. Among these the most common and widely employed method under field conditions is chemotherapy. For decades, the application of broad spectrum anthelmintic has remained as primary strategy for their control. However, resistance to these anthelmintics continues to be documented in nematode populations worldwide, including India (Singh et al., 2002). Widespread resistance is present against ivermectin and fenbendazole, the most commonly available drugs against gastrointestinal nematodes (Falzon et al., 2013). Furthermore among this, most of the resistance was found in Haemonchus contortus. Development of resistant strains of Haemonchus contortus has been reported in Netherlands (Van den Brom et al., 2015) where the most recently introduced amino-acetonitrile derivative (monepantel) had been used. Furthermore, reduced efficacy of the spiroindole/ML combination (derquantel/ abamectin) has been reported in Australia recently by Sales and Love (2016); (Mahieu et al., 2014).
       
Closantel, a salicylanilide drug specifically targets haematophagus parasite such as Haemonchus sp. It acts by decreasing the energy level of the parasite by uncoupling oxidative phosphorylation hence deprives availability of ATP and nicotinamide adenine dinucleotide in the mitochondria (Lanusse et al., 2009).
       
Hence, following study was carried out with the objective of determining the efficacy of closantel against GI parasites, especially Haemonchus sp. Moreover it was also intended to determine whether resistance was prevalent in Haemonchus population only or other gastrointestinal parasites too.
Location of animals
 
Naturally infected sheep (n=34), with average age of 5-7 months were used. Animals were raised on seasonal green pastures with ad-libitum drinking water. After procurement animals were kept in semi intensive loose housing system in Division of Parasitology, Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, India (28°23’34.8°N 79°25’59.9°E). Flock was not treated with any anthelmintic expect for benzimidazoles, earlier in their life.
 
Collection of faecal samples and concentration of eggs
 
Faecal samples were collected from each sheep on day zero (pretreatment) and again on days 7 and 11 post closantel treatment and day 14 for fenbendazole. Samples were collected per rectally and were stored in air tight sealable plastic bags. Samples were kept in ice packs and were shifted to 4°C refrigeration in Lab until further analysis. Qualitative assessment for the presence of parasitic eggs/ova was done by flotation method using saturated salt solution, within 48 hours.
 
Eggs per gram (EPG) of faeces by McMaster method
 
FEC is efficient and a cost effective method to determine parasitic burdens. Faeces were subjected to modified McMaster technique (Zajac and Conboy, 2012) and the FEC value is presented as eggs per gram (EPG). Based on the pre-treatment EPG, animals were divided into four groups: A, B, C and D.
 
Coproculture of faeces
 
Generic differentiation of larval types was done using Coproculture. Fresh faeces from the entire sheep flock were collected and pooled. Inverted petridish method was used along with humid conditions at 27°C for 7 days. Harvesting of L3 larvae was done 7 days post incubation. Generic compositions of harvested larvae were determined as per standard keys (VanWyk and Mayhew, 2013).
 
Determination of benzimidazole resistance by Egg hatch assay (EHA)
 
EHA was performed as per standard protocol described by Zhu et al., (2013). Eggs were exposed to different concentrations of albendazole 0.1 µg/ml, 0.3 µg/ml, 0.5 µg/ml, 0.7 µg/ml, 1.0 µg/ml) and inhibition of hatching of larvae was determined. 0.1 µg/ml concentration of albendazole was used as discriminating dose (Coles et al., 1992). In the assay, 100 µl of egg suspension containing about 100-150 fresh eggs were dispersed into individual wells of flat bottom cell culture plates. Entire volume was made up to 500 µl with distilled water. The egg suspension in each treated well was mixed with stock albendazole to obtain the final concentration of 0.1 µg/ml, 0.3 µg/ml, 0.5 µg/ml, 0.7 µg/ml, 1.0 µg/ml. Untreated eggs in distilled water served as negative control and 1% DMSO used as emulsifier as solvent control. Plates were incubated at 27°C for 48 hours under humidified conditions. A total of hundred eggs and hatched larvae were counted under 10X of microscope. The efficacy was determined by the following equation:
                                                                                                            
                                                                                                            
 
Anthelmintic treatment
 
Treatment-1- Closantel (ZenVet™) was given orally @10mg/kg body to sheep having mixed infection with Haemonchus sp, Trichostrongylus sp and Oesophagostomum sp. as made evident by results of coproculture.
 
Treatment-2- Fenbendazole was given orally @5mg/kg body weight on 25th day of experiment.

       

(Dash et al., 1988).
Haemonchus contrortus, a blood feeding ovine nematode is responsible for hyper acute outbreaks with FEC ranging up to >30,000 (Selemon, 2018). In the present study, based up on FEC severity, grouping of animals was done; viz Group-A (500-10000), Group- B (>10,000-20,000), Group-C (>20,000-30,000) and Group-D (>30,000) (Table 1). A wide variation in the range from 500-30,000 was observed. Such a high FEC ≥30,000 has been earlier reported in infection with H. contortus (Besier et al., 2016).
 

Table 1: Mean FEC with FECR of various groups.


       
Morphometric identification of the larvae through coproculture to ascertain the larval types present before undergoing treatment showed initial mixed infection with Haemonchus spp., Oesophagostomum spp., Trichostrongylus spp. and Strongyliodes spp. with the predominance of H. contortus. Since majority of L3 were of H. contortus, this led to the formulation of hypothesis for selection of an effective drug against the blood feeding H. contortus.
       
Simultaneously resistance to benzimidazole, a broader, widely available and most commonly used anthelmintic against gastrointestinal parasites, was checked by performing Egg Hatch Assay (EHA). The results of EHA are presented in (Table 3), which showed presence of resistance at different concentrations of albendazole. In the recent times, parasite resistant strains to benzimidazoles, macrolide lactone, monepantel, derquantel have emerged making the problem of resistance a global issue (Keane et al., 2014; Cazajous et al., 2018; Sales and Love (2016). Experimental design along with treatment regimen followed is presented in Fig 1 (Table 4).
 

Fig 1: Experimental design.


 

Table 3: Egg hatch assay (EHA) for determination of benzimidazole resistance.


 

Table 4: Treatment regimen followed.


       
Following the WAAVP guidelines which are based on FECRT, GIN infection was found susceptible to the combined treatment with closantel and albendazole (Alcalá Canto et al., 2017). Therefore, treatment with a narrow spectrum drug like closantel (ZenVet™ Oral suspension, Intas Pharmaceutical Ltd. Ahmedabad, India) @10mg/kg. particularly aiming H. contortus was undertaken. FEC post 7 and 11 days of treatment were compared which lowered significantly with a mean value of 1100, 3400,1800, 2000 in Group A,B,C,D (Table 1). A slightly higher range of FEC was noticed in Group B when compared at Day 7 and Day 11 which may be due to some concurrent infection. Similar findings have been reported in the studies of certain workers (Westers et al., 2016). Overall mean efficacy varied from 91.24% to 98.23% among different groups, after treatment. These results can be well correlated to similar observation made by previous workers (Sivajothi and Reddy, 2017), citing a 90.6% reduction in FECRT following closantel treatment in sheep.
       
Coproculture post closantel treatment to check reduction in infection due to H. contortus showed absence of H. contortus larvae with presence of Oesophagostomum spp and Trichostrongylus spp. Larvae were differentiated up to generic level based on morphological characteristics (Fig 2). Larval pattern during the entire study period is presented in (Table 2). To clear up the residual infection, treatment with Fenbendazole (Panacur® Vet Suspension, MSD Animal Health, Mumbai, India) @ 5mg/kg, orally was done and FEC after 14 days was determined. Post fenbendazole treatment, no parasitic eggs could be seen with 100% reduction in FEC. The combined overall efficacy of both the drugs was 100% (Fig 3). Combination of different anthelmintic classes continues to be the best approach for the efficient control of GIN as the survival of resistant genotypes is minimized (Leathwick et al., 2015).
 

Table 2: Generic composition of different larvae as determined by coproculture.


 

Fig 2: Morphometric larval examination through coproculture.


 

Fig 3: Percentage reductions in FEC with days.


       
Evidently, the strain of H. contortus present in Indian sheep from Northern region was found susceptible to closantel with resistance to Benzimidazole group. Considering above fact, it is observed that closantel may be used to clear up very heavy infection due to Haemonchus in case of reported benzimidazole resistance. It is further suggested that we can use closantel in the areas where Haemonchus is endemic in the view of its residual effect (Anonymous, 1990). Moreover, prolonged activity of this salicylanilide has an added advantage in lowering pasture contamination, hence achieving better control (Dash, 1986). Closantel has efficacy against nematodes, trematodes and arthropods adding to its advantage for use in sheep (Maes et al., 1988).
       
It should be kept in mind that frequent use of closantel may lead to its resistance and such an efficacious anthelmintic against Haemonchus may be lost in future due to indiscriminate use. Thus, to decrease the selection pressure that leads to the development of anthelmintic resistance in the animal, approach to control of nematode in the flocks must be based on diagnosis through fecal examinations, epidemiological studies and prophylaxis via nutritional strategies and targeted selective treatments (Torres Acosta et al., 2012).
Results from the present study showed that closantel was highly effective in eliminating infection with Haemonchus contrortus. Therefore, in animals with mixed gastrointestinal nematodes infection, not showing response to benzimidazole treatment, infection with Haemonchus spp. should be confirmed and further treatment with closantel should be taken up. However, to slow down the development of anthelmintic resistance among animals, closantel should only be considered in the farms where heavy Haemonchus burdens are reported with documented resistance to benzimidazoles. The drug can be incorporated as a part of target strategic treatment for improved results.
Authors are thankful to the sheep care takers for their cooperation and support and also to the infrastructure and facilities provided at Indian Veterinary Research Institute, Izatnagar (U.P). The study was funded by ICAR All India Network Programme on Gastrointestinal Parasitism.

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