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      Detection of pathogens in Dermacentor reticulatus in northwestern Europe: evaluation of a high-throughput array

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          Abstract

          Background

          The geographic distribution of Dermacentor reticulatus is expanding in Europe. Surveillance of this tick species and its pathogens is desirable, as it transmits pathogens of public and veterinary importance. A high-throughput real-time PCR-based array was used to screen 1.741 D. reticulatus ticks from Belgium, Germany, The Netherlands, and Great Britain for the presence of 28 tick-borne bacteria and twelve protozoan parasites. The presence of pathogen DNA was confirmed by conventional PCR followed by sequencing.

          Results

          The array detected the presence of DNA from Borrelia spp. (7%), B. afzelii (0.1%) , B. garinii (0.1%) , B. spielmanii (0.1%) , B. miyamotoi (0.2%) , Anaplasma marginale (0.1%) , A. phagocytophilum (0.1%) , Ehrlichia canis (2%) , Rickettsia helvetica (0.2%) , spotted fever group Rickettsia (9.6%), Francisella tularensis or Francisella-like endosymbionts (95%) , Coxiella burnettii (0.1%) , Babesia divergens (0.2%) , B. canis (0.9%) B. vogeli (5.6%) , and Theileria equi (0.1%) . Only the presence of B. canis and spotted fever group Rickettsia could be confirmed by conventional PCR and sequencing. The spotted fever Rickettsia-positive samples were all identified as R. raoultii.

          Conclusions

          We successfully detected and determined the prevalence of B. canis and R. raoultii in D. reticulatus. An high-throughput array that allows fast and comprehensive testing of tick-borne pathogens is advantageous for surveillance and future epidemiological studies. The importance of thorough validation of real-time PCR-based assays and careful interpretation is evident.

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          Most cited references44

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          Multiplex real-time PCR for detection of anaplasma phagocytophilum and Borrelia burgdorferi.

          A multiplex real-time PCR assay was developed for the simultaneous detection of Anaplasma phagocytophilum and Borrelia burgdorferi. The assay was tested on various Anaplasma, Borrelia, Erhlichia, and Rickettsia species, as well as on Bartonella henselae and Escherichia coli, and the assay was found to be highly specific for A. phagocytophilum and the Borrelia species tested (B. burgdorferi, B. parkeri, B. andersonii, and B. bissettii). The analytical sensitivity of the assay is comparable to that of previously described nested PCR assays (A. phagocytophilum, 16S rRNA; B. burgdorferi, fla gene), amplifying the equivalent of one-eighth of an A. phagocytophilum-infected cell and 50 borrelia spirochetes. The dynamic range of the assay for both A. phagocytophilum and B. burgdorferi was >/=4 logs of magnitude. Purified DNA from A. phagocytophilum and B. burgdorferi was spiked into DNA extracted from uninfected ticks and from negative control mouse and human bloods, and these background DNAs were shown to have no significant effect on sensitivity or specificity of the assay. The assay was tested on field-collected Ixodes scapularis ticks and shown to have 100% concordance compared to previously described non-probe-based PCR assays. To our knowledge, this is the first report of a real-time multiplex PCR assay that can be used for the simultaneous and rapid screening of samples for A. phagocytophilum and Borrelia species, two of the most common tick-borne infectious agents in the United States.
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            Sequence typing reveals extensive strain diversity of the Lyme borreliosis agents Borrelia burgdorferi in North America and Borrelia afzelii in Europe.

            The genetic polymorphism of Borrelia burgdorferi and Borrelia afzelii, two species that cause Lyme borreliosis, was estimated by sequence typing of four loci: the rrs-rrlA intergenic spacer (IGS) and the outer-membrane-protein gene p66 on the chromosome, and the outer-membrane-protein genes ospA and ospC on plasmids. The major sources of DNA for PCR amplification and sequencing were samples of the B. burgdorferi tick vector Ixodes scapularis, collected at a field site in an endemic region of the north-eastern United States, and the B. afzelii vector Ixodes ricinus, collected at a similar site in southern Sweden. The sequences were compared with those of reference strains and skin biopsy isolates, as well as database sequences. For B. burgdorferi, 10-13 alleles for each of the 4 loci, and a total of 9 distinct clonal lineages with linkage of all 4 loci, were found. For B. afzelii, 2 loci, ospC and IGS, were examined, and 11 IGS genotypes, 12 ospC alleles, and a total of 9 linkage groups were identified. The genetic variants of B. burgdorferi and B. afzelii among samples from the field sites accounted for the greater part of the genetic diversity previously reported from larger areas of the north-eastern United States and central and northern Europe. Although ospC alleles of both species had higher nucleotide diversity than other loci, the ospC locus showed evidence of intragenic recombination and was unsuitable for phylogenetic inference. In contrast, there was no detectable recombination at the IGS locus of B. burgdorferi. Moreover, beyond the signature nucleotides that specified 10 IGS genotypes, there were additional nucleotide polymorphisms that defined a total of 24 subtypes. Maximum-likelihood and parsimony cladograms of B. burgdorferi aligned IGS sequences revealed the subtype sequences to be terminal branches of clades, and the existence of at least three monophyletic lineages within B. burgdorferi. It is concluded that B. burgdorferi and B. afzelii have greater genetic diversity than had previously been estimated, and that the IGS locus alone is sufficient for strain typing and phylogenetic studies.
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              A case of meningoencephalitis by the relapsing fever spirochaete Borrelia miyamotoi in Europe.

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                Author and article information

                Contributors
                Journal
                Heliyon
                Heliyon
                Heliyon
                Elsevier
                2405-8440
                28 February 2019
                February 2019
                28 February 2019
                : 5
                : 2
                : e01270
                Affiliations
                [a ]Centre for Zoonoses & Environmental Microbiology, Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
                [b ]UMR BIPAR, Animal Health Laboratory, ANSES, INRA, Ecole Nationale Vétérinaire d’Alfort, Université Paris-Est, Maisons-Alfort, France
                [c ]Centre for Monitoring of Vectors, Netherlands Food and Consumer Product Safety Authority, Ministry of Agriculture, Nature and Food Quality, Wageningen, the Netherlands
                [d ]Department of Medical Entomology & Zoonoses Ecology, Emergency Response Department – Science & Technology, Public Health England, Porton Down, United Kingdom
                [e ]NIHR Health Protection Research Unit, Environmental Change & Health, United Kingdom
                [f ]Laboratory for Vector-Borne Diseases, Queen Astrid Military Hospital, Brussels, Belgium
                [g ]Comparative Tropical Medicine and Parasitology, Faculty of Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich, Germany
                Author notes
                []Corresponding author. hein.sprong@ 123456rivm.nl
                [1]

                Current address: Federal Research Institute for Animal Health, Institute of Infectology, Friedrich-Loeffler-Institute, Riems, Germany.

                Article
                S2405-8440(18)38333-6 e01270
                10.1016/j.heliyon.2019.e01270
                6401523
                30891514
                424c7189-2a42-474f-ba55-6b203374b546
                © 2019 Published by Elsevier Ltd.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 1 December 2018
                : 11 February 2019
                : 19 February 2019
                Categories
                Article

                molecular biology,microbiology
                molecular biology, microbiology

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