in a blood smear Tsetse are
biological vectors of
trypanosomes, meaning that in the process of feeding, they acquire and then transmit small, single-celled trypanosomes from
infected vertebrate hosts to uninfected animals. Some tsetse-transmitted trypanosome species cause
trypanosomiasis, an infectious disease. In humans, tsetse transmitted trypanosomiasis is called
sleeping sickness. In animals, tsetse-vectored trypanosomiases include
nagana,
souma (a French term which may not be a distinct condition), and
surra according to the animal infected and the trypanosome species involved. The usage is not strict and while
nagana generally refers to the disease in cattle and horses it is commonly used for any of the animal trypanosomiases. Trypanosomes are animal
parasites, specifically
protozoans of the genus
Trypanosoma. These organisms are about the size of red blood cells. Different species of trypanosomes infect different hosts. They range widely in their effects on the vertebrate hosts. Some species, such as
T. theileri, do not seem to cause any health problems except perhaps in animals that are already sick. Some
strains are much more
virulent. Infected flies have an altered salivary composition which lowers feeding efficiency and consequently increases the feeding time, promoting trypanosome transmission to the vertebrate host. These trypanosomes are highly evolved and have developed a life cycle that requires periods in both the vertebrate and tsetse hosts. Tsetse transmit trypanosomes in two ways, mechanical and biological transmission. • Mechanical transmission involves the direct transmission of the same individual trypanosomes taken from an infected host into an uninfected host. The name "mechanical" reflects the similarity of this mode of transmission to mechanical injection with a
syringe. Mechanical transmission requires the tsetse to feed on an infected host and acquire trypanosomes in the blood meal, and then, within a relatively short period, to feed on an uninfected host and regurgitate some of the infected blood from the first blood meal into the tissue of the uninfected animal. This type of transmission occurs most frequently when tsetse are interrupted during a blood meal and attempt to satiate themselves with another meal. Other flies, such as
horse-flies, can also cause mechanical transmission of trypanosomes. • Biological transmission requires a period of incubation of the trypanosomes within the tsetse host. The term 'biological' is used because trypanosomes must reproduce through several generations inside the tsetse host during the period of incubation (development within the fly is known as the extrinsic incubation period), which requires extreme
adaptation of the trypanosomes to their tsetse host. In this mode of transmission, trypanosomes reproduce through several generations, changing in morphology at certain periods. This mode of transmission also includes the sexual phase of the trypanosomes. Tsetse are believed to be more likely to become infected by trypanosomes during their first few blood meals. Tsetse infected by trypanosomes are thought to remain infected for the remainder of their lives. Because of the adaptations required for biological transmission, trypanosomes that can be transmitted biologically by tsetse cannot be transmitted in this manner by other insects. The relative importance of these two modes of transmission for the propagation of tsetse-vectored trypanosomiases is not yet well understood. However, since the sexual phase of the trypanosome life cycle occurs within the tsetse host, biological transmission is a required step in the life cycle of the tsetse-vectored trypanosomes. The cycle of biological transmission of trypanosomiasis involves two phases, one inside the tsetse host and the other inside the vertebrate host. Trypanosomes are not passed between a pregnant tsetse and her offspring, so all newly emerged tsetse adults are free of infection. An uninfected fly that feeds on an infected vertebrate animal may acquire trypanosomes in its proboscis or gut. These trypanosomes, depending on the species, may remain in place, move to a different part of the digestive tract, or migrate through the tsetse body into the salivary glands. When an infected tsetse bites a susceptible host, the fly may regurgitate part of a previous blood meal that contains trypanosomes, or may inject trypanosomes in its saliva. Inoculation must contain a minimum of 300 to 450 individual trypanosomes to be successful, and may contain up to 40,000 cells. The trypanosomes are injected into vertebrate muscle tissue, but make their way, first into the
lymphatic system, then into the bloodstream, and eventually into the brain. The disease causes the swelling of the lymph glands, emaciation of the body, and eventually leads to death. Uninfected tsetse may bite the infected animal prior to its death and acquire the disease, thereby closing the transmission cycle.
Disease hosts and vectors The tsetse-vectored trypanosomiases affect various vertebrate species including humans, antelopes, bovine cattle, camels, horses, sheep, goats, and pigs. These diseases are caused by several different trypanosome species that may also survive in wild animals such as crocodiles and monitor lizards. The diseases have different distributions across the African continent, so are transmitted by different species. This table summarizes this information:
In humans Human African trypanosomiasis, also called
sleeping sickness, is caused by trypanosomes of the species
Trypanosoma brucei. This disease is invariably fatal if left untreated, but can almost always be cured with current medicines if the disease is diagnosed early enough. Sleeping sickness begins with a tsetse bite leading to an inoculation in the subcutaneous tissue. The infection moves into the
lymphatic system, leading to a characteristic swelling of the lymph glands called ''Winterbottom's sign''. The infection progresses into the blood stream and eventually crosses into the
central nervous system and invades the
brain leading to extreme
lethargy and eventually to
death. The species
Trypanosoma brucei, which causes the disease, has often been subdivided into three subspecies that were identified based either on the vertebrate hosts which the strain could infect or on the virulence of the disease in humans. The trypanosomes infectious to animals and not to humans were named
Trypanosoma brucei brucei. Strains that infected humans were divided into two subspecies based on their different virulences:
Trypanosoma brucei gambiense was thought to have a slower onset and
Trypanosoma brucei rhodesiense refers to strains with a more rapid, virulent onset. This characterization has always been problematic but was the best that could be done given the knowledge of the time and the tools available for identification. A recent molecular study using
restriction fragment length polymorphism analysis suggests that the three subspecies are
polyphyletic, so the elucidation of the strains of
T. brucei infective to humans requires a more complex explanation.
Procyclins are
proteins developed in the surface coating of trypanosomes whilst in their tsetse fly vector. Other forms of human trypanosomiasis also exist but are not transmitted by tsetse. The most notable is American trypanosomiasis, known as
Chagas disease, which occurs in
South America, caused by
Trypanosoma cruzi, and transmitted by certain insects of the
Reduviidae, members of the
Hemiptera.
In domestic animals Animal
trypanosomiasis, also called
nagana when it occurs in
bovine cattle or
horses or
sura when it occurs in domestic
pigs, is caused by several trypanosome species. These
diseases reduce the growth rate,
milk productivity, and strength of
farm animals, generally leading to the eventual
death of the infected animals. Certain species of cattle are called
trypanotolerant because they can survive and grow even when infected with trypanosomes although they also have lower productivity rates when infected. The course of the disease in animals is similar to the course of
sleeping sickness in humans.
Trypanosoma congolense and
Trypanosoma vivax are the two most important species infecting bovine cattle in
sub-Saharan Africa.
Trypanosoma simiae causes a virulent disease in
swine. Other forms of animal trypanosomiasis are also known from other areas of the globe, caused by different species of trypanosomes and transmitted without the intervention of the tsetse fly. The tsetse fly vector ranges mostly in the central part of Africa.
Trypanosomiasis poses a considerable constraint on livestock agricultural development in tsetse fly-infested areas of sub-Saharan Africa, especially in West and Central Africa. International research conducted by
ILRI in
Nigeria, the
Democratic Republic of the Congo and
Kenya has shown that the
N'Dama is the most resistant breed. ==Control==