To the Editor: The cynomolgus monkey (Macaca fascicularis), also known as the long-tailed
macaque or crab-eating monkey, is commonly found in the Southeast Asia region (
1
). The macaque has been associated with several bacterial infections, such as those
caused by hemotropic Mycoplasma and Bartonella quintana (
2
). As a result of rapid deforestation and changes in land use patterns, cynomolgus
monkeys live in close proximity to human-populated areas (
1
). Human–macaque conflict may increase the risk for zoonoses.
Little is known about rickettsial and anaplasma infections in cynomolgus monkeys in
Malaysia. Although Rickettsia spp. RF2125 and Rf31 have been identified from cat fleas
in Malaysia (
3
), the presence of Anaplasma bovis in monkeys is not known.
Rickettsia felis, a member of the spotted fever group rickettsiae, is an emergent
fleaborne human pathogen distributed worldwide (
4
). The obligate intracellular bacterium has been identified from cats, dogs, opossums,
and the ectoparasites of various mammalian hosts. Several uncultured rickettsiae genetically
closely related to the R. felis–type strain URRWXCal2 (referred to as R. felis–like
organisms and including Rickettsia spp. RF2125, Rf31, Candidatus Rickettsia asemboensis,
and others) have also been identified from various arthropods and fecal samples of
primates (
5
). A. bovis is a gram-negative, pleomorphic, tickborne intracellular bacterium that
infects a wide range of mammal species in many geographic regions (
6
).
To learn more about these infections in monkeys, we examined blood samples from 50
cynomolgus monkeys caught by the Department of Wildlife and National Parks at 12 residential
areas in Peninsular Malaysia during a population management and wildlife disease surveillance
program (January 2012–December 2013). Most monkeys (14 male, 36 female) were adults
and were active and healthy. DNA was extracted from 200 μL of each blood sample by
using a QIAamp DNA Mini Kit (QIAGEN, Hilden, Germany). We performed PCRs selective
for the rickettsial citrate synthase gene (gltA) by using primers CS-78 and CS-323
and for the 135-kDa outer membrane protein B gene (ompB) by using primers 120-M59
and 120-807 (
7
). As positive controls, we used cloned PCR4-TOPO TA plasmids (Invitrogen, Carlsbad,
CA, USA) with amplified gltA fragment from R. honei (strain TT118) and ompB fragment
from a rickettsial endosymbiont (98% similarity to R. raoultii) of a tick sample.
Amplification of anaplasma DNA was performed by using a group-specific primer pair
(EHR 16SD/EHR 16SR) (
8
). As a positive control for the PCR, we used an A. marginale–infected cattle blood
sample. The full-length sequences of the Anaplasma 16S rRNA gene were obtained by
amplification with primers ATT062F and ATT062R (
9
). Sequence determination of the amplicons was performed by using forward and reverse
primers of respective PCRs on an ABI PRISM 377 Genetic Analyzer (Applied Biosystems,
Waltham, MA, USA). To search for homologous sequences in the GenBank database, we
performed a BLAST (http://blast.ncbi.nlm.nih.gov/Blast.cgi) analysis and constructed
a dendrogram based on 16S rDNA sequences of A. bovis (
10
).
The rickettsial gltA gene was detected from 12 (24%) blood samples of mostly male
monkeys from 8 locations. BLAST analysis of 210 nucleotides (GenBank accession no.
KP126803) amplified from all samples demonstrated 100% sequence similarity with Rickettsia
sp. RF2125 (accession no. AF516333), Candidatus Rickettsia asemboensis (accession
no. JN315968), and Rickettsia spp. clone 4G/JP102 and 11TP21 (accession nos. JN982949
and JN982950), which had been identified from cat fleas in Southeast Asia, Africa,
and Costa Rica, respectively. The rickettsial sequence also showed 99.0% similarity
(2-nt difference) with R. felis–type strain (accession no. CP000053). The rickettsial
ompB gene was amplified from 4 samples, and BLAST analysis of the sequences (556–779
bp) revealed closest match to several R. felis–like organisms, including Rickettsia
sp. RF2125 (100%, accession no. JX183538) and Candidatus Rickettsia asemboensis (99%,
accession no. JN315972). BLAST analysis of the longest ompB sequence (accession no.
KP126804) obtained in this study showed 93% similarity with that of the R. felis–type
strain.
Anaplasma DNA was amplified from 5 (10%) monkeys at 2 locations by using group-specific
primers. Analysis of the nearly full-length sequences of the A. bovis 16S rRNA gene
(1,457 nt) revealed 3 sequence types (GenBank accession nos. KM114611–3) with 99.1%–99.2%
homology to that of the A. bovis strain from cattle in South Africa (accession no.
U03775). The phylogenetic tree (Figure) inferred by using various Anaplasma species
confirms the clustering of the strains from monkeys with A. bovis from different animals
(i.e., goats, cattle, deer, ticks, wild boars, dogs, raccoons, leopard cats, eastern
rock sengis, and cottontail rabbits). Co-infection of R. felis–like organisms and
A. bovis was detected in only 1 sample.
Figure
Phylogenetic relationships among various Anaplasma species, based on partial sequences
of the 16S rRNA gene (1,263 bp). The dendrogram was constructed by using the neighbor-joining
method in MEGA6 software (
10
) with the maximum composite likelihood substitution model and bootstrapping with
1,000 replicates. Rickettsia rickettsii (U11021) was used as an outgroup. Numbers
in brackets are GenBank accession numbers. Representative Malaysian A. bovis sequences
were deposited into the GenBank database under accession nos. KM114611–3. Scale bar
indicates nucleotide substitutions per site.
Infections caused by R. felis–like organisms and A. bovis in the cynomolgus monkeys
were subclinical (i.e., monkeys showed no evident signs of infection at the time of
blood sampling). The diverse range of the organisms’ ectoparasite and animal hosts
raises concern about their potential risk to human and animal health. Further study
on the interactions between the microbes, vectors, and reservoir hosts is needed to
assess their effects on public health.