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MALDI-TOF mass spectrometry for the identification of freshwater snails from Senegal, including intermediate hosts of schistosomes

  • Fatima Zohra Hamlili,

    Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Visualization, Writing – original draft, Writing – review & editing

    Affiliations IHU-Méditerranée Infection, Marseille, France, Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France

  • Fatou Thiam ,

    Contributed equally to this work with: Fatou Thiam, Maureen Laroche

    Roles Investigation, Resources, Writing – review & editing

    Affiliations VITROME, Campus International IRD-UCAD de l’IRD, Dakar, Senegal, Laboratoire de Parasitologie-Helminthologie, Département de Biologie Animale, Faculté des Sciences et Techniques, UCAD, Dakar, Senegal

  • Maureen Laroche ,

    Contributed equally to this work with: Fatou Thiam, Maureen Laroche

    Roles Data curation, Formal analysis, Investigation, Methodology, Resources, Software, Validation, Writing – review & editing

    Affiliations IHU-Méditerranée Infection, Marseille, France, Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France

  • Adama Zan Diarra,

    Roles Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Writing – review & editing

    Affiliations IHU-Méditerranée Infection, Marseille, France, Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France

  • Souleymane Doucouré,

    Roles Conceptualization, Validation, Writing – review & editing

    Affiliation VITROME, Campus International IRD-UCAD de l’IRD, Dakar, Senegal

  • Papa Mouhamadou Gaye,

    Roles Investigation, Writing – review & editing

    Affiliations Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France, VITROME, Campus International IRD-UCAD de l’IRD, Dakar, Senegal, Laboratoire de Parasitologie-Helminthologie, Département de Biologie Animale, Faculté des Sciences et Techniques, UCAD, Dakar, Senegal

  • Cheikh Binetou Fall,

    Roles Investigation, Writing – review & editing

    Affiliation Service de Parasitologie-Mycologie, Faculté de médecine, Université Cheikh Anta Diop, Dakar, Senegal

  • Babacar Faye,

    Roles Conceptualization, Writing – review & editing

    Affiliation Service de Parasitologie-Mycologie, Faculté de médecine, Université Cheikh Anta Diop, Dakar, Senegal

  • Cheikh Sokhna,

    Roles Conceptualization, Writing – review & editing

    Affiliations IHU-Méditerranée Infection, Marseille, France, Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France, VITROME, Campus International IRD-UCAD de l’IRD, Dakar, Senegal

  • Doudou Sow,

    Roles Conceptualization, Funding acquisition, Investigation, Methodology, Project administration, Resources, Validation, Writing – review & editing

    Affiliations VITROME, Campus International IRD-UCAD de l’IRD, Dakar, Senegal, Service de Parasitologie-Mycologie, UFR Sciences de la Santé, Université Gaston Berger de Saint Louis, Senegal

  • Philippe Parola

    Roles Conceptualization, Funding acquisition, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing

    philippe.parola@univ-amu.fr

    Affiliations IHU-Méditerranée Infection, Marseille, France, Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France

Abstract

Freshwater snails of the genera Biomphalaria, Bulinus, and Oncomelania are intermediate hosts of schistosomes that cause human schistosomiasis, one of the most significant infectious neglected diseases in the world. Identification of freshwater snails is usually based on morphology and potentially DNA-based methods, but these have many drawbacks that hamper their use. MALDI-TOF MS has revolutionised clinical microbiology and has emerged in the medical entomology field. This study aims to evaluate MALDI-TOF MS profiling for the identification of both frozen and ethanol-stored snail species using protein extracts from different body parts. A total of 530 field specimens belonging to nine species (Biomphalaria pfeifferi, Bulinus forskalii, Bulinus senegalensis, Bulinus truncatus, Bulinus globosus, Bellamya unicolor, Cleopatra bulimoides, Lymnaea natalensis, Melanoides tuberculata) and 89 laboratory-reared specimens, including three species (Bi. pfeifferi, Bu. forskalii, Bu. truncatus) were used for this study. For frozen snails, the feet of 127 field and 74 laboratory-reared specimens were used to validate the optimised MALDI-TOF MS protocol. The spectral analysis yielded intra-species reproducibility and inter-species specificity which resulted in the correct identification of all the specimens in blind queries, with log-score values greater than 1.7. In a second step, we demonstrated that MALDI-TOF MS could also be used to identify ethanol-stored snails using proteins extracted from the foot using a specific database including a large number of ethanol preserved specimens. This study shows for the first time that MALDI-TOF MS is a reliable tool for the rapid identification of frozen and ethanol-stored freshwater snails without any malacological expertise.

Author summary

Schistosomiasis is a parasitic disease, caused by blood flukes of the genus Schistosoma. The infective cercariae are released by freshwater snails belonging to three genera: Biomphalaria, Bulinus and Oncomelania. It is one of the most significant neglected infectious diseases in the world. Snail identification is tremendously important for monitoring snail populations and schistosomiasis. Identification is currently based on morphological criteria and molecular biology, both of which present several drawbacks. Many studies have reported the performance of MALDI-TOF MS, a technology that allows species identification based on their proteins, as a reliable, rapid, and easy-to-use tool in many fields. The aim of our study was to create a snail database and assess the efficiency of MALDI-TOF MS for snail identification. This study shows that MALDI-TOF MS can rapidly identify both frozen and ethanol-stored specimens of different species. These results support the use of MALDI-TOF MS in the context of epidemiological studies in Schistosoma-endemic areas.

Introduction

Human schistosomiasis is a snail-borne parasitic disease caused by blood trematodes of the genus Schistosoma [1]. It is considered one of the most significant neglected tropical diseases (NTDs) in the world as it is ranked as the second most endemic parasitic disease in the world after malaria [2]. Almost 800 million people worldwide are at risk of infection and approximately 250 million people are affected, mostly in Africa, including 20 million people who suffer from its severe form [3,4]. The disease has been reported in over 78 countries and is endemic in 52 countries with moderate to high transmission [5,6]. Over 280,000 deaths have been estimated each year [7] and despite efforts that have been made over many years, the number of people affected by schistosomiasis has not significantly decreased [8].

Schistosoma species have a complex biological cycle. It includes freshwater snails belonging to the genera Biomphalaria, Bulinus and Oncomelania as intermediate hosts, where the trematode larvae undergo asexual reproduction, and humans as definitive hosts, in which sexual reproduction occurs [9]. The most common disease-causing species are Schistosoma haematobium, S. mansoni, and S. japonicum [6]. Both S. haematobium and S. mansoni are found in Africa and the Middle East. In the Americas, only S. mansoni is found. Schistosoma japonicum is found in Asia, more specifically in the Philippines and China [1]. Schistosomiasis transmission is considerably dependent on both the intermediate snail host’s spread and the rural development of water resources. Among the intermediate hosts, Bulinus species (Bu. truncatus, Bu. globosus, Bu. senegalensis, Bu. forskalii, Bu. camerunensis, Bu. africanus and Bu. tropicus) and Biomphalaria species (Bi. pfeifferi, Bi. choanomphala, Bi. alexandrina, Bi. sudanica) have been reported to be the main intermediate hosts of S. haematobium and S. mansoni respectively in Africa [10]. Biomphalaria pfeifferi is the only species that transmits S. mansoni, while Bu. umbilicatus, Bu. globosus, Bu. senegalensis and Bu. truncatus are involved in S. haematobium transmission [11,12]. In Senegal, two species of schistosomes are found: S. mansoni, causing intestinal schistosomiasis, and S. haematobium, known as the main cause of urinary schistosomiasis [13].

The need for precise identification of intermediate snail hosts is crucial for accurate epidemiological studies and the control of schistosomiasis, and also facilitates the development of new effective control strategies [14].

Snail classification relies mainly on morphological criteria. However, correct identification of Bulinus snails to the species level based on morphology alone can be challenging [15,16]. It also requires tremendous expertise, as well as undamaged specimens and specific documentation. In addition to morphological methods for identifying snail species, molecular methods such as sequencing the snail’s Internal Transcribed Spacer 2 region (ITS2) and cytochrome c oxidase subunit I gene (COI) have also been used [17,18]. Molecular approaches are, however, limited by being time-consuming and by their relatively high running costs. The lack of reference sequences in GenBank may also hamper their use.

Over the course of the last decade, MALDI-TOF MS (Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry) has revolutionised clinical microbiology by allowing the rapid and accurate classification of many microorganisms (parasite, fungi and bacteria) [1926]. More recently, MALDI-TOF MS has emerged as a reliable research tool in entomology, as it has been successfully applied to several hematophagous arthropods using specific body parts [2729]. To the best of our knowledge, this innovative tool has been firstly used for the identification of scallops [30], but it has not been yet applied to identify snails of medical importance. The aim of this study, therefore, was to assess the efficiency of this proteomic tool for the identification of frozen and ethanol-stored snails’ specimens, including species involved in schistosomes transmission.

Methods

Ethics statement

The study has received approval from the Comité National d’Ethique du Sénégal pour la Recherche en Santé (CNERS), number: 000017/MSAS/DPRS/CNERS. Date: 2018-03-15.

Snails

Snails were collected in schistosomiasis endemic areas in Senegal. The study was conducted from 2018 to 2019 in Niakhar and Richard Toll (Fig 1). Richard Toll is a town lying on the southern bank of the Senegal river, located between latitude 16°27 north and longitude 15°42 west. The average daily temperature is 29°C, varying on average between a minimum of 22°C and a maximum of 36°C. The rainiest months are July, August and September. Niakhar (14°30 N, 16°30 W) is a rural area, located in central Senegal, 135 km east of the capital Dakar. It is situated in a Sahelian-Sudanese climatic region, with temperatures ranging from 24°C in December to 30°C in June [31].

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Fig 1. Map of Senegal showing the snail collection sites and the list of freshwater snails collected from two sites in Senegal.

(I) The map of Senegal showing the sites from which the sample collections were conducted. “R” refers to species collected in Richard Toll; Biomphalaria pfeifferi (239), Bulinus truncatus (127), Lymnaea natalensis (38), Melanoides tuberculata (37), Bellamya unicolor (20), Cleopatra bulimoides (1). “N” refers to Bulinus senegalensis (68) collected in Niakhar and morphologically identified. (II) shows the shells of freshwater snails confirmed molecularly: Bu. forskalii (A), Bu. truncatus (B), M. tuberculata (C), Be. unicolor (D), L. natalensis (E), C. bulimoides (F) and Bi. pfeifferi (G). The map used in this study are not subject to copyright. Map of Senegal: QGIS.org, 2021. QGIS Geographic Information System. QGIS Association. http://www.qgis.org.

https://doi.org/10.1371/journal.pntd.0009725.g001

In Richard Toll, snail sampling was carried out in the Taouey channel of the Senegal river while in Niakhar, snails were collected from temporary ponds. Snails were collected from aquatic plants, dead leaves and branches, and any solid objects in the water. Recovered snails were then transported to the laboratory in pre-labelled plastic containers which identified the collection point (name of the locality, date of collection). They were then rinsed to remove the mud and were counted. The taxonomic status of the sampled individuals was assessed by microscopy (Zeiss Axio Zoom.V16, Zeiss, Marly-le-Roi, France) at the species level using the identification keys based on snail shell morphology [32,33]. Each identified individual snail was then placed in a glass tube containing 10 ml of filtered water and was exposed to electric light for between 30 and 40 minutes as part of a Schistosoma cercarial shedding test [34,35]. Negative individuals were reared in the laboratory until adult offspring were obtained, some of which were then kept at -20°C (laboratory-reared snails) for proteomic and molecular studies. Besides, the second sample of snails collected from the field and stored at -20°C or in 70% v/v ethanol was also used. Other frozen laboratory-reared snail specimens of the first generation were also used for the study. Snail specimens were transported carefully to ensure that they remained intact on their way to our laboratory in Marseille (France), for proteomic and molecular studies.

MALDI-TOF MS protocol optimisation

Frozen snail specimens.

Of the hundred specimens preserved at -20°C, Bi. pfeifferi (n = 15), Bu. truncatus (n = 13) and Bu. senegalensis (n = 3) were used for MALDI-TOF MS protocol development, which included five tested protocols. Snails’ shells were carefully removed, and the snails were dissected under a Leica ES2 Stereo Microscope 10x/30x using a new sterile blade to retrieve the foot and the head. The snail’s foot was selected for MALDI-TOF MS protocol optimisation because it was stated to be a good source of proteins than other tissues [36]. The dissected parts were rinsed successively with 70% ethanol followed by distilled water for 2 minutes and were dried on sterile filter paper for MALDI-TOF MS analysis. The remaining parts were conserved at -20°C for molecular biology and supplementary analysis.

We tested five different protocols using only two body parts (the head and/or the foot), homogenized in an extraction solution composed of a mix (50/50) of 70% (v/v) formic acid (Sigma-Aldrich, Lyon, France) and 50% (v/v) acetonitrile (Fluka, Buchs, Switzerland), according to the standardized automated settings previously described [3739]. The difference between these protocols is not only in terms of the body parts used but also in the extraction solution volume (30 μl or 40 μl) and the homogenisation method: glass beads ≤ 106μm (Sigma Aldrich, Saint-Louis, Missouri, USA) or tungsten beads (Qiagen GmbH, Hilden, Germany) (Table 1). All preparations were homogenised using a Tissue Lyser II device (Qiagen, Germany) with optimised parameters (three 1-minute cycles at a frequency of 30Hertz) [37]. The protocols were assessed initially on the basis of intraspecies reproducibility, spectra intensity 3.000 arbitrary units [a.u.], the number of MS peaks and the simplicity of the protocol. The different protocols tested had several variables including the volume of the extraction solution in order to select the optimal volume for protein extraction, the homogenisation beads, the parts of the snail used and the snail species. All information about the protocols is summarized in Table 1. Finally, we applied the optimised protocol on the remaining snail samples in an attempt to validate the selected protocol.

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Table 1. The list of protocols and optimized parameters for all sample storage conditions.

https://doi.org/10.1371/journal.pntd.0009725.t001

Ethanol-stored snail specimens.

A second protocol was developed for ethanol-stored samples specifically. Of the 84 specimens preserved in ethanol, 13 were used for protocol optimisation. Each dissected foot was rinsed twice in distilled water then dried overnight at 37°C, prior to homogenisation in order to remove any ethanol as previously described [40]. Three protocols, where we varied the amount of extraction solution or the grinding agent (glass beads ≤ 106μm or tungsten beads), were then compared for the preparation of snail samples. All the protocols are described in Table 1. Homogenisation was carried out in the same way as for the frozen specimens described above.

Sample loading on the target plate and MALDI-TOF MS settings

All homogenates were centrifuged at 2.000g for 30 seconds and 1 μl of each supernatant was spotted onto a steel target plate (Bruker Daltonics) in quadruplicate. One microlitre of a CHCA matrix suspension composed of saturated alpha-cyano-4-hydroxycinnamic acid (Sigma, Lyon. France), 50% acetonitrile (v/v), 2.5% trifluoroacetic acid (v/v) (Aldrich, Dorset, UK) and HPLC grade water [38,40,41] was directly spotted onto each sample on the target plate to allow co-crystallisation, then was air-dried at room temperature before being inserted into the MALDI-TOF MS instrument (Bruker Daltonics, Germany) for analysis. Mass spectrometry analysis was carried out using Microflex LT MALDI-TOF mass spectrometry (Bruker Daltonics machine) with Flex Control software (Bruker Daltonics). Measurements were performed in the linear positive-ion mode [26] within a mass range of 2–20 kDa. Each spectrum corresponded to ions obtained from 240 laser shots performed in six regions of the same spot. The spectrum profiles were visualized using Flex analysis, version 3.3, exported then to the Biotyper version 3.0 software and ClinProTools v.2.2 for analysis.

Spectral analysis and creation of the reference database

The Composite Correlation Index (CCI) tool (MALDI-Biotyper v3.0. software, Bruker Daltonics) was used to assess spectra variations within each sample group according to the protocol tested, as previously described [42]. CCI was computed using the standard settings of the mass range 3000–12000 Da, resolution 4, 8 intervals and autocorrelation off. Higher correlation values (expressed by mean ± standard deviation [SD]) reflect higher reproducibility of MS spectra (A CCI match value of 1 represents complete correlation, whereas a CCI match value of 0 represents an absence of correlation) [42]. The MS peaks and the intensity calculation of both the head and the foot were analysed using ClinProTools v.2.2 software.

The spectrum profiles obtained from snail species were visualized with Flex analysis v.3.3 then exported to ClinProTools v.2.2 software packages (Bruker Daltonics, Germany) for data processing (smoothing, baseline subtraction) [37,43]. Intra-species reproducibility and inter-species specificity were assessed by comparing and analysing the spectral profiles obtained from the four spots of each individual snail specimen. Spectrum quality was validated by evaluating its intensity, the smoothness of the peaks, the flatness of the baseline, and its reproducibility compared to other MS spectra in the same category. Poor-quality MS spectra (Intensity<3.000 arbitrary units [a.u.], the presence of background noise) were excluded from the analysis. A dendrogram was performed using MALDI-Biotyper software v.3.0 to visualize the heterogeneity level of MS spectra from specimens of different species (hierarchical clustering of the mass spectra). To evaluate the impact of the storage method on the quality of the MS spectra, a comparison of MS spectra of 4 specimens from each species (Bi. pfeifferi, Bu. truncatus, Bu. forskalii) preserved either in ethanol or at -20°C was performed using the MS dendrogram (MALDI-Biotyper v.3.0) and the principal component analysis (ClinProTools software). The mean of peaks intensity and the number of peaks were also calculated for these MS spectra. Good quality MS spectra (high peak intensity and reproducibility) from each species conserved either in ethanol or at -20°C were selected and added to the database after being unambiguously molecularly identified. The design of the study is summarized in the flowchart represented in Fig 2.

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Fig 2. Flowchart showing the study design and all samples collected from the first and second field collection [2018–2019] and those used for each step in the study.

The study design is divided into three sections: (A) protocol optimisation, (B) database creation and (C) the validation with a blind test. The number and the species of field and laboratory-reared freshwater snails are mentioned.

https://doi.org/10.1371/journal.pntd.0009725.g002

Blind test for study validation

The study was validated through a blind test (MALDI-Biotyper software v.3.0, Bruker Daltonics) using frozen and ethanol-stored snail specimens, with the exception of those used as MS reference spectra. The results are presented with Log-score values (LSVs) that correspond to the degree of homology between the query and the MS reference spectra. This value can range from 0 to 3. The spectrum with the highest LSV among the four spots was selected as a valid identification [40].

DNA extraction and molecular studies of snails

Each remaining half-snail body was rinsed with distilled water and dried on sterile filter paper. The genomic DNA was extracted using EZ1 DNA Tissue kit (Qiagen) following the manufacturer’s recommendations. Each snail sample was incubated at 56°C overnight in 180 μl of G2 lysis buffer (Qiagen Hilden, Germany) and 20μl proteinase K (Qiagen Hilden, Germany). The DNA extraction was then carried out using the EZ1 BioRobot extraction device (Qiagen Hilden, Germany). Genomic DNA from each sample was eluted with 100 μl of Tris-EDTA buffer (Qiagen) and was preserved at -20°C to be used for molecular analysis. For the molecular identification of snail species, DNA samples obtained from the specimens used as MS reference spectra were subjected to standard PCR in an automated DNA thermal cycler (Applied Biosystems, 2720, Foster City, USA). Two genes (COI, 16S) were partially sequenced. A 710 base-pair region of the cytochrome c oxidase subunit I gene (COI) was amplified using Folmer’s universal COI barcoding primers (LCO1490, HCO2198) [44] and for 16S, the 16Sar-L and 16Sbr-H primers were used targeting 550 bp of the 16S gene [45]. The amplified products were visualised on 1.5% agarose gel stained with SYBR Safe then purified using a Macherey Nagel (NucleoFast 96 PCR, Düren, Germany) plate. Sequencing was performed using the BigDye Terminator v1.1, v3.1 5x Sequencing Buffer (Applied Biosystems, Warrington, United Kingdom) and run on an automated sequencer. Sequence chromatograms were assembled and edited using Chromas Pro1.77 (Technelyium Pty. Ltd, Tewantin, Australia). The sequences obtained were used to perform BLAST searches [46] via the National Center for Biotechnology Information (NCBI) GenBank database and were then aligned using (MEGA7) [47]. A phylogenetic tree was constructed and edited using the maximum likelihood method with model selection determined by MEGA7 and FigTree 1.4.2 respectively [48,49]. Statistical support for internal branches of the trees was evaluated by bootstrapping with 1000 iterations.

Molecular screening for Schistosoma infection

Ethanol-preserved specimens were screened for the presence of parasites using primers (Smcyt748F-Smcyt847R) and a probe (Smcyt785T FAM) targeting a COI sequence of S. mansoni [50]. The repetitive DRA1 sequence of S. haematobium (ShPCR) was amplified using primers (Sh-FW and Sh-RV) [51] and a probe from Cnops [52]. Quantitative PCRs were performed on the extracted DNA using the CFX96 Touch detection system (Bio-Rad, Marnes-la-Coquette, France) with the Light Cycler Probes Master (Indianapolis, IN USA). Our qPCR reaction mix included 5 μl of DNA, 10 μl Master Mix, 3.5 μl sterile distilled water and 0.5 μl of each of the primers and probe. For each qPCR plate, negative and positive controls were used. Schistosoma haematobium and S. mansoni previously obtained from snails infected with these species were used as positive controls while the negative control consisted of 20 μl of the qPCR reaction mix without any DNA.

Results

Morphological identification of snails

In Senegal, a total of 530 freshwater snail specimens (from 2018 to 2019) were collected and morphologically identified as Bi. pfeifferi (n = 239), Bu. truncatus (n = 127), Bu. senegalensis (n = 68), L. natalensis (n = 38), M. tuberculata (n = 37), Be. unicolor (n = 20) and Cleopatra bulimoides (n = 1). In addition, 89 laboratory-reared specimens including Bi. pfeifferi (n = 31), Bu. truncatus (n = 30), and Bu. senegalensis (n = 28) were also used for the study. Photographs of each species are presented in Fig 1.

Standardisation of the MALDI-TOF MS protocol on frozen specimens

Snail MS profiles from three specimens of Bi. pfeifferi per protocol were compared using Flex Analysis based on spectral quality. By visual inspection, the MS spectra generated by protocol H2 (head, glass beads and 40μl Mix), protocol FH (foot-head, glass beads and 30μl Mix), and protocol F (foot, glass beads and 30μl Mix) were of higher quality than those of protocol H3 (head, glass beads and 30μl Mix) and protocol H1 (head, tungsten beads and 40μl Mix) (Fig 3A). The visual comparison of MS profiles using an unsupervised statistical test (PCA, ClinProtools software) revealed that the dots corresponding to MS spectra from H2, FH, F are separated from those of H1, H3 (Fig 3B). Using ClinProtools, the contributions of PC1, PC2, and PC3 to the generation of profile in a percentage the plot of the variance explained were approximately 38.18%, 16.81%, and 11.36%, respectively as presented in the following S1 Fig. To bring more robustness to the analyses, MS spectra reproducibility for each protocol was objectified using a CCI matrix. The highest CCI (Fig 3C) was obtained for protocol H2 (mean±SD: 0.88±0.08) and protocol F (mean±SD: 0.84±0.13) than other protocols. The comparison of the number of MS peaks and intensity of specimens corresponding to the head (H2) and (F) showed that the mean intensity and number of MS peaks generated from Bi. pfeifferi head (mean intensity: 224.0342, number of MS peaks: 87) are higher than those generated from the foot (mean intensities: 173.0325, number of MS peaks: 74) (S1 Table). For further MALDI-TOF MS analysis, we selected protocol F because the foot generally harbours the parasites and could potentially be used for the detection of Schistosoma.

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Fig 3. Comparison of MALDI-TOF MS spectra of Bi. pfeifferi using different protocols (H: head, FH: foot-head, F: foot).

(A) Representative MS spectra from Bi. pfeifferi head (H1, H2, H3), foot-head (FH) and foot (F). (B) MALDI-TOF MS spectra distinction from Bi. pfeifferi between protocols compared by principal component analysis using ClinProTools v.2.2; protocol H1(40μl Mix+ tungsten beads), protocol H2 (40μl Mix+ glass beads), protocol H3 (30μl Mix+ glass beads), protocol FH (30μl Mix+ glass beads) and protocol F (30μl Mix+ glass beads). (C) Evaluation of MS spectra reproducibility generated by the five protocols using composite correlation index (CCI). The MS parameters: intensity 3.000 [a.u.], absence of background noise and the reproducibility of MS spectra. a.u.: arbitrary units; m/z: mass-to-charge ratio. The protocol F was selected to build the MS reference database and perform the analysis.

https://doi.org/10.1371/journal.pntd.0009725.g003

MS identification of frozen snail species

In order to assess intra-species reproducibility and inter-species specificity, 127 of the 186 frozen snail specimens were randomly selected, including Bi. pfeifferi (n = 40), Bu. truncatus (n = 30), M. tuberculata (n = 23), L. natalensis (n = 20), Be. unicolor (n = 13), and C. bulimoides (n = 1) (Fig 2). 74/89 laboratory-reared specimens belonging to Bi. pfeifferi (n = 31), Bu. truncatus (n = 30) and Bu. senegalensis (n = 13) were also used for MALDI-TOF MS analysis using the selected protocol F (Fig 2). Within the mass range of 2 to 20 kDa, the MS spectra for each species of snails were shown to be specific with strong signal intensities (Fig 4A). The MS protein profiles of one to five specimens of each of the snail species were randomly selected and used to create a dendrogram (Fig 4B). Cluster analysis reported that the MS profiles of each species (with confirmed DNA sequences) have a specific spectral fingerprint, as the specimens of the same species were clustered in the same branches. A database was then created using MALDI-Biotyper 3.0 and upgraded with MS spectra of high quality. To determine whether MALDI-TOF MS is an efficient way of discriminating between the MS profiles species, 166 specimens including laboratory-reared and field specimens were queried against the database, which includes seven molecularly identified species: Bu. truncatus (9), Bi. pfeifferi (6), Bu. forskalii (4), Be. unicolor (2), L. natalensis (3), M. tuberculata (2), and C. bulimoides (1). The blind test against the database showed a correct identification for all specimens (100%) at the species level with LSV scores between 1.746 and 2.748 which are presented in Fig 4C and Table 2. The median of log-score values is 2.362 and the mean of LSVs is 2.313 ±0.238. Snail MALDI-TOF MS database is publicly accessible and can be downloaded with the following DOI number: https://doi.org/10.35088/f605-3922.

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Fig 4. MALDI-TOF MS spectra obtained from different snail species to create the database.

(A) Spectral alignment of seven snail species showing discriminative peaks using Flex Analysis software; smoothed spectra with baseline subtracted. (B) dendrogram of MALDI-TOF MS spectra of snail species collected in Senegal. Cluster analysis was performed using Biotyper software v.3.0. (C) Graphical representation showing the log-score values classification according to the following species: Bu. forskalii, Bu. truncatus, M. tuberculata, Be. unicolor, L. natalensis and Bi. pfeifferi.

https://doi.org/10.1371/journal.pntd.0009725.g004

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Table 2. Laboratory-reared and field species selected to create a MALDI-TOF MS reference database, identified molecularly using COI.

https://doi.org/10.1371/journal.pntd.0009725.t002

Standardisation of the MALDI-TOF MS protocol for ethanol-stored specimens

Biomphalaria pfeifferi feet were used for each protocol and submitted to MALDI-TOF MS analysis. Protocols F1 and F2 both yielded MS spectra of low quality (intensity and reproducibility) compared to protocol F3. The principal component analysis PCA (Fig 5A) revealed a clear distinction between protocol F3 and protocols F2 and F1; showing that the MS spectra of protocol F3 are visibly better (high peak intensities) than the MS spectra obtained by protocols F1 and F2. Using ClinProtools, the contributions of PC1, PC2, and PC3 to the generation of profile in a percentage plot of the variance explained were approximately 35.65%, 26%, and 17.39%, respectively as presented in the following S2 Fig.

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Fig 5. Comparison of MALDI-TOF MS spectra from the foot of ethanol-stored specimens.

(A) Comparison of MALDI-TOF MS spectra of three different protocols on principal component analysis using ClinProTools v.2.2; protocol F1 (30μl Mix+ glass beads), protocol F2 (30μl Mix+ tungsten beads), and protocol F3 (15μl Mix+ glass beads). (B) Representative MS spectra of Bi. pfeifferi obtained for each protocol, analysed by Flex analysis. (C) Hierarchical clustering dendrogram of Bi. pfeifferi, Bu. truncatus, Bu. globosus, Bu. forskalii, and Bu. senegalensis performed by Biotyper software v.3.0. (D) Representative MALDI-TOF MS profiles of Bi. pfeifferi, Bu. truncatus, Bu. globosus, Bu. forskalii and Bu. senegalensis using protocol F3, performed using Flex Analysis Software. a.u.: arbitrary units; m/z: mass-to-charge ratio. The x-axis represents PC1 and the y-axis represents PC2.

https://doi.org/10.1371/journal.pntd.0009725.g005

Spectral profile analysis using Flex Analysis indicated that MS spectra from protocol F3 were of good quality, but some specimens showed slightly divergent profiles (Fig 5B). Eighty specimens out of 160 were used to validate protocol F3 (Fig 2). Of 80 MS spectra analysed by Flex analysis, 57 MS spectra were of good quality. The cluster analysis (Fig 5C) indicated that the randomly selected specimens from the species Bi. pfeifferi (n = 4), Bu. truncatus (n = 3), Bu. globosus (n = 3), Bu. forskalii (n = 3) and Bu. senegalensis (n = 1) were grouped together. The MS profiles of Bi. pfeifferi, Bu. truncatus, Bu. globosus, Bu. forskalii and Bu. senegalensis are presented in Fig 5D. Therefore, a specific database was created, comprising seventeen MS spectra: Bi. pfeifferi (n = 9), Bu. truncatus (n = 4), Bu. forskalii (n = 2), Bu. globosus (n = 1), and Bu. senegalensis (n = 1), and the remaining 40 MS spectra were used for the blind test (Table 3). Of the 40 specimens, 22/22 Bi. pfeifferi, 3/10 Bu. truncatus, 4/6 Bu. forskalii and 2/2 Bu. globosus were correctly identified at the species level (77.50%). Their LSVs ranged from 1.705 to 2.529 (Table 3). The principal component analysis (S3 Fig) unveiled a clear distinction between the MS spectra of specimens of the same species preserved either at -20°C or in ethanol. The MS spectra comparison of both storage conditions using a dendrogram also showed that the MS spectra of frozen specimens of each species (Bi. pfeifferi, Bu. truncatus and Bu. forskalii) clustered separately from ethanol-stored MS spectra of the same species (S4 Fig). Accordingly, a specific database is necessary for each storage condition in order to get a correct identification for frozen and ethanol-stored specimens of each species. The mean spectra intensities and the number of MS peaks of Bi. pfeifferi, Bu. truncatus and Bu. forskalii were higher for frozen specimens than ethanol-stored specimens of the same species. All the obtained values of MS spectra intensities and the number of MS peaks are presented in S3 Table. In the obtained dendrogram (S4 Fig), we noticed that the MS spectra of frozen specimens were so different from the ones in alcohol of the same species that they were positioned on another branch completely different from the frozen ones and in some cases, they were so much different that they were closer to another species. Particularly, in this case, frozen Bu. truncatus MS spectra were closer to the MS spectra of Bu. forskalii. Consequently, this reflects a deep difference between these two storage conditions.

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Table 3. Identification results of ethanol-stored snail specimens including schistosomes detection results.

https://doi.org/10.1371/journal.pntd.0009725.t003

Molecular identification of snails

Twenty-seven specimens were selected for database creation. We successfully obtained 27 sequences of high quality of different species using COI gene: 9 Bu. truncatus, 6 Bi. pfeifferi, 4 Bu. senegalensis, 3 L. natalensis, 2 Be. unicolor, 2 M. tuberculata and 1 C. bulimoides. NCBI BLAST analysis indicated that snails morphologically identified as Bi. pfeifferi (ID score 100%: AF199099.1), Bu. truncatus (ID score 100%: MT272328.1), L. natalensis (ID score 99.32%: HG977206.1), M. tuberculata (ID score 96.13%: MK879274.1) matched with their respective homologous sequences available in GenBank. However, the sequences obtained from snails that had been morphologically identified as Bu. senegalensis were more closely related to the sequences deposited in GenBank as Bu. forskalii sequences (ID score 99.09%: AM286310.4). It should also be noted that the sequences obtained from snails that had been morphologically identified Be. unicolor matched with sequences available in GenBank as Bellamya capillata (ID score 97.04%: JX489247.1). The obtained sequence of C. bulimoides (Morelet, 1860) matched with an identity of 89.63% with the GenBank reference sequence for C. bulimoides originated from Egypt (KF412769.1) (Table 2).

For ethanol-stored specimens, we obtained COI sequences for 24 specimens belonging to species of the genus Biomphalaria and Bulinus: 17 were used for database creation and the remaining specimens (n = 7) were used for the validation of the morphological identification. All nine Bi. pfeifferi were correctly identified (ID score 100%: AF199099.1). Of the nine specimens morphologically identified as Bu. truncatus; eight sequences matched with Bu. truncatus sequences deposited in GenBank (ID score 100%: MT272328.1) and one sequence was identified as Bu. globosus (ID score 100%: AM921808.1). As for specimens identified morphologically as Bu. senegalensis, six sequences were obtained: one sequence matched with Bu. senegalensis (ID score 100%: KJ157485.1) and the five remaining sequences were closely related to Bu. forskalii (ID score 99.09%: AM286310.4) (Table 3).

The phylogenetic tree constructed on the basis of the COI fragment sequences (Fig 6) highlighted that COI sequences of seven species (Bi. pfeifferi, Bu. truncatus, Bu. globosus, Bu. forskalii, Bu. senegalensis, L. natalensis and M. tuberculata) clustered with their homologous sequences available in GenBank, with high bootstrap values. Bellamya unicolor sequences clustered with Be. capillata sequences while C. bulimoides clustered separately and formed a distinct branch. In order to confirm the molecular identification of both specimens that had been morphologically identified as Be. unicolor and C. bulimoides, a fragment of the 16S gene was sequenced. The BLAST results showed that sequences of Be. unicolor (n = 2) matched with sequences of Bellamya jeffreysi (ID range score 96.85–97.03%: FJ405702.1) and the sequence of the C. bulimoides (n = 1) was designated as Cleopatra johnstoni (ID score 95.71%: KF412769). These results (S2 Table) reveal that identification at the species level is still not clear with the second gene (16rRNA). All sequences (COI and 16rRNA) were deposited in GenBank and all FASTA sequences are available in S1 Data.

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Fig 6. Phylogenetic tree showing the position of nine snail species (Bi. pfeifferi, Bu. truncatus, Bu. forskalii, Bu. senegalensis, Bu. globosus, Be. unicolor, M. tuberculata, L. natalensis, and C. bulimoides) used in this study.

The tree was constructed using the maximum likelihood method based on the Kimura 2-parameter distance (MEGA7). The values on the branches are bootstrap support values based on 1000 replications. Branches are colour-coded to the bootstrap values. The identity of each taxon is colour-coded conforming to the species.

https://doi.org/10.1371/journal.pntd.0009725.g006

Detection of schistosomes in ethanol-stored snails

We performed a qPCR for the detection of S. mansoni and S. haematobium species complex. Eighty snail specimens belonging to Bi. pfeifferi (n = 41), Bu. truncatus (n = 26), and Bu. senegalensis (n = 13) were screened. Of the ethanol-stored snails tested, 4/39 (10.25%) Bulinus (1 Bu. senegalensis and 3 Bu. truncatus) were positive by qPCR for S. haematobium and 1/41 (2.43%) Bi. pfeifferi were positive for S. mansoni (Table 3). The determination of the infectious status based on the comparison of MS spectra of both infected and uninfected specimens belonging to Bi. pfeifferi, Bu. truncatus and Bu. senegalensis was not performed because of the low number of infected specimens.

Discussion

This study presents a rapid, low-cost, and reliable approach for the routine identification of freshwater snail specimens including intermediate hosts of schistosomes by optimising the MALDI-TOF MS sample preparation protocol for both frozen and ethanol-preserved specimens. Recently, the MALDI-TOF MS technique has emerged in medical entomology and has proven its effectiveness in the context of identifying various species of arthropods such as fleas [29], ticks [27,5356], sand flies [57,58], mosquitoes [28,5963], culicoides [43], tsetse flies [64], triatomines [65] and bed bugs [66] using proteins extracted from different body parts that generate MS spectra of high quality. Furthermore, this proteomic approach has also been applied to malacology as Stephan et al. were the first to report the MALDI-TOF MS use for identification of marine bivalve molluscs specifically the scallops [30].

The quality of MS spectra is impacted by several parameters such as the storage conditions, the adjustment of the extraction solution volume used for protein extraction, the grinding method, and the selected body part [38]. In the first step of our study, we tested two kinds of disrupters: both tungsten beads and glass beads have proven to be useful and effective grinding methods in previous MALDI-TOF MS studies [38,40,66,67]. However, glass beads were reportedly the most commonly used disrupter, as they have been used for various arthropods identification [39,40,66], for mycobacteria identification, to disrupt the mycobacterial cell wall [68,69], and for fungal identification, as they were most efficient than steel beads for fungal proteins extraction [70]. The glass beads also appeared to be the most suitable for snail sample homogenisation, as they provided reproducible and intense MS spectra for snail species. As for the matrix preparation, we used alpha-cyano-4-hydroxycinnamic acid which has been successfully used for several arthropods identification [27,40,42,66]. As well, it has shown its performance in clinical microbiology. In particular, the identification of many microorganisms such as mycobacteria, bacteria, yeasts, and fungi [7174]. Besides, the use of this matrix was sufficient to yield MS spectra of high quality of different snail species. Therefore, we validated the use of alpha-cyano-4-hydroxycinnamic acid for matrix preparation. Otherwise, we would have tested different acids as sinapinic acid in case we have failed to get good signals with the best resolution. The use of such matrix preparation and glass beads have previously shown their performance and robustness in different conditions [39,40,6871]. Consequently, in the present work, the combination of glass beads and matrix based on alpha-cyano-4-hydroxycinnamic acid revealed promising results for freshwater snail identification. In addition, we standardised a protocol for frozen specimens. Two body parts, the head (H) and the foot (F), and a combination of foot and head (FH) were submitted for MALDI-TOF MS analysis in order to get a specific spectral signature for each species. The findings showed that MALDI-TOF MS spectra obtained from the snail foot (F), head (H) and foot-head (FH) protein extracts were adequate to accurately identify freshwater snails involved in schistosomiasis transmission. The protocol validation was confirmed using only the foot. Precisely, we selected the foot for sample preparation for two reasons, firstly, the primary sporocysts of Schistosoma generally occur in the foot and secondly, it was reported that this snail’s body part was a good protein source compared to other snail tissues [36,75]. The intensity and number of peaks generated from the Bi. pfeifferi foot (S1 Table) used for protocol optimisation were slightly lower than those utilized for protocol validation (S3 Table). This can be explained by the fact that the samples manipulated for the first time had to be frozen and thawed many times in order to validate the morphological identification and MALDI-TOF MS essays. Frequent thawing could be responsible for protein degradation. The same observations were stated by Ouarti et al. (2020) [76]. The volume of the extraction solution is an important parameter to have MS spectra of good quality and as previously reported on arthropods [39,77] that the extraction solution volume differs from one arthropod to another and from one part of the same arthropod to another. For this reason, we have varied the volume of the extraction solution in order to select the volume that allows getting good quality and reproducible MS spectra. In our work, the optimisation of the extraction solution volume was not based on the weight of the snail’s foot and head tissue. However, for more precision, in future projects on the detection of schistosomes within the intermediate hosts by MALDI-TOF MS, it will be crucial to refine the protocol by taking into consideration the weight of the snail’s foot tissue. Overall, in our study, we showed that the MALDI-TOF MS analysis of snail’s foot tissue allows a correct identification to the species level, without requiring any malacological skills.

Cluster analysis (Fig 4B) highlighted the distinction between snail species and the visual comparison of MS profiles (Fig 4A) revealed discriminative peaks between species. To create the database, we used first-generation laboratory-bred specimens to ensure that the MS spectra included in our database belong to non-infected snail specimens [78,79]. In addition, the validity of the database was assessed using a blind test, in which 100% of specimens from six species were correctly identified (Table 2). However, there were not enough C. bulimoides specimens available for a blind test. The identification of this species was only confirmed morphologically as C. bulimoides since no reference sequence existed in GenBank for C. bulimoides (Morelet, 1860) originated from Senegal. Based on the shell morphology, C. bulimoides was reported to be polytypic and highly varied species including several synonymies [33].

In our study, the LSV cut-off of 1.7 was proposed for accurate species-level identification of several freshwater snails. A comparable cut-off value was used in a study on the identification of cercariae using MALDI-TOF MS [25]. Many other entomological studies have used a closely comparable cut-off (1.8), which was shown to be linked with the correct identification of mosquitoes, fleas and ticks [28,29,41].

We obtained some discrepancies between molecular identification and the morphological identification carried out in Senegal. In fact, four sequences of specimens morphologically identified as Bu. senegalensis were more closely related to sequences deposited in GenBank as Bu. forskalii sequences (ID score 99.09%). This can be explained by the limited morphological distinctiveness within the forskalii group (Bu. senegalensis and Bu. forskalii) [80]. Based on conchological analyses, it has been reported that it might not be easy to separate the species (Bu. senegalensis and Bu. forskalii) on shell characteristics alone, despite their close resemblance [80]. Indeed, Bu. senegalensis can be distinguished from Bu. forskalii by the lack of any carination forming a shoulder on the upper whorls [32] whereas Mandahl-Barth pointed out that this distinctive shoulder angle was not always found in Bu forskalii; it was either absent or faint which made it not easy to be observed [81].

In order to upgrade the database with MS spectra of unambiguously identified specimens, we used the mitochondrial cytochrome oxidase subunit I gene, based on previous molecular studies reporting that the COI gene presents considerable divergent sequences making it reliable for discriminating the Bulinus species [82,83]. A previous study demonstrated that these morphologically similar species are differentiated by molecular methods, indicating the advantage of targeting the partial COI gene to accurately identify species within the same group [18]. COI sequences are also available for both species (Bu. forskalii and Bu. senegalensis) in the GenBank database. Based on a fragment of the COI gene, we confirmed that the species identified morphologically as Bu. senegalensis were in fact Bu. forskalii.

Additionally, for morphologically identified samples of Be. unicolor, we found a discrepancy with the molecular identification. Two Be. unicolor sequences matched with a Be. capillata sequence deposited in GenBank (ID score 97.04%). It has been previously reported that it is challenging to separate Be. capillata from Be. unicolor morphologically [33]. The misidentification could be due to overlapping characteristics of the shell, which can be fairly variable in Bellamya species [84]. Based on morphology, we confirmed that our Bellamya specimens are Be. unicolor based on formally identified shell characteristics. To the best of our knowledge, Be. capillata has never been found in Senegal so far but it is present in Eastern (Tanzania) and Central African countries [85, 86]. In order to resolve the problem of discordance between morphological and molecular identification, we used the 16S rRNA gene as a second reference for species validation. The BLAST results showed that the sequence of the specimen morphologically designated as C. bulimoides matched with C. johnstoni, with an identity of 95.71%. This could be explained by the fact that C. bulimoides is a highly varied species [33] and the C. bulimoides (originated from Senegal) used in our study was not available in the GenBank. The conspecifity of this highly varied species needs to be parsed out genetically in further studies [33]. In contrast, sequences of the specimens morphologically identified as Be. unicolor matched with Be. jeffreysi (ID range score 96.85–97.03%: FJ405702.1). As previously reported, the taxonomy of the viviparid species has been impaired by a lack of data concerning their evolutionary taxonomy, which leads to gaps in identification at the species level [86,87]. Moreover, a prior study conducted on genetic diversity and the phylogeny of the Bellamya species collected from different lakes in Africa revealed that the genetic diversity of both 16S and COI was very low within clade variation. This study also reported that the characterisation of the Bellamya species located in African lakes using DNA barcoding could not be sufficient because there is less molecular divergence than morphological divergence [86]. Consequently, we support the conclusion made by Sengupta et al. and Mandahl-Barth [32] based on morphology, and confirmed the identification of the species of Bellamya unicolor using conchological criteria. Here, we also raised the question about the reliability of molecular tools for the identification of the Bellamya species. For this first section of the study, we showed that MALDI-TOF MS is a reliable tool for the identification of different frozen snail species. It could be used to circumvent molecular limitations such as the long time required for sample preparation, high-cost reagents, and even the lack of reference data.

In the second step of the study, we assessed the efficiency of MALDI-TOF MS in identifying three snail species: Bi. pfeifferi, Bu. senegalensis and Bu. truncatus collected in the field and stored in ethanol. The use of ethanol is crucial since the majority of analytical laboratories are far from collection sites and it is known to be the ideal storage method, particularly in low or middle-income countries. Additionally, it is cheaper than frozen methods and preserves specimens flexible, allowing for later morphological study. However, previous studies revealed that the use of frozen and fresh specimens arthropods provide reproducible and better MS spectra, compared to those stored in alcohol [41,88], probably due to ethanol causing alterations to the protein structure [89]. Nevertheless, it was recently shown that these limitations could be circumvented in ticks by applying a dealcoholisation protocol, which is now our laboratory reference protocol [40]. In this study, we used the same body part (the foot) used to identify frozen specimens and followed the dealcoholisation steps proposed by Diarra et al. [40] as a means of perfusing out any residual alcohol from the foot tissue that could interfere with subsequent MALDI-TOF MS sample preparation. It is important to note that the MS profiles were of better quality when we used glass beads as an agent disrupter, while the tungsten beads resulted in MS spectra of low quality. For this reason, we validated glass beads as the most suitable means for sample disruption for ethanol-stored specimens (Fig 5A). The results of the blind tests of the alcohol-preserved specimens (Table 3) revealed that 22/22 of Bi. pfeifferi, 4/6 of Bu. forskalii, 2/2 of Bu. globosus and only 3/10 of Bu. truncatus were correctly identified with reliable LSVs (LSV ≥ 1.7). This might be attributed to the limited number of specimens tested in the blind test and used for the creation of the database. We agree with previous studies reporting the effect of ethanol 70% on the reproducibility of MALDI-TOF MS spectra [90, 91] and the difference that exists between MS spectra of frozen and ethanol-stored specimens for each species [88]. In this part of the study, we concluded that MALDI-TOF MS can be used for the identification of snails stored in alcohol, but that requires the creation of a specific database with a large number of specimens preserved in ethanol to circumvent the bias of heterogeneity. On the other hand, we noticed differences at the MS profiles level of both frozen and ethanol-stored specimens of the same species. Specifically, the mean spectra intensities and the number of MS peaks of frozen specimens of Bi. pfeifferi, Bu. truncatus and Bu. forskalii were higher than those of specimens of the same species stored in ethanol (S3 Table). This difference may be due to the effect of ethanol on the quality of the MS spectra as previously reported in ethanol-stored lice, ticks, fleas and cercariae [25,40,53,67,77,88].

To assess whether the heterogeneity of the MS profiles of each species was due to schistosomes infection, the pathogen screening was performed. Unfortunately, we could not compare MALDI-TOF MS spectra from Schistosoma-infected snails to the uninfected ones because the number of infected specimens was not enough to create a specific database for Schistosoma-infected snails and also perform a blind test in order to validate the results. Moreover, we could not perform a robust analysis using the principal component analysis (PCA) to distinguish infected and non-infected specimens because of the low number of MS good quality spectra from infected specimens; Bi. pfeifferi (n = 1), Bu. truncatus (n = 2), and Bu. senegalensis (n = 1). In view of the fact that so few samples were infected, it is unlikely that the infection was the source of the general heterogeneity. Therefore, we suppose that the organic preservation solution (ethanol) may be responsible for the MS profile modification of specimens as previously discussed in other studies [67,88]. Echinostomes and schistosomes are two genera of trematodes that utilize freshwater snails [92] as intermediate hosts. As stated by a recent study, echinostomes can infect some intermediate hosts of schistosomes, namely Bulinus and Biomphalaria, as their first intermediate host [93]. However, echinostomes were shown to be active competitors of schistosomes, limiting the ability of the latter to settle in the snail [94,95]. It was specifically reported that E. caproni limits the infection of Bi. glabrata by S. mansoni [96]. In our study, snail specimens belonging to Biomphalaria and Bulinus were screened for the presence of Schistosoma infection but these other parasites such as Echinostoma or Paramphistomidae [93,97] could infect the same species and may potentially impact the MS spectra. In future studies aimed at developing MALDI-TOF MS for the detection of schistosomes in snails, it would be interesting to better characterise the specimens and ensure the thorough investigation of parasites commonly associated with the tested snails. This current study is however focused on the application of MALDI-TOF MS technique in order to identify snail populations including the species that play an indispensable role in the schistosomiasis transmission. Provided that the MALDI-TOF MS protocol has been standardized, it is necessary to assess the ability of MALDI-TOF MS to detect the infection within the intermediate hosts either by artificially infecting the freshwater snails (Biomphalaria or Bulinus) or collecting snails in Schistosoma-endemic areas in an attempt to help mapping the risk of disease transmission or to set-up long-term control strategies.

Overall, this high-throughput technique made it possible to identify both frozen and ethanol-preserved snail specimens, with minimal sample requirements and rapid availability of results compared to the current DNA based-identification.

Conclusion

Our study shows, for the first time, that it is possible to use foot protein extracts for snail species identification as well as closely related species using MALDI-TOF MS. Our data indicate that MALDI-TOF MS is a robust and suitable alternative tool for the identification of several snail species preserved at -20°C or stored in ethanol, although the latter method does have some limitations. This high-throughput approach is rapid, low-cost, and could be used for closely related species belonging to the genus Bulinus, such as Bu. senegalensis and Bu. forskalii which are hardly differentiated morphologically. Its advantages make it a convenient approach for epidemiological studies in Schistosoma-endemic areas. In addition, the rapid identification of snail populations can provide a valuable advantage for the control of schistosomiasis. Since a MALDI-TOF MS machine is available in our research laboratory for microbiological and entomological purposes, it will also be used for future malacological surveys. Consequently, we will continue to update our MS database in collaboration with our research team and the parasitology laboratory in Dakar, Senegal. A recent study highlighted the potential of MALDI-TOF MS for the rapid identification of cercaria [25], so in the near future, it would be interesting to assess whether this innovative tool could successfully differentiate Schistosoma-infected specimens from non-infected specimens in order to use this approach for endemicity surveillance.

Abbreviations

The accepted abbreviation for Bellamya, Bulinus and Biomphalaria is “B.” For clarity purposes, we chose to exceptionally abbreviate Bulinus, Bellamya and Biomphalaria: Bu., Be., Bi. respectively to distinguish them more easily in this manuscript.

Supporting information

S1 Fig. The dimensional image from PCA indicating the comparison of MALDI-TOF MS spectra from five different protocols (H1, H2, H3, FH, F) using frozen Bi. pfeifferi.

The figure shows the contribution of ten principal components to the profiling classification in plot of percentage explained variance of PC. Red dots: protocol H1, green dots: protocol H2, blue dots: protocol H3, yellow dots: FH and purple dots: F.

https://doi.org/10.1371/journal.pntd.0009725.s001

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S2 Fig. The dimensional image from PCA indicating the comparison of MALDI-TOF MS spectra from the foot of ethanol-stored Bi. pfeifferi specimens belonging to three different protocols.

The figure shows the contribution of eight principal components to the profiling classification in plot of percentage explained variance of PC. Red dots: protocol F1, green dots: protocol F2, blue dots: protocol F3.

https://doi.org/10.1371/journal.pntd.0009725.s002

(TIF)

S3 Fig. MALDI-TOF MS spectra distinction from frozen and ethanol- stored Bi. pfeifferi, Bu. forskalii, Bu. truncatus by principal component analysis using ClinProTools 2.2.

(A) Bi. pfeifferi, (B) Bu. forskalii, (C) Bu. truncatus.

https://doi.org/10.1371/journal.pntd.0009725.s003

(TIF)

S4 Fig. Comparison of MALDI-TOF MS spectra of frozen and ethanol-stored from four specimens of three species: Bi. pfeifferi, Bu. truncatus and Bu. forskalii using a dendrogram (Biotyper software v.3.0).

Frozen specimens are indicated in Bold and ethanol-stored specimens are not in Bold.

https://doi.org/10.1371/journal.pntd.0009725.s004

(TIF)

S1 Data. 16S sequences of Be. unicolor and C. bulimoides.

COI sequences of nine species including Bi. pfeifferi, Bu. truncatus, Bu. forskalii, Bu. senegalensis, Bu. globosus, Be. unicolor, M. tuberculata, L. natalensis, and C. bulimoides.

https://doi.org/10.1371/journal.pntd.0009725.s005

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S2 Data. CVs of the snail’s foot and the head.

https://doi.org/10.1371/journal.pntd.0009725.s006

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S1 Table. The comparison of the mean intensity, number of MS peaks and the signal to noise from Bi. pfeifferi head (H2) and foot (F2).

https://doi.org/10.1371/journal.pntd.0009725.s007

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S2 Table. 16S partial sequences obtained from species that were morphologically identified as Be. unicolor and C. bulimoides.

https://doi.org/10.1371/journal.pntd.0009725.s008

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S3 Table. Comparison of the mean intensity and the number of MS peaks of four specimens per species (Bi. pfeifferi, Bu. truncatus and Bu. forskalii) stored at -20°C and in ethanol.

https://doi.org/10.1371/journal.pntd.0009725.s009

(DOCX)

Acknowledgments

Our thanks go to Lionel Almeras, Jean-Michel Bérenger, Younes Laidoudi and Hacene Medkour for their advice.

References

  1. 1. Colley DG, Bustinduy AL, Secor WE, King CH. Human schistosomiasis. The Lancet. Lancet Publishing Group; 2014. pp. 2253–2264. https://doi.org/10.1016/S0140-6736(13)61949-2 pmid:24698483
  2. 2. Organization WH. Sustaining the drive to overcome the global impact of neglected tropical diseases. World Heal Organ. 2013;3.9: 153.
  3. 3. Hotez PJ, Alvarado M, Basáñez MG, Bolliger I, Bourne R, Boussinesq M, et al. The Global Burden of Disease Study 2010: Interpretation and Implications for the Neglected Tropical Diseases. PLoS Negl Trop Dis. 2014;8. pmid:25058013
  4. 4. Steinmann P, Keiser J, Bos R, Tanner M, Utzinger J. Schistosomiasis and water resources development: systematic review, meta-analysis, and estimates of people at risk. Lancet Infectious Diseases. 2006. pp. 411–425. pmid:16790382
  5. 5. Chitsulo L, Loverde P, Engels D. Schistosomiasis. Nature Reviews Microbiology. 2004. pp. 12–13. pmid:15035004
  6. 6. Mari L, Gatto M, Ciddio M, DIa ED, Sokolow SH, De Leo GA, et al. Big-data-driven modeling unveils country-wide drivers of endemic schistosomiasis. Sci Rep. 2017;7: 489. pmid:28352101
  7. 7. Van Der Werf MJ, De Vlas SJ, Brooker S, Looman CWN, Nagelkerke NJD, Habbema JDF, et al. Quantification of clinical morbidity associated with schistosome infection in sub-Saharan Africa. Acta Tropica. Elsevier; 2003. pp. 125–139. pmid:12745133
  8. 8. Colley DG, Fleming FM, Matendechero SH, Knopp S, Rollinson D, Utzinger J, et al. Contributions of the schistosomiasis consortium for operational research and evaluation (SCORE) to schistosomiasis control and elimination: Key findings and messages for future goals, thresholds, and operational research. Am J Trop Med Hyg. 2020;103: 125–134. pmid:32400345
  9. 9. CDC—Schistosomiasis—Biology. https://www.cdc.gov/parasites/schistosomiasis/biology.html
  10. 10. Abe EM, Guan W, Guo Y-H, Kassegne K, Qin Z-Q, Xu J, et al. Differentiating snail intermediate hosts of Schistosoma spp. using molecular approaches: fundamental to successful integrated control mechanism in Africa.
  11. 11. Picquet M, Ernould JC, Vercruysse J, Southgate VR, Mbaye A, Sambou B, et al. Royal Society of Tropical Medicine and Hygiene Meeting at Manson House, London, 18 May 1995. The epidemiology of human schistosomiasis in the Senegal river basin. Transactions of the Royal Society of Tropical Medicine and Hygiene. Oxford University Press; 1996. pp. 340–346.
  12. 12. Sène M, Southgate VR, Vercruysse J. [Bulinus truncatus, intermediate host of Schistosoma haematobium in the Senegal River Basin (SRB)]. Bull Soc Pathol Exot. 2004;97: 29–32. Available: http://www.ncbi.nlm.nih.gov/pubmed/15104154 pmid:15104154
  13. 13. Ndione RA, Diop D, Riveau G, Ba CT, Jouanard N. Role of environmental parameters on the density of intermediate host snails of human schistosoma during the year in the commune of Richard-Toll, Senegal. Med Sante Trop. 2018;28: 158–164.
  14. 14. Leger E, Webster JP. Hybridizations within the Genus Schistosoma: Implications for evolution, epidemiology and control. Parasitology. Cambridge University Press; 2017. pp. 65–80. https://doi.org/10.1017/S0031182016001190 pmid:27572906
  15. 15. Wright CA. Taxonomic problems in the molluscan genus Bulinus. 1961; 225–231.
  16. 16. Raahauge P, Kristensen TK. A comparison of Bulinus africanus group species (Planorbidae; Gastropoda) by use of the internal transcribed spacer 1 region combined by morphological and anatomical characters. Acta Trop. 2000;75: 85–94. pmid:10708010
  17. 17. Stothard JR, Hughes S, Rollinson D. Variation within the Internal Transcribed Spacer (ITS) of ribosomal DNA genes of intermediate snail hosts within the genus Bulinus (Gastropoda: Planorbidae). Acta Trop. 1996;61: 19–29. pmid:9133161
  18. 18. Kane RA, Stothard JR, Emery AM, Rollinson D. Molecular characterization of freshwater snails in the genus Bulinus: A role for barcodes? Parasites and Vectors. 2008;1: 1–15.
  19. 19. Freiwald A, Sauer S. Phylogenetic classification and identification of bacteria by mass spectrometry. Nat Protoc. 2009;4: 732–742. pmid:19390529
  20. 20. Seng P, Rolain JM, Fournier PE, La Scola B, Drancourt M, Raoult D. MALDI-TOF-mass spectrometry applications in clinical microbiology. Future Microbiology. 2010. pp. 1733–1754. pmid:21133692
  21. 21. Mellmann A, Cloud J, Maier T, Keckevoet U, Ramminger I, Iwen P, et al. Evaluation of matrix-assisted laser desorption ionization-time-of-flight mass spectrometry in comparison to 16S rRNA gene sequencing for species identification of nonfermenting bacteria. J Clin Microbiol. 2008;46: 1946–1954. pmid:18400920
  22. 22. Welham KJ, Domin MA, Johnson K, Jones L, Ashton DS. Characterization of fungal spores by laser desorption/ionization time-of-flight mass spectrometry. Rapid Commun Mass Spectrom. 2000;14: 307–10.
  23. 23. Li TY, Liu BH, Chen YC. Characterization of Aspergillus spores by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Rapid Commun Mass Spectrom. 2000;14: 2393–400. pmid:11114056
  24. 24. Van Veen SQ, Claas ECJ, Kuijper EJ. High-throughput identification of bacteria and yeast by matrix-assisted laser desorption ionization-time of flight mass spectrometry in conventional medical microbiology laboratories. J Clin Microbiol. 2010;48: 900–907. pmid:20053859
  25. 25. Huguenin A, Depaquit J, Villena I, Ferté H. MALDI-TOF mass spectrometry: a new tool for rapid identification of cercariae (Trematoda, Digenea). Parasite. 2019;26: 11. pmid:30838972
  26. 26. Fournier PE, Couderc C, Buffet S, Flaudrops C, Raoult D. Rapid and cost-effective identification of Bartonella species using mass spectrometry. J Med Microbiol. 2009;58: 1154–1159. pmid:19528172
  27. 27. Yssouf A, Almeras L, Berenger JM, Laroche M, Raoult D, Parola P. Identification of tick species and disseminate pathogen using hemolymph by MALDI-TOF MS. Ticks Tick Borne Dis. 2015;6: 579–586. pmid:26051210
  28. 28. Yssouf A, Socolovschi C, Flaudrops C, Ndiath MO, Sougoufara S, Dehecq JS, et al. Matrix-Assisted Laser Desorption Ionization—Time of Flight Mass Spectrometry: An Emerging Tool for the Rapid Identification of Mosquito Vectors. PLoS One. 2013;8: 1–10. pmid:23977292
  29. 29. Yssouf A, Socolovschi C, Leulmi H, Kernif T, Bitam I, Audoly G, et al. Identification of flea species using MALDI-TOF/MS. Comp Immunol Microbiol Infect Dis. 2014;37: 153–157. pmid:24878069
  30. 30. Stephan R, Johler S, Oesterle N, Näumann G, Vogel G, Pflüger V. Rapid and reliable species identification of scallops by MALDI-TOF mass spectrometry. Food Control. 2014;46: 6–9.
  31. 31. Senghor B, Diaw OT, Doucoure S, Seye M, Talla I, Diallo A, et al. Study of the snail intermediate hosts of urogenital schistosomiasis in Niakhar, region of Fatick, West central Senegal. Parasites and Vectors. 2015;8: 1–8.
  32. 32. Mandahl-Barth G. Key to the identification of east and central African freshwater snails of medical and veterinary importance. Bull World Health Organ. 1962;27: 135–150. pmid:14469160
  33. 33. Chapell L. Freshwater snails of Africa and their medical importance (second edition). Trans R Soc Trop Med Hyg. 1994;88: 717.
  34. 34. Lewis FA, Stirewalt MA, Souza CP, Gazzinelli G. Large-scale laboratory maintenance of Schistosoma mansoni, with observations on three schistosome/snail host combinations. Journal of Parasitology. 1986. pp. 813–829. pmid:3546654
  35. 35. Lewis F. Schistosomiasis. Current Protocols in Immunology. Hoboken, NJ, USA: John Wiley & Sons, Inc.; 2001. pp. 19.1.1–19.1.28. https://doi.org/10.1002/0471142735.im1901s28 pmid:18432750
  36. 36. Ekin İ, Şeşen R, Alkan H, Akbal E, Başhan M. Protein content of five tissues from some edible and non-edible snails and bivalves distributed within turkish territories. Soc Sci Nat. 2016;6: 435–438.
  37. 37. Nebbak A, Willcox AC, Bitam I, Raoult D, Parola P, Almeras L. Standardization of sample homogenization for mosquito identification using an innovative proteomic tool based on protein profiling. Proteomics. 2016;16: 3148–3160. pmid:27862981
  38. 38. Yssouf A, Almeras L, Raoult D, Parola P. Emerging tools for identification of arthropod vectors. Future Microbiology. Future Medicine Ltd.; 2016. pp. 549–566. pmid:27070074
  39. 39. Sevestre J, Diarra AZ, Laroche M, Almeras L, Parola P. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry: An emerging tool for studying the vectors of human infectious diseases. Future Microbiol. 2021;16: 323–340. pmid:33733821
  40. 40. Diarra AZ, Almeras L, Laroche M, Berenger JM, Koné AK, Bocoum Z, et al. Molecular and MALDI-TOF identification of ticks and tick-associated bacteria in Mali. PLoS Negl Trop Dis. 2017;11. pmid:28742123
  41. 41. Yssouf A, Flaudrops C, Drali R, Kernif T, Socolovschi C, Berenger JM, et al. Matrix-assisted laser desorption ionization-time of flight mass spectrometry for rapid identification of tick vectors. J Clin Microbiol. 2013;51: 522–528. pmid:23224087
  42. 42. Nebbak A, Koumare S, Willcox AC, Berenger JM, Raoult D, Almeras L, et al. Field application of MALDI-TOF MS on mosquito larvae identification. Parasitology. 2018;145: 677–687. pmid:28768561
  43. 43. Dieme C, Yssouf A, Vega-Rúa A, Berenger JM, Failloux AB, Raoult D, et al. Accurate identification of Culicidae at aquatic developmental stages by MALDI-TOF MS profiling. Parasites and Vectors. 2014;7: 544. pmid:25442218
  44. 44. Folmer O, Black M, Hoeh W, Lutz R, Vrijenhoek R. DNA primers for amplification of mitochondrial cytochrome c oxidase subunit I from diverse metazoan invertebrates. Mol Mar Biol Biotechnol. 1994;3: 294–299.
  45. 45. Palumbi S.R., Martin A., Romano S., Mcmillan W.O., Stice L., Grabowski G. The Simple Fools Guide to PCR. Honolulu Univ Hawaii Press. 1991.
  46. 46. Altschul SF, Gish W, Miller W, Myers EW, Lipman DJ. Basic local alignment search tool. J Mol Biol. 1990;215: 403–410. pmid:2231712
  47. 47. Thomas RH. Molecular Evolution and Phylogenetics. Heredity (Edinb). 2001;86: 385–385.
  48. 48. Kumar S, Stecher G, Tamura K. MEGA7: Molecular Evolutionary Genetics Analysis Version 7.0 for Bigger Datasets. Mol Biol Evol. 2016;33: 1870–1874. pmid:27004904
  49. 49. Rambaut A. Tree figure drawing tool version 1.4.2.2006–2014. http://tree.bio.ed.ac.uk/; 2014.
  50. 50. ten Hove RJ, Verweij JJ, Vereecken K, Polman K, Dieye L, van Lieshout L. Multiplex real-time PCR for the detection and quantification of Schistosoma mansoni and S. haematobium infection in stool samples collected in northern Senegal. Trans R Soc Trop Med Hyg. 2008;102: 179–185. pmid:18177680
  51. 51. Hamburger J, He-Na , Abbasi I, Ramzy RM, Jourdane J, Ruppel A. Polymerase chain reaction assay based on a highly repeated sequence of Schistosoma haematobium: A potential tool for monitoring schistosome-infested water. Am J Trop Med Hyg. 2001;65: 907–911. pmid:11791997
  52. 52. Cnops L, Soentjens P, Clerinx J, van Esbroeck M. A Schistosoma haematobium-Specific Real-Time PCR for Diagnosis of Urogenital Schistosomiasis in Serum Samples of International Travelers and Migrants. PLoS Negl Trop Dis. 2013;7. pmid:24009791
  53. 53. Kumsa B, Laroche M, Almeras L, Mediannikov O, Raoult D, Parola P. Morphological, molecular and MALDI-TOF mass spectrometry identification of ixodid tick species collected in Oromia, Ethiopia. Parasitol Res. 2016;115: 4199–4210. pmid:27469536
  54. 54. Boucheikhchoukh M, Laroche M, Aouadi A, Dib L, Benakhla A, Raoult D, et al. MALDI-TOF MS identification of ticks of domestic and wild animals in Algeria and molecular detection of associated microorganisms. Comp Immunol Microbiol Infect Dis. 2018;57: 39–49. pmid:30017077
  55. 55. Karger A, Bettin B, Gethmann JM, Klaus C. Whole animal matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry of ticks–Are spectra of Ixodes ricinus nymphs influenced by environmental, spatial, and temporal factors? PLoS One. 2019;14. pmid:30645604
  56. 56. Karger A, Kampen H, Bettin B, Dautel H, Ziller M, Hoffmann B, et al. Species determination and characterization of developmental stages of ticks by whole-animal matrix-assisted laser desorption/ionization mass spectrometry. Ticks Tick Borne Dis. 2012;3: 78–89. pmid:22487425
  57. 57. Mathis A, Depaquit J, Dvořák V, Tuten H, Bañuls AL, Halada P, et al. Identification of phlebotomine sand flies using one MALDI-TOF MS reference database and two mass spectrometer systems. Parasites and Vectors. 2015;8: 266. pmid:25957576
  58. 58. Lafri I, Almeras L, Bitam I, Caputo A, Yssouf A, Forestier CL, et al. Identification of Algerian Field-Caught Phlebotomine Sand Fly Vectors by MALDI-TOF MS. PLoS Negl Trop Dis. 2016;10: e0004351. pmid:26771833
  59. 59. Müller P, Pflüger V, Wittwer M, Ziegler D, Chandre F, Simard F, et al. Identification of Cryptic Anopheles Mosquito Species by Molecular Protein Profiling. PLoS One. 2013;8: e57486. pmid:23469000
  60. 60. Yssouf A, Parola P, Lindström A, Lilja T, L’ambert G, Bondesson U, et al. Identification of European mosquito species by MALDI-TOF MS. pmid:24737398
  61. 61. Raharimalala FN, Andrianinarivomanana TM, Rakotondrasoa A, Collard JM, Boyer S. Usefulness and accuracy of MALDI-TOF mass spectrometry as a supplementary tool to identify mosquito vector species and to invest in development of international database. Med Vet Entomol. 2017;31: 289–298. pmid:28426182
  62. 62. Tandina F, Niaré S, Laroche M, Koné AK, Diarra AZ, Ongoiba A, et al. Using MALDI-TOF MS to identify mosquitoes collected in Mali and their blood meals. Vic Lit Cult. 2018;145: 1170–1182. pmid:29409547
  63. 63. Mewara A, Sharma M, Kaura T, Zaman K, Yadav R, Sehgal R. Rapid identification of medically important mosquitoes by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Parasites and Vectors. 2018;11.
  64. 64. Hoppenheit A, Murugaiyan J, Bauer B, Steuber S, Clausen PH, Roesler U. Identification of Tsetse (Glossina spp.) Using Matrix-Assisted Laser Desorption/Ionisation Time of Flight Mass Spectrometry. PLoS Negl Trop Dis. 2013;7. pmid:23875040
  65. 65. Laroche M, Bérenger JM, Gazelle G, Blanchet D, Raoult D, Parola P. MALDI-TOF MS protein profiling for the rapid identification of Chagas disease triatomine vectors and application to the triatomine fauna of French Guiana. Parasitology. 2018;145: 665–675. pmid:28768559
  66. 66. Benkacimi L, Gazelle G, El Hamzaoui B, poBérenger JM, Parola P, Laroche M. MALDI-TOF MS identification of Cimex lectularius and Cimex hemipterus bedbugs. Infect Genet Evol. 2020;85. pmid:32927120
  67. 67. Zurita A, Djeghar R, Callejón R, Cutillas C, Parola P, Laroche M. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry as a useful tool for the rapid identification of wild flea vectors preserved in alcohol. Med Vet Entomol. 2019;33: 185–194. pmid:30516832
  68. 68. Singhal N, Kumar M, Kanaujia PK, Virdi JS. MALDI-TOF mass spectrometry: An emerging technology for microbial identification and diagnosis. Frontiers in Microbiology. Frontiers Research Foundation; 2015. pmid:26300860
  69. 69. Robinne S, Saad J, Morsli M, Zelika Harouna H, Tazerart F, Drancourt M, et al. Title: Speciation of the Mycobacterium tuberculosis complex using mass spectrometry: a 1 proof-of-concept. 2 Running title: Speciation of mycobacteria by MALDI-TOF Affiliation: 6 1. Word count text: 2,367. bioRxiv. 2021; 2021.02.04.429756. 10.1101/2021.02.04.429756
  70. 70. Thuillier J, Py JS, Gassilloud B, Ioos R. Prospective study on MALDI-TOF technology for the identification and characterisation of phytopathogenic fungi. 2016.
  71. 71. El Khéchine A, Couderc C, Flaudrops C, Raoult D, Drancourt M. Matrix-Assisted laser desorption/ionization Time-Of-Flight mass spectrometry identification of mycobacteria in routine clinical practice. PLoS One. 2011;6. pmid:21935444
  72. 72. Loucif L, Bendjama E, Gacemi-Kirane D, Rolain JM. Rapid identification of Streptomyces isolates by MALDI-TOF MS. Microbiol Res. 2014;169: 940–947. pmid:24862894
  73. 73. Bittar F, Ouchenane Z, Smati F, Raoult D, Rolain JM. MALDI-TOF-MS for rapid detection of staphylococcal Panton-Valentine leukocidin. Int J Antimicrob Agents. 2009;34: 467–470. pmid:19409760
  74. 74. Drissner D, Freimoser FM. MALDI-TOF mass spectroscopy of yeasts and filamentous fungi for research and diagnostics in the agricultural value chain. Chemical and Biological Technologies in Agriculture. Springer International Publishing; 2017. p. 13.
  75. 75. Appleton C, Miranda N. Locating bilharzia transmission sites in South Africa: guidelines for public health personnel. South African J Infect Dis. 2015;30: 95–102.
  76. 76. Ouarti B, Laroche M, Righi S, Meguini MN, Benakhla A, Raoult D, et al. Development of MALDI-TOF mass spectrometry for the identification of lice isolated from farm animals. Parasite. 2020;27. pmid:32351208
  77. 77. Benyahia H, Ouarti B, Diarra AZ, Boucheikhchoukh M, Meguini MN, Behidji M, et al. Identification of Lice Stored in Alcohol Using MALDI-TOF MS. J Med Entomol. 2021;58: 1126–1133. pmid:33346344
  78. 78. Pan CT. Studies on the host-parasite relationship between Schistosoma mansoni and the snail Australorbis glabratus. Am J Trop Med Hyg. 1965;14: 931–976. pmid:5840648
  79. 79. Meier M, Meier-Brook C. Schistosoma mansoni: Effect on growth, fertility, and development of distal male organs in Biomphalaria glabrata exposed to miracidia at different ages. Zeitschrift für Parasitenkd Parasitol Res. 1981;66: 121–131. pmid:7324545
  80. 80. Betterton C, Fryer SE, Wright CA. Bulinus senegalensis (Mollusca: Planorbidae) in northern Nigeria. Ann Trop Med Parasitol. 1983;77: 143–149. pmid:6882063
  81. 81. Mandahl-Barth G. The Species of the Genus Bulinus, Intermediate Hosts of Schistosoma *. Bull World Heal Org. 1965;33: 33–44.
  82. 82. Stothard JR, Brémond P, Andriamaro L, Sellin B, Sellin E, Rollinson D. Bulinus species on Madagascar: molecular evolution, genetic markers and compatibility with Schistosoma haematobium. Parasitology. 2001;123 Suppl: S261–75. pmid:11769288
  83. 83. Van Faassen EEH, Vanin AF. Molecular evolution of freshwater snail intermediate hosts within the Bulinus forskalii group. Parasitology. parasitology; 2001. pp. 122–130.
  84. 84. Mandahl-Barth G. The Freshwater Mollusks of Uganda and adjacent territories. Tervuren: [Museum van Belgisch-Congo]; 1954.
  85. 85. Brown DS, Curtis BA, Bethune S, Appleton CC. Freshwater snails of East Caprivi and the lower Okavango River Basin in Namibia and Botswana. Hydrobiologia. 1992;246: 9–40.
  86. 86. Sengupta ME, Kristensen TK, Madsen H, Jørgensen A. Molecular phylogenetic investigations of the Viviparidae (Gastropoda: Caenogastropoda) in the lakes of the Rift Valley area of Africa. Mol Phylogenet Evol. 2009;52: 797–805. pmid:19435609
  87. 87. Strong EE, Gargominy O, Ponder WF, Bouchet P. Global diversity of gastropods (Gastropoda; Mollusca) in freshwater. Hydrobiologia. Springer; 2008. pp. 149–166. https://doi.org/10.1007/s10750-007-9012-6
  88. 88. Nebbak A, El Hamzaoui B, Berenger JM, Bitam I, Raoult D, Almeras L, et al. Comparative analysis of storage conditions and homogenization methods for tick and flea species for identification by MALDI-TOF MS. Med Vet Entomol. 2017;31: 438–448. pmid:28722283
  89. 89. Stoddart RW. Fixatives and preservatives, their effects on tissue. Manchester Museum;Department of Environmental Biology; 1989.
  90. 90. Kaufmann C, Ziegler D, Schaffner F, Carpenter S, Pflüger V, Mathis A. Evaluation of matrix-assisted laser desorption/ionization time of flight mass spectrometry for characterization of Culicoides nubeculosus biting midges. Med Vet Entomol. 2011;25: 32–38. pmid:21118284
  91. 91. Kaufmann C, Schaffner F, Ziegler D, Pflüger V, Mathis A. Identification of field-caught Culicoides biting midges using matrix-assisted laser desorption/ionization time of flight mass spectrometry. Parasitology. 2012;139: 248–258. pmid:22008297
  92. 92. Moravec F, Barus V, Rysavý B YF. Antagonism of Echinoparyphium recurvatum against Schistosoma haematobium in the snail Bulinus truncatus. Folia Parasitol (Praha). 1974;21: 127–41.
  93. 93. Laidemitt MR, Brant S V., Mutuku MW, Mkoji GM, Loker ES. The diverse echinostomes from East Africa: With a focus on species that use Biomphalaria and Bulinus as intermediate hosts. Acta Trop. 2019;193: 38–49. pmid:30710531
  94. 94. Toledo R, Muñoz-Antoli C, Fried B. The use of echinostomes to study host-parasite relationships between larval trematodes and invertebrate and cold-blooded vertebrate hosts. Parasitology Research. 2007. pp. 1177–1185. pmid:17279393
  95. 95. Lim HK, Heyneman D. Intramolluscan Inter-trematode Antagonism: A Review of Factors Influencing the Host-parasite System and its Possible Role in Biological Control. Adv Parasitol. 1972;10: 191–268. pmid:4559144
  96. 96. Sandland GJ, Rodgers JK, Minchella DJ. Interspecific antagonism and virulence in hosts exposed to two parasite species. J Invertebr Pathol. 2007;96: 43–47. pmid:17400242
  97. 97. Dinnik JA. Paramphistomum phillerouxi sp. nov. (Trematoda: Paramphistomatidae) and its Development in Bulinus forskalii. J Helminthol. 1961;35: 69–90. pmid:13723003