Gastrointestinal Helminths Increase Bordetella bronchiseptica Shedding and Host Variation in Supershedding
Multi-species infections have been suggested to facilitate pathogen transmission and the emergence of supershedding events. However, how the interactions between co-infecting pathogens affect their dynamics of shedding, and how this is related to the host immune response, remains largely unclear. We used laboratory experiments and a modeling approach to examine temporal variations in the shedding of the respiratory bacterium Bordetella bronchiseptica in rabbits challenged with one or two gastrointestinal helminth species. Experimental data showed that rabbits co-infected with one or both helminths shed significantly more B. bronchiseptica by direct contact with an agar petri dish than rabbits with bacteria alone. There was also evidence of synergistic effects when both helminth species were present (triple infection). Co-infected hosts generated supershedding events of higher intensity and more frequently than hosts with no helminths. Model simulations revealed that the two helminths affected the relative contribution of neutrophils and specific IgA and IgG to B. bronchiseptica neutralization in the respiratory tract. In turn, these changes led to differences in the magnitude and duration of shedding among the various types of infection. However, the rapid variation in individual shedding, including supershedding, could not be explained by the interactions between infection and immune response at the scale of analysis that we used. We suggest that local rapid changes at the level of respiratory tissue probably played a more important role. This study provides novel insight into the role of helminths to the dynamics of respiratory infections and offers a quantitative explanation for the differences generated by two helminth species.