Insight into Trichinella britovi infection in pigs: effect of various moderate infectious doses on larvae density and spatial larvae distribution in carcasses and comparison of the detection of anti-T. britovi IgG of three different commercial ELISA tests and immunoblot assay

doi:10.21203/rs.3.rs-1439650/v1

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Research Article

Insight into Trichinella britovi infection in pigs: effect of various moderate infectious doses on larvae density and spatial larvae distribution in carcasses and comparison of the detection of anti-T. britovi IgG of three different commercial ELISA tests and immunoblot assay

https://doi.org/10.21203/rs.3.rs-1439650/v1

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posted 15 Mar, 2022

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Background: Given the limited information available on the T. britovi muscle larvae (ML) distribution in pigs’ muscles and humoral immune response of pigs infected with moderate doses of this parasite, this study investigated infectivity of a Polish strain of T. britovi for pigs, the antibody response of this host to moderate doses of T britovi and the efficiency of three different commercial ELISA kits and an immunoblot assay at detecting anti-T. britovi IgG.

Results: No significant differences in terms of the infection level of particular muscles or of whole carcasses between pigs infected with 3000 and those infected with 5000 ML of T. britovi were observed. The highest intensity of T. britovi infection was reported in the diaphragm pillars. The larvae of T. britovi showed homogeneous distribution with respect to the muscle side. Statistically, specific IgG antibodies against ES antigens of Trichinella ML were first detected by all ELISA protocols on day 36 post infection; however, individual pig results showed some differences between the three tests applied. A significant increase in the level of anti-T. britovi IgG was observed between days 36 and 41 post infection, and from day 45 until day 62 after T. britovi infection, production of these antibodies reached its plateau phase. No positive correlation was found between the anti-T. britovi IgG level and larvae density in 15 different muscles. Sera of T. britovi-infected pigs showed reactivity with T. britovi ML ES antigens of 62, 55 and 52 kDa.

Conclusions: The results provide novel information on spatial larvae distribution in muscles and the humoral immune response of pigs exposed to moderate doses of a Polish strain of T. britovi, extend knowledge on serological diagnostic tools which may be introduced in veterinary practice for the detection of T. britovi infections in pig production, and offer practical solutions for meat hygiene inspectors in the field at sampling sites when examining pigs’ carcasses for Trichinella.

pigs

Trichinella britovi

intensity of infection

ELISA

Western blot

experimental infection

anti-T. britovi IgG

Trichinellosis is an emerging and re-emerging worldwide foodborne zoonotic disease caused by the consumption of raw or undercooked meat contaminated with parasitic nematodes of the genus Trichinella. Globally, cases and outbreaks of human trichinellosis are primarily associated with the consumption of infected meat and/or meat products derived from domestic pigs and wild boars [1].

Among the 10 named and known species of Trichinella (Trichinella spiralis, Trichinella nativa, Trichinella britovi, Trichinella pseudospiralis, Trichinella murrelli, Trichinella nelsoni, Trichinella papuae, Trichinella zimbabwensis, Trichinella patagoniensis, and Trichinella chanchalensis) and the three characterized genotypes (T6, T8 and T9) [2–4], T. spiralis, T. britovi and T. pseudospiralis have been confirmed as the causative agents of natural Trichinella infections in European breeding pigs. Infections induced by T. pseudospiralis were only confined to single pigs in Slovakia, Croatia, Bosnia and Herzegovina and Spain [5–8]. In contrast, natural infections of domestic swine have been proved to have been caused by both T. spiralis and T. britovi in many countries in Europe; however, the frequency of their occurrence differs significantly. In general, T. spiralis is more prevalent than T. britovi in the European domestic pig population [9]. According to data obtained from 22 European countries and compiled by the International Trichinella Reference Centre, 18% of all Trichinella isolates from infected pigs were identified as T. britovi, while the corresponding figure for T. spiralis was 82% [9]. These proportions are different, however, in those countries which have eliminated the domestic transmission cycle that maintains T. spiralis circulation. Long-term studies performed in Poland in 2009–2016 showed that T. britovi was the causative agent of 1% of the total Trichinella infections of pigs [10]. The same trend in Trichinella species distribution was shown in wild boars; however, the ratio of T. spiralis prevalence to that of T. britovi is decidedly lower in boars and in Poland is estimated to be 3:1 [10, 11].

T. britovi is characterized by a wide geographic range of occurrence and its main natural hosts are wild carnivores living in temperate regions of Europe, Western Asia, and Northern and Western Africa [12]. The transmission cycle of T. britovi is therefore sylvatic; however, a domestic cycle, in which this species is transferred from wildlife to domestic pigs, has also been proven [12]. Such transmission is particularly possible in areas where pigs are kept in free-range, backyard or organic breeding systems which allow them to contact other wild animals unhindered. Several mechanisms which lead to the infection of pigs with Trichinella nematodes can be indicated. One is the feeding of animals with fragments or whole carcasses of carnivores infected with Trichinella larvae [13] which may proceed from unsanctioned hunting and/or breeding practices. Taking into account the relatively high prevalence of Trichinella among foxes in Poland (4%), with T. britovi the dominant species [10], and the typical location where Trichinella infections in pigs are found being small farms with poor biosecurity systems and herd sizes of no more than 35 [14], it should be assumed that T. britovi may start to play an increasingly important role in the natural infections of pigs. In fact, the results of some studies proved that T. britovi shows low infectivity for domestic pigs and rats. This allowed a paradigm to be formulated in which the spread of this parasite on the farm in the pig–pig or rat–pig chain model is limited and, therefore, T. britovi foci in pigs are rather short-lived and confined to one generation of breeding swine. However, our previous study performed in a T. britovi-infected swine model [15] showed that moderate doses of T. britovi were able to induce swine trichinellosis which met the conditions of creating a risk to public health (mean infection intensity > 1 larva in 1 gram of muscle tissue) and having potential for spreading to other individuals in the herd. Because of T. britovi’s widespread circulation among various species of wild omni- and carnivorous animals in Europe, the possibility of its transmission from wildlife to the pig production chain, and serious documented outbreaks in humans [16–18], this species should be prioritized in the Trichinella genus in the One Health approach to zoonotic foodborne parasites.

In order to better understand the effect of moderate doses of a Polish strain of T. britovi on host-parasite interactions in pigs as well as to assess different serological tests for the detection of T. britovi infections in pigs, the objectives of this study were to: (i) evaluate and compare the intensity and distribution of T. britovi ML between 15 different muscles and different sides of the same muscles of a native Polish breed of pigs experimentally inoculated with two different moderate doses of T. britovi, (ii) evaluate different ELISA kits commercialised in Europe based on excretory–secretory (ES) antigens of Trichinella ML for the detection of T. britovi infection in pigs, (iii) assess the kinetics of the anti-T. britovi IgG response (production increases and/or decreases) in short time intervals during a 62-day period of infection, (iv) identify the pattern of T. britovi ML ES proteins’ reaction with pig sera using Western blot, and (v) compare a Western blot based on ES antigens from T. britovi with ELISA tests in terms of detection of seroconversion in T. britovi-infected swine.

Parasites, animals and study design

Trichinella britovi ML were isolated in our laboratory during routine inspections of meat from a naturally infected wild boar and then identified at the species level by multiplex polymerase chain reaction (multiplex PCR) according to the method described by Zarlenga et al. [34]. Muscle larvae (ML) displaying motility were counted and then suspended in 30 % gelatin blocks. Fourteen healthy young Pulawska/Polish Large White crossbreed pigs aged 10 weeks and of 20 kg average body weight were purchased from the Czesławice experimental farm belonging to the University of Life Sciences in Lublin. The animals were randomly divided into two experimental groups (A1, n=8 and A2, n=6) and subsequently infected by administering a single dose per os of 5000 T. britovi ML/pig to group A1 or 3000 T. britovi ML/pig to group A2. Blood samples from each pig in group A1 were drawn from the right external jugular vein at 4 days prior to T. britovi experimental infection (−4) and at 3, 6, 9, 13, 15, 17, 20, 24, 27, 29, 36, 41, 45, 51, 55, 59 and 62 days post infection (dpi). Blood samples from pigs in group A2 were collected in the same way at 5 days prior to the infection and at 6, 13, 20, 30, 36, 45, and 62 dpi, and then they were designated for other serological studies as a part of broader research project conducted by our laboratory. During the experiment, pigs were housed in separate units with free access to water. The pigs were fed twice daily. The feed was prepared at an experimental farm of the University of Life Sciences in Lublin and was based on wheat (50%) and barley (35%) supplemented (15%) with protein concentrate, vitamins and minerals.

Larval recovery and counting

Pigs were sacrificed 62 days after experimental inoculation by using a combination of intramuscular administration of azaperone (2mg/kg) followed by intravenous injection of sodium pentobarbital (40 mg/kg). The muscle larvae intensity was determined by the digestion procedure stipulated by European Commission Regulation EU 2015/1375 [35]. The samples intended for the digestion assay were collected from the diaphragm pillars (crura diaphragmatica), tongue (lingua), and the following muscles or muscle groups from the left and right sides of each carcass: the masseter (M. masseter), lateral and medial pterygoid (M. pterygoideus lateralis et medialis), intercostals (Mm. intercostales), abdomen (Mm. abdominis), back (M. longissimus thoracis), neck (Mm. colli), sublumbar (M. psoas major et minor), triceps brachii (M. triceps brachii), femoral biceps (M. biceps femoris), forelimb extensors (Mm. extensores antebrachii), forelimb ﬂexors (Mm. flexores antebrachii), crus extensors (Mm. extensores cruris) and crus ﬂexors (Mm. flexores cruris). The diaphragm pillars, tongue and masseters were digested entirely. The remaining muscles of total weight under 50 g were digested entirely, whereas those over 50 g were cropped to form 50 g specimens and then digested. The number of muscle larvae per gram of muscle tissue (lpg) was presented as an average calculated separately for group A1 and group A2 and each muscle examined.

Serological analyses

The serological analyses described below were performed for the group of pigs infected with 5000 ML of T. britovi (group A1). The serological results from pigs infected with 3000 ML of T. britovi (group A2) generated by using an in-house ELISA based on T. spiralis and T. britovi ML ES antigens and a PrioCHECK^® Trichinella Ab ELISA were described in detail in our previous paper as a part of broader research cycle [15].

Commercial ELISA tests for anti-T. britovi IgG detection

Serum levels of specific IgG antibodies against Trichinella ML ES antigens were determined using three different commercial diagnostic ES ELISA kits which are available on the European Union market: the PrioCHECK^® Trichinella Ab (ThermoFisher Scientific, Schlieren, Switzerland); the ID Screen^® Trichinella Indirect Multi-species (ID.vet, Grabels, France) and the Pigtype^® Trichinella Ab (Qiagen, Leipzig, Germany). All tests are based on Trichinella ES antigens. The PrioCHECK^® Trichinella Ab ELISA is suitable only for the examination of serum or meat juice samples from pigs, and peroxidase -labeled anti-pig antibody serves as a secondary antibody in this kit. The ID Screen^® Trichinella Indirect Multi-species and Pigtype^® Trichinella Ab ELISAs allow testing swine and other species of animals, and anti-Trichinella antibodies are detected by a multi-species horseradish peroxidase (HRP) conjugate. The results of the PrioCHECK^® Trichinella Ab and Pigtype^® Trichinella Ab tests are interpreted as positive or negative only. The design of the ID Screen^® Trichinella Indirect Multi-species ELISA allows doubtful results to be obtained as well. All analyses were performed according to the manufacturers’ instructions. The sera from uninfected and T. britovi-infected pigs and the controls (from the ELISA kits) were tested in duplicate; the final result was the mean of two measurements of optical density (OD) for each serum analyzed. All ELISA kits met the validation acceptance criteria which were set by the producer. Interpretation of the results for each particular ELISA kit was performed as follows:

PrioCHECK^® Trichinella Ab: the results were graded by calculating the percentage of positivity (P/P) value according to the following formula:

Serum samples with a P/P value equal to or over 15% (P/P ≥ 15%) were classified as positive (trichinellosis detected), while those with P/P values lower than 15% (P/P ˂ 15%) were considered negative (trichinellosis not detected).

Pigtype^® Trichinella Ab ELISA: the results were categorized by calculating the sample-to-positivity (S/P) value according to the following formula:

Serum samples with S/P value equal to or over 0.3 (S/P ≥ 0.3) were regarded as positive (trichinellosis detected), while those with S/P values lower than 0.3 (S/P ˂ 0.3) were noted as negative (trichinellosis not detected).

ID Screen^® Trichinella Indirect Multi-species ELISA: the results were judged by calculating the S/P % value according to the following formula:

Serum samples with S/P % value equal to or over 60% (S/P% ≥ 60%) were logged as positive (trichinellosis detected), while those with S/P % values equal or lower than 50% (S/P% ≤ 50%) were taken to be negative (trichinellosis not detected). Serum samples with S/P % values lower than 60% but greater than 50% (50% ˂ S/P% ˂ 60%) were interpreted as doubtful. When doubtful results were obtained, the serum samples were retested and the results yielded after the second test were accepted for further analysis.

Production of the T. britovi ML ES antigen and Western blot

The T. britovi ML ES antigen was produced as described previously [33, 36] and kept frozen at −70 °C. Briefly, T. britovi ML were washed with Roswell Park Memorial Institute medium (RPMI)-1640 and resuspended at 5000 ML/ml in RPMI-1640 supplemented with 20 mM N-2-hydroxyethylpiperazine-N-2-ethane sulfonic acid (HEPES), 200 mM L-glutamine, 100 mM Na-pyruvate and 100 units each of penicillin and streptomycin. Larvae were then incubated in a T-75 culture flask in 5% CO₂ at 37°C for 18 hours. Following incubation, the medium containing ML ES products was filtered through a 0.22 μm membrane and concentrated by lyophilization. The protein concentration was determined using a NanoDrop 2000 spectrophotometer (Thermo Fisher Scientific, Waltham, MA, USA). Concentrate in 100 µg amounts was loaded onto 12% acrylamide separating gels. Electrophoresis by SDS-PAGE was run using a Mini-PROTEAN Tetra Cell electrophoresis chamber (Bio-Rad Laboratories, Hercules, CA, USA) at 180 V for approximately 1 hour. PageRuler Unstained Protein Ladder (Thermo Fisher Scientific, Waltham, MA, USA) was loaded onto each gel as a weight marker. Fragments of gel were stained with a PlusOne Silver Staining Kit (GE Healthcare, Waukesha, WI, USA) according to the manufacturer’s protocol. The unstained gels were also used for immunoblotting. The ES antigens of T. britovi that had been separated on gels were transferred to nitrocellulose membranes (BioRad) through a wet transfer system (BioRad) at 95 V for 1 hour. Subsequently, the membranes were blocked with Pierce Protein-Free T20 (TBS) Blocking Buffer (Thermo Fisher Scientific) for 1 h at room temperature and then cut into strips and incubated overnight at 4 °C with a set of T. britovi-infected pigs’ sera diluted 1:100. The following serum samples were used in immunoblot analysis: pig sera from the day when the results generated by commercial ELISAs indicated seroconversion, pig sera obtained one sampling time point earlier than the day of seroconversion detected by the ELISA tests, and pig serum samples obtained on day 62 post infection. The secondary antibody, goat anti-pig IgG conjugated to HRP (Sigma-Aldrich, St. Louis, MO, USA), was diluted 1:20 000 in PBS with 5% skimmed milk, added to each strip, and incubated for 1 h at room temperature. The immunoreactive bands were visualized on membrane strips using Sigmafast 3,3’-Diaminobenzidine tablets (Sigma-Aldrich) according to the manufacturer’s protocol. The gel and the membranes were scanned with the ChemiDoc™ MP Imaging System (Bio-Rad). The immunoblots were performed using two replicate samples. Serum samples collected from pigs 4 days prior to T. britovi infection were used as negative controls.

Statistical analysis

Data are presented as means and standard deviations. Medians and interquartile ranges are also displayed, if necessary.

The obtained data were investigated for normality with a Shapiro–Wilk test and for homogeneity of variances with Levene’s test. In order to compare the intensity of infection in the left and right sides of the individual muscles or muscle groups within each group of pigs, Student’s t-test (all assumptions met) or a Mann–Whitney U-test (for non-normally distributed data) was used. In order to compare the intensity of infection in the 15 different muscles within each group of pigs, one-way analysis of variance (ANOVA) with a post-hoc Tukey’s test (all assumptions met) or one-way ANOVA with Welch’s correction followed by a Games–Howell post-hoc test (for data with unequal variances) were applied. Comparison of the intensity of T. britovi ML infection in particular muscles and the entire carcasses between the group of pigs infected with 3000 and the group infected with 5000 ML of T. britovi was performed using a Mann–Whitney U-test (where numbers of animals in groups were unequal).

The differences in anti-T. britovi IgG level during the course of infection within each ELISA test performed in the group of pigs infected with 5000 ML of T. britovi were calculated using repeated measures analysis of variance (ANOVA) with a post-hoc Bonferroni test. Previously, sphericity had been assessed using Mauchly’s test. If the assumption of sphericity was violated, the Greenhouse–Geisser correction (Greenhouse–Geisser ԑ ˂ 0.75) or Huynh–Fieldt correction (Greenhouse–Geisser ԑ ˃ 0.75) were introduced. Comparison of the anti-T. britovi level on particular days after infection between the group of pigs infected with 3000 and the group infected with 5000 ML of T. britovi was performed by using a Mann–Whitney U-test (where numbers of animals in groups were unequal).

Correlation between the intensity of T. britovi ML infection in the muscles of pigs infected with 5000 ML of T. britovi and the level of anti-T. britovi IgG on days 41, 51 and 61 post infection was calculated using Pearson’s correlation coefficient.

Finally, correlations between the ELISA index values (PP, SP% and SP) generated by the PrioCHECK^® Trichinella Ab and ID Screen^® Trichinella Indirect Multi-species ELISAs, PrioCHECK^® Trichinella Ab and Pigtype^® Trichinella Ab ELISAs and ID Screen^® Trichinella Indirect Multi-species and Pigtype^® Trichinella Ab ELISAs for each pig infected with 5000 ML of T. britovi and the entire experimental model were calculated using Spearman’s correlation coefficient.

For all these analyses, the level of significance was set at P < 0.05. All statistical calculations were performed with Statistica (StatSoft, Kraków, Poland) and SPSS (SPSS Inc, Chicago, IL, USA) software.

Intensity of T. britovi ML infection and distribution of the larvae in muscles of pigs experimentally infected with different moderate doses of T. britovi.

The distribution of T. britovi ML in particular muscles and muscle sides of pigs experimentally infected with 3000 and 5000 ML of T. britovi is shown in Tables 1 and 2. Muscle larvae of T. britovi were isolated from all experimentally infected pigs and the presence of the larvae was confirmed in all muscles analyzed. The average larval load in the entire carcasses of pigs infected with 3000 ML was 13.84 lpg, while in pigs infected with a dose of 5000 ML it was 14.34 lpg.

Muscle larvae of T. britovi showed a homogeneous distribution with respect to the muscle side since no statistically significant differences were found between the left and right sides of the 13 different laterally paired muscles in both experimental group of pigs (Student’s t-test, P ˃ 0.05). The highest intensity of T. britovi ML infection was reported in the diaphragm pillars and, with the exception of the tongue, it significantly differed from the intensity of infection of the remaining 13 muscles in the group of pigs infected with 3000 ML (one-way ANOVA followed by Tukey’s post hoc test, P ˂ 0.0001) or 5000 ML of T. britovi (Welch’s ANOVA followed by Games-Howell’s post-hoc test, P ˂ 0.0001).

There were no significant differences in the infection level of particular muscles or entire carcasses between pigs infected with 3000 and those infected with 5000 ML of T. britovi when a Mann–Whitney U-test was applied (P ˃ 0.05) (Table 3).

Detection of trichinellosis in pigs using three commercial ELISA kits

The specific IgG antibody response against the ES antigens of Trichinella ML measured using different ELISA commercial kits in the group of pigs experimentally infected with 5000 ML of T. britovi (after statistical analysis) is shown in Table 4, and a serological evaluation of individual T. britovi-infected pigs is presented in Table 5. Statistically, all three ELISA tests first detected IgG antibodies against the T. britovi ML ES antigens and recognized trichinellosis (P/P ≥ 15% for the PrioCHECK^® Trichinella Ab ELISA; S/P% ≥ 60% for the ID Screen^® Trichinella Indirect Multi-species ELISA; and S/P ≥ 0.3 for the Pigtype^® Trichinella Ab ELISA) on day 36 post infection (pi) (Table 4). Among eight infected pigs, four (pigs nos. 1, 5, 6 and 8) were first found to be positive by all three tests on the same day after infection (36 or 41 dpi) (Table 5). In the case of another two pigs (pigs nos. 3 and 4), the PrioCHECK^® Trichinella Ab and ID Screen^® Trichinella Indirect Multi-species assays gave a positive result on the same day after inoculation (45 and 29 dpi), whereas the Pigtype^® Trichinella Ab ELISA classified these pigs as positive one blood draw earlier (41 and 27 dpi) (Table 5). Consistency between the results given by the PrioCHECK^® Trichinella Ab test and the Pigtype^® Trichinella Ab test was observed in pigs nos. 2 and 7, which were found to be positive on days 36 and 41 pi, respectively, while the ID Screen^® Trichinella Indirect Multi-species ELISA classified these pigs as positive one blood draw later (41 and 45 dpi) (Table 5). In addition, two pig serum samples (from pigs nos. 2 and 7 collected on days 36 and 41 pi, respectively) which gave doubtful results in the ID Screen^® Trichinella Indirect Multi-species ELISA with relatively high S/P% values ( 51.770 and 56.163%) were classified as positive by the other two tests on those days. Moreover, serum samples obtained from five pigs (pigs nos. 1, 2, 3, 4 and 5) on days 27, 29, 36 and 41 pi were classified either by the PrioCHECK^® Trichinella Ab or Pigtype^® Trichinella Ab assay as negative, but their P/P or SP value reached a level close to the cut-off (i.e. P/P = 13.057%, 14.248% and 14.810% respectively for pigs nos. 3, 4 and 5 analyzed by the PrioCHECK^® Trichinella Ab assay and S/P = 0.287, 0.288 and 0.288 for pigs nos. 1, 2 and 3 analyzed by the Pigtype^® Trichinella Ab kit). As expected, all these pigs, including those which generated doubtful results in the ID Screen^® Trichinella Indirect Multi-species ELISA, were detected as positive at the next blood collection time point (i.e., 2, 4, 5 or 7 days later) by all the ELISA kits applied.

Variation in the level of anti-T. britovi IgG in the serum of pigs infected with T. britovi

In the group of pigs experimentally infected with 5000 ML of T. britovi, a statistically significant increase in the level of anti-Trichinella IgG was observed between days 36 and 41 post infection when all three assays were performed. The significance is demonstrated for the ID Screen^® Trichinella Indirect Multi-species ELISA results by P ˂ 0.0001 in Mauchly’s sphericity test, P = 0.007 in Greenhouse–Geisser correction, P = 0.005 in Huynd–Feldt correction, P = 0.01 by lower bound estimation, and P = 0.002 in the Bonferroni post-hoc test. For the Pigtype^® Trichinella Ab ELISA results the corresponding values are P ˂ 0.001 in Mauchly’s sphericity test, P ˂ 0.0001 in Greenhouse–Geisser correction, P ˂ 0.0001 in Huynd–Feldt correction, P = 0.004 by lower bound estimation, and P ˂ 0.0001 in the Bonferroni post-hoc test. The PrioCHECK^® Trichinella Ab ELISA results yielded P ˂ 0.0001 in Mauchly’s sphericity test, P = 0.0006 in Greenhouse–Geisser correction, P = 0.0002 in Huynd–Feldt correction, P = 0.005 by lower bound estimation, and P = 0.006 in the Bonferroni post-hoc test (Table 4). In general, from day 45 until the end of the experiment, i.e. day 62 after T. britovi infection, production of these antibodies reached its plateau phase and persisted at a constant high level without any significant differences as measured by all three ELISA tests (Table 4).

Correlation between number of recovered larvae (lpg) in particular muscles of experimentally infected pigs and anti-T. britovi IgG level

No positive correlation was found between larvae density in 15 different muscles and OD level measured by three different ELISA kits on days 41, 51 and 62 post infection, except one partial example at 41 dpi when such a correlation was shown between the intensity of T. britovi ML infection in forelimb extensors and the OD value generated by the Pigtype^® Trichinella Ab assay (Table 6).

Correlations between ELISA kits

Table 7 summarizes the correlations between ELISA index values (PP, S/P% and SP) generated by three different ELISA kits in individual pigs experimentally infected with T. britovi as well as the entire experimental model. In all eight pigs infected with 5000 ML of T. britovi, a significant (P ˂ 0.05) strong or very strong positive correlation with R correlation coefficients ranging from 0.725 to 0.895 and from 0.907 to 0.963, respectively was found between the ELISA index values generated by the PrioCHECK^® Trichinella Ab ELISA (PP) and the ID Screen^® Trichinella Indirect Multi-species ELISA (S/P%); PrioCHECK^® Trichinella Ab ELISA (PP) and Pigtype^® Trichinella Ab ELISA (S/P); and ID Screen^® Trichinella Indirect Multi-species ELISA (S/P%) and Pigtype^® Trichinella Ab ELISA (SP). In addition, a high positive correlation with R correlation coefficient ranging from 0.903 to 0.912 was also found between all three tests for the entire experimental model (Table 7).

Recognition of the T. britovi ML ES antigens by anti-T. britovi IgG in Western blot

The electrophoretic pattern of the T. britovi ML ES antigen is shown in Fig. 1, and the Western blot patterns of reactivity of the ES antigens with sera collected from individual pigs at various time points after infection are presented in Fig. 2. T. brtovi ML ES antigens showed bands of molecular weights in the range of 20 to 95 kDa with the most intense between 30 and 48 kDa (Fig. 1). Anti-T. britovi IgG antibodies in individual pig serum samples were first detected by Western blot on day 29 (in pig no.4), 36 (in pigs nos. 1, 2, 6 and 8) or 41 (pigs nos. 3, 5 and 7) post infection. Serum samples from infected pigs recognized T. britovi ML ES antigens of molecular weights of 62, 55 and 52 kDa. The immunoblot indicated that all the protein bands observed on the day of seroconversion were also observable on successive days until the end of the experiment. Representative patterns also showed the differences in signal intensity and relative migration value of T. britovi ML ES reactive proteins between serum samples from individual pigs on particular days after infection. In general, all recognized bands in all experimentally infected pigs were more intense in the late phase of infection (62 dpi) than on the day of seroconversion. Sera collected from pigs before experimental infection did not recognize Trichinella protein bands.

Trichinella britovi is widely distributed among wildlife and several studies have confirmed that this species predominates in red foxes, raccoon dogs and wolves in Poland [10, 19-21]. The parasite was also found in martens and badgers living the north-east regions of Poland, which only proves its circulation in a wide range of hosts. Moreover, T. britovi is regularly detected in wild boars and, as recent data have shown, almost 20% of all Trichinella-infested Polish wild boars were found to be infected with the T3 genotype [10, 11]. Therefore, it should be stated that such high infection pressure exerted by environmental T. britovi poses a significant risk to pigs, particularly those in small backyard/outdoor breeding systems which are typically operated to poor zoohygienic standards. If the misconduct of hunters, who are often also the pig breeders, which is feeding pigs with the offal and remains of hunted animals is also factored in, the risk of T. britovi pig infection rises higher. The theoretical basis of this risk is partially confirmed by a large-scale serology surveillance experiment conducted by Pozio et al. [22], who showed that two-month outdoor access was sufficient to expose breeding pigs to Trichinella parasites such that the probability of infection with T. britovi for those pigs was the highest. Therefore, to better understand the infectivity of T. britovi for native Polish pig breeds and the serological phenomena accompanying the invasion as well as to determine the usefulness of various commercial ELISA kits in the diagnostics of swine trichinellosis induced by moderate doses of T. britovi, we decided to extend our previous research [15] and provide new insight into T. britovi infection mechanisms in pigs. To achieve these goals, we used native Polish pig breeds and a Polish strain of T. britovi which had been isolated from naturally infected wild boar and passaged at least once through a domestic pig before this experiment. Our results showed that in the group of pigs infected with 3000 and in the group infected with 5000 ML of T. britovi, the diaphragm pillars were the most heavily parasitized muscle and, with the exception of the tongue, the infection level in the diaphragm pillars was statistically higher than the level in the other 13 muscles analyzed. This shows that the mechanism of T. britovi larvae deposition in swine muscles is rather similar to that of T. spiralis, and the diaphragm pillars should be considered the predilection site during official pig carcass examination for Trichinella. There are only three comprehensive studies on the distribution of T. britovi ML in pig muscles for comparison purposes. Nöckler et al. [23] showed that in pigs experimentally infected with 200, 1000 or 20 000 ML of T. britovi, the highest larvae burden was observed in the diaphragm. In contrast, in the studies performed by Pozio et al. [24], the tongue was the most highly parasitized muscle in swine experimentally infected with 10 000 ML of T. britovi. Other studies conducted by Kapel et al. [25] showed that in pigs infected with 10 000 ML of T. britovi, the tongue tip presented the highest larvae density out of 18 muscles analysed. Recent changes to the Regulation (EU) 1375/2015 introduced the ISO 18743:2015 standard in which the reference detection method of Trichinella larvae in meat as well as the sampling procedure are described in detail [26]. According to this document, in the case of official examination of domestic pigs for Trichinella, muscle samples should be taken from the diaphragm pillars or masseters. Our study results, however, showed that in pigs infected with 3000 ML and 5000 ML of T. britovi, the mean larval density in the masseters amounted to respectively 51.93% and 36.11% of that observed in the diaphragm pillars. In the studies performed by Nöckler et al. [23], this percentage ranged from 18.50 to 60.74 and in the research conducted by Pozio et al. [24] it was 70.59. It is difficult to speculate whether the same proportions would be observed with the intensity of infection of T. britovi in the diaphragm pillars at the level of the sensitivity of the artificial digestion method (i.e. 1 larva per 1 gram of diaphragm pillars); however, Prost and Nowakowski [27] have shown that in pigs in which the intensity of infection in the diaphragm pillars ranged from 0.91 to 1.18 lpg of T. spiralis, the mean larval density in masseter muscles was only 21.2% of that observed in the pillars. This may suggest that the masseter muscles should not always be considered as equivalent to diaphragm pillars, and that the mass of the samples taken from masseters for official pig carcass examination should be proportionally increased, particularly when the maximum of 100 carcasses are tested together and each is represented by a sample mass of 1 g. Furthermore, in all 13 laterally paired pig muscles analysed, T. britovi showed a homogeneous distribution in terms of both anatomical location and the muscle side. Our study also showed that despite the use of two different moderate doses of T. britovi, no exponential increase of larvae burden was observed in entire infected pig carcasses. In general, Trichinella muscle larvae density correlates with ingested dose of the parasites. However, such interdependencies are most apparent when the magnitude of the infective doses vary greatly and fall in different categories defined as low (100–300 ML), moderate (2000–5000 ML) or high (10 000–20 000 ML) in terms of total number of larvae used for the infection. In other words, the use of doses of various categories induces significant differences in the muscle larval load, but various doses from one category do not always produce such results. The similar infection level in pigs infected with different doses of T. britovi detected in this study may be explained by a stronger local immune response elicited by the dose of 5000 ML and, as a consequence, more rapid expulsion of worms from the swine intestines. In the global literature, there are few data available that describe how different doses of T. britovi falling nevertheless in the same category (moderate) affect the larvae density in pig muscles. Nöckler et al. [23], for instance, showed that despite the use of two different infective doses, i.e. 200 and 1000 ML of T. britovi, the larvae burden in infected pig carcasses was rather similar and amounted to 1.82 and 0.98 lpg, respectively. In this context, important information was also provided by Franssen et al. [28], who showed that in rats experimentally infected with T. spiralis, increasing doses resulted in increasing numbers of recovered larvae only in a non-linear manner and doses above 10000 ML even resulted in decreasing larvae density.

Another aim of this work was to assess the antibody response in pigs infected with 5000 ML of T. britovi by using various commercial ELISA tests. Statistically, specific IgG antibodies against the ES antigens of Trichinella ML were first detected by all ELISA protocols on day 36 pi.; however, individual pig results differed between the three tests applied. It is well known that sensitivity of the serological tests depends on the time that has elapsed from the infection. The sensitivity of the PrioCHECK^® Trichinella Ab and Pigtype^® Trichinella Ab ELISAs was 62.5% (95% CI: 24.49–91.48) on day 36 pi, while for ID Screen^® Trichinella Indirect Multi-species it was 50% (95% CI: 15.7–84.30). The highest sensitivity on day 41 pi was shown by the Pigtype^® Trichinella Ab ELISA (100%, 95% CI: 63.06–100), while the PrioCHECK^® Trichinella Ab and ID Screen^® Trichinella Indirect Multi-species assays showed 87.5 (95% CI: 47.35–99.68) and 75% (95% CI: 34.91–96.81), respectively. The variations in individual pig classification between tests as positive, doubtful or negative may be associated with the differences in the ELISA reagents, i.e. the methods of the ES antigen production, the determined cut-off point or the type of secondary antibody used. In this regard, our previous study showed that an in-house ELISA based on T. britovi ML ES antigens was able to detect trichinellosis in a group of pigs experimentally infected with 3000 ML of T. britovi one blood sampling earlier (6 days) than both the commercial PrioCHECK^® Trichinella Ab ELISA and an in-house T. spiralis ML ES-antigen ELISA. In addition, from a practical point of view, special attention should be paid to doubtful results, or, if the ELISA is construed so as to yield only positive (trichinellosis detected) or negative (trichinellosis not detected) results, consideration should be given to the serum OD values which are close to the cut-off and, in particular, those which reach 90% of the cut-off value and above. In such a scenario, the pigs should be re-tested and this examination may be performed over a very short time interval, e.g. 2–5 days. The wisdom of treating certain results with caution is also supported by our trial study in which serum samples from 100 healthy fatteners weighing 80–100 kg and aged 6–9 months without Trichinella larvae in 1 g muscle generated ELISA index values of 15, 4.43 and 13.67% of the cut-off value in the PrioCHECK^® Trichinella Ab, ID Screen^® Trichinella Indirect Multi-species and Pigtype^® Trichinella Ab ELISAs, respectively (data not shown). It should also be noted that the differences in the detection of trichinellosis between the ELISA tests in individual pigs concerned no more than single blood collection time point. As serum samples were drawn at 2–6-day intervals, it can be assumed that the ELISA kit that generated a negative result while the other ELISA kit produced a positive one would have yielded a positive result even on the next day of blood collection. Overall, the correlations between ELISA kits were high for both individual infected pigs and the entire experimental model. Our research results also fill a gap in the literature, as in the few existing studies, most authors used high doses of T. britovi to examine the immune response of experimentally infected pigs. In pigs infected with high doses of T. britovi (10 000–20 000) of various larval densities (2.23–123.1), seroconversion was observed between day 21 and 60 after inoculation [23–25, 29]. At the low end of the dose scale, pigs infected with 200 or 1000 ML (3 pigs per group) of T. britovi seroconverted at 60 dpi [23].

Finally, our study showed that a statistically significant increase in the level of anti-T. britovi IgG was observed between days 36 and 41 post infection and that from day 45 until the end of the experiment, i.e. day 62 after T. britovi infection, production of these antibodies reached its plateau phase and persisted at a constant high level without any significant differences as measured by all three ELISA tests. Similar kinetics in antibody production were observed in our previous experiment, when pigs were infected with 3000 ML of T. britovi [15]. These results indicate that the anti-T. britovi IgG production kinetics are not dose-dependent in pigs infected with moderate doses in the range of 3000–5000 ML of T. britovi. Moreover, when these results are compared with our previous ones [15], there were no statistically significant differences in the level of anti-T. britovi IgG antibodies between the groups of pigs infected with a dose of 3000 and 5000 larvae on days 36 and 45 post infection. The day 36 PrioCHECK^® Trichinella OD values were 0.661 ± 0.190 and 1.034 ± 0.801 for pigs experimentally infected with 3000 and 5000 ML of T. britovi, respectively and a Mann–Whitney U test gave a P value of 0.747. The day 45 values after the same ELISA were 1.404 ± 0.278 and 2.038 ± 0.653 for pigs experimentally infected with 3000 and 5000 ML of T. britovi, respectively and a Mann–Whitney U test gave a P value of 0.081. Nevertheless, anti-T. britovi IgG antibody level differences were found on day 62 pi, when the ELISA mentioned previously returned OD values of 1.627 ± 0.358 and 2.434 ± 0.481 for pigs experimentally infected with 3000 and 5000 ML of T. britovi, respectively and a Mann–Whitney U test produced a P value of 0.01. This phenomenon is difficult to explain, because the infection levels in the two groups of pigs did not differ significantly. In addition the differences in absolute anti-T. britovi IgG level between the group of pigs infected with 3000 and the group infected with 5000 ML of T. britovi were found only in the late, parenteral phase (62 dpi) of the infection, which, in fact, also excludes any dose effect. It can therefore be assumed that there are endogenous factors which regulate the amount of protein products excreted or secreted by the parasite into the host’s bloodstream in an unknown manner, and that so regulated, these protein products stimulate the host’s immune system with varying intensity. This is also supported by the lack of correlation between the larvae density in different muscles of the infected swine and the anti-T. britovi level on particular days after infection.

In general, the Western blot showed high compliance with the PrioCHECK^® Trichinella Ab and Pigtype^® Trichinella Ab ELISA results. In the cases of three pigs, the Western blot detected anti-T. britovi IgG one blood collection earlier than the ID Screen^® Trichinella Indirect Multi-species ELISA kit. However, it should also be highlighted that in the case of these serum samples, the ID Screen^® Trichinella Indirect Multi-species assay generated doubtful results with relatively high ELISA index values. Moreover, our immunoblot results confirmed the differences in anti-T. britovi IgG level during the course of infection, which were observed in all three ELISA tests: the signal intensity of ES protein bands reacting with anti-T. britovi IgG varied and was significantly higher in the late phase of infection (62 dpi) than on the day of seroconversion. The swine sera reacted with T. britovi ML ES antigens with molecular weights of 62, 55 and 52 kDa. In fact, our results are partially in accordance with the comprehensive studies performed by Gomez-Morales et al. [30] who showed that Trichinella-infected pig sera recognized ES proteins with a three-band pattern of 64–72, 59–63 and 48–55 kDa. It should be noted, however, that all global studies on the use of Western blot for pig trichinellosis detection were performed using T. spiralis ML ES antigens as well as serum samples collected from pigs infected with T. spiralis [30, 31]; the results of this research have been discussed elsewhere [32]. It was also proved that all Trichinella species share some ES proteins and, as a consequence, an ES antigen obtained from one Trichinella species is able to detect infections induced by other Trichinella species and genotypes [29]; however, recently Grzelak et al. [33] showed that sera from Trichinella-infected persons displayed some differences in terms of their specific band patterns when T. spiralis and T. britovi ML ES antigens were used. It was also found by using one-dimensional electrophoresis that the native T. spiralis ES antigen shows more protein bands than the T. britovi ML ES antigen [33]. However, on the basis of our results and studies conducted by Gomez Morales et al. [30], it should be stated that the use of T. britovi ML ES antigen and serum samples of pigs infected with T. britovi did not significantly affect on Western blot band pattern as compared to the pattern generated by serum of pigs infected with T. spiralis tested by using T. spiralis ES-WB. Our studies have also shown that the Western blot pattern of individual infected pigs was stable; ES proteins that reacted with anti-T. britovi IgG on the day of seroconversion were also visualized after 20–30 days (i.e. 62 days after infection). Likewise, there were no additional protein bands reacting with anti-T. britovi IgG in the late phase of infection (day 62 pi) which had not been observed on the day of seroconversion. This may indicate that the invasion phase in particular individuals infected with T. britovi has no effect on the protein band profile assessed by using one-dimensional electrophoresis and a Western blot based on ES antigens from muscle larvae of T. britovi. Therefore, for the purpose of wide-scale method validation studies, in which a Western-blot pattern is established, it is sufficient to take the sample from particular individuals at one time point after infection, provided that seroconversion is known to have occurred.

Our data indicate that an inoculation dose in the range of 3000–5000 ML of a Polish strain of T. britovi is sufficient to induce trichinellosis in pigs with an infection level which may pose a threat to public health and which enables this parasite to spread in swine herds. Our results also confirmed that the diaphragm pillars should be considered a predilection site for sampling during routine post-mortem examination of pigs for Trichinella. The results also showed that the muscle side sampled has no relevance for the intensity of T. britovi ML determined, and they imply that in cases of epidemiological study or limited sample availability, it is sufficient to take a sample from one side of an individual muscle and/or muscle group to obtain viable results. Within the range of the moderate doses of T. britovi used for pig infection, there are no clear interdependencies between the dose and larval density in the muscles and this suggests that higher doses are effective in inducing the immune system to reduce the number of newborn larvae or to remove the parasites from the intestines in a more efficient manner. Further, in pigs inoculated with moderate doses of T. britovi, an anti-T. britovi specific IgG response appears on day 36 pi, reaches a plateau on day 45 pi and remains stable until 2 months pi. It should also be concluded that in pigs infected with moderate doses of T. britovi, there are other factors driving the specific anti-T. britovi production than the dose and density of the larvae in muscles, because there were no differences in the kinetics of antibody production over the 62-day period of infection nor in the absolute levels of antibodies on days 36 and 45 pi between the group of pigs exposed to the dose of 3000 and the group exposed to 5000 ML and neither was there any correlation between the lpg value and the absolute level of antibodies on individual days after inoculation. The detectability of trichinellosis in individual pigs differed slightly between the commercial ELISA kits on days 36 and 41 pi, which may be due to differences in the production of the kits’ ES antigens, the method of determining the cut-off value or the type of secondary antibody used. Finally, we conclude that when an ELISA yields doubtful results or the generated ELISA index values are close to the cut-off level (90% of cut-off or above), the pigs must be retested and this can be carried out after a short time interval such as 2–5 days. A Western blot test based on T. britovi ML ES antigens confirmed the ELISA results, and sera of T. britovi-infected pigs showed reactivity with T. britovi ML ES antigens of 62, 55 and 52 kDa.

ANOVA: analysis of variance

CI: confidence interval

CO₂: carbon dioxide

dpi: days post infection

ES: excretory–secretory

ELISA: enzyme-linked immunosorbent assay

HRP: horseradish peroxidase

IgG: immunoglobulin G

lpg: larvae per gram

ML: muscle larvae

OD: optical density

pi: post infection

P/P: percentage of positivity

PBS: Phosphate buffered saline

PCR: polymerase chain reaction

R: regression coefficient

RPMI: Roswell Park Memorial Institute medium

SD: standard deviation

SDS-PAGE: sodium dodecyl sulphate–polyacrylamide gel electrophoresis

S/P: sample-to-positivity

TBS: Tris buffered saline

Ethics approval

The present study was approved by the Second Local Ethics Committee for Animal Experimentation at the University of Life Sciences in Lublin (resolutions nos. 77/2015 and 73/2017). All methods were carried out in accordance with relevant guidelines and regulations. All animal handling and methods complied with the ARRIVE guidelines.

Consent for publications

Not applicable.

Availability of data and materials

All data generated or analysed during this study are included in this published article and its supplementary information files.

Competing interests

The authors declare that they have no competing interests.

Funding

This research was partly funded by the National Science Centre in Poland: grant number DEC-2017/01/X/NZ6/00582

Authors’ contributions

MG: conceptualization, methodology, funding acquisition, writing – original draft, project administration, data curation, resources, PK, SG, JBK: methodology; RPŁ, MZ: review & editing. All authors read and approved the manuscript.

Acknowledgements

Not applicable.

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Table 1 Distribution and intensity of T. britovi larvae infection (lpg) in muscles of pigs (n=8) experimentally infected with 5000 ML of T. britovi

Muscle/muscle group	Number of Trichinella larvae/g muscle (lpg)
	side		P¹	left and right (combined)
	left	right		left and right (combined)
	Mean ± SD (Median; IQR)	Mean ± SD (Median; IQR)		Mean ± SD (Median; IQR)
Diaphragm pillars (crura diaphragmatica)	-	-	-	43.67 ± 16.57
Tongue (lingua)	-	-	-	30.34 ± 11.42
Masseter (M. masseter)	14.42 ± 5.76	17.07 ± 4.52	0.324^†	15.77 ± 4.63^*
Neck (Mm. colli)	14.39 ± 7.40	17.21 ± 5.65	0.406^†	15.74 ± 5.47^*
Triceps brachii (M. triceps brachii)	12.68 ± 7.45	15.23 ± 7.93	0.517^†	13.96 ± 6.36^*
Lateral and medial pterygoid (M. pterygoideus lateralis et medialis)	12.73 ± 7.58	14.78 ± 7.89	0.605^†	13.82 ± 7.18^*
Sublumbar (M. psoas major et minor)	12.23 ± 4.98	12.37 ± 4.84	0.956^†	12.30 ± 4.34^*
Abdomen (Mm. abdominis)	11.94 ± 7.83	11.67 ± 6.06	0.940^†	11.81 ± 6.29^*
Forelimb extensors (Mm. extensores antebrachii)	7.86 ± 5.66	12.69 ± 6.66	0.140^†	10.32 ± 6.00^*
Intercostal (Mm. intercostales)	8.94 ± 6.00	9.58 ± 3.61	0.800^†	9.33 ± 4.33^*
Crus flexors (Mm. flexores cruris)	7.64 ± 6.16	10.88 ± 7.44	0.359^†	9.19 ± 6.39^*
Forelimb flexors (Mm. flexores antebrachii)	7.47 ± 6.15	8.66 ± 5.56	0.692^†	8.06 ± 5.69^*
Femoral biceps (M. biceps femoris)	6.64 ± 3.82	8.56 ± 5.02	0.404^†	7.60 ± 3.90^*
Crus extensors (Mm. extensores cruris)	8.85 ± 4.98	6.33 ± 3.27	0.253^†	7.50 ± 3.92^*
Back (longissimus thoracis)	6.42 ± 3.27	5.05 ± 2.36	0.355^†	5.74 ± 2.65^*
P²	-	-	-	<0.0001^§
Tested muscles in total	10.17 ± 6.39 (8.21; 5.61–15.31)	11.54 ± 6.53 (10.29; 6.54–16.62)	0.105^‡	14.34 ± 11.83 (11.16; 6.58–18.29)

SD, standard deviation; IQR, interquartile range.

¹ The lpg value of each left muscle was compared with the lpg value of each right muscle.

² The lpg value of diaphragm pillars was compared with the lpg value of the remaining 14 analyzed muscles (left and right combined).

^† calculated using Student’s t-test.

^‡ calculated using Mann–Whitney U-test.

^§ calculated using Welch’s ANOVA followed by Games–Howell’s post-hoc test.

^* the lpg value of a given muscle differs statistically from the lpg value of the diaphragm pillars.

Table 2 Distribution and intensity of T. britovi larvae infection (lpg) in muscles of pigs (n=6) experimentally infected with 3000 ML of T. britovi

Muscle/muscle group	Numbers of Trichinella larvae/g muscle (lpg)
	side		P¹	left and right (combined)
	left	right		left and right (combined)
	Mean ± SD (Median; IQR)	Mean ± SD (Median; IQR)		Mean ± SD (Median; IQR)
Diaphragm pillars (crura diaphragmatica)	-	-	-	41.46 ± 20.28
Tongue (lingua)	-	-	-	37.75 ± 19.58
Masseter (M. masseter)	21.32 ± 11.22	21.72 ± 13.44	0.956^†	21.53 ± 12.31^*
Neck (Mm. colli)	12.06 ± 9.00	14.53 ± 10.21	0.667^†	13.30 ± 9.36^*
Triceps brachii (M. triceps brachii)	9.71 ± 3.63	10.56 ± 6.48	0.787^†	10.14 ± 4.93^*
Lateral and medial pterygoid (M. pterygoideus lateralis et medialis)	17.16 ± 14.15	15.34 ± 10.93	0.808^†	16.29 ± 12.73^*
Sublumbar (M. psoas major et minor)	9.42 ± 5.04	11.09 ± 8.03	0.675^†	10.25 ± 6.53^*
Abdomen (Mm. abdominis)	12.02 ± 9.03	12.26 ± 7.61	0.960^†	12.14 ± 8.32^*
Forelimb extensors (Mm. extensores antebrachii)	8.48 ± 4.96	8.65 ± 6.90	0.963^†	8.59 ± 5.91^*
Intercostal (M. intercostales)	6.75 ± 4.32	6.18 ± 3.25	0.802^†	6.47 ± 3.77^*
Crus flexors (Mm. flexores cruris)	6.85 ± 4.78	7.45 ± 5.23	0.840^†	7.16 ± 4.99^*
Forelimb flexors (Mm. flexores antebrachii)	6.89 ± 2.86	6.80 ± 3.43	0.959^†	6.83 ± 2.96^*
Femoral biceps (M. biceps femoris)	6.04 ± 3.78	5.15 ± 3.46	0.680^†	5.60 ± 3.54^*
Crus extensors (Mm. extensores cruris)	6.46 ± 3.01	6.04 ± 2.71	0.801^†	6.23 ± 2.64^*
Back (longissimus thoracis)	4.14 ± 2.44	3.69 ± 2.10	0.735^†	3.92 ± 2.26^*
P²	-	-	-	<0.0001^§
Tested muscles in total	9.79 ± 7.94 (7.27; 4.60–12.62)	9.96 ± 8.28 (7.49; 4.52–12.04)	0.994^‡	13.84 ± 14.29 (8.15; 5.04–17.41)

SD, standard deviation; IQR, interquartile range.

¹The lpg value of each left muscle was compared with the lpg value of each right muscle.

² The lpg value of diaphragm pillars was compared with the lpg value of the remaining 14 analyzed muscles (left and right combined).

^† calculated using Student’s t-test.

^‡ calculated using Mann–Whitney U-test.

^§ calculated using one-way ANOVA followed by Tukey’s post-hoc test.

^* the lpg value of a given muscle differs statistically from the lpg value of the diaphragm pillars.

Table 3 Comparison of the intensity of T. britovi ML infection (lpg) in individual muscles and the entire carcasses between groups of pigs infected with different moderate doses of T. britovi

Muscle/muscle group	Pigs infected with 5000 ML of T. britovi (n=8)	Pigs infected with 3000 ML of T. britovi (n=6)	P¹
	Numbers of Trichinella larvae/g muscle
	Median (IQR)
Diaphragm pillars (crura diaphragmatica)	49.32 (31.33–55.41)	38.38 (24.27–44.56)	0.561
Tongue (lingua)	33.72 (18.97–39.97)	35.32 (23.48–37.04)	0.949
Masseter (M. masseter)	16.80 (11.82–19.37)	20.67 (17.24–21.30)	0.272
Neck (Mm. colli)	17.43 (10.74–20.27)	11.65 (7.94 13.31)	0.401
Triceps brachii (M. triceps brachii)	11.79 (8.85–20.60)	8.75 (7.28–10.70)	0.220
Lateral and medial pterygoid (M. pterygoideus lateralis et medialis)	12.67 (6.87–20.77)	13.27 (6.67–17.41)	0.897
Sublumbar (M. psoas major et minor)	13.52 (8.85–15.20)	9.24 (8.05–9.91)	0.401
Abdomen (Mm. abdominis)	11.22 (6.80–14.19)	10.00 (6.73–13.24)	0.949
Forelimb extensors (Mm. extensores antebrachii)	8.58 (5.37–15.21)	6.92 (5.57–8.74)	0.561
Intercostal (M. intercostales)	8.71 (6.48–13.27)	4.88 (4.38–7.87)	0.272
Crus flexors (Mm. flexores cruris)	7.11 (4.07–13.59)	5.79 (3.66–8.12)	0.747
Forelimb flexors (Mm. flexores antebrachii)	7.21 (4.22–10.87)	5.51 (4.80–8.41)	0.846
Femoral biceps (M. biceps femoris)	7.35 (4.28–11.06)	4.65 (3.07–6.05)	0.366
Crus extensors (Mm. extensores cruris)	6.56 (4.13–10.94)	5.07 (4.31–7.61)	0.949
Back (longissimus thoracis)	5.85 (3.87–7.75)	3.08 (2.47–4.54)	0.220
15 tested muscles in total	11.16 (6.58–18.29)	8.15 (5.04–17.41)	0.106

IQR, interquartile range.

¹ calculated using Mann–Whitney U-test.

Table 4 Kinetics of anti-T. britovi IgG in pigs experimentally infected with 5000 ML of T. britovi

Day before/after infection	ELISA test
	PrioCHECK^® Trichinella Ab (ThermoFisher Scientific)¹				ID Screen^® Trichinella Indirect Multi-species (ID Vet)²				Pigtype^® Trichinella Ab (Qiagen)³
	OD			P/P	OD			S/P %	OD			S/P
	mean	±	SD	mean	mean	±	SD	mean	mean	±	SD	mean
−4	0.065	±	0.004	2.258	0.097	±	0.012	2.660	0.104	±	0.031	0.041
3	0.073	±	0.009	2.526	0.104	±	0.020	3.148	0.121	±	0.031	0.056
6	0.089	±	0.056	3.089	0.171	±	0.191	7.507	0.197	±	0.082	0.121
9	0.096	±	0.076	3.319	0.179	±	0.189	7.436	0.221	±	0.088	0.142
13	0.102	±	0.065	3.548	0.172	±	0.158	7.621	0.250	±	0.085	0.166
15	0.123	±	0.068	4.288	0.171	±	0.134	7.511	0.251	±	0.108	0.173
17	0.149	±	0.083	5.199	0.192	±	0.142	8.829	0.237	±	0.089	0.166
20	0.117	±	0.066	4.126	0.169	±	0.128	7.033	0.231	±	0.124	0.160
24	0.113	±	0.061	3.979	0.167	±	0.110	6.958	0.234	±	0.108	0.163
27	0.157	±	0.117	5.512	0.215	±	0.169	10.093	0.295	±	0.104	0.194
29	0.245	±	0.275	8.602	0.324	±	0.292	17.405	0.376	±	0.267	0.256
36	1.034^A	±	0.801	36.321	1.017^A	±	0.759	63.549	1.018^A	±	0.761	0.802
41	1.733^B	±	0.860	58.440	1.747^B	±	0.696	111.099	2.020^B	±	0.973	1.654
45	2.038^BC	±	0.653	67.281	1.924^B	±	0.389	122.164	2.339^B	±	0.862	1.925
51	2.171^BC	±	0.621	71.688	2.023^B	±	0.226	128.623	2.375^B	±	0.802	1.956
55	2.394^C	±	0.528	79.028	2.016^B	±	0.293	128.201	2.567^B	±	0.694	2.119
59	2.435^C	±	0.485	80.402	2.059^B	±	0.284	131.025	2.323^B	±	0.577	1.911
62	2.434^C	±	0.481	80.816	2.145^B	±	0.269	136.676	2.421^B	±	0.544	1.995

SD, standard deviation.

¹ cut-off value P/P% = 15 % (P/P% ≥ 15 % – positive result; P/P% < 15 % – negative result). Positive test results are denoted by bold type.

²cut-off value S/P% = 60 % (S/P% ≥ 60 % – positive result; 50% ˂ S/P% ˂ 60% – doubtful result; S/P% ≤ 50 % – negative result). Positive test results are denoted by bold type.

³ cut-off value S/P = 0.3 (S/P ≥ 0.3 – positive result; S/P < 0.3 – negative result). Positive test results are denoted by bold type.

The statistical analysis was performed using OD values. Different uppercase letters in the same columns indicate significant differences between the experimental periods within an experimental group in the particular ELISA procedure (P <0.05; ANOVA with repeated measures following a post-hoc Bonferroni test; these analyses were performed only for days that gave a positive result in the particular ELISA test).

The average infection intensity of T. britovi in the 15 swine muscles analyzed (n=8) was 14.34 larvae of T. britovi/g muscle.

Table 5 Performance of 3 ES-ELISA tests in the detection of anti-Trichinella IgG antibodies in pigs experimentally infected with 5000 ML of T. britovi: qualitative results

Day before/after infection	ELISA test result
	PrioCHECK^® Trichinella Ab (ThermoFisher Scientific)								ID Screen^® Trichinella Indirect Multi-species (ID Vet)								Pigtype^® Trichinella Ab (Qiagen)
	Pig no.								Pig no.								Pig no.
	1	2	3	4	5	6	7	8	1	2	3	4	5	6	7	8	1	2	3	4	5	6	7	8
−4	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
3	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
6	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
9	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
13	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
15	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
17	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
20	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
24	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
27	-	-	-	-¹	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	+	-	-	-	-
29	-	-	-	+	-	-	-	-	-	-	-	+	-	-	-	-	-²	-²	-	+	-	-	-	-
36	+	+	-	+	-¹	+	-	+	+	+/-	-	+	-	+	-	+	+	+	-²	+	-	+	-	+
41	+	+	-¹	+	+	+	+	+	+	+	+/-	+	+	+	+/-	+	+	+	+	+	+	+	+	+
45	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+
51	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+
55	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+
59	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+
62	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+	+

−, negative test result; +, positive test result; +/−, doubtful results (doubtful results according to the manufacturers’ protocols were generated only by the ID Screen^® Trichinella Indirect Multi-species test).

¹ P/P% values in individual pigs reached a level close to the cut-off value (P/P% ≥ 15 % – positive result; P/P% < 15 % – negative result) and they were as follows: 13.057% (pig no. 3), 14.248% (pig no. 4) and 14.810% (pig no. 5).

² S/P values in individual pigs reached a level close to the cut-off value (S/P ≥ 0.3 – positive result; S/P < 0.3 – negative result) and they were as follows: 0.287 (pig no. 1), 0.288 (pig no. 2) and 0.288 (pig no. 3).

The mean intensity of T. britovi larvae infection (lpg) in 15 muscles of each pig was as follows: pig no. 1 – 16.73 lpg, pig no. 2 – 19.02 lpg, pig no. 3 – 11.71 lpg, pig no. 4 – 20.74 lpg, pig no. 5 – 6.42 lpg, pig no. 6 – 9.05 lpg, pig no. 7 – 16.98 lpg, and pig no. 8 – 14.08 lpg.

Table 6 Correlation between T. britovi larvae burden (lpg) of pigs infected with 5000 T. britovi ML and anti-T. britovi IgG level (OD)

Muscle/muscle group	ELISA test
	PrioCHECK^® Trichinella Ab (ThermoFisher Scientific)			ID Screen^® Trichinella Indirect Multi-species (ID Vet)			Pigtype^® Trichinella Ab (Qiagen)
	41 dpi	51 dpi	62 dpi	41 dpi	51 dpi	62 dpi	41 dpi	51 dpi	62 dpi
Diaphragm pillars (Crura diaphragmatica)	−0.276	−0.273	−0.699	−0.216	0.080	−0.142	−0.220	−0.070	−0.478
Tongue (lingua)	−0.594	−0.654	−0.863	−0.482	−0.189	−0.089	−0.527	−0.420	−0.764
Masseter (M. masseter)	0.139	0.040	−0.382	0.101	−0.01	−0.380	0.164	0.228	−0.229
Neck (Mm. colli)	0.273	−0.080	−0.395	0.260	−0.202	−0.342	0.254	0.057	−0.272
Triceps brachii (M. triceps brachii)	0.093	−0.165	−0.419	−0.014	−0.541	−0.553	0.048	−0.104	−0.394
Lateral and medial pterygoid (M. pterygoideus lateralis et medialis)	0.245	0.058	−0.263	0.231	−0.258	−0.216	0.170	0.013	−0.192
Sublumbar (M. psoas major et minor)	0.388	0.019	−0.260	0.385	0.167	−0.198	0.434	0.277	−0.041
Abdomen (Mm. abdominis)	0.486	0.249	0.040	0.335	0.023	−0.436	0.502	0.408	0.144
Forelimb extensors (Mm. extensores antebrachii)	0.706	0.411	0.214	0.622	0.120	−0.124	0.722^*	0.543	0.387
Intercostal (Mm. intercostales)	0.630	0.243	0.069	0.676	0.275	0.115	0.682	0.456	0.306
Crus flexors (Mm. flexores cruris)	0.482	0.248	0.102	0.364	−0.087	−0.016	0.490	0.303	0.313
Forelimb flexors (Mm. flexores antebrachii)	0.547	0.250	0.078	0.386	−0.216	−0.290	0.516	0.285	0.199
Femoral biceps (M. biceps femoris)	0.485	0.228	−0.021	0.463	0.116	−0.185	0.536	0.456	0.146
Crus extensors (Mm. extensores cruris)	0.559	0.271	0.084	0.536	−0.006	0.080	0.541	0.297	0.272
Back (longissimus thoracis)	0.328	−0.042	−0.323	0.287	−0.029	−0.193	0.332	0.109	−0.103

Data are Pearson’s R correlation coefficients.

*Correlation is significant at the 0.05 level.

Analysis was performed on the days on which at least one ELISA test classified all pigs as positive.

Table 7 Correlations between ELISA index values generated by commercial ELISAs in pigs infected with 5000 T. britovi ML

Pig no. (serum samples)	PrioCHECK^® Trichinella Ab/ ID Screen^® Trichinella Indirect Multi-species	PrioCHECK^® Trichinella Ab/ Pigtype^® Trichinella Ab	ID Screen^® Trichinella Indirect Multi-species/ Pigtype^® Trichinella Ab
1 (n=18)	0.915^*	0.961^*	0.886^*
2 (n=18)	0.950^*	0.884^*	0.953^*
3 (n=18)	0.862^*	0.802^*	0.800^*
4 (n=18)	0.928^*	0.930^*	0.938^*
5 (n=18)	0.757^*	0.831^*	0.855^*
6 (n=18)	0.963^*	0.895^*	0.907^*
7 (n=18)	0.934^*	0.742^*	0.725^*
8 (n=18)	0.777^*	0.764^*	0.847^*
Whole-procedure (n=144)	0.903^*	0.910^*	0.912^*

Data are Spearman’s R correlation coefficients.

*Correlation is significant at the 0.05 level.

No competing interests reported.

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Insight into Trichinella britovi infection in pigs: effect of various moderate infectious doses on larvae density and spatial larvae distribution in carcasses and comparison of the detection of anti-T. britovi IgG of three different commercial ELISA tests and immunoblot assay

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Abstract

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Abbreviations

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Competing Interests

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