The absence of the drhm gene is not a marker for human-pathogenicity in European Anaplasma phagocytophilum strains.


Journal

Parasites & vectors
ISSN: 1756-3305
Titre abrégé: Parasit Vectors
Pays: England
ID NLM: 101462774

Informations de publication

Date de publication:
07 May 2020
Historique:
received: 18 02 2020
accepted: 29 04 2020
entrez: 9 5 2020
pubmed: 10 5 2020
medline: 7 1 2021
Statut: epublish

Résumé

Anaplasma phagocytophilum is a Gram-negative obligate intracellular bacterium that replicates in neutrophil granulocytes. It is transmitted by ticks of the Ixodes ricinus complex and causes febrile illness in humans and animals. The geographical distribution of A. phagocytophilum spans the Americas, Europe, Africa and Asia. However, human disease predominantly occurs in North America but is infrequently reported from Europe and Asia. In North American strains, the absence of the drhm gene has been proposed as marker for pathogenicity in humans whereas no information on the presence or absence of the drhm gene was available for A. phagocytophilum strains circulating in Europe. Therefore, we tested 511 European and 21 North American strains for the presence of drhm and compared the results to two other typing methods: multilocus sequence typing (MLST) and ankA-based typing. Altogether, 99% (478/484) of the analyzable European and 19% (4/21) of the North American samples from different hosts were drhm-positive. Regarding the strains from human granulocytic anaplasmosis cases, 100% (35/35) of European origin were drhm-positive and 100% (14/14) of North American origin were drhm-negative. Human strains from North America and Europe were both part of MLST cluster 1. North American strains from humans belonged to ankA gene clusters 11 and 12 whereas European strains from humans were found in ankA gene cluster 1. However, the North American ankA gene clusters 11 and 12 were highly identical at the nucleotide level to the European cluster 1 with 97.4% and 95.2% of identity, respectively. The absence of the drhm gene in A. phagocytophilum does not seem to be associated with pathogenicity for humans per se, because all 35 European strains of human origin were drhm-positive. The epidemiological differences between North America and Europe concerning the incidence of human A. phagocytophilum infection are not explained by strain divergence based on MLST and ankA gene-based typing.

Sections du résumé

BACKGROUND BACKGROUND
Anaplasma phagocytophilum is a Gram-negative obligate intracellular bacterium that replicates in neutrophil granulocytes. It is transmitted by ticks of the Ixodes ricinus complex and causes febrile illness in humans and animals. The geographical distribution of A. phagocytophilum spans the Americas, Europe, Africa and Asia. However, human disease predominantly occurs in North America but is infrequently reported from Europe and Asia. In North American strains, the absence of the drhm gene has been proposed as marker for pathogenicity in humans whereas no information on the presence or absence of the drhm gene was available for A. phagocytophilum strains circulating in Europe. Therefore, we tested 511 European and 21 North American strains for the presence of drhm and compared the results to two other typing methods: multilocus sequence typing (MLST) and ankA-based typing.
RESULTS RESULTS
Altogether, 99% (478/484) of the analyzable European and 19% (4/21) of the North American samples from different hosts were drhm-positive. Regarding the strains from human granulocytic anaplasmosis cases, 100% (35/35) of European origin were drhm-positive and 100% (14/14) of North American origin were drhm-negative. Human strains from North America and Europe were both part of MLST cluster 1. North American strains from humans belonged to ankA gene clusters 11 and 12 whereas European strains from humans were found in ankA gene cluster 1. However, the North American ankA gene clusters 11 and 12 were highly identical at the nucleotide level to the European cluster 1 with 97.4% and 95.2% of identity, respectively.
CONCLUSIONS CONCLUSIONS
The absence of the drhm gene in A. phagocytophilum does not seem to be associated with pathogenicity for humans per se, because all 35 European strains of human origin were drhm-positive. The epidemiological differences between North America and Europe concerning the incidence of human A. phagocytophilum infection are not explained by strain divergence based on MLST and ankA gene-based typing.

Identifiants

pubmed: 32381072
doi: 10.1186/s13071-020-04116-z
pii: 10.1186/s13071-020-04116-z
pmc: PMC7206706
doi:

Substances chimiques

Genetic Markers 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

238

Commentaires et corrections

Type : ErratumIn

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Auteurs

Denis B Langenwalder (DB)

Department of Medical Microbiology and Hygiene, Medical Center of the Johannes Gutenberg-University Mainz, Obere Zahlbacherstrasse 67, 55131, Mainz, Germany.

Sabine Schmidt (S)

Department of Medical Microbiology and Hygiene, Medical Center of the Johannes Gutenberg-University Mainz, Obere Zahlbacherstrasse 67, 55131, Mainz, Germany.

Cornelia Silaghi (C)

Institute of Infectology, Friedrich-Loeffler-Institut, Südufer 10, 17493, Greifswald-Insel Riems, Germany.

Jasmin Skuballa (J)

Chemical and Veterinary Investigations Office Karlsruhe (CVUA Karlsruhe), Weissenburgerstrasse 3, 76187, Karlsruhe, Germany.

Nikola Pantchev (N)

IDEXX Laboratories, Mörikestrasse 28/3, 71636, Ludwigsburg, Germany.

Ioana A Matei (IA)

Department of Parasitology and Parasitic Diseases, University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca, Calea Manastur 3-5, 400372, Cluj-Napoca, Romania.

Andrei D Mihalca (AD)

Department of Parasitology and Parasitic Diseases, University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca, Calea Manastur 3-5, 400372, Cluj-Napoca, Romania.

Urs Gilli (U)

IDEXX Diavet AG, Schlyffistrasse 10, 8806, Bäch, Switzerland.

Joanna Zajkowska (J)

Department of Infectious Diseases and Neuroinfections, Medical University of Białystok, ul.Żurawia 14, 15-345, Białystok, Poland.

Martin Ganter (M)

Clinic for Swine and Small Ruminants, University of Veterinary Medicine Hannover, Bischofsholer Damm 15, 30173, Hannover, Germany.

Tove Hoffman (T)

Department of Medical Biochemistry and Microbiology (IMBIM), Zoonosis Science Center, Uppsala University, Uppsala, Sweden.

Erik Salaneck (E)

Department of Medical Sciences, Zoonosis Science Center, Uppsala University, Uppsala, Sweden.

Miroslav Petrovec (M)

Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, 1000, Ljubljana, Slovenia.

Friederike D von Loewenich (FD)

Department of Medical Microbiology and Hygiene, Medical Center of the Johannes Gutenberg-University Mainz, Obere Zahlbacherstrasse 67, 55131, Mainz, Germany. friederike.loewenich@unimedizin-mainz.de.

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