In this study, the prevalence of Enterocytozoon bieneusi in China was investigated. Twelve genotypes of E. bieneusi were identified, of which 10 were novel genotypes. Further, 41.6% of the genotypes were found in both humans and animals. This is the first report of E. bieneusi in China.Microsporidia are a diverse group of obligate intracellular pathogens consisting of approximately 1,300 formally described species in 160 genera that infect a wide range of invertebrate and vertebrate hosts, including humans (8,16). Enterocytozoon bieneusi, the most frequently diagnosed microsporidial species in humans, was first reported in an AIDS patient in 1985 (4). Over the last 2 decades, E. bieneusi has been detected in humans, other mammals, and birds in more than 30 countries (1,6,10,12). However, the prevalence of this parasite in China has been unclear.Currently, sequencing of the internal transcribed spacer (ITS) region of the rRNA gene is regarded as the standard method for species identification and genotyping of E. bieneusi isolates (17). More than 90 genotypes or variants of E. bieneusi that infect humans and animals have been identified (16). Recent molecular epidemiological studies indicated that some genotypes are host specific (17). Further, 8 genotypes (WL15, D, Peru6, EbpC, Peru10, Peru16, WL11, and Type IV) have been found in both humans and animals, indicating the potential for zoonotic transmission and the importance for surveillance of the epidemiology of E. bieneusi (17).We investigated the prevalence of E. bieneusi infection in humans and animals in China. A total of 220 fecal samples were collected. Among them, 40 fecal samples were from diarrheal children in the First Hospital of Jilin University in Changchun City, northeast China, 61 were from pigs in a livestock production facility, 26 were from dogs in a pet market, and 93 were from cows. Both human and animal samples were collected in the same area around Changchun City; however, the human samples were not from the same farm as the animal samples. The collection of human and animal stool samples was approved by the Ethics Committee of the Institute of Zoonosis, Jilin University. DNA was extracted from each fecal sample with a modified protocol as described previously (7).A nested PCR with primers based on the specific ITS sequences of E. bieneusi was applied for pathogen identification as previously reported (2, 5). E. bieneusi ITS sequences were determined, and a multiple alignment was performed using the ClustalX program. To assess the extent of genetic diversity and evolutionary relationships among the previously known genotypes of Enterocytozoon spp. and the novel genotypes, a neighbor-joining tree based on the evolutionary distances calculated by the Kimura two-parameter model (15) was constructed using the MEGA 4.0 program (19).E. bieneusi-specific sequences were amplified from 56 of the 220 fecal samples (9 from humans, 2 from dogs, 35 from cows, and 10 from pigs) ( Table 1). The 56 sequences were classified into 12 genotypes, which include...
