Polymicrobial Nature of Tick-Borne Diseases

ABSTRACT Tick-borne diseases have doubled in the last 12 years, and their geographic distribution has spread as well. The clinical spectrum of tick-borne diseases can range from asymptomatic to fatal infections, with a disproportionate incidence in children and the elderly. In the last few years, ne...

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Autores principales: Santiago Sanchez-Vicente, Teresa Tagliafierro, James L. Coleman, Jorge L. Benach, Rafal Tokarz
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Publicado: American Society for Microbiology 2019
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spelling oai:doaj.org-article:cba9cda8681d43d0b7f2a9780e2081f42021-11-15T15:59:40ZPolymicrobial Nature of Tick-Borne Diseases10.1128/mBio.02055-192150-7511https://doaj.org/article/cba9cda8681d43d0b7f2a9780e2081f42019-10-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.02055-19https://doaj.org/toc/2150-7511ABSTRACT Tick-borne diseases have doubled in the last 12 years, and their geographic distribution has spread as well. The clinical spectrum of tick-borne diseases can range from asymptomatic to fatal infections, with a disproportionate incidence in children and the elderly. In the last few years, new agents have been discovered, and genetic changes have helped in the spread of pathogens and ticks. Polymicrobial infections, mostly in Ixodes scapularis, can complicate diagnostics and augment disease severity. Amblyomma americanum ticks have expanded their range, resulting in a dynamic and complex situation, possibly fueled by climate change. To document these changes, using molecular biology strategies for pathogen detection, an assessment of 12 microbes (9 pathogens and 3 symbionts) in three species of ticks was done in Suffolk County, New York. At least one agent was detected in 63% of I. scapularis ticks. Borrelia burgdorferi was the most prevalent pathogen (57% in adults; 27% in nymphs), followed by Babesia microti (14% in adults; 15% in nymphs), Anaplasma phagocytophilum (14% in adults; 2% in nymphs), Borrelia miyamotoi (3% in adults), and Powassan virus (2% in adults). Polymicrobial infections were detected in 22% of I. scapularis ticks, with coinfections of B. burgdorferi and B. microti (9%) and of B. burgdorferi and A. phagocytophilum (7%). Three Ehrlichia species were detected in 4% of A. americanum ticks. The rickettsiae constituted the largest prokaryotic biomass of all the ticks tested and included Rickettsia amblyommatis, Rickettsia buchneri, and Rickettsia montanensis. The high rates of polymicrobial infection in ticks present an opportunity to study the biological interrelationships of pathogens and their vectors. IMPORTANCE Tick-borne diseases have increased in prevalence in the United States and abroad. The reasons for these increases are multifactorial, but climate change is likely to be a major factor. One of the main features of the increase is the geographic expansion of tick vectors, notably Amblyomma americanum, which has brought new pathogens to new areas. The clinical spectrum of tick-borne diseases can range from asymptomatic to fatal infections, with a disproportionate incidence in children and the elderly. In addition, new pathogens that are cotransmitted by Ixodes scapularis have been discovered and have led to difficult diagnoses and to disease severity. Of these, Borrelia burgdorferi, the agent of Lyme disease, continues to be the most frequently transmitted pathogen. However, Babesia microti, Borrelia miyamotoi (another spirochete), Anaplasma phagocytophilum, and Powassan virus are frequent cotransmitted agents. Polymicrobial infection has important consequences for the diagnosis and management of tick-borne diseases.Santiago Sanchez-VicenteTeresa TagliafierroJames L. ColemanJorge L. BenachRafal TokarzAmerican Society for MicrobiologyarticleAmblyommaAnaplasmaBabesiaBorrelia burgdorferiEhrlichiaIxodesMicrobiologyQR1-502ENmBio, Vol 10, Iss 5 (2019)
institution DOAJ
collection DOAJ
language EN
topic Amblyomma
Anaplasma
Babesia
Borrelia burgdorferi
Ehrlichia
Ixodes
Microbiology
QR1-502
spellingShingle Amblyomma
Anaplasma
Babesia
Borrelia burgdorferi
Ehrlichia
Ixodes
Microbiology
QR1-502
Santiago Sanchez-Vicente
Teresa Tagliafierro
James L. Coleman
Jorge L. Benach
Rafal Tokarz
Polymicrobial Nature of Tick-Borne Diseases
description ABSTRACT Tick-borne diseases have doubled in the last 12 years, and their geographic distribution has spread as well. The clinical spectrum of tick-borne diseases can range from asymptomatic to fatal infections, with a disproportionate incidence in children and the elderly. In the last few years, new agents have been discovered, and genetic changes have helped in the spread of pathogens and ticks. Polymicrobial infections, mostly in Ixodes scapularis, can complicate diagnostics and augment disease severity. Amblyomma americanum ticks have expanded their range, resulting in a dynamic and complex situation, possibly fueled by climate change. To document these changes, using molecular biology strategies for pathogen detection, an assessment of 12 microbes (9 pathogens and 3 symbionts) in three species of ticks was done in Suffolk County, New York. At least one agent was detected in 63% of I. scapularis ticks. Borrelia burgdorferi was the most prevalent pathogen (57% in adults; 27% in nymphs), followed by Babesia microti (14% in adults; 15% in nymphs), Anaplasma phagocytophilum (14% in adults; 2% in nymphs), Borrelia miyamotoi (3% in adults), and Powassan virus (2% in adults). Polymicrobial infections were detected in 22% of I. scapularis ticks, with coinfections of B. burgdorferi and B. microti (9%) and of B. burgdorferi and A. phagocytophilum (7%). Three Ehrlichia species were detected in 4% of A. americanum ticks. The rickettsiae constituted the largest prokaryotic biomass of all the ticks tested and included Rickettsia amblyommatis, Rickettsia buchneri, and Rickettsia montanensis. The high rates of polymicrobial infection in ticks present an opportunity to study the biological interrelationships of pathogens and their vectors. IMPORTANCE Tick-borne diseases have increased in prevalence in the United States and abroad. The reasons for these increases are multifactorial, but climate change is likely to be a major factor. One of the main features of the increase is the geographic expansion of tick vectors, notably Amblyomma americanum, which has brought new pathogens to new areas. The clinical spectrum of tick-borne diseases can range from asymptomatic to fatal infections, with a disproportionate incidence in children and the elderly. In addition, new pathogens that are cotransmitted by Ixodes scapularis have been discovered and have led to difficult diagnoses and to disease severity. Of these, Borrelia burgdorferi, the agent of Lyme disease, continues to be the most frequently transmitted pathogen. However, Babesia microti, Borrelia miyamotoi (another spirochete), Anaplasma phagocytophilum, and Powassan virus are frequent cotransmitted agents. Polymicrobial infection has important consequences for the diagnosis and management of tick-borne diseases.
format article
author Santiago Sanchez-Vicente
Teresa Tagliafierro
James L. Coleman
Jorge L. Benach
Rafal Tokarz
author_facet Santiago Sanchez-Vicente
Teresa Tagliafierro
James L. Coleman
Jorge L. Benach
Rafal Tokarz
author_sort Santiago Sanchez-Vicente
title Polymicrobial Nature of Tick-Borne Diseases
title_short Polymicrobial Nature of Tick-Borne Diseases
title_full Polymicrobial Nature of Tick-Borne Diseases
title_fullStr Polymicrobial Nature of Tick-Borne Diseases
title_full_unstemmed Polymicrobial Nature of Tick-Borne Diseases
title_sort polymicrobial nature of tick-borne diseases
publisher American Society for Microbiology
publishDate 2019
url https://doaj.org/article/cba9cda8681d43d0b7f2a9780e2081f4
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AT teresatagliafierro polymicrobialnatureoftickbornediseases
AT jameslcoleman polymicrobialnatureoftickbornediseases
AT jorgelbenach polymicrobialnatureoftickbornediseases
AT rafaltokarz polymicrobialnatureoftickbornediseases
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