with limb malformation induced by
Ribeiroia ondatrae Laboratory studies Experimental exposure to
Ribeiroia ondatrae cercariae has been shown to cause limb malformations in various frog, toad and
salamander species, including
Pseudacris regilla, Anaxyrus boreas, Lithobates pipiens, A. americanus, Ambystoma macrodactylum, L. clamitans and
L. sylvatica. Cercariae appear to prefer to infect in and around the developing limb buds of larval amphibians, which can alter or inhibit limb development. The risk of malformation and
mortality varies as a function of parasite exposure level, host development stage, and the amphibian species involved. As expected for macroparasitic infections, a
dose-dependent relationship exists between cercariae exposure and pathology, particularly among larval amphibians at pre- or early-limb development stage. Cercarial penetration of host tissue involves
proteolytic enzymes. The exact mechanism which alters limb development is unknown, but potential pathways include mechanical disturbance by invading parasites, release of a
teratogenic chemical by parasites, or a combination of the two. Susceptibility to infection and the subsequent pathology differs among amphibian species. For example,
gray tree frogs (
Hyla versicolor) are largely resistant to infection, but toads (e.g.
A. americanus) exhibit high frequencies of mortality and malformations following parasite exposure (Johnson and Hartson 2009). The types of limb malformations also vary among species and developmental stage of exposure. The most common errors in development associated with
Ribeiroia exposure are skin webbings (cutaneous fusion), missing limbs and limb elements (
ectromelia and
hemimelia), supernumerary limbs and digits (
polymelia and
polydactyly), and bony triangles. The factors determining variation in susceptibility among species remain poorly understood. However these observations suggest that the type of malformation alone is unlikely to be diagnostic of
Ribeiroia exposure.
Field studies Ribeiroia infection has been linked to malformations in naturally occurring amphibian populations, especially in the
western and
midwestern US. In a large-scale study in the western US, both the presence and abundance of
Ribeiroia infection predicted higher-than-baseline (e.g. >5%) frequencies of abnormalities in one or more amphibian species. Limb malformations were observed in nine species and ranged in frequency from <5% to nearly 90%. The role of
Ribeiroia in explaining accounts of amphibian malformations in other regions is varied;
Ribeiroia has been associated with malformation "hotspots" in the midwestern and northeastern US, but it was not detected in malformation surveys from
Vermont,
Alaska,
Bermuda, and
Michigan. == Geographic distribution ==