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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Parasitol.</journal-id>
<journal-title>Frontiers in Parasitology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Parasitol.</abbrev-journal-title>
<issn pub-type="epub">2813-2424</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpara.2025.1608542</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Parasitology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Molecular genetic characterization of <italic>Cryptosporidium</italic> and <italic>Cystoisospora</italic> protozoan infections in cats from large cities of Kazakhstan</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lider</surname>
<given-names>Lyudmila</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Uakhit</surname>
<given-names>Rabiga</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Manapov</surname>
<given-names>Nurassyl</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Yerzhanova</surname>
<given-names>Valentina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Andreyev</surname>
<given-names>Alexandr</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Smagulova</surname>
<given-names>Ainura</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Hermosilla</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kiyan</surname>
<given-names>Vladimir</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Laboratory of Parasitology, Department of Veterinary Medicine, S. Seifullin Kazakh Agrotechnical Research University</institution>, <addr-line>Astana</addr-line>,&#xa0;<country>Kazakhstan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Laboratory of Biodiversity and Genetic Resources, National Center for Biotechnology</institution>, <addr-line>Astana</addr-line>,&#xa0;<country>Kazakhstan</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Parasitology, Justus Liebig University Giessen</institution>, <addr-line>Giessen</addr-line>,&#xa0;<country>Germany</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Andrea Dellarupe, National Scientific and Technical Research Council (CONICET), Argentina</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Aleksandra Uzelac, University of Belgrade, Serbia</p>
<p>Mousa Tavassoli, Urmia University, Iran</p>
<p>Beatriz Cancino-Faure, Universidad Cat&#xf3;lica del Maule, Chile</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Vladimir Kiyan, <email xlink:href="mailto:vskiyan@gmail.com">vskiyan@gmail.com</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>4</volume>
<elocation-id>1608542</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>06</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Lider, Uakhit, Manapov, Yerzhanova, Andreyev, Smagulova, Hermosilla and Kiyan</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Lider, Uakhit, Manapov, Yerzhanova, Andreyev, Smagulova, Hermosilla and Kiyan</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>
<italic>Cryptosporidium</italic> spp. and <italic>Cystoisospora</italic> spp. are significant unicellular parasites that cause gastrointestinal infections in both humans and animals globally. Among these, <italic>Cryptosporidium felis</italic> and <italic>Cystoisospora felis</italic> are particularly important for feline health and pose potential zoonotic risks, especially for individuals with compromised immune systems. Kazakhstan, characterized by its diverse climate zones and an increasing population of pets, provides an excellent context for studying the epidemiology and genetic diversity of these parasites. In Kazakhstan, the mandatory registration of pets offers a valuable opportunity to explore the distribution and molecular characteristics of these parasites. This study focuses on the prevalence, genetic diversity, and zoonotic potential of <italic>Cryptosporidium</italic> and <italic>Cystoisospora</italic> from companion and shelter cats across five major cities in Kazakhstan.</p>
</sec>
<sec>
<title>Methods</title>
<p>Overall, from five cities, 1301 fecal samples were collected and studied. Samples were study by direct modified Sheather&#x2019;s flotation technique was applied using a sugar solution. Samples were screened using the 18S rRNA gene for Cryptosporidium and the ITS-1 gene for Cystoisospora. Nucleotide sequences were aligned with the MUSCLE multiple sequence alignment program. Phylograms were constructed with the MEGA11 software using the Maximum Likelihood (ML) method.</p>
</sec>
<sec>
<title>Results and discussion</title>
<p>In total, we examined 1,301 fecal samples and found that 31 (2.4%) contained <italic>Cryptosporidium</italic> spp., including 10 identified as <italic>Cryptosporidium felis</italic>. Additionally, 121 samples (9.3%) tested positive for <italic>Cystoisospora felis</italic>. The studied <italic>Cryptosporidium parvum</italic> isolates obtained in this study belong to subtype IIdA15G1, which is dominant and clusters well with previously reported sequences from different countries on the gp60 gene. Shelter cats are more susceptible to these parasites, with a prevalence of 3.1% for <italic>Cryptosporidium</italic> and a notably higher rate of 19.0% for <italic>Cystoisospora</italic>. In contrast, companion cats showed lower rates, at 1.6% for <italic>Cryptosporidium</italic> and 5.1% for <italic>Cystoisospora</italic>. Our findings identified the species <italic>Cystoisospora felis</italic>, <italic>Cryptosporidium parvum</italic>, and <italic>Cryptosporidium felis</italic>, with a determined subtype of XIXa.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Cryptosporidium parvum</italic>
</kwd>
<kwd>gp60 subtyping</kwd>
<kwd>molecular epidemiology</kwd>
<kwd>zoonotic parasites</kwd>
<kwd>Kazakhstan</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="39"/>
<page-count count="12"/>
<word-count count="3785"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Epidemiology and Ecology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>
<italic>Cryptosporidium</italic> spp. and <italic>Cystoisospora</italic> spp. are unicellular parasites of significant medical and veterinary importance, causing gastrointestinal infections in a wide range of hosts, including humans, domestic animals, and wildlife (<xref ref-type="bibr" rid="B18">Lappin, 2005</xref>; <xref ref-type="bibr" rid="B26">Morelli et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B13">Guo et&#xa0;al., 2022</xref>). These pathogens are particularly concerning due to their ability to induce severe diarrheal disease, their environmental resilience, and, in some cases, their zoonotic potential (<xref ref-type="bibr" rid="B31">Santin, 2020</xref>; <xref ref-type="bibr" rid="B3">Baptista et&#xa0;al., 2021</xref>). Among the affected species, domestic cats (<italic>Felis catus</italic>) serve as important hosts for <italic>Cryptosporidium felis (C. felis)</italic> and <italic>Cystoisospora felis</italic>, which can lead to clinical illness in feline populations and pose potential risks to human health, especially in immunocompromised individuals (<xref ref-type="bibr" rid="B31">Santin, 2020</xref>).</p>
<p>Enteric unicellular parasites are found worldwide and are primarily maintained in nature through fecal-oral transmission, which means that more cases tend to arise in crowded and unsanitary environments (<xref ref-type="bibr" rid="B6">Certad et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B29">Relat and O&#x2019;Connor, 2020</xref>). <italic>Cryptosporidium</italic> spp. oocysts are immediately infectious upon being excreted by the host, whereas <italic>Cystoisospora</italic> spp. must first sporulate outside the host before they can spread (<xref ref-type="bibr" rid="B23">Matsubayashi et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B11">Dubey, 2018</xref>). <italic>Cryptosporidium</italic> is transmitted through the fecal-oral route via both direct and indirect means. Direct transmission occurs when an individual ingests oocysts from the feces of an infected host, while indirect transmission happens through the consumption of water or food contaminated with these oocysts. Over 20 different <italic>Cryptosporidium</italic> species have been linked to human cryptosporidiosis, with the most prevalent being <italic>C. hominis</italic>, <italic>C. parvum</italic>, <italic>C. meleagridis</italic>, <italic>C. felis</italic>, and <italic>C. canis</italic> (<xref ref-type="bibr" rid="B7">Checkley et&#xa0;al., 2015</xref>). Among these, <italic>C. felis</italic> primarily infects cats, making it a species adapted specifically to its host (<xref ref-type="bibr" rid="B12">Feng et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B39">Zahedi and Ryan, 2020</xref>). However, infections in humans from <italic>C. felis</italic> are frequently observed in developing nations (<xref ref-type="bibr" rid="B5">Caccio et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B36">Xiao, 2010</xref>; <xref ref-type="bibr" rid="B8">Cieloszyk et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B4">Beser et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B9">de Lucio et&#xa0;al., 2016</xref>), and there have been documented cases of zoonotic transmission of <italic>C. felis</italic> between pet cats and their owners (<xref ref-type="bibr" rid="B28">Power et&#xa0;al., 2011</xref>).</p>
<p>Similarly, <italic>Cystoisospora</italic> follows a comparable transmission pattern, but its oocysts must sporulate in the environment to become infectious (<xref ref-type="bibr" rid="B23">Matsubayashi et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B11">Dubey, 2018</xref>). Once ingested, its oocysts release sporozoites that invade intestinal cells, resulting in mucosal inflammation and malabsorptive diarrhea. <italic>Cystoisospora felis</italic> and <italic>Cystoisospora rivolta</italic> are obligate intracellular coccidian parasites that primarily infect domestic and wild felids (<xref ref-type="bibr" rid="B32">Shafiei et&#xa0;al., 2016</xref>). Current evidence suggests that <italic>Cystoisospora felis</italic> and <italic>C. rivolta</italic> are not transmissible to humans, with human cystoisosporiasis exclusively caused by the morphologically similar but genetically distinct <italic>C. belli</italic> (<xref ref-type="bibr" rid="B21">Lindsay, 2019</xref>; <xref ref-type="bibr" rid="B14">Guzm&#xe1;n-Lara et&#xa0;al., 2020</xref>). Although zoonotic risks appear negligible, the morphological similarity between <italic>Cystoisospora</italic> species warrants continued differentiation from truly zoonotic coccidian-like <italic>Cryptosporidium</italic> (<xref ref-type="bibr" rid="B20">Li et&#xa0;al., 2020</xref>).</p>
<p>In Kazakhstan, the epidemiology of these parasites in feline populations remains understudied, despite the country&#x2019;s diverse climatic conditions and the increasing number of companion animals. Since September 2023, Kazakhstan has implemented a mandatory companion animal registration system, which reported approximately 88,514 registered cats by March 2025 (<xref ref-type="bibr" rid="B35">TA&#xd1;BA in digits, 2025</xref>). The aim of this study is to genetically characterize <italic>Cryptosporidium</italic> spp. and <italic>Cystoisospora felis</italic> infections in domestic and shelter cats across major cities in Kazakhstan, using 18S rRNA, gp60, and ITS-1 (<xref ref-type="bibr" rid="B28">Power et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B32">Shafiei et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B30">Rojas-Lopez et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B17">Koseoglu et&#xa0;al., 2022</xref>) gene markers. This study aims to determine the prevalence and distribution of these protozoan infections in feline populations across five major cities (Astana, Almaty, Shymkent, Oral, and Kostanay).</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Sample collection and analysis</title>
<p>The distribution of sampling sites suggests a broad geographic coverage, spanning the western, northern, central, southern, and southeastern regions of Kazakhstan. This ensures a representative dataset for studying the prevalence of parasitic infections in cats across diverse climatic and ecological zones (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Map showing the geographical locations of cities where cat feces samples were collected.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g001.tif">
<alt-text content-type="machine-generated">Map of Kazakhstan marked with locations and sample sizes: Oral (n=76), Kostanay (n=192), Astana (n=382), Shymkent (n=389), and Almaty (n=282). Regions labeled include West Kazakhstan, Aktobe, Atyrau, Mangystau, North Kazakhstan, Akmola, Karaganda, Ulytau, Kyzylorda, Zhambyl, Pavlodar, Abai, East Kazakhstan, and Zhetisu.</alt-text>
</graphic>
</fig>
<p>Overall, from five cities, 1301 samples were collected and studied. The samples were collected either during visits to one of the local veterinary clinics or upon the rescue of strays at shelters involved in the study. The fecal samples were sent to the Parasitology Laboratory of S. Seifullin Kazakh Agro Technical Research University in Astana for analysis within a span of 1 to 3 days, using coolers for transport. Sample collection occurred during the following intervals: from September 2023 to January 2025.</p>
<p>All fecal samples were visually inspected for the presence of cestode proglottids, after which the direct modified Sheather&#x2019;s flotation technique was applied using a sugar solution (specific gravity: 1.3) as the flotation medium for worm eggs and coccidian oocysts (<xref ref-type="bibr" rid="B16">Kassai et&#xa0;al., 2013</xref>). The identification of the parasitic fecal stages relied on their morphological features (<xref ref-type="bibr" rid="B16">Kassai et&#xa0;al., 2013</xref>).</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>DNA extraction</title>
<p>Genomic DNA was isolated from approximately 150-200 mg of fecal matter using the QIAamp DNA Stool Mini Kit (QIAGEN, Hilden, Germany) following the instructions provided by the manufacturer; samples mixed with InhibitEX buffer were incubated for 10 minutes at 95&#xb0;C. The extracted and purified DNA samples (50 &#xb5;l) were stored at &#x2212;20&#xb0;C until further molecular analyses were performed.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Molecular identification</title>
<p>The molecular identification of <italic>Cryptosporidium</italic> and <italic>Cystoisospora</italic> was conducted by extracting DNA and amplifying with specific target genes from fecal samples using a thermocycler (Eppendorf Mastercycler, Hamburg Germany) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Samples were screened using the 18S rRNA gene for <italic>Cryptosporidium</italic> and the ITS-1 gene for <italic>Cystoisospora</italic> (<xref ref-type="bibr" rid="B28">Power et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B32">Shafiei et&#xa0;al., 2016</xref>). The nested PCR was performed for the gp60 gene for <italic>C. felis</italic> (<xref ref-type="bibr" rid="B30">Rojas-Lopez et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B17">Koseoglu et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B38">Yun et&#xa0;al., 2023</xref>) to identify their subtypes. A negative template control sample (nuclease-free water) was included in each PCR to verify the absence of contamination with the PCR reaction mixture. Agarose gels (1.5%) were prepared in 1&#xd7; TAE solution with 8 ng/&#xb5;L ethidium bromide (Sigma, E1510). Electrophoresis was performed using 10 &#x3bc;L PCR products with a DirectLoad 100 bp Low ladder ready-to-use (Sigma, D3687-1VL) for 50 min at 120 V. The PCR-amplified target gene fragment was purified using a QIAquick PCR Purification Kit, (QIAGEN, Germany, Cat.: 28106), following the manufacturer&#x2019;s protocols. Sequencing was&#xa0;performed according to the manual for Seq Studio Genetic Analyzer (Thermo Fisher Scientific Applied Biosystems). The resulting nucleotide sequences were visually checked by the Bioedit program version 7.0. The nucleotide sequences of the&#xa0;studied species were compared with other sequences in the&#xa0;NCBI gene bank database by using the BLAST options (<ext-link ext-link-type="uri" xlink:href="http://blast.ncbi.nlm.nih.gov">http://blast.ncbi.nlm.nih.gov</ext-link>). The nucleotide sequences of the studied species were deposited in NCBI GenBank database.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Primer sequences and PCR conditions used for the molecular identification.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="center">Target species</th>
<th valign="top" align="center">Gene</th>
<th valign="top" align="center">Primer nucleotide sequences (5&#x2019;-3&#x2019;)</th>
<th valign="top" align="center">Size (bp)</th>
<th valign="top" align="center">Cycling conditions</th>
<th valign="top" align="center">Ref.</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" rowspan="2" align="center">
<italic>Cryptosporidium</italic>
</td>
<td valign="top" rowspan="2" align="center">18S rRNA</td>
<td valign="top" align="left">F: AGTGACAAGAAATAACAATACAGG</td>
<td valign="top" rowspan="2" align="center">295</td>
<td valign="top" rowspan="2" align="center">2m/96&#xb0;C, 40 cycles (30s/94&#xb0;C, 30s/60&#xb0;C, 60s/72&#xb0;C), 7m/72&#xb0;C</td>
<td valign="top" rowspan="2" align="center">(<xref ref-type="bibr" rid="B32">Shafiei et&#xa0;al., 2016</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">R: CCTGCTTTAAGCACTCTAATTTTC</td>
</tr>
<tr>
<td valign="top" rowspan="4" align="center">
<italic>Cryptosporidium</italic>
<break/>
<italic>felis</italic>
</td>
<td valign="top" rowspan="4" align="center">gp60</td>
<td valign="top" align="left">F1: TTTCCGTTATTGTTGCAGTTGCA</td>
<td valign="top" rowspan="2" align="center">1,200</td>
<td valign="top" rowspan="4" align="center">PCR1 and PCR2: 4m/95&#xb0;C, 35 cycles (30s/95&#xb0;C, 30s/55&#xb0;C, 90s/72&#xb0;C), 7m/72&#xb0;C</td>
<td valign="top" rowspan="4" align="center">(<xref ref-type="bibr" rid="B17">Koseoglu et&#xa0;al., 2022</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">R1: ATCGGAATCCCACCATCGAAC</td>
</tr>
<tr>
<td valign="top" align="left">F2: GGGCGTTCTGAAGGATGTAA</td>
<td valign="top" rowspan="2" align="center">900</td>
</tr>
<tr>
<td valign="top" align="left">R2: CGGTGGTCTCCTCAGTCTTC</td>
</tr>
<tr>
<td valign="top" rowspan="4" align="center">
<italic>Cystoisospora</italic>
</td>
<td valign="top" rowspan="4" align="center">ITS-1</td>
<td valign="top" align="left">F1: CCGTTGCTCCTACCGATTGAGTG</td>
<td valign="top" rowspan="4" align="center">450</td>
<td valign="top" rowspan="4" align="center">PCR1 and PCR2: 60s/94&#xb0;C, 40 cycles (10s/98&#xb0;C, 15s/62&#xb0;C, 60s/68&#xb0;C), 5m/68&#xb0;C</td>
<td valign="top" rowspan="4" align="center">(<xref ref-type="bibr" rid="B28">Power et&#xa0;al., 2011</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">R1: GCATTTCGCTGCGTCCTTCATCG</td>
</tr>
<tr>
<td valign="top" align="left">F2: GATCATTCACACGTGGCCCTTG</td>
</tr>
<tr>
<td valign="top" align="left">R2: GACGACGTCCAAATCCACAGAGC</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Phylogenetic analysis</title>
<p>Nucleotide sequences were aligned with the MUSCLE multiple&#xa0;sequence alignment program for 18s rRNA, gp60 for <italic>Cryptosporidium</italic> species and ITS-1 genes for <italic>Cystoisospora</italic> isolates. Phylograms were constructed with the MEGA11 software&#xa0;(<xref ref-type="bibr" rid="B34">Tamura et&#xa0;al., 2021</xref>) using the Maximum Likelihood (ML) method.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Statistical analysis</title>
<p>The frequency of gastrointestinal unicellular parasite isolates detected from fecal samples was statistically compared using the chi-square test, with a 95% confidence interval. The P-value was calculated, with statistical significance established at P &lt; 0.05.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<p>Among the 1301 cats examined, 912 (70.1%) were classified as companion cats, whereas 389 (29.9%) originated from shelters. The distribution of cats sampled across various cities included Shymkent (389), Astana (382), Almaty (282), Kostanay (192), and Oral (76) (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Coprological analyses of the fecal samples of cats.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="center">Parameter</th>
<th valign="middle" rowspan="2" align="center">No. of tested</th>
<th valign="middle" colspan="6" align="center">No. of isolates</th>
</tr>
<tr>
<th valign="middle" align="center">
<italic>Cryptosporidium</italic>
</th>
<th valign="middle" align="center">CI (95%)</th>
<th valign="middle" align="center">
<italic>p</italic>-value</th>
<th valign="middle" align="center">
<italic>Cystoisospora</italic>
</th>
<th valign="middle" align="center">CI (95%)</th>
<th valign="middle" align="center">
<italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<th valign="top" colspan="3" align="left">City</th>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.01</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.01</th>
</tr>
<tr>
<td valign="top" align="center">Astana</td>
<td valign="top" align="center">382</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">2.9 (1.5&#x2013;5.1)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">31</td>
<td valign="top" align="center">8.1 (5.6&#x2013;11.3)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Almaty</td>
<td valign="top" align="center">282</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">2.9 (1.2&#x2013;5.6)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">8</td>
<td valign="top" align="center">2.9 (1.2&#x2013;5.6)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Shymkent</td>
<td valign="top" align="center">369</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">1.1 (0.3&#x2013;2.8)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">62</td>
<td valign="top" align="center">16.8 (13.1&#x2013;21.0)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Oral</td>
<td valign="top" align="center">76</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">6.6 (2.2&#x2013;14.7)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">14</td>
<td valign="top" align="center">18.4 (10.4&#x2013;29.0)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Kostanay</td>
<td valign="top" align="center">192</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1.6 (0.3&#x2013;4.6)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">6</td>
<td valign="top" align="center">3.1 (1.1&#x2013;6.7)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<th valign="top" colspan="3" align="left">Season</th>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.05</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.06</th>
</tr>
<tr>
<td valign="top" align="center">Spring</td>
<td valign="top" align="center">173</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">2.9 (1.0 &#x2013; 6.6)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">31</td>
<td valign="top" align="center">17.9 (12.5&#x2013;24.4)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Summer</td>
<td valign="top" align="center">272</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">1.8 (0.6 &#x2013; 4.2)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">32</td>
<td valign="top" align="center">11.8 (8.2 &#x2013; 16.2)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Autumn</td>
<td valign="top" align="center">624</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">1.9 (1.0 &#x2013; 3.3)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">34</td>
<td valign="top" align="center">5.4 (3.8 &#x2013; 7.5)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Winter</td>
<td valign="top" align="center">232</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">3.9 (1.8 &#x2013; 7.2)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">24</td>
<td valign="top" align="center">10.3 (6.7 &#x2013; 15.0)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<th valign="top" colspan="3" align="left">Sex</th>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.04</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.04</th>
</tr>
<tr>
<td valign="top" align="center">Male</td>
<td valign="top" align="center">559</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">2.5 (1.4 &#x2013; 4.2)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">54</td>
<td valign="top" align="center">9.7 (7.3 &#x2013; 12.4)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Female</td>
<td valign="top" align="center">655</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">2.6 (1.5 &#x2013; 4.1)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">67</td>
<td valign="top" align="center">10.2 (8.0 &#x2013; 12.8)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">N/A</td>
<td valign="top" align="center">87</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"/>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"/>
</tr>
<tr>
<th valign="top" colspan="3" align="left">Living condition</th>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.2</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.2</th>
</tr>
<tr>
<td valign="top" align="center">Companion</td>
<td valign="top" align="center">912</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">1.6 (0.9 &#x2013; 2.7)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">47</td>
<td valign="top" align="center">5.1 (3.8 &#x2013; 6.8)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">Shelter</td>
<td valign="top" align="center">389</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">3.1 (1.6 &#x2013; 5.3)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">74</td>
<td valign="top" align="center">19.0 (15.2&#x2013;23.3)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<th valign="top" colspan="3" align="left">Age class</th>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.005</th>
<th valign="top" align="center"/>
<th valign="top" align="center"/>
<th valign="top" align="center">&lt;0.005</th>
</tr>
<tr>
<td valign="top" align="center">1-7 month</td>
<td valign="top" align="center">322</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">4.5 (2.9 &#x2013; 8.0)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">35</td>
<td valign="top" align="center">10.9 (7.7 &#x2013; 14.8)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">&gt;7 month to 3 years</td>
<td valign="top" align="center">399</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">2.5 (1.2 &#x2013; 4.6)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">31</td>
<td valign="top" align="center">7.8 (5.3 &#x2013; 10.9)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">&gt;3 years</td>
<td valign="top" align="center">387</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">1.3 (0.4 &#x2013; 2.3)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">29</td>
<td valign="top" align="center">7.5 (5.1 &#x2013; 10.6)</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="center">N/A</td>
<td valign="top" align="center">193</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"/>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="center">1301</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">2.4 (1.6 &#x2013; 3.4)</td>
<td valign="top" align="center"/>
<td valign="top" align="center">121</td>
<td valign="top" align="center">9.3 (7.8 &#x2013; 11.0)</td>
<td valign="top" align="center"/>
</tr>
</tbody>
</table>
</table-wrap>
<p>When examining the gender ratio, the results revealed 655 males (54.0%) and 559 females (46.0%). Approximately a quarter of the cats (N = 387; 38.9%) were older than three years, 322 (32.1%) were aged between 1 and 7 months, and 399 (40.1%) fell within the range of 7 months to three years. Overall, the findings indicated that gastrointestinal protozoan parasites were detected in 152 out of 1301 (14.44%; 95% CI 1.0&#x2013;13.55) fecal samples from the cats examined. Multiple protozoa parasites were detected in nine fecal samples, they were co-infected with <italic>Cystoisospora</italic> and <italic>Cryptosporidium</italic> (data not shown).</p>
<p>The coproscopic analysis revealed the presence of <italic>Cystoisospora felis</italic> in 94 out of 1301 samples and <italic>C. rivolta</italic> in 26 out of 1301 samples. Additionally, <italic>Cryptosporidium</italic> spp. was detected in 31 out of 1301 samples. As shown in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>, observed <italic>C. felis</italic> large ovoid oocysts measuring 32-53 &#xd7; 26-43 &#xb5;m, light yellow or light brown. <italic>C. rivolta</italic> oval or ovoid, size 23-29 &#xd7; 20-26 &#xb5;m, light brown, may be colorless.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Representative images of <italic>Cystoisospora</italic> spp. oocysts detected during coprological analysis: <bold>(A)</bold> &#x2013; <italic>Cystoisospora felis</italic>, <bold>(B)</bold> &#x2013; <italic>Cystoisospora rivolta</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g002.tif">
<alt-text content-type="machine-generated">Microscopic images labeled A and B show round structures with dark centers on a light brown background. Arrows point to specific structures. A scale bar indicates a size of twenty-five micrometers.</alt-text>
</graphic>
</fig>
<p>The isolates of <italic>C. felis</italic> identified through the 18S rRNA gene were sequenced using the gp60 gene to determine the subtype of <italic>C. felis</italic>. Sequence analysis of the gp60 gene revealed that 2 out of the 31 isolates were successfully identified as <italic>C. felis</italic> and revealed that isolates in the present study relate to subtype XIXa. Meanwhile, 12 out of 31 isolates were confirmed as <italic>C. parvum</italic> using the 18S rRNA gene. The 121 samples tested positive for <italic>Cystoisospora</italic> sp., with 10 of them identified as <italic>C. felis</italic> (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Data availability of identified species, subtype and GenBank accession number.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="center">Species</th>
<th valign="top" align="center">Sample ID</th>
<th valign="top" align="center">Gene</th>
<th valign="top" align="center">Accession number</th>
<th valign="top" align="center">Subtype</th>
<th valign="top" align="center">Geolocation</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-1</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195225</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-3</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195226</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-7</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195227</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-12</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195228</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-13</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195229</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-15</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV195230</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-21</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV196854</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpJ13-23</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV196855</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpA4</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262383</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpF32</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262384</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpF37</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262385</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium parvum</italic>
</td>
<td valign="top" align="center">CRpS3</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262386</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium felis</italic>
</td>
<td valign="top" align="center">CRfU-6</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262388</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Oral</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium felis</italic>
</td>
<td valign="top" align="center">CRfF-35</td>
<td valign="top" align="center">18S rRNA</td>
<td valign="top" align="center">PV262389</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium felis</italic>
</td>
<td valign="top" align="center">CrypfU-6</td>
<td valign="top" align="center">gp60</td>
<td valign="top" align="center">PV221954</td>
<td valign="top" align="center">XIXa</td>
<td valign="top" align="center">Oral</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cryptosporidium felis</italic>
</td>
<td valign="top" align="center">CrypfF-35</td>
<td valign="top" align="center">gp60</td>
<td valign="top" align="center">PV221955</td>
<td valign="top" align="center">XIXa</td>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoAs1</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259753</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoAs2</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259754</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Astana</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoAl1</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259755</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Almaty</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoAl2</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259756</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Almaty</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoSh1</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259766</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoSh2</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259767</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Shymkent</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoOr1</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259768</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Oral</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoOr2</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259769</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Oral</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoKs1</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259770</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Kostanay</td>
</tr>
<tr>
<td valign="top" align="center">
<italic>Cystoisospora felis</italic>
</td>
<td valign="top" align="center">CystoKs2</td>
<td valign="top" align="center">ITS-1</td>
<td valign="top" align="center">PV259771</td>
<td valign="top" align="center"/>
<td valign="top" align="center">Kostanay</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>
<italic>Cystoisospora felis</italic> has been successfully identified in five cities across Kazakhstan. Notably, the cities of Almaty and Kostanay showed no positive samples for either <italic>C. felis</italic> or <italic>C. parvum</italic>, highlighting a significant absence of these parasites in those regions. The <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref> presents a phylogenetic tree illustrating the relationships among <italic>C. felis</italic> XIXa subtypes based on the <italic>gp60</italic> gene sequence. The evolutionary history was inferred by using the Maximum Likelihood method and Tamura-Nei model (<xref ref-type="bibr" rid="B34">Tamura et&#xa0;al., 2021</xref>). This analysis involved 21 nucleotide sequences. There were a total of 1332 positions in the final dataset.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Phylogenetic analysis of XIXa subtypes of <italic>C. felis</italic> based on the gp60 gene sequence. The nucleotide sequences obtained in this study were compared with those of <italic>C. felis</italic> retrieved from GenBank.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g003.tif">
<alt-text content-type="machine-generated">Phylogenetic tree illustrating genetic relationships among Cryptosporidium sequences. The tree is divided into clusters labeled XIXa, XIXb, XIXc, and XIXd. Branches are marked with bootstrap values indicating confidence levels, ranging from 29% to 82%. Highlighted red circles denote specific sequences from Kazakhstan. The tree includes sequences from countries such as China, Denmark, Peru, UK, Sweden, USA, and India. A scale bar indicates genetic distance.</alt-text>
</graphic>
</fig>
<p>
<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> demonstrates that the majority of the studied <italic>C. parvum</italic> isolates obtained in this study belong to subtype IIdA15G1, which is dominant and clusters well with previously reported sequences from different countries on the gp60 gene. This analysis involved 22 nucleotide sequences, the final dataset comprised a total of 1,035 positions.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Phylogenetic analysis of subtypes of <italic>C. parvum</italic> based on the gp60 gene sequence. The nucleotide sequences obtained in this study were compared with other subtypes retrieved from GenBank. Red circles indicate new isolates obtained in this study.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g004.tif">
<alt-text content-type="machine-generated">Phylogenetic tree of Cryptosporidium subtypes, showing branch points with percentage values indicating bootstrap support. Red dots mark specific subtypes of IIaA15G1 from various Cryptosporidium parvum samples, highlighting their clustering. Other subtypes, like IeA11G3T3 and If-like, are also shown, illustrating the genetic relationships among different species and subtypes. Scale bar represents genetic distance.</alt-text>
</graphic>
</fig>
<p>
<italic>C. parvum</italic> sequences form well-supported clades. The highest support (94%) is observed at one of the internal nodes within the <italic>C. parvum</italic> cluster. <italic>Cryptosporidium viatorum</italic> (JN846708) is a sister group to <italic>C. parvum</italic> with moderate bootstrap support (59%). <italic>Cryptosporidium andersoni</italic> (HQ259590) is more distantly related. <italic>C. felis</italic> sequences (PV262388 CRfU-6 and PV262389 CRfF-35) show 61% bootstrap support (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Phylogenetic analysis of <italic>Cryptosporidium</italic> based on the 18S rRNA gene. Isolates from this study are marked with red and purple circles, and a blue triangle represents the outgroup.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g005.tif">
<alt-text content-type="machine-generated">Phylogenetic tree displaying relationships among various species, with nodes colored red representing *C. parvum* and purple representing *C. felis*. Percentages indicate branch support, with common ancestors labeled. A blue triangle denotes *T. gondii* as an outgroup. Scale bar equals 0.050.</alt-text>
</graphic>
</fig>
<p>
<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref> illustrates the sequencing and phylogenetic analyses of the amplification products of the ITS-1 region in <italic>Cystoisospora</italic>. A comparative analysis of 10 <italic>Cystoisospora felis</italic> samples was conducted against sequences available in GenBank, revealing a homology range of 86% to 96% compared to the reference isolates. Notably, other species within the <italic>Cystoisospora</italic> genus were distinctly categorized based on these findings. The phylogenetic tree was rooted using <italic>Cryptosporidium baileyi</italic> as an outgroup.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Phylogenetic analysis of <italic>Cystoisospora</italic> based on the ITS-1 gene. The phylogenetic tree was constructed using the maximum likelihood method with 1,000 bootstrap replicates. Divergence = 0.10. Red circles mark isolates from this study, and a blue triangle represents the outgroup.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpara-04-1608542-g006.tif">
<alt-text content-type="machine-generated">Phylogenetic tree showing relationships between various Cystoisospora species and Cryptosporidium baileyi. Branches are labeled with bootstrap support values, indicating the reliability of the groupings, with the highest value being 96%. Cystoisospora felis strains are marked with red circles, and Cryptosporidium baileyi is marked with a blue triangle. Scale bar denotes genetic distance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>The present study provides significant insights into the molecular epidemiology of <italic>Cryptosporidium</italic> and <italic>Cystoisospora</italic> infections in domestic and shelter cats across five major cities in Kazakhstan (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). The identification of zoonotic species and conserved subtypes suggests both public health relevance and stable transmission patterns within local feline populations.</p>
<p>A total of 1301 fecal samples were examined, with 31 (2.4%) testing positive for <italic>Cryptosporidium</italic> spp. and 121 (9.3%) for <italic>Cystoisospora</italic> sp., and 10 samples were successfully sequenced and confirmed as <italic>Cystoisospora felis</italic> at the species level. <italic>Cryptosporidium parvum</italic> was detected in 12 cases, underscoring its zoonotic potential and public health significance. This pathogen poses a risk not only to immunocompromised individuals but also to immunocompetent populations, particularly children, the elderly, and those exposed to contaminated water or animal contact (<xref ref-type="bibr" rid="B1">Appelbee et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B25">Meng et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B33">Taghipour et&#xa0;al., 2021</xref>).</p>
<p>Meanwhile, the phylogenetic analysis of <italic>Cystoisospora felis</italic> confirmed its close relation to isolates previously reported in different geographical regions (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). The ITS-1 sequencing of <italic>Cystoisospora felis</italic> demonstrated substantial genetic similarity to isolates from each city, indicating a conserved genetic lineage within this species.</p>
<p>The study also revealed key epidemiological patterns. Shelter cats exhibited a higher prevalence of both <italic>Cryptosporidium</italic> (3.1%) and <italic>Cystoisospora</italic> (19.0%) compared to companion cats (1.6% and 5.1%, respectively), likely due to increased exposure to contaminated environments and stress-related immunosuppression. Additionally, younger cats (1-7 months) had a significantly higher infection rate for <italic>Cryptosporidium</italic> (4.5%) and <italic>Cystoisospora</italic> (10.9%) than older age groups, underscoring the susceptibility of juvenile felines. Seasonal variations also played a role, with winter and spring showing the highest infection rates, potentially due to the increased environmental persistence of oocysts in colder temperatures. Environmental studies confirm that oocyst survival is significantly longer in soils and waters kept at lower temperatures (<xref ref-type="bibr" rid="B27">Peng et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B19">Li et&#xa0;al., 2010</xref>). Epidemiological data in cats show a higher prevalence in winter, reinforcing how seasonal conditions influence transmission (<xref ref-type="bibr" rid="B2">Armon et&#xa0;al., 2016</xref>).</p>
<p>A global meta-analysis by <xref ref-type="bibr" rid="B33">Taghipour et&#xa0;al. (2021)</xref> reported an overall prevalence of <italic>Cryptosporidium</italic> in cats at 4.0%, with higher rates in shelter and stray populations compared to household pets, aligning with the elevated rates seen in shelter cats in Kazakhstan (<xref ref-type="bibr" rid="B33">Taghipour et&#xa0;al., 2021</xref>). In South Korea, <xref ref-type="bibr" rid="B38">Yun et&#xa0;al. (2023)</xref> found <italic>Cryptosporidium</italic> spp. in 3.6% of cats, with <italic>Cystoisospora</italic> spp. detected in 7.6%, similar to the Kazakhstan findings for <italic>Cystoisospora felis</italic>. Additionally, the prevalence of <italic>Cryptosporidium</italic> is reported to be 6.5% in shelter cats versus 1.8% in pet cats, with higher rates observed in animals under one year of age (<xref ref-type="bibr" rid="B38">Yun et&#xa0;al., 2023</xref>), which confirms our findings in this work. <xref ref-type="bibr" rid="B24">Mendoza and Otranto (2023)</xref> also emphasized that younger animals are more vulnerable due to immature immune systems and shelter environments pose a greater risk for protozoan infections due to increased exposure and stress-immunosuppression (<xref ref-type="bibr" rid="B24">Mendoza and Otranto, 2023</xref>).</p>
<p>In this study, 12 case of <italic>C. parvum</italic> infection was detected in stray and companion cats. The presence of <italic>C. parvum</italic> in domestic cats poses potential zoonotic risks, especially for individuals with compromised immune systems (<xref ref-type="bibr" rid="B15">Jiang et&#xa0;al., 2020</xref>). Molecular characterization of studied <italic>C. felis</italic> isolates (2/14) provided critical insights into the genetic structure of the detected parasites. Notably, the <italic>C. felis</italic> isolates identified in this study belonged to the XIXa subtype, which has been reported globally, reinforcing the genetic homogeneity of this subtype (<xref ref-type="bibr" rid="B22">Lucio-Forster et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B37">Xiao and Feng, 2017</xref>; <xref ref-type="bibr" rid="B30">Rojas-Lopez et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B24">Mendoza and Otranto, 2023</xref>). The gp60 subtyping of <italic>C. felis</italic> revealed sequence variations that align with global reports, contributing to the growing database of <italic>Cryptosporidium</italic> genetic diversity (<xref ref-type="bibr" rid="B10">de Oliveira et&#xa0;al., 2021</xref>). Of the 12 <italic>Cryptosporidium</italic> isolates analyzed in this study, 10 were successfully sequenced, and all were identified as belonging to the IIdA15G1 subtype. As illustrated in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>, these isolates cluster within the <italic>C. parvum</italic> IIdA15G1 clade, which also includes reference sequences retrieved from GenBank (accession numbers: MK731965, KT964798, MN250291, MT680898, MW792241). The bootstrap support for this clade ranges from 70% to 78%, reflecting a robust phylogenetic relationship among isolates of this subtype. In contrast, reference isolates of the <italic>C. hominis</italic> lineage comprising subtypes IeA11G3T3, IfA14G1, and IfA19G1 form a clearly distinct and well-supported branch (bootstrap up to 86%), demonstrating clear genetic separation from <italic>C. parvum</italic>. Additionally, the IIcA5G3c subtype (EU095267, HM234172) and the If-like subtypes (LC270809, LC270810) each form discrete phylogenetic lineages, further underscoring the genetic heterogeneity within <italic>C. parvum</italic>.</p>
<p>These findings underscore the importance of continuous surveillance and molecular monitoring of <italic>Cryptosporidium</italic> and <italic>Cystoisospora</italic> infections in felines, particularly in regions with close human-animal interactions. Given the zoonotic potential of <italic>C. parvum</italic>, targeted public health interventions, including improved hygiene practices and regular veterinary screenings, are essential to mitigate transmission risks. Future studies should explore the role of additional host factors and environmental conditions influencing infection dynamics, as well as assess the broader public health implications of <italic>C. felis</italic> in humans.</p>
<p>Overall, this study contributes to the understanding of unicellular parasite infections in cats in Kazakhstan, emphasizing the need for integrated One Health approaches to monitor and control these infections in both animal and human populations.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/supplementary material.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal studies were approved by Animal Ethics Committee of the S. Seifullin Kazakh Agrotechnical University (extract from protocol No. 2 dated November 03, 2022). The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>LL: Writing &#x2013; review &amp; editing, Conceptualization, Funding acquisition, Project administration, Formal analysis, Methodology, Writing &#x2013; original draft, Resources, Data curation. RU: Writing &#x2013; original draft, Software, Visualization, Data curation, Validation, Methodology, Formal analysis. NM: Data curation, Visualization, Formal analysis, Validation, Writing &#x2013; original draft. VY: Formal analysis, Visualization, Data curation, Software, Writing &#x2013; original draft. AA: Formal analysis, Data curation, Writing &#x2013; original draft, Visualization, Software. AS: Visualization, Software, Formal Analysis, Writing &#x2013; original draft, Data curation, Methodology, Validation. CH: Data curation, Methodology, Conceptualization, Writing &#x2013; review &amp; editing. VK: Data curation, Supervision, Writing &#x2013; review &amp; editing, Methodology, Conceptualization, Resources, Writing &#x2013; original draft, Project administration.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was funded by the Science Committee of the Ministry of Science and Higher Education of the Republic of Kazakhstan AR19679420 (The study of the genetic diversity of zoonotic parasites of cats circulating in Kazakhstan).</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>The authors would like to express their sincere gratitude to the staff of veterinary clinics and shelters for their assistance in collecting the samples.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors&#xa0;and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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