Cryptosporidium infection is widespread among brown rats worldwide (see Table 2). In this study of 435 brown rat samples from an animal raising plot in Xinjiang, 24 samples tested positive for Cryptosporidium by PCR, resulting in an infection rate of 5.5% (24/435) (refer to Table 1). The infection rate was higher than that reported for Cryptosporidium in brown rats in Shanxi Province (3.8%; 2/53), Shandong Province (0%; 0/227), Zhejiang Province (3.4%; 4/119), Iran (4.1%; 3/73), and Nigeria (1.5%; 2/134), but lower than that reported for Cryptosporidium in brown rats in Heilongjiang Province (9.1%; 22/242), Henan Province (28.6%; 16/56), (7.1%; 12/196), Spain (29.0%; 29/100), and Japan (38.0%; 19/50). The prevalence of Cryptosporidium infection in brown rats varies across different regions and is closely related to the rodents' living environment in different sampling sites.
At the SSU rRNA gene, 24 positive samples for Cryptosporidium were successfully sequenced, revealing the presence of three species and one genotype of Cryptosporidium, including C. occultus (n = 10), C. parvum (n = 4), C. ditrichi (n = 1) and Cryptosporidium Rat genotype IV (n = 9). Among these, C. occultus has a wide host range (cattle, yak, water buffalo and rat), with rats being the main host of C. occultus (Kváč et al. 2018). C. occultus has also been reported to infect humans in Canada (Ong et al. 2002), England (Robinson et al. 2011) and China (Xu et al. 2020). In the present study, C. occultus was the predominant species infected in brown rats, suggesting that brown rats are one of the natural hosts of C. occultus.
Cryptosporidium ditrichi was previously thought to be restricted to European rodents. Sárka et al (Sárka et al. 2019) found the species in Apodemus spp. (mainly yellow-necked rats) in 12 of 16 European countries, with a prevalence rate of 5.6% (22/392). Thus, the present study marked the first time that C. ditrichi has been detected in rodents outside of Europe. Furthermore, it is noteworthy that the SSU rRNA gene sequence of C. ditrichi in brown rats showed the highest similarity to that of the Swedish human isolate. Moreover, a recent study has also shown that infection with this species leads to typical cryptosporidiosis symptoms in humans in Sweden (Beser et al. 2020), implying that it possesses the risk of transmission from rodents to humans and causing disease (Kivistö et al. 2021).
Cryptosporidium parvum is a zoonotic species that predominantly infects rodents worldwide. It has a host range that includes at least 20 rodent species, with the highest prevalence observed in brown rats, bank voles, and yellow-necked field mice. Multiple C. parvum subtypes have been identified in rodents based on the gp60 gene locus, including IIaA15G2R1, IIaA16G2R1, IIaA17G2R1, IIaA18G1R1b, IIaA18G3R1, IIdA15G1, IIiA10, IIpA9, IIpA6, IIoA15G1 and IIoA13G1 (Zhang et al. 2022). It should be noted that previous reports of C. parvum in brown rats worldwide only included a single subtype, namely IIdA15G1. In contrast, the subtype of C. parvum discovered in Xinjiang, China is IIdA19G1, which is dominant in China and can infect neonatal dairy calves, sheep, and children (Chen et al. 2023; Wang et al. 2023). This suggests that brown rats play an important role as vectors in the risk of zoonotic transmission of C. parvum.
Five generic categories of Cryptosporidium Rat genotype are known (Rat genotypes I-V). Cryptosporidium Rat genotype I and Cryptosporidium Rat genotype IV are the main genotypes infecting rats (Zhao et al. 2018). In 2018, the first detection of Cryptosporidium Rat genotype IV in brown rats was reported in Heilongjiang, China (Zhao et al. 2018). Cryptosporidium Rat genotype IV was also detected in brown rats in Henan Province, China (Zhao et al. 2019). In our study, only Cryptosporidium Rat genotype IV was found, which accounted for more than the average number of total Cryptosporidium positives. It is suggested that Cryptosporidium Rat genotype IV is prevalent in the brown rat population in China.
In conclusion, as a common rodent, the brown rat can transmit and carry a wide range of Cryptosporidium species, including some zoonotic Cryptosporidium species such as C. parvum and C. occultus. Research on brown rats to assess their role in the dynamics of Cryptosporidium infection and transmission in humans and animals should be further intensified.