Mem Inst Oswaldo Cruz, Rio de Janeiro, VOLUME 121 | 2026
Research Articles

Holocene man-occupied caves and transformed wetlands as facilitating factors for Leishmania infantum in South America

Sérvio Pontes Ribeiro1,2,+, Camila de Paula Dias1,2, Rafael Vieira Duarte2,4, Maria Fernanda Brito de Almeida2, Luccas Gabriel Ferreira Malta1, José Dilermando Andrade Filho3, Alexandre Barbosa Reis4, Marcos Horácio Pereira1, Carlos EV Grelle5, Jesus G Valenzuela6, Tiago Donatelli Serafim6, Nelder Figueredo Gontijo1

1Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Parasitologia, Laboratório de Fisiologia de Insetos Hematófagos, Belo Horizonte, MG, Brasil
2Universidade Federal de Ouro Preto, Instituto de Ciências Exatas e Biológicas, Núcleo de Pesquisa em Ciências Biológicas, Laboratório de Ecologia do Adoecimento e Florestas, Ouro Preto, MG, Brasil
3Fundação Oswaldo Cruz-Fiocruz, Instituto René Rachou, Grupo de Estudos em Leishmanioses, Belo Horizonte, MG, Brasil
4Universidade Federal de Ouro Preto, Escola de Farmácia, Departamento de Análises Clínicas, Núcleo de Pesquisa em Ciências Biológicas, Laboratório de Imunopatologia, Ouro Preto, MG, Brasil
5Universidade Federal do Rio de Janeiro, Departamento de Ecologia, Rio de Janeiro, RJ, Brasil
6National Institutes of Health, National Institute of Allergy and Infectious Diseases, Vector Molecular Biology Section, Laboratory of Malaria and Vector Research, Rockville, MD, USA

DOI: 10.1590/0074-02760250190
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ABSTRACT

BACKGROUND In the Holocene, South American humans transformed large extensions of the continent, especially in cave ecosystems. Such transformations produced predictable eutrophic habitats that could have attracted foxes and further favored the adaptation of Lutzomyia longipalpis, insect vector of American Visceral Leishmaniosis (AVL), to human-contaminated habitats.
OBJECTIVES Here we present spatial analyses on the distribution of caves, Holocene human populations, the present-days main wild reservoirs of Leishmania infantum, Cerdocyon thous and Lycalopex vetulus, and the vector Lu. longipalpis in Brazil.
METHODS The presence or absence of Lu. longipalpis in function of cave abundance, based on coordinates of all recorded samples (Fiocruz and GBIF database and literature), and cave locations taken from ICMBio/CECAV database, were tested by contingency table. The overlap in the distribution of Lu. longipalpis, C. thous and L. vetulus with humans from Holocene was tested by permutational multivariate analysis of variance (PERMANOVA) from a nonmetric multidimensional scaling (NMDS), using published archaeological data on human demography and ICMBio’s data on caves and foxes.
FINDINGS Caves are present in 18% of Brazilian municipalities, and Lu. longipalpis were significantly more frequent in these places than in municipalities without caves. Native humans and foxes have broader distributions than caves but co-occurred with Lu. longipalpis in cave-ecosystems.
MAIN CONCLUSION The most relevant implication of our findings is that visceral leishmaniasis should be considered a long-term human related disease, associated with few sandfly species well adapted to our modified, and heavily contaminated, environments.

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Financial support: This work was supported by the CNPq (Grant/Award Numbers: 303680/2020-2, 442499/2023-0 and 402949/2022-6), FAPEMIG (Grant/Award Number: PPM-00792-18. Project “Applications of genomics in the context of OneHealth” - identifier RED-00181-23). This research was supported in part by the Intramural Research Program of the National Institutes of Health (NIH).
+ Corresponding author: serviopr@gmail.com | ORCID https://orcid.org/0000-0002-0191-8759
Received 24 July 2025
Accepted 08 October 2025

HOW TO CITE
Ribeiro SP, Dias CP, Duarte RV, de Almeida MFB, Malta LGF, Andrade Filho JD, et al. Holocene man-occupied caves and transformed wetlands as facilitating factors for Leishmania infantum in South America. Mem Inst Oswaldo Cruz. 2025; 120: e250190.

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