This study investigated fecal specimens from 489 sheep and 537 cattle in multiple cities in northeast China for the prevalence and genetic characteristics of Enterocytozoon bieneusi by PCR and sequencing of the ribosomal internal transcribed spacer. Sixty-eight sheep specimens (13.9%) and 32 cattle specimens (6.0%) were positive for E. bieneusi. Sequence polymorphisms enabled the identification of 9 known genotypes (BEB4, BEB6, CM7, CS-4, EbpC, G, I, J, and OEB1) and 11 new genotypes (NESH1 to NESH6 and NECA1 to NECA5). The genotypes formed two genetic clusters in a phylogenetic analysis, with CS-4, EbpC, G, NESH1 to NESH3, and NECA1 to NECA5 distributed in zoonotic group 1 and BEB4, BEB6, CM7, EbpI, J, OEB1, and NESH4 to NESH6 distributed in potentially host-adapted group 2. Nearly 70% of cases of E. bieneusi infections in sheep were contributed by human-pathogenic genotypes BEB6, CS-4, and EbpC, and over 80% of those in cattle were by genotypes BEB4, CS-4, EbpC, I, and J. The cooccurrence of genotypes BEB4, CS-4, EbpC, I, and J in domestic ruminants and children in northeast China and the identification of BEB6 and EbpC in humans and water in central China imply the possibility of zoonotic transmission. This study also summarizes E. bieneusi genotypes obtained from ruminants worldwide and displays their host ranges, geographical distributions, and phylogenetic relationships. The data suggest a host range expansion in some group 2 genotypes (notably BEB4, BEB6, I, and J) that were previously considered to be adapted to ruminants. We should be concerned about the increasing zoonotic importance of group 2 genotypes with low host specificity.
Microsporidia are a large and diverse group of obligately intracellular parasites that have been implicated as both human and animal pathogens (1). These parasitic protists are genetically related to fungi and feature environmentally resistant spore forms (1). Microsporidia differentiate from meronts into spores that are then defecated by the host into the environment and start a new round of eukaryotic cell invasion by using a highly specialized organelle, the polar tube, followed by intracellular replication (2). Of approximately 1,300 microsporidian species in 160 genera reported thus far, 14 species in 8 genera have been documented in human infections (3). Enterocytozoon bieneusi has emerged as an opportunistic pathogen leading to infectious diarrhea in humans; it has been associated with immune suppression and is responsible for almost 90% of reported cases of human microsporidiosis (4). It also affects immunocompetent individuals and a variety of domestic and wild animals, and even birds (4). Contact with infected humans and animals or contaminated food and water may contribute to the acquisition of E. bieneusi infections (1, 5-7).At present, genotyping of E. bieneusi on the basis of the ribosomal internal transcribed spacer (ITS) has characterized over 200 distinct genotypes (5). The genotype nomenclature used here is according to the established naming system (8). Cou...