Pseudogymnoascus destructans as the Agent of White-Nose Syndrome (WNS) in Bat Populations †

: Pseudogymnoascus destructans is a psychrophilic fungus that causes white-nose syndrome (WNS), an emerging disease in North America. This fungus has caused unprecedented population declines. It has also been described in Europe and Asia, where it has not caused significant mortality. The first evidence of WNS in North America came from a photograph of a hibernating bat taken during the winter of 2005–2006 in a cave near Albany, New York. P. destructans develops when the body temperature decreases during winter hibernation. This fungus thrives in humid and cold conditions characteristic of caves. Infected bats can develop visible white fungal growth on the nose, ears, and wings, and awaken more frequently from torpor. It leads to physiologic changes that result in weight loss, dehydration, electrolyte imbalances, and the death of bats. The fungi can persist in the environments of underground bat hibernation sites and are believed to spread primarily by the natural movements of infected bats. Also, there is a strong possibility that it may also be transmitted by humans inadvertently carrying the fungus from cave to cave on their clothing and gear. WNS has a big impact on bat populations with high levels of mortality, particularly endangered species. Some populations will take many years to recover. The decline of bats also has an impact on the spread of diseases, since many species of bat feed on insect carriers of several pathogens.


Introduction
Pseudogymnoascus destructans (formerly known as Geomyces destructans) is a psychrophilic fungus that is the etiologic agent of white-nose syndrome (WNS) in bats [1], a fatal fungal disease that has devastated bat populations in the Northern Hemisphere, particularly in North America [2].The first report of P. destructans (WNS) was in North America in a photograph of a hibernating bat taken in the winter of 2005-2006 in a hibernaculum near Albany, New York (USA) [3].In New York, the species affected, little brown bats (Myotis lucifugus), were the first to be infected and experienced high mortality, resulting in population declines of 90-100% in caves [4].Later, this fungus, with curved conidia, was isolated from the skin of the nose and wing of Myotis lucifugus and Myotis septentrionalis [2,5].
In 2013, after a phylogenic analysis, these fungi were classified in the genus Pseudogymnoascus and the family Pseudeurotiaceae [6].From there, and over subsequent years, it spread to other regions of North America and has killed millions of bats, threatening some species with extinction [7].Although millions of bats have died in North America, mass mortality has not been observed among European bats infected by the fungus [8].This fungus is not transmitted to humans.
It is hypothesized that these fungi were introduced to North America from Europe or Asia, where they are native [16,21,23,24].The route of introduction is still unknown, but the subsequent spread throughout North America probably occurred due to the natural movement of bats [25], contact with contaminated substrates and human clothing/equipment (particularly cave equipment) [26], and host/vector organisms (pathway vector) [27].

Pathogen Characteristics and Clinical Presentation
P. destructans is a psychrophilic fungus that grows at temperatures from around 4 • C to 20 • C (the same temperatures that can be found in winter bat hibernacula) [29].It belongs to the genus Pseudogymnoascus and the family Pseudeurotiaceae [5].P. destructans can grow and sporulate (reproduce asexually via conidiation) on chitinaceous, keratinaceous, cellulosic, and lipid/protein-rich substrates (e.g., dead fish, mushrooms, fruit, and insects) [30].It can grow over a wide pH range (pH 5-11), in high levels of sulfur compounds (cysteine, sulfite, sulfide), and in elevated levels of calcium in the environment [30].
The transmission starts during autumn and has a high peak during the months of winter.During the summer, the fungi vanish from the surviving animals and the prevalence during the summer months is almost null.However, the fungus may still be present, as it has the ability to persist in cave sediment, even in the absence of bats [31], and in the skin of bats that utilize contaminated underground sites for daily torpor [26].

Laboratory Diagnosis
In the laboratory, the fungus has a slow growth on cornmeal agar or Sabouraud dextrose agar incubated at 5 to 15 • C for 16 days [14].Its colonies have a 1.0 mm diameter and are white marginally, with grey to green powdery centers.The reverse side is uncolored on cornmeal agar or brown in Sabouraud dextrose agar [14,32].Microscopically, it has moderately thick-walled, curved conidia and erect, hyaline, smooth, narrow, and thin-walled conidiophores [14,33].Some virulence factors have also been identified in P. destructans that may contribute to skin invasion.These include the over-production of riboflavin (vitamin B2) [34], the secretion of siderophores [35], and the excretion of a subtilisin-like serine protease that reduces collagen [36].It also produces enzymes such as naphthol-AS-B1-phosphohydrolase, β-glucosidase, leucine and valine arylamidase, esterase/esterase lipase/lipase, N-acetyl-β-glucosaminidase, acid and alkaline phosphatases, proteinases, and ureases [37].

Clinical Signs in Bats
This fungus almost exclusively affects hibernating bats [1,14].Gross clinical signals include fungal growth with a 1 to 3 mm diameter, and multifocal to coalescing white foci with a pinpoint black center on the ears, nose, and wing membranes of hibernating bats (Figure 2) [5].In the wings, it is also possible to observe areas of depigmentation, splitting, and dryness of the patagia [38].Infected animals also present behavior alterations such as premature emergence from hibernation during the winter period [39].Other systemic alterations that can be present are increased evaporative water loss through the damaged skin, hypovolemia, hyperkalemia, acidosis, and hypotonic dehydration [24,33].
Post-mortem, the animals are emaciated and the fungi growing on the skin can be present or not.Histological examinations of the skin can reveal cupping erosions and ulcers that are filled with densely packed, PAS-and GMS-positive fungal hyphae [7].Animals that die during hibernation do not present inflammatory responses surrounding the invading hyphae, but in animals that emerged from hibernation, it is possible that they may exhibit a neutrophilic reaction as well edema and necrosis [7].Although mortality is very high, some animals can survive and recover from the damage [7,14].
Animals that die during hibernation do not present inflammatory responses surrounding the invading hyphae, but in animals that emerged from hibernation, it is possible that they may exhibit a neutrophilic reaction as well edema and necrosis [7].Although mortality is very high, some animals can survive and recover from the damage [7,14].

Diagnosis and Treatment
Methods to identify the fungus include fungal culture, histopathological examination, and PCR [4].There is no practical treatment for colonies affected at the moment.

Social Impacts
Some insectivorous bat species (e.g., M. septentrionalis) consume large quantities of mosquitoes each night [40].Many of these mosquitos and other insects are carriers of many diseases that can affect humans.With the decline of bats due to P. destructans, there is a reduction in the elimination of these vectors and a higher risk for the transmission of vector-borne diseases [40].

Environmental Impact
P. destructans affects all life stages of hibernating bats, and the mortality in hibernacula can be very high, resulting in significant and rapid decreases in bat abundance in the regions affected by this fungi [23].In North America, millions of bats have already died due to this fungi, leading to the decline of populations, with some common species (e.g., Muotis lucifugus) becoming almost inexistent in some regions [23,41].Populations that are affected by P. destructans have a slow recovery due to their already low annual fecundity (one juvenile a year) and other causes of mortality such as wind-turbine collisions [42].Some may never recover to the number before infection.The alteration in bat populations can lead to alterations at the trophic level; damaged ecosystem services (e.g., pollination); negative impacts on agriculture, forestry, human, and animal health; and reductions in native biodiversity and threatened species [23].

Economic Impacts
Insectivorous bats offer pest control services by consuming insects that damage crops and forests or vectors that carry diseases [43].Bat species are also important pollinators and dispersers of seeds in tropical and subtropical regions [43].These services save farmers millions of dollars every year.The mortality of bats due to these fungi is estimated to reduce these valuable and irreplaceable ecosystem services [44].

Diagnosis and Treatment
Methods to identify the fungus include fungal culture, histopathological examination, PCR [4].There is no practical treatment for colonies affected at the moment.

Social Impacts
Some insectivorous bat species (e.g., M. septentrionalis) consume large quantities of mosquitoes each night [40].Many of these mosquitos and other insects are carriers of many diseases that can affect humans.With the decline of bats due to P. destructans, there is a reduction in the elimination of these vectors and a higher risk for the transmission of vector-borne diseases [40].

Environmental Impact
P. destructans affects all life stages of hibernating bats, and the mortality in hibernacula can be very high, resulting in significant and rapid decreases in bat abundance in the regions affected by this fungi [23].In North America, millions of bats have already died due to this fungi, leading to the decline of populations, with some common species (e.g., Muotis lucifugus) becoming almost inexistent in some regions [23,41].Populations that are affected by P. destructans have a slow recovery due to their already low annual fecundity (one juvenile a year) and other causes of mortality such as wind-turbine collisions [42].Some may never recover to the number before infection.The alteration in bat populations can lead to alterations at the trophic level; damaged ecosystem services (e.g., pollination); negative impacts on agriculture, forestry, human, and animal health; and reductions in native biodiversity and threatened species [23].

Economic Impacts
Insectivorous bats offer pest control services by consuming insects that damage crops and forests or vectors that carry diseases [43].Bat species are also important pollinators and dispersers of seeds in tropical and subtropical regions [43].These services save farmers millions of dollars every year.The mortality of bats due to these fungi is estimated to reduce these valuable and irreplaceable ecosystem services [44].

Conclusions
P. destructans has an enormous impact on the bat population, especially in North America, with levels of mortality so high that previously common bat species have become almost extinct.
There is limited understanding of both fungal pathogens and wildlife hosts, since fungal species, in general, are very poorly investigated compared to other taxa of pathogens.Existing antifungal medications are limited, and those in use often confer considerable side effects to the animals, and anti-fungal vaccines are still not available.There is also inadequate knowledge about the immunology, physiology, and ecology of P. destructans on the multiple species of bats infected.This has led to many challenges in the control and prevention of this disease [45].
Efforts to attend to this devastating disease have already been made, but in the future, more research and development of new drugs will be necessary to combat this disease.

Figure 2 .
Figure 2. Lesions in the skin of a bat due to P. destructans (License: common use).

Figure 2 .
Figure 2. Lesions in the skin of a bat due to P. destructans (License: common use).